Job description

Job responsibilities

Job Purpose/Summary

To participate in the provision of a Clinical Pharmacy Service to our member GP Practices defined within the Primary Care Network geographical location.

The Clinical Pharmacist will work within their clinical competencies as part of a multi-disciplinary team to provide expertise in clinical medicines management and it is expected that the following will be undertaken:

Adhering to local prescribing formulary and undertaking cost-effective prescribing including Medication optimisation.

Undertake holistic structured medication reviews reducing inappropriate polypharmacy where appropriate.

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.

Contribute to reductions in medicine related hospital admissions and readmissions by supporting patients to get the best outcomes from their medicines.

Identifying and addressing medicines related issues while addressing both the public health and social care needs of patients in the GP practice(s) that make up the PCN.

Complete audits as per the needs of the Practice or PCN

Further information about these areas can be found below.

The 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.

Medication Review and Optimisation

Utilise the LLR prescribing formulary in order to undertake evidence based and cost-effective prescribing.

Undertake holistic structured medication reviews reducing inappropriate polypharmacy where appropriate.

Manage long term conditions e.g., Heart Failure, Hypertension, Asthma, Diabetes.

Management of medicines on transfer of care and systems for safer prescribing e.g., reviewing hospital discharge letters.

Manage repeat prescription authorisations and reauthorisation.

Acute prescription requests issuing where clinically appropriate.

Medication Reconciliation

Reconcile patients medicines following clinics or hospital discharge and work with patients and community pharmacists to ensure patients receive the medicines they need post discharge, including identifying and rectifying unexplained changes and working with patients and community pharmacies.

To review medications for newly registered patients.

Medicine safety

Implement changes to medication that result from CAS/MHRA alerts, product withdrawal, and other local/national guidance.

Develop and implement systems to identify cohorts of patients most likely to be at risk of unplanned admissions and readmissions from medication.

Improve prescribing practices across the Primary Care Network and facilitate changes to medication based on up-to-date evidence-based guidelines e.g., where a drug is withdrawn, or indications change.

Using Clinical systems to ensure safe prescribing e.g., Eclipse, running clinical searches.

Medicines Management

Working within the Primary Care Network team to undertake proactive and holistic routine and structured medication reviews for all patients.

Support effective medication monitoring for all patients e.g., blood tests, high risk drug monitoring, sodium valproate prescribing audit.

Run clinics within clinical competency where appropriate to meet the needs of the Primary Care Network e.g., anticoagulant monitoring clinics, diabetic reviews, hypertension reviews.

Liaise with colleagues in community pharmacy to align and support medicines adherence.

Support the practice with any reviews of repeat prescribing policy helping to improve safety and efficiency.

Medicines Information

Provide clinical medicines expertise to both patients and general practice team (e.g., around doses, side effects, adverse events, possible alternatives e.g., around out of stocks).

Improve prescribing practice through educational support for all prescribers within the Primary Care Network.

Suggest and recommend solutions using clinical knowledge and trusted pharmaceutical sources.

Practice Targets

Supporting with prescribing initiatives set both locally (Medicines Optimisation Framework) and nationally (Quality Outcomes Framework) where appropriate.

Support practices to deliver on IIF, locally commissioned enhanced services and cost-effective prescribing.

Work with PCN team to ensure the practice is compliant with CQC standards where medicines are involved.

Support the Practice/ PCN/ Federation with any projects that may present themselves, in order to support the patient demographic e.g., Mens Health Clinic, Womens Health Hub, hard to reach patient groups.

Reviewing inappropriate medications prescribed by the practice e.g., drugs no longer advised in primary care, high-cost drugs, specialist drugs.

Collaborating Working Relationships

Work collaboratively with the practice and wider PCN team as part of a multi-disciplinary approach to patient care.

Attend relevant network and practice meetings.

Support with the requirements as outlines in the PCN DES, including but not limited to providing additional hours for Extended Access.

Education, Experience and Skills

Completion of an undergraduate degree in Pharmacy, and registration with the General Pharmaceutical Council.

Previous experience in a GP practice or other pharmacy settings, post registration is desirable.

Experience of working within primary care would be desirable.

