Clinical PharmacistNHS

Job summary

Shore Medical is seeking an enthusiastic Clinical Pharmacist to join our GP Super Partnership and support the delivery of high-quality, safe and effective medicines optimisation. Working alongside our GP-led Prescribing Team, you will provide clinical medication reviews, support patients with long-term conditions, promote medicines safety and contribute to service improvement across our sites.

The role is 22.5 hours per week, worked across Monday, Tuesday and Wednesday, 8:00am4:00pm

Main duties of the job

As a Clinical Pharmacist, you will work closely with GPs and the wider practice team to provide clinical support and help patients get the best from their medicines. Your role will include conducting patient-facing medication reviews, supporting the management of long-term conditions, reviewing medicines following hospital discharge and providing advice on prescribing and medicines-related queries.

You will also contribute to medicines safety, prescribing quality and service improvement, including supporting audits, antibiotic stewardship and the development of effective prescribing processes. The role offers the opportunity to work collaboratively with colleagues across primary, community and secondary care and to contribute to the ongoing development of pharmacy services across Shore Medical.

Job description

Medication Reviews

• Undertake clinical medication reviews with patients and produce recommendations for GPs on prescribing and monitoring.
• Undertake clinical medication reviews with patients with multimorbidity and polypharmacy and implement prescribing changes as an independent prescriber, where appropriate, and order relevant monitoring tests.
• Undertake medication reviews for older people with frailty, including the 2% most vulnerable patients.

Medicines Following Hospital Discharge

• Manage medicines at discharge from hospital, including patients presenting with medicines-related issues, for example diabetic patients presenting with hypoglycaemia.
• Reconcile medicines following discharge from hospitals, intermediate care and into care homes.
• Identify and rectify unexplained changes to medication and work with patients and community pharmacists to ensure patients receive the medicines they need following discharge.
• Perform clinical medication reviews and produce post-discharge medicines care plans, including dose titration and arranging follow-up tests where appropriate.
• Work in partnership with hospital colleagues to proactively manage patients at high risk of medicine-related problems before discharge, supporting continuity of care.

Long-Term Condition Clinics

• See patients with single medical problems where medicines optimisation is required, such as COPD and asthma, and make recommendations to GPs for improvements to medicines.
• See patients in practice-based multimorbidity clinics and work in partnership with primary, community and secondary care colleagues to implement improvements to patients' medicines, including deprescribing.
• Run own long-term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines form a significant component, such as diabetes.

Clinical Advice and Medicines Expertise

• Provide clinical advice and expertise on medicines to practice staff and patients.
• Answer medicines-related enquiries from GPs, practice staff and patients and recommend appropriate solutions.
• Provide follow-up for patients to monitor the effect of changes to their medicines.
• Provide telephone and patient-facing medicines advice.

Training and Supervision

• Provide education and training to practice teams on therapeutics and medicines optimisation.

Medicines Safety

• Implement changes to medicines resulting from MHRA alerts, product withdrawals and other local and national guidance.
• Undertake prescribing audits in areas directed by GPs, provide feedback on results and implement changes in conjunction with the practice team.
• Horizon scan to identify national and local policy and guidance affecting patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence from clinical trials.
• Manage the process of implementing changes to medicines and guidance for practitioners.

Antibiotic Stewardship

• Promote evidence-based practice and interventions to prevent the development of infections.
• Support the reduction of Gram-negative bloodstream infections and inappropriate antibiotic prescribing in at-risk groups.

Leadership

• Demonstrate understanding of the pharmacy role in governance and implement this appropriately within the workplace.
• Demonstrate understanding of and contribute to the workplace vision.
• Engage with Patient Participation Groups (PPGs) and involve PPGs in the development of the role within practices.
• Demonstrate the ability to motivate yourself to achieve goals.
• Demonstrate the ability to improve quality within the limitations of the service.
• Review yearly progress and develop clear plans to achieve results within priorities set by yourself and others.
• Promote diversity and equality in people management techniques and lead by example.

Management

• Demonstrate understanding of the implications of national priorities for the team and/or service.
• Demonstrate understanding of effective resource utilisation.
• Demonstrate understanding of and conform to relevant standards of practice.
• Support delivery of reporting outcomes for the project.
• Identify and resolve risk management issues according to policy and protocol.
• Follow professional and organisational policies and procedures relating to performance management.
• Demonstrate the ability to extend boundaries of service delivery within the team.

Research and Evaluation

• Demonstrate the ability to critically evaluate and review literature.
• Identify where there is a gap in the evidence base to support practice.
• Generate evidence suitable for presentations at practice and local level.
• Apply the research evidence base to the workplace.
• Demonstrate understanding of the principles of research governance.
• Make recommendations based on the latest research, evidence and NICE updates, taking into account the quadruple aim.

Responsibilities Underpinning the Role

• Develop and facilitate good working relationships with community pharmacists and other local healthcare providers.
• Plan and organise your own workload, including audit and project work and training sessions for members of the practice team, patients and carers.
• Maintain registration as a pharmacist and comply with appropriate professional codes.
• Maintain and develop professional competence and expertise, keeping up to date with medical and therapeutic evidence and opinion, and local and national service, legislation and policy developments.
• Agree objectives and a personal development plan and participate in the appraisal process.
• Attend local, regional and national meetings of relevance as agreed with the post holder's line manager.
• Undertake any other duties commensurate with the post holder's grade as agreed with the line manager.
• Understand and comply with all organisational and statutory requirements, including health and safety, equal treatment and diversity, confidentiality and clinical governance.
• Act as a point of contact and provide support to Pharmacy Technicians, Prescribing Clerks and GPs with daily queries.

About us

Shore Medical is a GP Super Partnership with 6 practices across Poole and Bournemouth. We aspire to offer exceptional care to our 58,000 patients and are innovative in our approach to developing new teams and pathways to ever improve how general practice is delivered.

We have a friendly and supportive team of more than 200 staff, with over 40 GPs, Pharmacists, Paramedics, Nurses, Mental Health specialists and our range of administrative staff. We have a great social side to our team with Summer and Christmas parties, running and paddle boarding groups as well as many other events throughout the year.

The Practices in the Partnership are:

• Lilliput Surgery
• Poole Road Medical Centre
• Wessex Road Surgery
• Heatherview Medical Centre
• Fernside Surgery
• Parkstone Tower Practice

We offer

• Competitive salary
• Friendly and supportive working environment
• Continuous CPD
• NHS Pension Scheme with Life Insurance
• Free parking at most of the sites
• Cycle to work scheme
• Refer a Friend scheme
• Summer & Christmas parties