This is an exciting opportunity for a dynamic and committed Pharmacist to work as part of the Lambeth Medicines and Long Term Conditions team within the South East London Integrated Care Board. Lambeth is an ethnically diverse inner London borough with high levels of deprivation, inequalities and unemployment. The Medicines and Long Term Conditions team reflects the values of the ICB of improving health outcomes, reducing health inequalities, delivering medicines value, and maintaining a thriving, financially viable, health economy delivering safe and effective high quality care that meets the needs of local people.
The team hosts a number of SEL ICS medicines optimisation roles. You will have the opportunity to use clinical and change management skills to contribute to optimising medicines use in the integrated care system which is driving partnership, integrated and value based approaches to medicines use in Lambeth and across SE London. You will also have the opportunity to gain broader service redesign experience through supporting Senior Clinical Commissioning Pharmacists who are responsible for integrating and redesigning long term conditions services in Lambeth, focussing on cardiovascular disease, diabetes and respiratory disease. Collaborative and integrated working through engagement with other professionals in primary and community settings, secondary care and other agencies is a key component of this role.
- To work as part of Lambeth borough’s Medicines and Long Term Conditions Team to improve medicines use and Long Term Conditions (LTC) management for the people of Lambeth.
- Working with all Lambeth Together partners, support the implementation of Medicines optimisation and LTCs strategy in Lambeth, in key identified areas.
- Contribute to strategic intentions, including informing QIPP plans based on robust data sources and stakeholder engagement to establish clear priorities for service transformation in LTCs – primarily CVD, Diabetes, Respiratory and multi-LTC commissioning
- To use knowledge and skills to support the legal, safe, cost-effective and best value LTC commissioning strategy and use of medicines in NHS services, driving change for a portfolio of national (QIPP) and locally agreed targets relating to medicines optimisation and LTCs
- To support the senior clinical commissioning pharmacist’s management of LTC activity and prescribing budgets, receive, monitor, audit and interpret prescribing data to develop options for budget management to challenge and drive change.
- To provide expert advice to GPs, other clinicians and managers to ensure that national guidance and best practice underpin LTC management and medicines usage and ensure compliance with the legal frameworks governing medicines use to ensure patient safety.
- To develop and implement approaches to ensure the effective involvement of patients, the public and staff in local service transformation work
The South East London Integrated Care System (ICS) brings together the health and care partners that serve our vibrant and highly diverse populations resident in the London boroughs of Bexley, Bromley, Greenwich, Lambeth, Lewisham and Southwark - our Places.
Our partnership brings together six local authorities, over 200 general practices (operating within 35 Primary Care Networks), Guy’s and St Thomas’ Hospital NHS FT, King’s College Hospital NHS FT, Lewisham and Greenwich NHS Trust, South London and the Maudsley Mental Health FT and Oxleas FT. Importantly, the ICS seeks to be connected to the communities we serve (circa 1.92m residents) and work with the widest possible range of community, voluntary and third sector groups and organisations in each borough. The reach of our NHS provider portfolios extends beyond the borders of the ICS, across London, the south of England and nationally for some services.
Our vision for the ICS is a highly performing, sustainable system that looks after its staff, responds to its communities and takes action to reduce the inequalities they experience. As a new organisation we have developed a system development planhttps://www.ourhealthiersel.nhs.uk/SDP-8-November-2021.pdfthat outlines the way in which we seek to operate and the steps we will take to realise the full potential of our partnership.
Please see attached JD for further details
Duties and Responsibilities
- To support the Chief Pharmacist/Assistant Directors for Medicines and Long Term Conditions and Senior Clinical Commissioning Pharmacists on all LTC, prescribing and medicines optimisation issues.
- To support the development of robust business cases and ensuring due governance to the approval process regarding LTCs and medicines. To support modelling of potential impact, identifying potential barriers and mitigating actions.
- To lead on therapeutic areas as identified by the Chief Pharmacist/Assistant Directors for Medicines and Long Term Conditions, working across organisational and professional boundaries, developing guidelines, addressing identified risk areas in medicines use, making recommendations about effective strategies, contributing to training others and attending relevant meetings.
- To lead in developing, implementing, analysing and identifying risks for medicines optimisation in identified therapeutic areas.