Excellent interpersonal skills.

Ability to communication and present confidently, with both small and larger groups in formal and informal settings.

Ability to work both independently and as a part of a multi-disciplinary team.

Ability to engage effectively, commanding respect from a wide range of stakeholders including clinicians, patients and the public and in particular, ensuring effective two-way communication within the Primary Care Network member practices.

As part of the requirement of a Pharmacist within Primary Care, you will be required to have completed or be willing to complete the CPPE pathway (18 months approximately).

Already hold, working towards or be prepared to complete a prescribing qualification, upon successful completion of the CPPE pathway.

Demonstrates self-development through continuous professional development activity.

Behavioural

Be able to adhere to the General Pharmaceutical code of conduct, following legal, ethical, professional and organisational requirements.

Clear and effective consultation and communications skills, showing the ability to communicate efficiently with a diverse cohort of patients and clinicians.

Be able to prioritise work based on urgency and clinical need.

Being able to review, understand and adhere to the local and national prescribing guidelines.

Demonstrates accountability for delivering professional expertise throughout your work.

Recognises priorities when problem-solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate.

Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidance.

Demonstrates understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.

Collaborative Working Relationships

Recognises the roles of other colleagues within the organisation and their role in patient care.

Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary.

Liaises with ICB colleagues including ICB Pharmacists on prescribing related matters to ensure consistency of patient care and benefit.

Liaises with other Primary Care Networks, GP Practices and staff as needed for the collective benefit of patients.

Confidentiality

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Person Specification

Qualifications

Essential

• Masters degree in Pharmacy

Desirable

• Member of the Royal Pharmaceutical Society

Experience

Essential

• Minimum of 2 years post-registration experience.
• An appreciation of the nature of GPs and general practices.
• An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing.
• Excellent interpersonal, influencing and negotiating skills.
• Excellent written and verbal communication skills.
• Can plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
• Good IT skills.
• Able to obtain and analyse complex technical information
• Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate.
• Able to work under pressure and to meet deadlines.
• Gain acceptance for recommendations and influence/motivate/ persuade the audience to comply with the recommendations/ agreed course of action where there may be significant barriers.
• Work effectively independently and as a team member.
• Demonstrates accountability for delivering professional expertise and direct service provision.

Desirable

• In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
• Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g., patients).
• Produce timely and informative reports.

Professional Registration

Essential

• Mandatory registration with General Pharmaceutical Council (GPhC)

Other

Essential

• Full UK driving licence and access to a car

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Hinckley And Bosworth Medical Alliance Ltd

Address

Desford Medical Centre

54 Main Street

Desford

Leicester

LE9 9GR

United Kingdom

Employer's website

http://hbma-gpfederation.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Job Purpose/Summary

To participate in the provision of a Clinical Pharmacy Service to our member GP Practices defined within the Primary Care Network geographical location.

The Clinical Pharmacist will work within their clinical competencies as part of a multi-disciplinary team to provide expertise in clinical medicines management and it is expected that the following will be undertaken:

Adhering to local prescribing formulary and undertaking cost-effective prescribing including Medication optimisation.

Undertake holistic structured medication reviews reducing inappropriate polypharmacy where appropriate.

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.

Contribute to reductions in medicine related hospital admissions and readmissions by supporting patients to get the best outcomes from their medicines.

Identifying and addressing medicines related issues while addressing both the public health and social care needs of patients in the GP practice(s) that make up the PCN.

Complete audits as per the needs of the Practice or PCN

Further information about these areas can be found below.

The 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.

Medication Review and Optimisation

Utilise the LLR prescribing formulary in order to undertake evidence based and cost-effective prescribing.

Undertake holistic structured medication reviews reducing inappropriate polypharmacy where appropriate.

Manage long term conditions e.g., Heart Failure, Hypertension, Asthma, Diabetes.

Management of medicines on transfer of care and systems for safer prescribing e.g., reviewing hospital discharge letters.

Manage repeat prescription authorisations and reauthorisation.

Acute prescription requests issuing where clinically appropriate.

