Clinical Pharmacist - Part-Time - Maternity Cover in Bath

Patient facing long-term condition clinics. Work as part of a multi-disciplinary team in a patient facing role to clinically assess and review patients with single or multiple long-term conditions where medicines optimisation is required. Responsibility for prescribing, or completing training to become a prescriber, for conditions where medicines have a large component. 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. Make appropriate recommendations to Senior Pharmacists or GPs for medicines optimization.

Patient facing clinical medication review. Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests.

Patient facing care home/residential clinical medication reviews. Be part of the MDT managing the caseload of care home residents. Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Work with care home staff to improve safety of medicines ordering and administration.

Management of common/minor/self-limiting ailments. Be part of the MDT managing the caseload and signposting where appropriate for patients presenting 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. 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 test results, common/minor ailments, acute conditions, long term condition reviews etc.

Medicine information to practice staff and patients. Answer all medicine related enquiries from GPs, other practice staff, other Healthcare teams (e.g. community pharmacy) and patients. Suggest and recommend solutions. Provide follow up for patients to monitor the effect of any changes.

Unplanned hospital admissions. Work with practice teams to devise and implement practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission, readmissions and harm from medicines. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.

Management of medicines at discharge from hospital. Reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes, and manage these changes without referral to a GP. Perform clinical medication reviews, produce post discharge medicines care plans including dose titration and booking of follow up tests, and work 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). Where necessary, work in partnership with hospital colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care.

Repeat prescribing. Manage the repeat prescribing re-authorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates; make necessary changes as an independent prescriber, and ensure patients are booked in for necessary monitoring tests where required.

Risk stratification. Design, develop and implement computer searches to identify cohorts of patients at high risk of harm from medicines. Utilising Ardens and where necessary identifying appropriate of risk stratification tools on behalf of the practice. Working with patients and the primary care team to minimise risks through medicines.