PCN Senior Clinical Pharmacist

Integrated Care System; London; On-site; GBP 40,000 - 65,000; Full time

Job summary

Un système de soins intégré recherche un pharmacien expérimenté pour offrir un soutien en gestion des médicaments au sein d'une équipe pluridisciplinaire. Ce poste pivot implique la gestion des prescriptions, la révision des médicaments et l'amélioration de la qualité des soins dans les pratiques de soins primaires. Le candidat idéal aura au minimum 5 ans d'expérience et sera un prescripteur indépendant.

Benefits

Opportunités de formation continue

Cliniques pour les patients

Qualifications

• Minimum de 5 ans d'expérience post-qualification.
• Expérience dans la gestion des médicaments pour plusieurs pathologies.
• Connaissance en matière de directives NICE et d'audits cliniques.

Responsibilities

• Réaliser des révisions structurées des médicaments pour les patients à polypharmacie.
• Gérer les demandes de prescriptions répétées et effectuer des changements de prescription comme prescripteur indépendant.
• Concevoir et mettre en œuvre des campagnes de santé publique au sein du réseau.

Skills

Communication

Gestion du risque clinique

Analytique et résolution de problèmes

Education

Enregistrement avec le General Pharmaceutical Council (GPhC)

Qualification de prescripteur indépendant

Job description

The post holder will work within their clinical competencies as part ofa multi-disciplinary team to provide expertise in clinical medicinesmanagement, provide face to face structured medication reviews, manage longterm conditions, management of medicines on transfer of care and systems forsafer prescribing, manage repeat prescription authorisations andreauthorisation, acute prescription request, while addressing both the publichealth and social care needs of patients in the GP practice(s) that make up thePCN.

The post holder will perform face to face medication review of patientswith polypharmacy especially for older people, people in residential care homesand those with multiple comorbidities. The post holder will provide leadershipon quality improvement and clinical audit and well as managing some aspects ofthe Quality and outcomes framework.

The post holder will work as part of a multi-disciplinary team tomanage repeat prescription authorisations and reauthorisation, acuteprescription request, management of medicines on transfer of care and systemsfor safer prescribing, providing expertise in clinical medicines managementwhile addressing both the public health and social care needs of patients inthe GP practice(s).

This role is pivotal to improving the quality ofcare and operational efficiencies so requires motivation and passion to deliveran excellent service within general practice

Main duties of the job

Patientfacing medicines support

Hold clinics for patients requiring face to face structuredmedication reviews i.e. a review of the ongoing need for each medicine, areview of monitoring needs and an opportunity to support patients with theirmedicine taking. Provide a telephone support for patients with questions,queries and concerns about their medicines.

Medicationreview

Undertake structured medication reviews with patients withmultimorbidity and polypharmacy and implement own prescribing changes, as anindependent prescriber, and order relevant monitoring tests

Riskstratification

Design, development and implementation of computer searches toidentify cohorts of patients at high risk of harm from medicines.Responsibility for management of risk stratification tools on behalf of thepractice. Working with patients and the primary care team to minimise risksthrough medicines optimisation.

Triage

Ensure that patients are referred to the appropriate clinician forthe appropriate level of care within an appropriate period of time e.g.pathology results, common/minor ailments, acute conditions, long term conditions.

Populationand Public Health

To devise and manage population and public health campaigns to runwithin the network. To provide specialist knowledge on immunisation.

Informationmanagement

Analyse, interpret and present medicines data to highlight issuesand risks to support decision making.

About us

Greenwich PCN Alliance Limited has been running since 2020 and consists of 4 PCNs: Blackheath and Charlton PCN, Eltham PCN, Heritage PCN and Unity PCN. Our aim at Greenwich PCN Alliance Limited is support the improvement of primary care across Greenwich by providing support to Primary Care Networks (PCN) across Greenwich and recruiting Additional Roles via the the Additional Roles Reimbursement Scheme (ARRS)

Job responsibilities

The post holder will work within their clinical competencies as part ofa multi-disciplinary team to provide expertise in clinical medicinesmanagement, provide face to face structured medication reviews, manage longterm conditions, management of medicines on transfer of care and systems forsafer prescribing, manage repeat prescription authorisations andreauthorisation, acute prescription request, while addressing both the publichealth and social care needs of patients in the GP practices that make up thePCN.

The post holder will perform face to face medication review of patientswith polypharmacy especially for older people, people in residential care homesand those with multiple comorbidities. The post holder will provide leadershipon quality improvement and clinical audit and well as managing some aspects ofthe Quality and outcomes framework.

The post holder will work as part of a multi-disciplinary team tomanage repeat prescription authorisations and reauthorisation, acuteprescription request, management of medicines on transfer of care and systemsfor safer prescribing, providing expertise in clinical medicines managementwhile addressing both the public health and social care needs of patients inthe GP practice(s).

