Clinical Pharmacist - Frailty and care homes

Clinical Pharmacist - Frailty and care homes

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Droitwich, Ombersley & The Rurals PCN consists of 7 practices, based across South Worcestershire, serving over 56,000 patients. We aim to offer and deliver excellent, safe, co-ordinated, high quality patient care. Continuously learning, evolving and implementing new models of care, to create inclusion and reduce inequalities and improve outcomes.

We work hard to promote a culture where staff feel engaged, valued and recognised by the organisation and the others they work with.

We have an Additional Roles team of 37 healthcare professionals and are looking for individuals with a passion to deliver excellent service in General Practice and in the local communities.

Job Summary

DO&R has an exciting opportunity for an experienced frailty clinical pharmacist to join our PCN. We are looking for someone who will provide expert medicines optimisation and clinical pharmacy support for older adults living with frailty across our care homes and the wider PCN. The post holder will work as a core member of the multidisciplinary frailty team, supporting proactive, personalised care to improve outcomes, reduce medicines-related harm, and prevent avoidable hospital admissions.

The role focuses on current PCN contracts, comprehensive medication reviews (CMRs), polypharmacy management, deprescribing, and close collaboration with GPs, nurses, social prescribers, link workers, community services, and care homes.

Key Responsibilities

You will be working as part of a multidisciplinary team, to provide advice and support on all prescribing and medication related issues for care home residents, and those living with moderate to severe frailty. When clinically appropriate, you will be expected to implement and action changes to the patients’ medical prescribing record as directed by primary, secondary or community care; always working within professional limits.

Provide expertise in clinical medicines, review and address public health and social needs of these patients.

Clinical Responsibilities

• Undertake structured medication reviews (SMRs) for patients living with moderate to severe frailty, including those:
  • At risk of falls
  • With polypharmacy
  • Approaching end of life
• Apply frailty-specific prescribing principles, including:
  • Optimising treatment in line with patient goals and quality of life
• Support medicines optimisation aligned to:
  • NICE guidance
  • STOPP/START criteria.
• Conduct clinical assessments within scope of practice, including:
  • Undertaking appropriate clinical assessments to support care planning and management of acute presentations alongside long term chronic disease management
  • Falls assessment and frailty scoring
• Support anticipatory care planning and shared decision-making with patients and carers.

Multidisciplinary Team (MDT) Working

• Act as a core member of the PCN frailty MDT, working alongside:
  • GPs and Advanced Practitioners
  • Community geriatric services
  • Participate in MDT meetings, case conferences, and proactive frailty reviews.
  • Contribute to personalised care plans and escalation planning.

Care Home and Community Support

• Provide regular clinical pharmacy support to care homes within the PCN.
• Support medicines reconciliation following hospital discharge.
• Reduce medicine-related admissions and prescribing risks in care home residents.
• Work collaboratively with community pharmacists and care home staff.

Patient and Carer Engagement

• Communicate complex medication information clearly and compassionately.
• Support shared decision-making and personalised goals of care.
• Provide education to patients and carers about medicines, side effects, and safe use.

Service Development and Quality Improvement

• Support the development and delivery of PCN frailty pathways.
• Contribute to audits, quality improvement projects, and prescribing safety initiatives.
• Support training and education for the wider PCN workforce on frailty and medicines optimization.
• Use population health data to identify patients at risk of medicine-related harm.

PCN Contract Responsibilities

Support the delivery of the Network Direct Enhanced Services (DES) contract requirements, service specifications,…