Medication Reconciliation

Reconcile patients medicines following clinics or hospital discharge and work with patients and community pharmacists to ensure patients receive the medicines they need post discharge, including identifying and rectifying unexplained changes and working with patients and community pharmacies.

To review medications for newly registered patients.

Medicine safety

Implement changes to medication that result from CAS/MHRA alerts, product withdrawal, and other local/national guidance.

Develop and implement systems to identify cohorts of patients most likely to be at risk of unplanned admissions and readmissions from medication.

Improve prescribing practices across the Primary Care Network and facilitate changes to medication based on up-to-date evidence-based guidelines e.g., where a drug is withdrawn, or indications change.

Using Clinical systems to ensure safe prescribing e.g., Eclipse, running clinical searches.

Medicines Management

Working within the Primary Care Network team to undertake proactive and holistic routine and structured medication reviews for all patients.

Support effective medication monitoring for all patients e.g., blood tests, high risk drug monitoring, sodium valproate prescribing audit.

Run clinics within clinical competency where appropriate to meet the needs of the Primary Care Network e.g., anticoagulant monitoring clinics, diabetic reviews, hypertension reviews.

Liaise with colleagues in community pharmacy to align and support medicines adherence.

Support the practice with any reviews of repeat prescribing policy helping to improve safety and efficiency.

Medicines Information

Provide clinical medicines expertise to both patients and general practice team (e.g., around doses, side effects, adverse events, possible alternatives e.g., around out of stocks).

Improve prescribing practice through educational support for all prescribers within the Primary Care Network.

Suggest and recommend solutions using clinical knowledge and trusted pharmaceutical sources.

Practice Targets

Supporting with prescribing initiatives set both locally (Medicines Optimisation Framework) and nationally (Quality Outcomes Framework) where appropriate.

Support practices to deliver on IIF, locally commissioned enhanced services and cost-effective prescribing.

Work with PCN team to ensure the practice is compliant with CQC standards where medicines are involved.

Support the Practice/ PCN/ Federation with any projects that may present themselves, in order to support the patient demographic e.g., Mens Health Clinic, Womens Health Hub, hard to reach patient groups.

Reviewing inappropriate medications prescribed by the practice e.g., drugs no longer advised in primary care, high-cost drugs, specialist drugs.

Collaborating Working Relationships

Work collaboratively with the practice and wider PCN team as part of a multi-disciplinary approach to patient care.

Attend relevant network and practice meetings.

Support with the requirements as outlines in the PCN DES, including but not limited to providing additional hours for Extended Access.

Education, Experience and Skills

Completion of an undergraduate degree in Pharmacy, and registration with the General Pharmaceutical Council.

Previous experience in a GP practice or other pharmacy settings, post registration is desirable.

Experience of working within primary care would be desirable.

Excellent interpersonal skills.

Ability to communication and present confidently, with both small and larger groups in formal and informal settings.

Ability to work both independently and as a part of a multi-disciplinary team.

Ability to engage effectively, commanding respect from a wide range of stakeholders including clinicians, patients and the public and in particular, ensuring effective two-way communication within the Primary Care Network member practices.

As part of the requirement of a Pharmacist within Primary Care, you will be required to have completed or be willing to complete the CPPE pathway (18 months approximately).

Already hold, working towards or be prepared to complete a prescribing qualification, upon successful completion of the CPPE pathway.

Demonstrates self-development through continuous professional development activity.

Behavioural

Be able to adhere to the General Pharmaceutical code of conduct, following legal, ethical, professional and organisational requirements.

Clear and effective consultation and communications skills, showing the ability to communicate efficiently with a diverse cohort of patients and clinicians.

Be able to prioritise work based on urgency and clinical need.

Being able to review, understand and adhere to the local and national prescribing guidelines.

Demonstrates accountability for delivering professional expertise throughout your work.

Recognises priorities when problem-solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate.

Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidance.

Demonstrates understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.

Collaborative Working Relationships

Recognises the roles of other colleagues within the organisation and their role in patient care.

Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary.

Liaises with ICB colleagues including ICB Pharmacists on prescribing related matters to ensure consistency of patient care and benefit.

Liaises with other Primary Care Networks, GP Practices and staff as needed for the collective benefit of patients.