This role is pivotal to improving the quality ofcare and operational efficiencies so requires motivation and passion to deliveran excellent service within general practice

Patientfacing medicines support

Hold clinics for patients requiring facetoface structuredmedication reviews i.e. a review of the ongoing need for each medicine, areview of monitoring needs and an opportunity to support patients with theirmedicine taking. Provide a telephone support for patients with questions,queries and concerns about their medicines.

Medicationreview

Undertake structured medication reviews with patients withmultimorbidity and polypharmacy and implement own prescribing changes (as anindependent prescriber) and order relevant monitoring tests

Riskstratification

Design, development and implementation of computer searches toidentify cohorts of patients at high risk of harm from medicines.Responsibility for management of risk stratification tools on behalf of thepractice. Working with patients and the primary care team to minimise risksthrough medicines optimisation.

See patients in multimorbidity clinics and in partnership withprimary healthcare colleagues and implement improvements to patientsmedicines, including de-prescribing. Manage own case load, run own long-termcondition clinics where responsible for prescribing as an independentprescriber for conditions where medicines have a large component (e.g. medicineoptimisation for stable angina symptom control, warfarin monitoring and doseadjustment for patients requiring longterm anticoagulants). Review the ongoingneed for each medicine, a review of monitoring needs and an opportunity tosupport patients with their medicines taking.

Unplanned hospital admissions

Devise and implement practice searches to identify cohorts ofpatients most likely to be at risk of an unplanned admission and readmissionsfrom medicines. Work with case managers, multidisciplinary (health and socialcare) review teams, hospital colleagues and virtual ward teams to managemedicines-related risk for readmission and patient harm. Put in place changesto reduce the prescribing of these medicines to high-risk patient groups.

Repeatprescribing

Produce and implement a practice repeat prescribing policy. Managethe repeat prescribing reauthorisation process by reviewing patient requestsfor repeat prescriptions and reviewing medicines reaching review dates; makenecessary changes as an independent prescriber, and ensure patients are bookedin for necessary monitoring tests where required.

Triage

Ensure that patients are referred to the appropriate clinician forthe appropriate level of care within an appropriate period of time e.g.pathology results, common/minor ailments, acute conditions, long term conditions.

Medicinessafety and quality improvement

Identify and provide leadership on areas of prescribing requiringimprovement. Conduct own audits and improvement projects and work withcolleagues. Present results and provide leadership on suggested change.Demonstrate continuous QI activity focused upon prescribing safety as specifiedin the QOF guidance. This work for example might include the PINCER tool.Contribute to national and local research initiatives

Care homemedication reviews

Manage own caseload of care home residents. Undertake clinicalmedication reviews with patients with multimorbidity and polypharmacy andimplement own prescribing changes (as an independent prescriber) and orderrelevant monitoring tests. Work with care home staff to improve safety ofmedicines ordering and administration.

Domiciliaryclinical medication review

Manage own caseload of vulnerable housebound patients at risk ofhospital admission and harm from poor use of medicines. Implement ownprescribing changes (as an independent prescriber) and ordering of monitoringtests. Attend and refer patients to multidisciplinary case conferences.

Servicedevelopment

Develop and manage new services that are built around newmedicines or NICE guidance, where new medicine/recommendations allow thedevelopment of a new care pathway (e.g. new oral anticoagulants for strokeprevention in atrial fibrillation).

Care QualityCommission

Provide leadership to the practice manager and GPs to ensure thepractice is compliant with CQC standards where medicines are involved.

Populationand Public Health

To devise and manage population and public health campaigns to runwithin the network. To provide specialist knowledge on immunisation.

Cost savingprogrammes

Make recommendations for, and manage pharmacy technicians to, makechanges to medicines (switches) designed to save on medicine costs where amedicine or product with lower acquisition cost is now available

Medicineinformation to practice staff and patients

Answers allmedicinerelated enquiries from GPs, other practice staff and patients withqueries about medicines. Suggesting and recommending solutions. Providingfollow up for patients to monitor the effect of any changes.

Informationmanagement

Analyse, interpret and present medicines data to highlight issuesand risks to support decision making.

Training

Provide education and training to primary healthcare team ontherapeutics and medicines optimisation. Provide training to visiting medical,nursing and other healthcare students where appropriate.

Management ofmedicines at discharge from hospital

To reconcile medicines following discharge from hospitals,intermediate care and into care homes, including identifying and rectifyingunexplained changes manage these changes without referral to a GP, perform aclinical medication review, produce a post discharge medicines care planincluding dose titration and booking of follow up tests and working withpatients and community pharmacists to ensure patients receive the medicinesthey need post discharge and working with patients and community pharmacists toensure patients receive the medicines they need post discharge. Set up andmanage systems to ensure continuity of medicines supply to high-risk groups ofpatients (e.g. those with medicine compliance aids or those in care homes).Work in partnership with hospital colleagues (e.g. care of the elderly doctorsand clinical pharmacists) to proactively manage patients at high risk ofmedicine related problems before they are discharged to ensure continuity ofcare.

