The New Malden & Worcester Park PCN have a exciting opportunity for a Clinical Pharmacist to join our dynamic multidisciplinary team. This patient-facing role is to enhance the quality of care for our patients. The successful candidate will be provided with excellent clinical support and an opportunity to develop their primary care skills.
We are looking for motivated, team-orientated individual who shares our enthusiasm for improving patient care. Previous primary care experience is desirable, but not essential – more important are excellent verbal communication skills, a proactive approach and a desire to learn. As the role develops, you will take responsibility for areas of chronic disease management and undertake clinical medication reviews to proactively manage patients with complex poly-pharmacy. You will also provide primary support to general practice staff with regards to prescription and medication queries.
We are welcoming applications from qualified Clinical Pharmacists to join our innovative Primary Care Network (PCN).
Main duties of the job
The post holder will work as part of a multidisciplinary team to provide expertise in clinical medicines management, provide face to face structured medication reviews, manage long term conditions, management of medicines on transfer of care and systems for safer prescribing as well as manage repeat prescription authorisation and reauthorisations.
The successful candidate will also be enrolled and supported in the CPPE Primary Care Pathway.
Patient facing long term condition clinics - Carry out consultations with patients with single or multiple medical conditions where medicine optimisation is required (e.g., Diabetes, Respiratory, Cardiovascular).
Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicine taking ensuring they get the best use of their medicines. Make appropriate recommendations to GPs for medicines improvement.
Patient facing clinical medication review – undertake clinical medication reviews with patients and produce recommendations for GPs on prescribing/monitoring.
Patient facing Care Home Medication Review – undertake clinical medication reviews with patients and produce recommendations for GPs on prescribing and monitoring. Work with care home staff to improve safety and appropriate medication ordering (medication waste)
Patient facing domiciliary clinical medication review – undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conference
Management of common/minor/self-limiting ailments – Managing caseload of patients with common/minor/self-limiting ailments while working within scope of practice and limits of competence. Sign posting to community pharmacy and referring to appropriate healthcare professional i.e., GP/Practice Nurse/ Advanced Nurse Practitioner
Telephone medication support – provide telephone support for patients with queries or concerns about their medication
Management of medications at discharge from hospital – to reconcile medications upon discharge from hospitals, immediate 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 medication supplies to high-risk groups of patients.
Medicines information to practice staff and patients - answer relevant medication queries from GPs, other network staff, other healthcare teams (e.g., community pharmacy) and patients with queries about medications. Suggest and recommend solutions. Provide follow up with 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.
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 review etc.
Repeat Prescribing – adhere and work within each network’s repeat prescribing policy. Manage the repeat prescribing and reauthorisation process by reviewing patient requests for repeat medications and review medication review dates and arranging a review for these patients. Ensure patients have the 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.
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.
Medicines quality improvement – undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the relevant practice team.
Medicines safety – implement changes to medicines that result from MHRA drug safety alerts.
Implementation of local and national guidelines and formulary recommendations - monitor practice prescribing against the local and national formulary. Make recommendations to GPs for medicines that should be prescribed by hospital doctors or subject to shared care. To work with local medicines management team to ensure practice compliance to local formulary.
Education and Training – provide education and training to primary healthcare team on therapeutic 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
Public Health – To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public.
Collaborative working arrangements
Participate in the PCN MDT meetings.
Master’s degree in Pharmacy (MPharm) (or equivalent)
Mandatory registration with General Pharmaceutical Council (GPhC)
Specialist knowledge acquired through postgraduate diploma level or equivalent training/experience
Independent prescriber or working towards/intent of gaining an independent prescribing qualification
Knowledge, Skills and Experience Required
Completion of an undergraduate degree in pharmacy and registration with the General Pharmaceutical Council
Minimum of 2 years’ experience as a pharmacist
Have experience and an awareness of common acute and long-term conditions that are likely to be seen in general practice
Working towards or holding an independent prescribing qualification (not mandatory)
Recognises priorities when problem-solving and identifies deviations from normal pattern and can refer to seniors or GPs when appropriate
Able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct
Education, Training and Development
Understands and demonstrates the characteristics of a role model to members in the team and/or service
Demonstrates self-development through continuous professional development activity
Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice
Ensures appropriate clinical supervision is in place to support development
Willing to enrol on CPPE pathway training programme for primary care
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
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
Promotes diversity and equality in people management techniques and leads by example.
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.
Job Type: Part-time
Salary: From £41,000.00 per year
Ability to commute/relocate:
- New Malden: reliably commute or plan to relocate before starting work (required)
- Pharmacist: 2 years (required)
Work Location: In person
Reference ID: NMWP PCN Clinical Pharmacist