ARRS Clinical Pharmacist for Carshalton PCN
Our Sutton PCNs are forward-looking, friendly andfocused on providing a wide range of excellent healthcare services to patientsin Sutton and the surrounding area. OurPCNs between them are led 9 by PCN Clinical Directors. The PCNs see thebenefits of working together as a larger GP partnership and are delighted to berealising some of those benefits now. Because of our scale, not only are wemore resilient and efficient but we are able to invest in continuous qualityimprovement, enhanced care, new services and training and developing ourworkforce. We value the diversity of our colleagues and actively champion aninclusive culture and are committed to helping our colleagues achieve awork/life balance.
Sutton PCN is seeking an innovative, inspirationaland committed PrimaryCare Networks Governance Lead to strategically oversee its stages of developmentand performance. Youll be joining agreat team in a great place, where your commitment will be genuinely valued,your skills respected, and your ambition rewarded.
Main duties of the job
The post holder will beresponsible for supporting the Sutton Primary Care Networks to provide expertmedicine management and optimisation, vaccinating and drawing up vaccines,whilst working within their area of clinical competence and as part of a multi-disciplinaryteam. They will be supported by a Senior Clinical Pharmacist and others whowill develop, manage and mentor them. The role will be patient-facing andpharmacists will be involved in structured medication reviews, includingpoly-pharmacy reviews, managing chronic long term conditions and managingmedications after transfer of care. They will also have access to appropriateclinical supervision.
The post holder will providesupport and deliver patient services as determined by the Network Policy aswell as local and national guidance. They will also provide leadership onquality improvement and clinical audit, manage some aspects of the Quality andOutcomes Framework and maximise cost-effective prescribing to improve thequality of patient care.
(The post holder will beenrolled on to the 18-month Primary care pharmacy education pathway with theCentre for Pharmacy Postgraduate Education (CPPE). They will also be supportedto develop their role to become a non-medical prescriber, if that qualificationis not already held)
About us
Sutton has a population of approximately 200,000 residents registered to22 practicesand there are currently 4 Primary Care Networks (PCNs);Carshalton, Cheam & South Sutton, CentralSutton and Wallington PCN; each serving a population of approximately 50,000 patients.PCNs form a key building block of the NHS long-term plan. Bringing general practices together to work at scale has been a policy priority for some years for a range of reasons, including improving the ability of practices to recruit and retain staff; to manage financial and estates pressures; to provide a wider range of services to patients and to more easily integrate with the wider health and care system.
Job responsibilities
ClinicalResponsibilities
Long-term condition clinics
Undertake reviewsfor patients with single or multiple medical problems where medicineoptimisation is required or an annual review is due (e.g. Respiratory,Cardiovascular or Diabetes).
Review and adviseon the need to continue each medication, review any monitoring requirements andsupport the patient to ensure they are getting the best use out of theirmedications.
Manage own caseload of patients, running own long-term condition clinics where appropriate
See patients inmultimorbidity clinics and in partnership with primaryhealthcare colleagues and implement improvements to patients medicines,including de-prescribing.
Manage own caseload, run own long term condition clinics where responsible for prescribing asan independent prescriber for conditions where medicines have a large component(e.g. medicine optimisation for hypertension, asthma, diabetes and COPD) and wheretrained to do so.
Review the ongoingneed for each medicine, a review of monitoring needs and an opportunity tosupport patients with their medicines taking.
ClinicalMedication Review
Undertake clinicalmedication reviews with patients (either patient facing or over the telephone).
Reduceinappropriate poly-pharmacy and wasteful prescribing.
Make appropriaterecommendations on prescribing and monitoring of medications.
Managementof medicines post hospital discharge
Reconcilemedications following hospital discharge and outpatient clinics.
Identify anydiscrepancies and unexplained medication changes and work with the patients andcommunity pharmacists to ensure patients receive the medications they need postdischarge.
Ensure continuityof medicines supply to high risk groups of patients is maintained (e.g. thosewith compliance aids or those in care homes).
Riskstratification
Use preprepared Emissearches to identify cohorts of patients who are on high risk medications(e.g. immunosuppressants, anticonvulsants etc).
Recall patients whoare overdue their routine monitoring tests and inform them to have these testsdone as soon as possible.
Unplannedhospital admissions
Review the use ofmedicines most commonly associated with unplanned hospital admissions andreadmissions through audit and individual patient reviews.
Put in placechanges to reduce the prescribing of these medicines to high-risk patientgroups.
Implementdrug withdrawals and alerts
Liaise with the GPsurgeries to implement MHRA drug withdrawals and medication alerts to improvemedicines safety.
Implementlocal and national guidelines and formulary recommendations
Monitor practiceprescribing against local, national and formulary guidelines and makerecommendations to GPs for medicines that should be prescribed only by thehospital or subject to shared care agreements.
Work with GPs andpatients to implement NICE and other evidence based guidelines to improve thequality, safety and cost effectiveness of prescribing.
Medicineinformation to practice staff and patients
Answer relevantmedicine related queries from GPs, other network staff, healthcare teams (e.g.Community pharmacy) and patients.
Suggest andrecommend solutions and/or possible alternatives e.g. around out of stockmedications
Signposting
Ensure patients arereferred to the appropriate healthcare professional if you are not the correctperson to deal with their query/condition.
Medicinesquality improvement
Undertake clinicalaudits of prescribing in areas directed by the GPs, feedback the results andimplement changes in conjunction with the relevant practice team.
Educationand Training
Provide educationand training to the broader primary healthcare team on medicines optimisation.
CareQuality Commission
Work with thegeneral practice teams to ensure the practices are compliant with CQC standardswhere medicines are involved.
PublicHealth
Support publichealth campaigns and provide specialist knowledge on all public healthprogrammes available to the general public.
Person Specification
Qualifications
- Professional knowledge acquired through vocational masters degree in pharmacy degree
- Postgraduate diploma (or working towards) or equivalent evidence of clinical knowledge, competence and achievements in practice.
- Registration with the General Pharmaceutical Council (GPhC)
- Evidence of commitment to and able to demonstrate CPD including Management qualification /professional development
- Independent Pharmacist Prescriber accreditation or willing to work towards.
- Proven post graduate experience as a clinical pharmacist
- Membership with the Royal
- Pharmaceutical Society of Great Britain
- Training in safe guarding vulnerable adults and children
Experience
- Minimum 2 years post-qualification experience in a hospital, community or general practice setting.
- Knowledge of the breadth of common acute and long term conditions that are likely to be seen in general practice
- Experience of collaborative working and of building relationships across a variety of organisations
- Able to undertake medication or medicine use reviews, and offer patient counselling
- Experience of facilitating change to improve clinical practice
- Experience in undertaking clinical audit
- Working knowledge of IT NHS.
- Experience of IT applications in primary care including Emis
Disclosure and Barring Service Check
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 (formerly known as CRB) to check for any previous criminal convictions.
Depending on experienceAligned with NHS Band 7
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