Primary Care Network Clinical Pharmacist

Allscreens Nationwide Ltd; London; On-site; NOK 825,000 - 1,142,000; Full time

Job summary

Allscreens Nationwide Ltd is seeking a Primary Care Network Clinical Pharmacist to lead risk stratification, clinical clinics and holistic patient reviews within a network practice. The role involves independent prescribing, medicines optimisation and QOF alignment.

You will drive audits, develop new services, and ensure CQC compliance, attending MDT and network meetings to advance prescribing quality across the network.

Responsibilities

• Risk stratification: design, develop and implement computer searches to identify cohorts of patients with chronic disease who need review and medicines optimisation.
• Plan Clinics: manage own case load, perform NHS QOF and local standards checks, update data in the system.
• Manage patients holistically: review multi-morbidity in single appointments and update QOF/local standards as needed.
• Medication reviews: conduct structured reviews for multimorbidity, initiate prescribing changes as an independent prescriber, and monitor tests.
• Pathology: request and manage test results for the cohort in a timely way.
• Medicines safety & quality: lead prescribing improvements, run audits, share results, and contribute to IIF initiatives.
• Service development: build new medicines-guided care pathways and NICE-aligned services.
• Care Quality Commission: ensure practice compliance with CQC standards where medicines are involved.
• Meetings: attend MDT, Network, Practice, ICB and Federation meetings and contribute to network pharmacy issues.
• Oversight of Network Pharmacy issues: prepare and present reports on prescribing across two network practices.
• Relationships: foster strong relationships within and outside the practices network.
• Population & Public Health: design and run public health campaigns within the network.
• Medicine information: respond to medicine-related enquiries from GPs and staff, offer solutions and follow-up.
• Flexibility: adapt to evolving network needs and promote system-wide improvements.
• Training: educate the primary care team on therapeutics and medicines optimisation; train students where appropriate.
• Implementation of guidelines and formulary: monitor prescribing against NICE guidance, align with hospital/shared care, and develop decision-support tools.

Job description

Primary Care Network Clinical Pharmacist

• 1. Risk stratification Design, develop and implement computer searches to identify cohorts of patients with chronic disease who need review and medicines optimisation.
• 2. Plan Clinics Manage own case load. Do the necessary checks for QOF and Ealing Standard entering the data correctly on the computer system. Implement improvements to the patients medication and prescribing independently where necessary.
• 3. Manage patients holistically Where patients have more than one condition; reviewing co-morbidities in the same appointment and updating QOF and Ealing Standard as appropriate. Referring to other members of the Primary Health Care team and Secondary Care as necessary.
• 4. Medication reviews Undertake structured medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Provide a telephone support for patients with questions, queries and concerns about their medicines and deliver medicines reconciliation from secondary care recommendations.
• 5. Pathology Request and manage the results for the cohort of patients under your care in a safe and timely way.
• 6. Medicines safety and quality improvement Identify and provide leadership on areas of prescribing requiring improvement. Conduct own audits and improvement projects and work with colleagues. Present results and provide leadership on suggested change. Demonstrate continuous QI activity focused upon prescribing safety as specified in the QOF guidance. This work for example might include deliver against the prescribing indicators in the Impact Investment Fund (IIF). Contribute to national and local research initiatives.
• 7. Service development Develop and manage new services that are built around new medicines or NICE guidance, where new medicine/recommendations allow the development of a new care pathway.
• 8. Care Quality Commission Provide leadership to the practice manager and GPs to ensure the practice is compliant with CQC standards where medicines are involved as part of the regulatory role of this position.
• 9. Meetings Attend MDT, Network, Practice, ICB and Federation meetings as required. Being prepared to contribute to Network pharmacy issues as appropriate.
• 10. Oversight Network Pharmacy issues In addition to a clinical specialism this role involves oversight of prescribing across the two network practices and requires the ability to prepare and present reports as required.
• 11. Relationships To foster and maintain good relationships between, within and outside the Practices involved in the network.
• 12. Population and Public Health To devise and manage population and public health campaigns to run within the network if required.
• 13. Medicine information to practice staff and patients Answer all medicine related enquiries from GPs, other practice staff and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes.
• 14. Flexibility To understand that this is a new and evolving role which may change with the needs of the Network. To be willing to change and the facilitate change in others and the system to promote quality care.
• 15. Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Provide training to visiting medical, nursing and other healthcare students where appropriate.
• 16. Implementation of local and national guidelines and formulary recommendations Monitor practice prescribing against the local health economies RAG list for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Liaise directly with hospital colleagues where prescribing needs to be returned to specialists. Assist practices in setting and maintaining a practice formulary that is hosted on the practices computer system. Suggest and develop computer decision support tools to help remind prescribers about the agreed formulary choice and local recommendations. Auditing practices compliance against NICEs technology assessment guidance. Provide newsletters on important prescribing messages to improve prescribers knowledge and work with the team to develop and implement other techniques known to influence implementation of evidence such as audit and feedback.