PCN Clinical Pharmacist

apartmentNHS Jobs placeLondon calendar_month 
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 GPs for medicine improvement.
Clinical medication review: Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring. Care home medication reviews: 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. Domiciliary clinical medication review: Undertake clinical medication reviews with patients and produce recommendations for nurses and GPs on prescribing and monitoring.
Attend and refer patients to multidisciplinary case conferences. Management of common/minor/self-limiting ailments: Managing caseload of 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 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 relevant 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 highrisk 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 highrisk 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 Medicines quality improvement: Undertake clinical audits of prescribing in areas directed by the practice (to complete all the PQSS and QOF prescribing audits each year and it will be under practice managers direction), feedback the results and implement changes in conjunction with the practice team.

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 practice prescribing against the local health economys 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 practices computer system. Infection Control Infection Control is everyones responsibility. All staff, both clinical and non-clinical, are required to adhere to the Hygiene Code (2006), Infection Prevention and Control Policies and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA.
Safeguarding Within their sphere of competence, each member of staff is responsible for promoting and safeguarding the welfare of the children, young people and / or vulnerable adults for whom they are responsible or may come into contact with, in the job role.

Other This post is subject to an enhanced level Disclosure and Barring Service (DBS) Check which will be completed during pre-employment checks. This post is also subject to Occupational Health Clearance.

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Senior Clinical Pharmacist

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