The post holder will work within their clinical competence as part of a multi-disciplinary team to provide expertise in clinical medicines management. This involves providing face to face structured medication reviews, managing long term conditions, ensuring safe prescribing at the transfer of care, implementing systems for safer prescribing, repeat prescription reauthorisation and dealing with acute prescription requests. The post holder will perform face to face medication review of patients with polypharmacy, especially for older people, people in residential care homes and those with multiple comorbidities.
The post holder will provide leadership on quality improvement and clinical audit, and manage some aspects of the Quality and Outcomes Framework.
This role is pivotal to improving the quality of care and operational efficiencies, so requires motivation and passion to deliver an excellent service within general practice. The post holder will be supported to develop their role to become a non-medical prescriber if that qualification is not already held. Responsibilities:
Patient Facing Long-Term Conditions Clinics:
See patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma). Review the ongoing need for each medicine, monitoring needs, and support patients with their medicines taking to ensure they get the best use of their medicines. Patient Facing Clinical Medication Review:
Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses, and/or GP on prescribing and monitoring. Patient Facing Care Home Medication Review:
Work with care home staff to improve safety of medicines ordering and administration. Patient Facing Domiciliary Clinical Medication Review:
Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses, and GPs on prescribing and monitoring. Management of Common Minor Self-Limiting Ailments:
Manage caseload of patients with common minor self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate. Patient Facing Medicines Support:
Provide patient-facing clinics for those with questions, queries, and concerns about their medicines in the practice. Medicine Information to Practice Staff and Patients:
Answer relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy), and patients with queries about medicines. Suggest and recommend solutions, providing follow-up for patients to monitor the effect of any changes. Unplanned Hospital Admissions:
Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Implement changes to reduce the prescribing of these medicines to high-risk patient groups. Management of Medicines at Discharge from Hospital:
Reconcile medicines following discharge from hospitals, intermediate care, and into care homes, including identifying and rectifying unexplained changes. Service Development:
Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets). Medicines Quality Improvement:
Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results, and implement changes in conjunction with the practice team. Implementation of Local and National Guidelines:
Monitor practice prescribing against the local health economy's RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors or subject to shared care. Operating Arrangements:
Responsibility for one or more sites dependent upon patient list size. Based across one or more sites with the opportunity to work remotely from other sites. This is an evolving role and the responsibilities may augment over time in consultation with the post-holder. From time to time, the post-holder may be required to work from other sites. Other Tasks:
Duties may be varied from time to time under the direction of the line manager dependent on current and evolving practice workload and staffing levels. Other Administration and Professional Responsibilities:
Participate in the administrative and professional responsibilities of the practice team. Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator. Ensure collection and maintenance of any required statistical information. Attend and participate in practice meetings as required. Training and Personal Development:
Maintain professional registration with the GPhC. If it is necessary to expand the role to include additional responsibilities, full training will be given.
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This role is pivotal to improving the quality of care and operational efficiencies, so requires motivation and passion to deliver an excellent service within general practice. The post holder will be supported to develop their role to become a non-medical prescriber if that qualification is not already held. Responsibilities:
Patient Facing Long-Term Conditions Clinics:
See patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma). Review the ongoing need for each medicine, monitoring needs, and support patients with their medicines taking to ensure they get the best use of their medicines. Patient Facing Clinical Medication Review:
Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses, and/or GP on prescribing and monitoring. Patient Facing Care Home Medication Review:
Work with care home staff to improve safety of medicines ordering and administration. Patient Facing Domiciliary Clinical Medication Review:
Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses, and GPs on prescribing and monitoring. Management of Common Minor Self-Limiting Ailments:
Manage caseload of patients with common minor self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate. Patient Facing Medicines Support:
Provide patient-facing clinics for those with questions, queries, and concerns about their medicines in the practice. Medicine Information to Practice Staff and Patients:
Answer relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy), and patients with queries about medicines. Suggest and recommend solutions, providing follow-up for patients to monitor the effect of any changes. Unplanned Hospital Admissions:
Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Implement changes to reduce the prescribing of these medicines to high-risk patient groups. Management of Medicines at Discharge from Hospital:
Reconcile medicines following discharge from hospitals, intermediate care, and into care homes, including identifying and rectifying unexplained changes. Service Development:
Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets). Medicines Quality Improvement:
Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results, and implement changes in conjunction with the practice team. Implementation of Local and National Guidelines:
Monitor practice prescribing against the local health economy's RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors or subject to shared care. Operating Arrangements:
Responsibility for one or more sites dependent upon patient list size. Based across one or more sites with the opportunity to work remotely from other sites. This is an evolving role and the responsibilities may augment over time in consultation with the post-holder. From time to time, the post-holder may be required to work from other sites. Other Tasks:
Duties may be varied from time to time under the direction of the line manager dependent on current and evolving practice workload and staffing levels. Other Administration and Professional Responsibilities:
Participate in the administrative and professional responsibilities of the practice team. Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator. Ensure collection and maintenance of any required statistical information. Attend and participate in practice meetings as required. Training and Personal Development:
Maintain professional registration with the GPhC. If it is necessary to expand the role to include additional responsibilities, full training will be given.
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