Clinical Pharmacist

To provide a comprehensive pharmacy service to patients of the CLICK Primary Care Network.

The post holder will work within their competencies as part of a multi-disciplinary team to provide expertise in clinical medicines management, provide face to face structured medication reviews, manage long term conditions, management of medicines on transfer of care and systems for safer prescribing, manage repeat prescription authorisations and reauthorisation, acute prescription requests, while addressing both the public health and social care needs of patients in the GP practices that make up the Primary Care Network.

The post holder will undertake medication reviews of patients with polypharmacy especially for older people, people in residential care homes and those with multiple co-morbidities. The post holder will provide leadership on quality improvement and clinical audit as well as managing some aspects of the Quality and Outcomes Framework and the Primary Care Network Direct Enhanced Service Specifications.

2.Patient Facing Clinical Medication Reviews

3.Patient Facing Care Home Medication Reviews

4.Patient Facing Domiciliary Clinical Medication Reviews

6.Unplanned hospital admissions

7.Management of common, minor and self-limiting ailments

8.Patient facing medicines support

9.Telephone medicines support

10.Management of medicines at discharge from hospital

11.Medicine information to practice staff and patients

12.Signposting

13.Repeat prescribing

15.Information management

18.Implementation of local and national guidelines and formulary recommendations

19.Provide education and training to primary healthcare team on therapeutics and medicines optimisation

20.Ensure practices are compliant with CQC standards where medicines are involved

21.Support public health campaigns.

22.Collaborative working arrangements

CLICK (Chard, Ilminster and Langport) Primary Care Network (PCN) is located in South Somerset with 5 GP practices and a diverse population spread across town and rural locations. CLICK has a population size of around 50,000 patients.

Currently led under the Clinical Director leadership of Dr Christoph Kollmeier.

The PCN is made up of:

Langport Surgery

The Meadows (Ilminster)

Churchview (Ilminster)

As a PCN we are forward thinking, innovate and driven to deliver the best patient care for our population. This includes health population management, and this role ties in with supporting that and tracking the improvements we can make to patients lives.

Key relationships:

The patients, doctors, prescribers and practice teams within the Primary Care Network

Somerset ICB Practice Support Pharmacists and Medicines Management Team

Local Community Pharmacists

Other professionals, other NHS/private organisations e.g. ICB and the general public

Key duties and responsibilities

See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. Respiratory, Cardiovascular and Diabetes). Review the on-going 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). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.

2.Patient Facing Clinical Medication Reviews

Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GPs on prescribing and monitoring.

3.Patient Facing Care Home Medication Reviews

Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring. Work with care home staff to improve safety of medicines ordering and administration.

4.Patient Facing Domiciliary Clinical Medication Reviews

Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences.

Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both.

6.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.

7.Management of common, minor and self-limiting ailments

Manage a caseload of patients with common, minor or self-limiting ailments while working within a scope of practice and limits of competence. Signpost to community pharmacy and refer to GPs or other healthcare professional where appropriate.

8.Patient facing medicines support

Provide patient facing clinics for those with questions, queries and concerns about their medicines in the…