Confidentiality

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Person Specification

Qualifications

Essential

• Masters degree in Pharmacy

Desirable

• Member of the Royal Pharmaceutical Society

Experience

Essential

• Minimum of 2 years post-registration experience.
• An appreciation of the nature of GPs and general practices.
• An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing.
• Excellent interpersonal, influencing and negotiating skills.
• Excellent written and verbal communication skills.
• Can plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
• Good IT skills.
• Able to obtain and analyse complex technical information
• Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate.
• Able to work under pressure and to meet deadlines.
• Gain acceptance for recommendations and influence/motivate/ persuade the audience to comply with the recommendations/ agreed course of action where there may be significant barriers.
• Work effectively independently and as a team member.
• Demonstrates accountability for delivering professional expertise and direct service provision.

Desirable

• In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
• Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g., patients).
• Produce timely and informative reports.

Professional Registration

Essential

• Mandatory registration with General Pharmaceutical Council (GPhC)

Other

Essential

• Full UK driving licence and access to a car

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Hinckley And Bosworth Medical Alliance Ltd

Address

Barwell Medical Centre

55 High Street

Barwell

LE9 8DS

United Kingdom

Employer's website

http://hbma-gpfederation.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Key Responsibilities

Receiving and actioning referrals from a wide range of agencies, working with GP practices within primary care networks (PCNs), pharmacies, multi-disciplinary teams, hospital discharge teams, allied health professionals, fire service, police, job centres, social care services, housing associations, and voluntary, community and social enterprise (VCSE) organisations. (List not exhaustive).

Providing personalised support to individuals, their families and carers to enable them to take control of their well-being, live independently and improve their health outcomes. Develop trusting relationships by giving people time and focus on what matters to them. Taking an holistic approach, based on the persons priorities and the wider determinants of health. To co-produce a personalised support plan to improve health and wellbeing, to introduce or reconnect people to community groups and statutory services. It is vital that the Social Prescribing Link Worker has a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals or agencies.

To increase the strengths and capacities of local communities, and enable local VCSE organisations and community groups to receive social prescribing referrals. Ensure they are supported, have basic safeguarding processes for vulnerable individuals and can provide opportunities for the person to develop friendships, a sense of belonging, and build knowledge, skills and confidence.

Work together with all local partners to collectively ensure that local VCSE organisations and community groups are sustainable and that community assets are nurtured, by making them aware of small grants or micro-commissioning if available, including providing support to set up new community groups and services, where gaps are identified in local provision.

Service Delivery

• Build a robust knowledge of health, social and third sector provision available within West Leicestershire and surrounding areas.
• Promote social prescribing, its role in self-management, and the wider determinants of health.
• Act as an advocate for patients and service users of the health and social care system.
• Build relationships with key staff in GP practices within the local Primary Care Network (PCN). Attend relevant meetings and integrate as part of the wider network team, providing information and feedback on social prescribing matters.
• Work proactively to develop strong links with all local agencies to encourage referrals, to recognise their requirements and enable confident approach to making referrals.
• Work in partnership with all local agencies to raise awareness of social prescribing and demonstrate how partnership working can reduce pressure on statutory services, improve health outcomes and enable a holistic approach to care.
• Provide referral agencies with regular updates relating to social prescribing, and include training for their staff to promote effective access to information and encourage appropriate referrals.
• Work proactively in encouraging self-referrals and connecting with all local communities, particularly those communities that statutory agencies may find hard to reach.
• To support patients on discharge from hospital admission.
• To support with the requirements as outlines in the PCN DES, including but not limited to providing additional hours for Extended Access.

