Clinical Pharmacist Wrythe Green Surgery

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Clinical Pharmacist Wrythe Green Surgery The post holder will be responsible for supporting the Sutton Primary Care Networks to provide expert medicine management and optimisation, vaccinating and drawing up vaccines, whilst working within their area of clinical competence and as part of a multi-disciplinary team. They will be supported by a Senior Clinical Pharmacist and others who will develop, manage and mentor them. The role will be patient-facing and pharmacists will be involved in structured medication reviews, including poly-pharmacy reviews, managing chronic long term conditions and managing medications after transfer of care. They will also have access to appropriate clinical supervision.

The post holder will provide support and deliver patient services as determined by the Network Policy as well as local and national guidance. They will also provide leadership on quality improvement and clinical audit, manage some aspects of the Quality and Outcomes Framework and maximise cost-effective prescribing to improve the quality of patient care.

The post holder will be enrolled on to the 18-month Primary care pharmacy education pathway with the Centre for Pharmacy Postgraduate Education (CPPE). They will also be supported to develop their role to become a non-medical prescriber, if that qualification is not already held

Main duties of the job Clinical Responsibilities

• Undertake reviews for patients with single or multiple medical problems where medicine optimisation is required or an annual review is due (e.g. Respiratory, Cardiovascular or Diabetes).
• Review and advise on the need to continue each medication, review any monitoring requirements and support the patient to ensure they are getting the best use out of their medications.
• Manage own case load of patients, running own long-term condition clinics where appropriate
• See patients in multimorbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients medicines, including de-prescribing.
• Manage own case load, run own long-term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. medicine optimisation for hypertension, asthma, diabetes and COPD) and where trained to do so.
• Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking.

Clinical Medication Review

• Undertake clinical medication reviews with patients (either patient facing or over the telephone).
• Reduce inappropriate poly-pharmacy and wasteful prescribing.

About us Sutton has a population of approximately 200000 residents registered to 23 practices and there are currently 4 Primary Care Networks each serving a population of approximately 50000 patients. Our Sutton PCNs are forward-looking, friendly and focused on providing a wide range of excellent healthcare services to patients in Sutton and the surrounding area. Our PCNs between them are led 9 PCN Clinical Directors. The PCNs work together as they see the benefits of working together in a larger GP partnership and are delighted to be realising some of those benefits now. Because of our scale, not only are we more resilient and efficient but we are able to invest in continuous quality improvement, enhanced care, new services and training and developing our workforce. We value the diversity of our colleagues and actively champion an inclusive culture and are committed to helping our colleagues achieve a work/life balance.

We are looking to employ additional Pharmacists under the additional roles reimbursement scheme. They will be accountable to the Primary Care Networks, working in individual PCNs and most likely allocated to specific practices to work closely with and supporting that practice team. These individuals may also work across all PCNs in some cases where flexibility allows and for the purposes of cross cover and to ensure general practice resilience in Sutton.

Job responsibilities The post holder will be responsible for supporting the Sutton Primary Care Networks to provide expert medicine management and optimisation, vaccinating and drawing up vaccines, whilst working within their area of clinical competence and as part of a multi-disciplinary team. They will be supported by a Senior Clinical Pharmacist and others who will develop, manage and mentor them. The role will be patient-facing and pharmacists will be involved in structured medication reviews, including poly-pharmacy reviews, managing chronic long term conditions and managing medications after transfer of care. They will also have access to appropriate clinical supervision.

The post holder will provide support and deliver patient services as determined by the Network Policy as well as local and national guidance. They will also provide leadership on quality improvement and clinical audit, manage some aspects of the Quality and Outcomes Framework and maximise cost-effective prescribing to improve the quality of patient care.

The post holder will be enrolled on to the 18-month Primary care pharmacy education pathway with the Centre for Pharmacy Postgraduate Education (CPPE). They will also be supported to develop their role to become a non-medical prescriber, if that qualification is not already held

Clinical Responsibilities

• Undertake reviews for patients with single or multiple medical problems where medicine optimisation is required or an annual review is due (e.g. Respiratory, Cardiovascular or Diabetes).
• Review and advise on the need to continue each medication, review any monitoring requirements and support the patient to ensure they are getting the best use out of their medications.
• Manage own case load of patients, running own long-term condition clinics where appropriate
• See patients in multimorbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients medicines, including de-prescribing.
• Manage own case load, run own long-term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. medicine optimisation for hypertension, asthma, diabetes and COPD) and where trained to do so.
• Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking.

Clinical Medication Review

• Undertake clinical medication reviews with patients (either patient facing or over the telephone).
• Reduce inappropriate poly-pharmacy and wasteful prescribing.
• Make appropriate recommendations on prescribing and monitoring of medications. Management of medicines post hospital discharge
• Reconcile medications following hospital discharge and outpatient clinics.
• Identify any discrepancies and unexplained medication changes and work with the patients and community pharmacists to ensure patients receive the medications they need post discharge.
• Ensure continuity of medicines supply to high-risk groups of patients is maintained (e.g. those with compliance aids or those in care homes).
• Use pre-prepared emis searches to identify cohorts of patients who are on high risk medications (e.g. immunosuppressants, anticonvulsants etc).
• Recall patients who are overdue their routine monitoring tests and inform them to have these tests done as soon as possible.

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.

Implement drug withdrawals and alerts

• Liaise with the GP surgeries to implement MHRA drug withdrawals and medication alerts to improve medicines safety.

Implement local and national guidelines and formulary recommendations

• Monitor practice prescribing against local, national and formulary guidelines and make recommendations to GPs for medicines that should be prescribed only by the hospital or subject to shared care agreements.
• Work with GPs and patients to implement NICE and other evidence based guidelines to improve the quality, safety and cost effectiveness of prescribing.

Medicine information to practice staff and patients

• Answer relevant medicine-related queries from GPs, other network staff, healthcare teams (e.g. Community pharmacy) and patients.
• Suggest and recommend solutions and/or possible alternatives e.g. around out of stock medications.

Signposting

Ensure patients are referred to the appropriate healthcare professional if you are not the correct person to deal with their query/condition.

• Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the relevant practice team.

Education and Training

• Provide education and training to the broader primary healthcare team on medicines optimisation.

Care Quality Commission

• Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved.

Public Health

• Support public health campaigns and provide specialist knowledge on all public health programmes available to the general public.

Other Responsibilities:

• Participate in PCN MDT where appropriate.
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