Implementationof local and national guidelines and formulary recommendations

Monitor practice prescribing against the local health economysRAG list for medicines that should be prescribed by hospital doctors (reddrugs) or subject to shared care (amber drugs). Liaise directly with hospitalcolleagues where prescribing needs to be returned to specialists. Assistpractices in setting and maintaining a practice formulary that is hosted on thepractices computer system. Suggest and develop computer decision support toolsto help remind prescribers about the agreed formulary choice and localrecommendations. Auditing practices compliance against NICE technologyassessment guidance. Provide newsletters on important prescribing messages toimprove prescribers knowledge and work with the team to develop and implementother techniques known to influence implementation of evidence such as auditand feedback.

Horizon scan toidentify national and local policy and guidance that affects patient safetythrough the use of medicines, including MHRA alerts, product withdrawals andemerging evidence form clinical trials. Manage the process of implementingchanges to medicines and guidance for practitioners.

Collaborativeworking arrangements

-Works colabratively with their PCNclinical director.

-Recognises the roles of othercolleagues within the network and their role to patient care

-Demonstrates use of appropriatecommunication to gain the co-operation of relevant stakeholders (includingpatients, senior and peer colleagues, and other professionals, other NHS/privateorganisations e.g. CCGs)

-Liaises with colleagues including CCGand STP/ICS Pharmacists on prescribing related matters to ensure consistency ofpatient care and benefit

Person Specification

Education, Training and Development

• Understands and demonstrates the characteristics of a role model to members in the team and/or service
• Demonstrates understanding of the mentorship process
• Demonstrates ability to conduct teaching and assessment effectively according to a learning plan with supervision from more experience colleague
• Demonstrates self-development through continuous professional development activity
• Participates in the delivery of formal education programmes; inspiring others to be positive in their support of continuous improvement
• Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice.
• Ensure there is appropriate clinical supervision in place all pharmacists
• Ensures all pharmacists are engaged with the review and appraisal systems within the practice

Research and Evaluation

• Demonstrates ability to critically evaluate and review literature
• Demonstrates ability to identify where there is a gap in the evidence base to support practice
• Demonstrates ability to generate evidence suitable for presentations at practice and local level
• Demonstrates ability to apply research evidence base into working place
• Demonstrates understanding of principles of research governance.

Other Requirements

• Excellent communication skills (written and oral)
• Competent in the use of Office and Outlook
• Effective time management (planning and organising)
• Good interpersonal skills
• Problem solving and analytical skills
• Ability to follow clinical policy and procedure
• Understanding of the audit process
• Understanding of clinical risk management
• Self Motivation
• Safeguarding adult and children level three
• Full Driving License

Management

• Demonstrate understanding of the implications of national priorities for the team and/or service and manage the team through these changes
• Demonstrate understanding of the process for effective resource utilisation
• Demonstrate understanding of, and conforms to, relevant standards of practice
• Demonstrates ability to identify and resolve risk management issues according to policy/protocol
• Follows professional and organisational policies/procedures relating to performance management
• Demonstrate ability to extend boundaries of service delivery within the team
• Lead and mentor a team of differing abilities

Qualifications

• - Mandatory registration with General Pharmaceutical Council (GPhC)
• - Independent prescriber or working towards/intent of gaining an independent prescribing qualification
• - Membership of the Royal Pharmaceutical Society
• - Membership Primary Care Pharmacy Association (PCPA)
• - A member of or working towards Faculty membership of the Royal Pharmaceutical Society
• - Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience

Leadership

• Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.
• Demonstrate understanding of, and contributes to, the workplace vision
• Engages with Patient Participation Groups (PPGs) and involves PPGs in development of the role and practices
• Demonstrates ability to improve quality within limitations of service
• Reviews yearly progress and develops clear plans to achieve results within priorities set by others.
• Demonstrate ability to motivate self to achieve goals
• Demonstrates ability to lead a team and provide support to other clinical pharmacists
• Provides a leadership style which is underpinned by strongly held values of the organisation and around equality, diversity and openness; effectively builds and maintains relationships with direct reportee(s) and other key individuals across the organisation
• Promotes diversity and equality in people management techniques and leads by example.

Experience

• Minimum of 5 years post-- qualification experience.
• In depth therapeutic and clinical knowledge and understanding of the principles
• An appreciation of the nature of GPs and general practices
• An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
• Excellent interpersonal, influencing and negotiating skills
• Excellent written and verbal communication skills
• Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients)
• Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
• Able to obtain and analyse complex technical information
• Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate
• Able to work under pressure and to meet deadlines
• Produce timely and inform ative reports
• Gain acceptance for Recommendations and influence/motivate/ persuade the audience to comply with the recommendations/ agreed course of action whe re there may be significant barrier
• Work effectively independently and as a team member
• Demonstrates accountability for delivering professional expertise and direct service provision
• Able to plan, manage, monitor, advise and review general pharmaceutical care programmes for patients across core areas, including disease states/long term conditions
• Uses skills in a range of routine situations requiring analysis or comparison of a range of options
• Recognises priorities when problem-solving and identifies deviations from normal pattern and is able to refer to seniors or GPs when appropriate.
• Able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.