Personalised Care and Support

• Build relationships with patients, their families and carers and carry out regular telephone consultations and reviews within the GP practice or community setting.
• Meet people on a one-to-one basis, undertaking home visits where appropriate within organisations policies and procedures. Give people time to tell their stories and focus on what matters to me.
• Build trust with the person, providing non-judgmental support, respecting diversity and lifestyle choices. Work from a strength-based approach focusing on a persons assets.
• Anticipate barriers to communication.
• Be a friendly source of information about wellbeing and prevention approaches.
• Help people identify the wider issues that impact on their health and wellbeing, such as debt, poor housing, being unemployed, loneliness and caring.
• Communicate effectively with patients, families and carers recognising the need for alternative communication methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
• Help people maintain or regain independence through living skills, adaptations, enablement approaches and simple safeguards.
• Work with individuals to co-produce a simple personalised support plan; based on the persons priorities, interests, values and motivations, including what they can expect from the groups, activities and services they are being connected to and what the person can do for themselves to improve their health and wellbeing.
• Where appropriate, physically introduce people to community groups, activities and statutory services, ensuring they are comfortable. Provide follow-up to ensure that they are happy, engaged, included and receiving good support.
• Where people may be eligible for a personal health budget, assist them to explore this option as a way of providing funded, personalised support to be independent, including helping people to gain skills for meaningful employment, where appropriate. Support community groups and VCSE organisations to receive referrals.

Support Community Groups to Receive Referrals

• Forge strong links with local VCSE organisations, community and neighbourhood to promote micro-commissioning or small grants if available.
• Develop supportive relationships with local VCSE organisations, community groups and statutory services, to make timely, appropriate and supported referrals for the person being introduced.
• Ensure that local community groups and VCSE organisations being referred to have basic procedures in place for ensuring that vulnerable individuals are safe and, where there are safeguarding concerns, work with all partners to deal appropriately with issues. Where such policies and procedures are not in place, support groups to work towards this standard before referrals are made to them.
• Check that community groups and VCSE organisations meet in insured premises and that health and safety requirements are in place. Where such policies and procedures are not in place, support groups to work towards this standard before referrals are made to them.
• Support local groups to act in accordance with information governance policies and procedures, ensuring compliance with the Data Protection Act.
• Work collectively with all local partners to ensure community groups are strong and sustainable.
• Work with commissioners and local partners to identify unmet needs within the community and gaps in community provision.
• Support local partners and commissioners to develop new groups and services where needed, through small grants for community groups, micro-commissioning and development support.

Work Collectively with Local Partners to Ensure Community Groups are Strong and Sustainable

• Work with commissioners and local partners to identify unmet needs within the community and gaps in community provision.
• Support local partners and commissioners to develop new groups and services where needed, through small grants for community groups, micro-commissioning and development support.
• Encourage people who have been connected to community support through social prescribing to volunteer and give their time freely to others, in order to build their skills and confidence, and strengthen community resilience.
• Develop a team of volunteers to provide buddying support for people, starting new groups and finding creative community solutions to local Issues.
• Encourage people, their families and carers to provide peer support and to do things together, such as setting up new community groups or volunteering.
• Provide a regular confidence survey to community groups receiving referrals, to ensure that they are strong, sustained and have the support they need to be part of social prescribing.

General Tasks

• Produce accurate, contemporaneous and complete records of patient contact, consistent with legislation, policies and procedures.
• Work sensitively and effectively with people, their families and carers to capture key information, enabling tracking of the impact of social prescribing on their health and wellbeing.
• Build relationships with patients, their families and carers and carry out regular telephone consultations and reviews within the GP practice or community setting.
• Encourage people, their families and carers to provide feedback and to share their stories about the impact of social prescribing on their lives.
• Support referral agencies to provide appropriate information about the person they are referring. Use the case management system to track the persons progress. Provide appropriate feedback to referral agencies about the people they referred.
• Work closely with GP practices within the PCN to ensure that social prescribing referral codes are inputted to the clinical system and that the persons use of the NHS can be tracked, adhering to data protection legislation and data sharing agreements.
• Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance.

Professional Development

• Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the roles and responsibilities.
• Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
• Work with your line manager to access regular clinical supervision, to enable you to deal effectively with the difficult issues that people present.

Person Specification

Ability to commute/relocate

Essential

• Leicester LE6 0LE: reliably commute or plan to relocate before starting work (required)

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Hinckley And Bosworth Medical Alliance Ltd

Address

Willow View

Field Farm Business Centre

Hinckley Road

Sapcote

LE9 4LH

United Kingdom

Employer's website

http://hbma-gpfederation.co.uk/ (Opens in a new tab)