We have an exciting new opportunity for a Clinical Pharmacist.
The post holder will work as part of a multi-disciplinary team within the Primary Care Network (PCN) in a patient-facing role.
Core responsibilities of the Complex Community Care Lead Practitioner within our sites. There may be on occasion a requirement to carry out other tasks; this will be dependent on factors such as workload and staffing levels:
They will take responsibility for areas of chronic disease management within the PCN and undertake clinical medication reviews to proactively manage patients with complex polypharmacy, as well as provide primary support to practices within the PCN, with regards to prescription and medication queries.
They will help support the repeat prescription system, medicines reconciliation on transfer of care and systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patients of the PCN practices.
They will provide clinical leadership on medicines optimisation and quality improvement and manage some aspects of the quality and outcomes framework and enhanced services.
Ensure that the practices, via the PCN, integrate with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare and help manage workload.
The role is pivotal to improving the quality of care and operational efficiencies, so requires motivation and passion to deliver an excellent service within general practice.
The post holder will be a nonmedical prescriber.
Lincoln Healthcare Partnership (LHP) PCN is made up of two practices (Brayford Medical Practice and Heart of Lincoln Medical Group) based in central Lincoln with a patient population of just under 40,000 people.
The following are the core responsibilities of the Clinical Pharmacist within the PCN. There may be on occasion a requirement to carry out other tasks, this will be dependent on factors such as workload and staffing levels.
Support complex care patient cohort.
Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring.
Work with care home staff to improve safety of medicines ordering and administration.
Attend and refer patients to multidisciplinary case conferences.
Provide patient facing clinics and telephone support for those with questions, queries and concerns about their medicines in the practice
Answer relevant medicine-related enquiries from GPs, other staff, other healthcare teams e.g. community pharmacy. Suggesting and recommending solutions.
Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews.
Put in place changes to reduce the prescribing of these medicines to high risk patient groups
To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge.
Set up and manage systems to ensure continuity of medicines supply to high risk groups of patients e.g., those with medicine compliance aids or those in care homes.
Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period e.g. pathology results, common and minor ailments, acute conditions, long term condition reviews etc
Manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review.
Ensure patients have appropriate monitoring tests in place when required.
Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both.
Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components e.g., advice on treatment pathways and patient information leaflets.
Information management
Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
Medicines quality improvement
Undertake clinical audits of prescribing in areas directed by the Clinical Director, feedback the results and implement changes.
Medicines safety
Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
Implementation of local and national guidelines and formulary recommendations
Monitor prescribing against the local health economy's RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).
Assist the PCN in seeing and maintaining a formulary that is hosted on the computer system.
Auditing the PCNs compliance against NICE technology assessment guidance.
Provide newsletters or bulletins on important prescribing messages.
Collaborative Working Relationships
Recognises the roles of other colleagues within the PCN and their role to patient care
Demonstrates ability to work as a member of a team
Actively work toward developing and maintaining effective working relationships both within and outside the practice and locality
Foster and maintain strong links with all services across locality to ensure consistency of patient care and benefit
Explores the potential for collaborative working and takes opportunities to initiate and
sustain such relationships
Demonstrates ability to integrate general practice with community and hospital
pharmacy teams
Other healthcare professionals including pharmacists, pharmacy technicians, optometrists, dentists, health and social care teams and dieticians etc.
o Locality or GP prescribing lead
o Locality managers
o Community nurses and other allied health professionals
o Community and hospital pharmacy teams
o Hospital staff with responsibilities for prescribing and medicines optimisation
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.
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Heart of Lincoln Medical Group (HLMG)
Lincoln Healthcare Partnership PCN
Lincoln
LN6 3QX
https://newarkroadsurgery.co.uk/ (Opens in a new tab)