Clinical Pharmacist in Christchurch

• Medication Reviews
• Undertake clinical medication reviews with patients and produce recommendations for GPs on prescribing and monitoring.
• Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implement prescribing changes as an independent prescriber, where appropriate, and order relevant monitoring tests.
• Undertake medication reviews for older people with frailty, including the 2% most vulnerable patients.
• Medicines Following Hospital Discharge
• Manage medicines at discharge from hospital, including patients presenting with medicines-related issues, for example diabetic patients presenting with hypoglycaemia.
• Reconcile medicines following discharge from hospitals, intermediate care and into care homes.
• Identify and rectify unexplained changes to medication and work with patients and community pharmacists to ensure patients receive the medicines they need following discharge.
• Perform clinical medication reviews and produce post-discharge medicines care plans, including dose titration and arranging follow-up tests where appropriate.
• Work in partnership with hospital colleagues to proactively manage patients at high risk of medicine-related problems before discharge, supporting continuity of care.
• Long-Term Condition Clinics
• See patients with single medical problems where medicines optimisation is required, such as COPD and asthma, and make recommendations to GPs for improvements to medicines.
• See patients in practice-based multimorbidity clinics and work in partnership with primary, community and secondary care colleagues to implement improvements to patients' medicines, including deprescribing.
• Run own long-term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines form a significant component, such as diabetes.
• Clinical Advice and Medicines Expertise
• Provide clinical advice and expertise on medicines to practice staff and patients.
• Answer medicines-related enquiries from GPs, practice staff and patients and recommend appropriate solutions.
• Provide follow-up for patients to monitor the effect of changes to their medicines.
• Provide telephone and patient-facing medicines advice.
• Training and Supervision
• Provide education and training to practice teams on therapeutics and medicines optimisation.
• Medicines Safety
• Implement changes to medicines resulting from MHRA alerts, product withdrawals and other local and national guidance.
• Undertake prescribing audits in areas directed by GPs, provide feedback on results and implement changes in conjunction with the practice team.
• Horizon scan to identify national and local policy and guidance affecting patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence from clinical trials.
• Manage the process of implementing changes to medicines and guidance for practitioners.
• Antibiotic Stewardship
• Promote evidence-based practice and interventions to prevent the development of infections.
• Support the reduction of Gram-negative bloodstream infections and inappropriate antibiotic prescribing in at-risk groups.
• Leadership
• Demonstrate understanding of the pharmacy role in governance and implement this appropriately within the workplace.
• Demonstrate understanding of and contribute to the workplace vision.
• Engage with Patient Participation Groups (PPGs) and involve PPGs in the development of the role within practices.
• Demonstrate the ability to motivate yourself to achieve goals.
• Demonstrate the ability to improve quality within the limitations of the service.
• Promote diversity and equality in people management techniques and lead by example.
• Management
• Demonstrate understanding of the implications of national priorities for the team and/or service.
• Demonstrate understanding of effective resource utilisation.
• Demonstrate understanding of and conform to relevant standards of practice.
• Support delivery of reporting outcomes for the project.
• Identify and resolve risk management issues according to policy and protocol.
• Follow professional and organisational policies and procedures relating to performance management.
• Demonstrate the ability to extend boundaries of service delivery within the team.
• Research and Evaluation
• Demonstrate the ability to critically evaluate and review literature.
• Identify where there is a gap in the evidence base to support practise.
• Generate evidence suitable for presentations at practice and local level.
• Apply the research evidence base to the workplace.
• Demonstrate understanding of the principles of research governance.
• Make recommendations based on the latest research, evidence and NICE updates, taking into account the quadruple aim.

Responsibilities Underpinning the Role

• Develop and facilitate good working relationships with community pharmacists and other local healthcare providers.
• Plan and organise your own workload, including audit and project work and training sessions for members of the practice team, patients and carers.
• Maintain registration as a pharmacist and comply with appropriate professional codes.
• Maintain and develop professional competence and expertise, keeping up to date with medical and therapeutic evidence and opinion, and local and national service, legislation and policy developments.
• Agree objectives and a personal development plan and participate in the appraisal process.
• Attend local, regional and national meetings of relevance as agreed with the post holder's line manager.
• Undertake any other duties commensurate with the post holder's grade as agreed with the line manager.
• Understand and comply with all organisational and statutory requirements, including health and safety, equal treatment and diversity, confidentiality and clinical governance.
• Act as a point of contact and provide support to Pharmacy Technicians, Prescribing Clerks and GPs with daily queries.
• Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
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