North Southwark PCN Clinical Pharmacist

• Knowledge, Skills and Experience
• a) Recognises priorities when problem-solving and identifies deviations from normal pattern and is able to refer to senior pharmacist or other clinical staff when appropriate
• b) Able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct
• c) Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidelines.
• Leadership
• a) Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.
• b) Demonstrate understanding of, and contributes to, the workplace vision
• c) Engages with Patient Participation Groups (PPGs) and involves PPGs in development of the role and practices
• d) Demonstrates ability to improve quality within limitations of service
• e) Reviews yearly progress and develop clear plans to achieve results within priorities set by others.
• f) Demonstrate ability to motivate self to achieve goals
• g) Promotes diversity and equality in people management techniques and leads by example.
• h) To deputise for senior pharmacists during periods of absence
• Management
• a) Demonstrate understanding of the implications of national priorities for the team and/or service
• b) Demonstrate understanding of the process for effective resource utilisation
• c)Demonstrate understanding of, and conforms to, relevant standards of practice
• d) Demonstrates ability to identify and resolve risk management issues according to policy/protocol
• e) Follows professional and organisational policies/procedures relating to performance management
• f) Demonstrate ability to extend boundaries of service delivery within the team
• g) To follow and conform to relevant standards of care and demonstrate professional accountability
• Research and Evaluation
• a) Demonstrates ability to critically evaluate and review literature
• b) Demonstrates ability to identify where there is a gap in the evidence base to support practice
• c) Demonstrates ability to generate evidence suitable for presentations at practice and local level
• d) Demonstrates ability to apply research evidence base into working place
• e) Demonstrates understanding of principles of research governance.

Education, Training and Development

• a) Understands and demonstrates the characteristics of a role model to members in the team and/or service
• b) Demonstrates understanding of the mentorship process
• c) Demonstrates ability to conduct teaching and assessment effectively according to a learning plan with supervision from more experience colleague
• d) Demonstrates self-development through continuous professional development activity in line with the General Pharmaceutical Council, working alongside senior clinical pharmacist to identifying areas to develop
• e) Participates in the delivery of formal education programmes as appropriate
• f) Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice.
• g) Ensures appropriate clinical supervision is in place to support development
• h) Enrolled into review and appraisal systems within the practice

The wide scope of this role is not an expectation of where the post holder will start but where they aim to be within two years of coming into the role Key aspects of the role include:

• Key aspects of the role
• Patients Facing Long Term Condition Clinics See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e. g. cardiovascular disease, diabetes, 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 Senior Pharmacists or GPs for medicine improvement.

• Patient Facing Structured Clinical Medication Review Undertake clinical structured medication reviews with patients, in line with the PCN contract specifications and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.
• Patient Facing 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.

• Patient Facing Domiciliary Clinical Medication Review Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, 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

• Patients 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.
• 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 high-risk 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 high-risk 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 preprepared practice computer searches.
• This might include risks that are patient related, medicine related, or both
• 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).
• Service Development Analyse, interpret and present medicines data to highlight issues and risks to support decision- making.
• Information Management Undertake clinical audits of prescribing in areas directed by the PCN, 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 economies 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).

Auditing practices compliance against NICE technology assessment guidance.

Provide newsletters or bulletins on important prescribing messages.

• Education and Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
• Support training and supervision of junior members of staff and trainees
• 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.
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