Neighbourhood Health and PCN Senior Clinical Pharmacist in London

As a portfolio pharmacist, the postholder will handle two roles within their portfolio working in conjunction. Half of the week in a Neighbourhood health team (CLCH) and half of the week in a PCN (HCL GP federation). The role enables the postholder to strike a balance of work that suits them and the prospect of gaining experience and skills in different settings.

While at CLCH, the postholder will work within a neighbourhood health team to support medicines optimisation serving the PCN where the postholder will spend the remainder of their week. While at HCL, the postholder will be based in a Primary Care practice to deliver General Practice Clinical Pharmacist roles as well as supporting Federation projects.

Main duties of the job

• To deliver a high quality Medicines Optimisation Service to improve medicines related outcomes for high risk patients and ensure the safe, cost effective and evidence based use of medicines.
• Conduct clinical medication reviews with patients, within patients homes, clinic, local hub, or practice setting. The role may involve working within care homes.
• Undertake Proactive Structured Medication Reviews using a holistic approach to medicines management.
• To build relationships with key stakeholders delivering neighbourhood health care.
• Ensure proactive liaison with relevant healthcare professionals regarding changes to medication regimes.
• Make prescribing recommendations as per local and national guidance.
• Prescribe within competence for patients to improve patient care.
• Case manage patients who are frequently admitted to acute trusts as a result of medicines related problems.
• To provide professional support and compose patient-agreed medication care plans and communicate these with other health and social care professionals.

Key Responsibilities at Healthcare Central London

• The post-holder will work as part of a multi-disciplinary team in primary care in a patient-facing role.
• To deliver pharmacy related aspects of the Network Direct Enhanced Service such as conducting structured medication reviews (SMRs).
• To review patients in multimorbidity clinics and in partnership with primary care colleagues in order to implement improvements to patients medicines, including de-prescribing.
• To manage own case load and run long-term condition clinics - where responsible for prescribing as an independent prescriber.
• To routinely review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients to get the best use of their medicines.
• To support the medicines optimisation of designated care home residents/ vulnerable housebound patients as needed and within own scope of competence/practice.
• To attend and refer patients to multidisciplinary case meetings.
• To signpost to community pharmacy and referring to GPs or other healthcare professionals where appropriate.
• To provide follow up for patients to monitor the effect of any changes to therapy to optimise effectiveness and safety of medicines.
• To devise and implement practice searches to identify cohorts of patients most likely to be at risk of an unplanned admission and readmissions from medicines.
• To reconcile medicines following discharge from hospitals, intermediate care and into care homes.
• To perform a clinical medication review, produce a post discharge medicines care plan including dose titration and booking of follow up tests.
• To set up and manage systems to ensure continuity of medicines supply to high-risk groups of patients.
• To manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions.
• To identify and provide leadership on areas of prescribing and medicines optimization within the practice.
• To conduct clinical audits and improvement projects or work with colleagues to promote patient safety as relates to medicines.
• To present results and provide leadership on suggested improvements to colleague pharmacists, GP practices and other healthcare partners.
• To contribute to national and local research initiatives.
• To provide education and training to the primary healthcare team on therapeutics, medicines optimization and common chronic disease management.

Person Specification

• Up to date clinical and pharmaceutical knowledge.
• Sound knowledge of prescribing, pharmacy and medicines management issues faced in primary and secondary care.
• Post-qualification experience of clinical pharmacy, medicines information and prescribing advice.
• Experience of working in secondary care and in a multidisciplinary environment.
• Primary care experience.
• Undergraduate Degree in Pharmacy: MPharm (or equivalent prior to 2002).
• Professional registration with the General Pharmaceutical Council.
• Excellent communication skills both verbal and written.
• Team player but able to work independently.
• Ability to manage own time, prioritise workload effectively and work to tight deadlines.

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

£64,000 to £68,000 a year. Depending on experience.