Clinical Pharmacist - North Oxfordshire Rural Alliance; NORA PCN

Clinical Pharmacist - North Oxfordshire Rural Alliance (NORA) PCN

The purpose of this role is to provide a comprehensive Clinical pharmacist service to patients of North Oxfordshire Rural Alliance Primary Care Network (PCN).

This role is pivotal to improving quality of care and operational efficiencies so requires motivation and passion to deliver an excellent service within general practice.

Please note, the base surgery and employer will be Bloxham and Hook Norton Surgery.

The post holder is a Pharmacist, who acts within their professional boundaries, and will work as part of a multi-disciplinary team in a patient-facing role. In this role they will be supported by a Senior Clinical Pharmacist (SCP) who will develop and mentor them.

The post holder will take responsibility for areas of chronic disease management within the Practice(s) and undertake clinical medication reviews to proactively manage patients with complex polypharmacy, especially for older people, people in residential care homes, hospital discharges and those with multiple co-morbidities.

The post holder will assist the SCP and team to provide clinical leadership on medicines optimisation, quality improvement and manage some aspects of the quality and outcomes framework and enhanced services.

The post holder will work with the SCP and team to ensure that the practice integrates with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare and help manage workload. The role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service within general practice.

The post holder will be supported to develop their role to become an independent prescriber on completion of the CPPE pathway.

Come and join our incredibly friendly PCN, nestled near to and within the Cotswold countryside in an area of outstanding natural beauty. NORA PCN consists of five rural surgeries. Collectively, we serve a population of approximately 51,000 patients. We have diverse patient population with a high proportion of elderly patients.

We have a fantastic PCN Clinical Pharmacy team, one of the largest in Oxfordshire
-which includes a Senior Clinical Pharmacist, five Clinical Pharmacists and a PCN Pharmacy technician. The team have monthly group teaching and discussion sessions together, as well as regular social events.

Medicine information to PCN, practice staff and patients

Answer medicine related enquiries from PCN, GPs & practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggest and recommend solutions. Provide follow up for patients to monitor the effect of any changes.

Patient facing clinical medication review

Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests.

Review the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimisation).

Patient facing medicines support

Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice as appropriate and with safety in mind during the pandemic.

Telephone medicines support

Provide a telephone help line for patients with questions, queries and concerns about their medicines.

Patient facing care home/residential clinical medication reviews

Manage own caseload of care home residents. Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests.

Work with care home staff to improve safety of medicines ordering and administration.

Patient facing domiciliary/home visits

Manage own caseload of vulnerable house-bound patients at risk of hospital admission and harm from poor use of medicines.

Implement own prescribing changes (as an independent prescriber) and ordering of monitoring tests when appropriately qualified to do so.

To work with the SCP and team to develop and manage new services across the PCN that are built around new medicines or NICE guidance, where new medicine/recommendations allow the development of a new care pathway (e.g. new oral anticoagulants for stroke prevention in atrial fibrillation).

Assist with design, development and implementation of computer searches to identify cohorts of patients at high risk of harm from medicines across the PCN.

Assist the SCP with the management of risk stratification tools on behalf of the PCN.

Work with patients, SCP and CPs across the PCN and primary care teams to minimise risks through medicines optimisation.

Information management

To assist SCP and CP team to analyse, interpret and present…