Main duties and responsibilities:
Job Summary: To ensure that medicines management processes within the practice are optimised to achieve highly effective, safe and patient centred prescribing. To undertake patient consultations with a focus on groups of patients with potential medication issues. To engage in shared learning with other clinical practice pharmacists working in associated local practices to support the development of this role within the practice.
Job Responsibilities:
Management of medicines at discharge from hospital. To reconcile medicines following discharge from hospitals, intermediate care and into care homes; identify and rectify unexplained changes; manage these changes without referral to the GP; perform a clinical medication review; produce a post-discharge medicines care plan including dose titration and booking of follow-up tests, 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). Work in partnership with hospital colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine-related problems before they are discharged to ensure continuity of care. Risk stratification: Design, development and implementation of computer searches to identify cohorts of patients at high risk of harm from medicines. Work with patients and the primary care team to minimise risks through medicines optimisation. Unplanned hospital admissions: Work with case managers, multidisciplinary (health and social care) review teams, hospital colleagues and virtual ward teams to manage medicines-related risk for readmission and patient harm. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups. Repeat prescribing: Assist the Senior Clinical Pharmacist in reviewing, updating and implementing a practice repeat prescribing policy. Assist the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates; make necessary changes and ensure patients are booked in for necessary monitoring tests where required. Telephone and patient facing medicines support: Provide a telephone help line for patients with questions, queries and concerns about their medicines. Hold clinics for patients requiring face-to-face structured medication reviews (SMRs). Medication review: Undertake clinical medication reviews with patients with multi-morbidity and polypharmacy and implement changes. Care home medication reviews: Manage own caseload of care home residents. Undertake structured medication reviews with patients with multi-morbidity and polypharmacy and implement changes and order relevant monitoring tests. Work with care home staff to improve safety of medicines ordering and administration. Long term condition clinics: See patients in multi-morbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients' medicines, including de-prescribing. Run own long-term condition clinics for conditions where medicines have a large component (e.g. medicine optimisation for stable angina symptom control, warfarin monitoring and dose adjustment for patients requiring long-term anticoagulants). Cost saving programmes: Assist the Senior Clinical Pharmacist in making recommendations and implementing changes to medicines designed to save on medicine costs where a medicine or product with lower acquisition cost is now available. Medicine information to practice staff and patients: Answer medicine-related enquiries from GPs, other practice staff and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes. Medicines quality improvement: Assist the Senior Clinical Pharmacist in identifying areas of prescribing requiring improvement. Either conduct own audits and improvement projects or work with colleagues such as GP registrars. Contribute to national and local research initiatives. Training & Shared Learning: Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Provide training to visiting medical students. Facilitate shared learning across clinicians within the practice on medication-related issues. Implementation of local and national guidelines and formulary recommendations: Monitor practice prescribing against the local health economy's Red/Amber/Green/Grey lists for medicines that should be prescribed by hospital doctors or subject to shared care. Liaise directly with hospital colleagues where prescribing needs to be returned to specialists. Medicines safety: Horizon scan to identify national and local policy and guidance that affects patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence from clinical trials.
#J-18808-Ljbffr
Management of medicines at discharge from hospital. To reconcile medicines following discharge from hospitals, intermediate care and into care homes; identify and rectify unexplained changes; manage these changes without referral to the GP; perform a clinical medication review; produce a post-discharge medicines care plan including dose titration and booking of follow-up tests, 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). Work in partnership with hospital colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine-related problems before they are discharged to ensure continuity of care. Risk stratification: Design, development and implementation of computer searches to identify cohorts of patients at high risk of harm from medicines. Work with patients and the primary care team to minimise risks through medicines optimisation. Unplanned hospital admissions: Work with case managers, multidisciplinary (health and social care) review teams, hospital colleagues and virtual ward teams to manage medicines-related risk for readmission and patient harm. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups. Repeat prescribing: Assist the Senior Clinical Pharmacist in reviewing, updating and implementing a practice repeat prescribing policy. Assist the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates; make necessary changes and ensure patients are booked in for necessary monitoring tests where required. Telephone and patient facing medicines support: Provide a telephone help line for patients with questions, queries and concerns about their medicines. Hold clinics for patients requiring face-to-face structured medication reviews (SMRs). Medication review: Undertake clinical medication reviews with patients with multi-morbidity and polypharmacy and implement changes. Care home medication reviews: Manage own caseload of care home residents. Undertake structured medication reviews with patients with multi-morbidity and polypharmacy and implement changes and order relevant monitoring tests. Work with care home staff to improve safety of medicines ordering and administration. Long term condition clinics: See patients in multi-morbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patients' medicines, including de-prescribing. Run own long-term condition clinics for conditions where medicines have a large component (e.g. medicine optimisation for stable angina symptom control, warfarin monitoring and dose adjustment for patients requiring long-term anticoagulants). Cost saving programmes: Assist the Senior Clinical Pharmacist in making recommendations and implementing changes to medicines designed to save on medicine costs where a medicine or product with lower acquisition cost is now available. Medicine information to practice staff and patients: Answer medicine-related enquiries from GPs, other practice staff and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes. Medicines quality improvement: Assist the Senior Clinical Pharmacist in identifying areas of prescribing requiring improvement. Either conduct own audits and improvement projects or work with colleagues such as GP registrars. Contribute to national and local research initiatives. Training & Shared Learning: Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Provide training to visiting medical students. Facilitate shared learning across clinicians within the practice on medication-related issues. Implementation of local and national guidelines and formulary recommendations: Monitor practice prescribing against the local health economy's Red/Amber/Green/Grey lists for medicines that should be prescribed by hospital doctors or subject to shared care. Liaise directly with hospital colleagues where prescribing needs to be returned to specialists. Medicines safety: Horizon scan to identify national and local policy and guidance that affects patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence from clinical trials.
#J-18808-Ljbffr