- To plan, develop, implement and analyse audit in identified areas as agreed.
- To support the Chief Pharmacist/Assistant Directors for Medicines and Long Term Conditions and Senior Clinical Commissioning Pharmacists with the development and implementation of local LTCs and medicines action plans for prescribing and medicines optimisation.
- To support the Chief Pharmacist/Assistant Directors for Medicines and Long Term Conditions and Senior Clinical Commissioning Pharmacists in the delivery and implementation of national and local initiatives, such as Quality, Innovation, Productivity and Prevention (QIPP).
- To support the Senior Clinical Commissioning Pharmacists to develop and manage relevant contracts for general practice and other providers as appropriate.
- To obtain and analyse prescribing data (e.g. ePACT and EMIS systems), acute activity data, QOF data and provide budgetary reports to GP practices and to meet with GPs & their practice staff to discuss their performance.
- To provide medicines information and prescribing advice to practices and other healthcare professionals within Lambeth borough.
- Provide professional pharmaceutical advice to all prescribers and others health care professionals in primary care as appropriate (including GPs, dentists, nurses, AHP, community pharmacists)
- To respond to requests for advice from primary care practitioners, members of the public and colleagues across the system, analysing highly complex sensitive drug and patient information and advise GPs on suitable actions or changes to medication and drug monitoring as appropriate.
- To support, develop, manage and mainstream Lambeth-wide medicines optimisation and pharmacy projects/pilots and policies.
- To build relationships with relevant groups (e.g. local acute trusts, LPC, DHSC, nurse forums etc.) and lead medicines optimisation and LTCs elements at agreed meetings.
- To use necessary skills to find and utilise high quality evidence based summaries of evidence to contribute to decision making in medicines related committees e.g. IFR, Integrated Medicines Optimisation Committee and prescribing /medicines committees in secondary care.
- To provide professional advice and support in relation to development of, and governance around, Patient Group Directions, in line with individual work plan.
- To manage the regular updating of key prescribing messages on prescribing decision support software ensuring high clinical accuracy and quality evidence based approach.
- To lead on identified key areas on behalf of relevant partner organisations (e.g. local authority, public health).
- To promote the use of medicines in line with local formularies, guidance and shared care arrangements.
- To contribute to performance management of prescribing in GP practices.
- To support recruitment, and to liaise with the appropriate clinical lead clinician for own lead areas, and support work plan development and objective setting.
- To engage with patients and provide accountability to the public and patients around medicines and LTCs e.g. receive and respond to simple and complex enquiries from the general public relating to medicines and liaise with other health care professionals as appropriate.
- To deal with any distressed callers and potential adverse drug effects or drug errors promptly and with sensitivity.
- To support the Senior Clinical Commissioning Pharmacists with commissioning related medicines optimisation issues, such as the individual funding request process, shared care, joint formulary committee and management of drugs excluded from Payment by Results.
- To contribute to the monitoring of high cost drugs and tariff excluded drugs by developing clinical challenge messages and subsequent follow up.
- To develop and support the medicines optimisation and pharmacy contribution to Lambeth borough’s training strategy and deliver training to ensure better medicines use in Lambeth.
- To support the creation and maintenance of a learning environment in Lambeth borough.
- To provide promote and ensure an environment of continual professional development.
- To undertake research activity as agreed with the Chief Pharmacist/Assistant Directors for Medicines and Long Term Conditions
- To support the Chief Pharmacist Chief Pharmacist/Assistant Directors for Medicines and Long Term Conditions in the integration of prescribing into the development of care pathways.
- To deputise for line manager as requested and to undertake other duties appropriate to the post as agreed with the Chief Pharmacist/Assistant Directors for Medicines and Long Term Conditions and Senior Clinical Commissioning Pharmacists.
- To support the Chief Pharmacist/Assistant Directors for Medicines and Long Term Conditions in delivering the medicines safety function for Lambeth borough: • Deputising in the National Medication Safety network, support reporting and learning and take local actions to improve medication safety.
- Advising the Chief Pharmacist/Assistant Directors for Medicines and Long Term Conditions on information from the NRLS and the MHRA to support improvements in reporting and learning and to take local action to improve medication safety.
- Working with medication safety champions in local professional committees and networks, and with new or existing multi-professional groups.