Job summary
Primary Care Networks (PCN) are partnerships between local general practices to help with integration of primary care with secondary and community services. They have been established to help increase access for patients to Primary Care professionals.
PICS is one of the largest employers of Clinical Pharmacists in the region, and we are recruiting more Clinical Pharmacists on behalf of Nottinghamshire PCNs. These are innovative and exciting roles with full training and opportunities for development and progression to become independent prescribers.
Multiple opportunities exist Greater Nottingham, Sherwood, Newark, Ashfield, and Mansfield, please state your preferred location, or no preference.
At PICS, we recognise the importance of the support provided by Clinical Pharmacists within PCNs. Our Clinical Lead will support you to fulfil the requirements of the role and you will have access to the CPPE pathway in order to develop your skills. We are totally committed to further the development of Clinical Pharmacists within Primary Care.
You will be part of a wider team of Clinical Pharmacists and supported by our Clinical Lead who is on the PICS leadership team.
KEY RESPONSIBILITIES
- Undertake clinical medication reviews with patients and produce recommendations for Senior Clinical Pharmacist, Nurses and/or GP on prescribing and monitoring.
- Managing caseload for patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate
- Ensure that patients are referred to the appropriate Healthcare Professional for the appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc.
KEY REQUIREMENTS
- Mandatory registration with General Pharmaceutical Council
- Master’s degree in Pharmacy (MPharm)
- Minimum of 2 years post‐qualification experience.Job responsibilities
Patient facing long-term condition clinics
See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g., COPD, asthma). Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e., medicines optimisation). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.
Patient facing clinical medication review
Undertake clinical medication reviews with patients and produce recommendations for Senior Clinical Pharmacist, Nurses and/or GP on prescribing and monitoring.
Patient facing care home medication review
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.
Patient facing domiciliary clinical medication review
Undertake clinical medication reviews with patients and produce recommendations for the Senior Clinical Pharmacists, Nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.
Management of common/minor/self-limiting aliments
Managing caseload for patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate.
Patient facing medicines support
Provide patient facing clinics for those with questions, queries, and concerns about their medicines in the practice.
Telephone medicines support
Provide a telephone help line for patients with questions, queries, and concerns about their medicines.
Medicine information to practice staff and patients
Answers all medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g., community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes.
Unplanned hospital admissions
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.
Management of medicines at discharge from hospital
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).
Signposting
Ensure that patients are referred to the appropriate Healthcare Professional for the appropriate level of care within an appropriate period of time e.g., pathology results, common/minor ailments, acute conditions, long term condition reviews etc.
Repeat prescribing
Produce and implement a practice repeat prescribing policy. 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.
Risk stratification
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.
Service development
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.
Medicine’s quality improvement
Undertake simple audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.
Medicine’s 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 practice 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 practices in seeing and maintaining a practice formulary that is hosted on the practice’s computer system. Auditing practice’s compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages.
Education and training
Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
Care Quality Commission
Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.
Job Types: Full-time, Part-time, Permanent
Salary: £41,659.00-£54,619.00 per year
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- Weekend availability
Ability to commute/relocate:
- Nottingham, Nottinghamshire: reliably commute or plan to relocate before starting work (required)
Work Location: One location