Remote​/Hybrid Clinical Prescribing Pharmacist

Job description The post holder will work within their clinical 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 request, while addressing both the public health and social care needs of patients in the GP practice.

The post holder will perform face to face and telephone medication review of patients with polypharmacy especially for older people, people in residential care homes and those with multiple co-morbidities, those with mental health conditions. The post holder will provide leadership on quality improvement and clinical audit and well as managing some aspects of the Quality and Outcomes Framework and work closely with high risk drug monitoring.

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. Main duties of the job Provide expertise in clinical medicines review and address public health and social needs of patients in GP practices Reduce inappropriate poly-pharmacy and wasteful prescribing through clinical medication review Reconcile medicines following hospital discharge and work with patients and community pharmacists to ensure patients receive the medicines they need post discharge.

Contribute to reductions in medicine related hospital admissions and readmissions by supporting patients to get the best outcomes from their medicines and identifying and addressing medicines related issues Interface with community and hospital pharmacy colleagues and develop referral processes between primary care professionals including the promotion of the repeat dispensing service Manage the repeat prescribing reauthorisation process by reviewing requests for repeat prescriptions and medicines reaching review dates Manage patients and health care professionals medicine queries Increase quality and safety of prescribing through mechanisms such as audit and PDSA cycles Manage practice formularies to improve the quality, safety and cost effectiveness of prescribing Implement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safety Work with primary care professional and patients to implement NICE and other evidence based guidelines Run clinics where medicines are the main interventions e.g. anticoagulant monitoring clinics, dependence forming medication reviews.

Contribute to multimorbidity reviews and multidisciplinary reviews Provide medicines information and training to Practice healthcare professionals and admin staff Review Pathology results for patients on known medicines and as part of medication review and request outstanding bloods where needed. Act as a source of medicines information for all of the practice team and patients (e.g. around doses, side effects, adverse events, possible alternatives e.g. around out of stocks) Working within the practice based team to undertake medication reviews particularly in high risk groups such as:

• Frail elderly
• Polypharmacy
• Renal impairment
• Hepatic impairment
• Substance misuse
• Patients on high risk medicines
• STOPP/START identified patients
• Revolving door Hospital admissions

Improve prescribing practice through educational support for all prescribers within the practice Lead on where changes in evidence require changes in prescribing across patient population eg where a drug is withdrawn or indications change Liaise with colleagues in community pharmacy to align support for referrals, medicines adherence, optimisation and management Support improvements in clinical care through practice based audit and implementing change Prescribing advice to prescribers in practice e.g. temporary non availability of drugs Ensure patient safety when they are transferred between care providers through reconciliation of prescribed medicine Working closely with the pharmacy team and ICB team to support CQC Arden searches and completion MOIS ICB Project work Providing support to pharmacy technicians, junior pharmacists and Lead Pharmacist Any ad hoc duties as needed You will be delivering SMRs, LTC, high risk medication reviews, Auditing, working closely with the multidisciplinary team to respond to queries, sign prescriptions and problem solving.

Your role will impact on the…