Job Summary
The post holder will provide primary support to general practice staff with regard to prescription and medicines management at different sites. They will help support the repeat prescription system, deal with acute prescription requests, and medicines reconciliation on the transfer of care and systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patients in the GP practice(s). They will deliver an efficient, cost‑effective and high‑quality clinical service by providing clinical and professional development to the clinical workforce within K & W Healthcare and member practices.
Location & Payment
Location: Kingsbury, London (22 Fryent Way). Salary: £23‑£25 per hour. Contract: Permanent, full‑time.
Main Duties
- Conduct clinical medication reviews to reduce GP and locum GP time, including complex patients needing longer appointments.
- Review ongoing medicine needs, monitoring and support optimal patient use of medicines.
- Manage minor ailments triage and appropriate patient appointments.
- Run patient‑facing clinics to improve adherence and address medication queries.
- Reconcile medicines following hospital discharge and review daily pathology results for selected patients.
- Perform targeted medication reviews for high‑risk patients (frail elderly, polypharmacy, renal/hepatic impairment, high‑risk medicines).
- Provide clinical recommendations to nurses and GPs on prescribing improvements.
- Administer influenza and travel vaccines.
- Support patients with drug dependence or alcohol‑related disorders and signpost to relevant services.
- Contribute to multidisciplinary reviews on medication‑related issues.
- Audit and manage medicines associated with unplanned hospital admissions to reduce risk.
- Ensure continuity of medicine supply for high‑risk groups, including care‑home patients, and resolve discrepancies post‑discharge.
Job Responsibilities
- Demonstrate a significant reduction in GP time spent (especially locum GP time) by seeing patients in appointment slots for clinical medication reviews, and responding to urgent medication requests and queries. Complex patients or those with additional needs may require longer appointment slots.
- Review the ongoing need for each medicine, a review of monitoring needs, and an opportunity to support patients with their medicines, ensuring they get the best use of their medicines.
- Minor ailments triage: managing caseload of patients with common/minor/self‑limiting ailments requesting GP appointments and triaging patients appropriately.
- Provide patient‑facing clinics for those patients with questions, queries, and concerns about their medication in order to improve medication adherence.
- Minor ailments appointment slots as appropriate.
- Contribute to multidisciplinary reviews about medication‑related issues.
- Reconcile medicines following hospital discharge.
- Review daily pathology results for selected patients on known medicines.
- Targeted medication reviews particularly in high‑risk patients (frail elderly, polypharmacy, renal and hepatic impairment, high‑risk medicines, etc.).
- Undertake clinical medication reviews with patients and produce recommendations for the nurses and GPs on prescribing.
- Administer influenza and travel vaccines.
- Support practices with the management of patients with drug dependence and alcohol‑related disorders.
- Signpost patients to other services or sources of information in addition to medication information when necessary in order to improve the general health and well‑being of patients.
- Make appropriate recommendations to the senior clinical pharmacist or GPs for medical improvement.
- Unplanned Admissions and Discharge.
- Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audits and individual patient reviews.
- Put in place changes to reduce the prescribing of these medicines to high‑risk patient groups.
- 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 medicine supply to high‑risk groups of patients (e.g. those with medicine compliance aids or those in care homes).
Qualifications
- Essential: GPHC registered.
- Desirable: Independent Prescribing, Experience in General Practice.
Registration & Checks
Applicants must have current UK professional registration. This post requires a Disclosure and Barring Service check.
Employment details: Employer: K & W Healthcare Ltd. Job location: 22 Fryent Way, Kingsbury, London, NW9 9SB (plus other sites). Reference number U0125‑26‑0005.
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