Clinical Pharmacist

The post holder will work as part of a multi-disciplinary team in a patient-facing role. The post holder will take responsibility for and undertake clinical medication reviews and support patients to proactivelymanage long term conditions.

The post holder will provide primary support to general practice staff with regards to prescription and medication queries.

They willhelp support the repeat prescription system, deal with acute prescriptionrequests, and medicines reconciliation on transfer of care and systems forsafer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patient in the GP practice.

If the post holder is not already a nonmedical prescriber,you will be supported to develop their role to become a nonmedical prescriberand develop an area of chronic disease management within the practice.

The postholder will be required to enrol on the General Practice Pharmacist Training Pathway from CPPE (unless an equivalent qualification is already held, andexemption is agreed by CPPE).

Our mission statement is to be committed to providing high quality, patient centred care using a multi-disciplinary team approach, with patient and staff wellbeing at the heart of our Sarum Health Group family.

Do you think you could fit in with our well-oiled unit here at Sarum Health Group?

About us:

• Circa 17,000 patient practice in rural Wiltshire
• Main surgery at Salisbury with branch surgeries at Larkhill, Sixpenny Handley and Broad Chalke
• CQC rating Good
• High QOF achievers due to our efficient admin support team
• Part of the Salisbury Plain PCN with expanding team which includes for our practice Paramedic (Home Visiting Team), Clinical Pharmacist, Social Prescribers, First Contact Physiotherapist and a GPA.
• Workflow optimisation for data team, reduced admin for ANPs
• On-site dispensary located in at our branch site in Larkhill
• Systm One Web clinical system, also using Cinapsis, AccuRX, Systm Connect, T-Quest and Team Net.
• Full complement administration team who oversees letter processing, insurance reports, solicitor reports and all other non-NHS works, safeguarding reports and referrals.
• Enhanced hours as part of our PCN network of practices
• 1 intermediate care bed which we provide a weekly on-site clinic with limited number of patients.
• Nurse-led chronic disease clinics.
• Comprehensive clinical pathways that are ever evolving.

Key Responsibilities:

• Undertake clinical medication reviews to 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).
• Through structured medication reviews, proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with multiple co-morbidities.
• Communicate to a prescriber any recommendations for changes identified in the reviews to ensure patients get the best use of their medicines. Or as an independent prescriber, be responsible for adjusting medications and arranging monitoring when needed.
• Manage clinics for long term disease management within scope of practice e.g. hypertension, diabetes or asthma etc.
• Answers relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines.
• Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes

Repeat Prescribing:

• Work with the reception and admin team to manage the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates and flagging up those needing a review.
• Ensure patients have appropriate monitoring tests in place when required.
• Identify cohorts of patients at high risk of harm from medicines through practice computer searches.
• Undertake clinical audits of prescribing, making suggestions for improvement.
• Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
• Communicate to a prescriber any recommendations for changes identified in audits/drug alerts. Or as an independent prescriber, be responsible for adjusting medications and arranging monitoring when needed.
• Provide leadership on person-centred medicines optimisation (including ensuring prescribers in the practice conserve antibiotics in line with local antimicrobial stewardship guidance) and quality improvement, whilst contributing to the quality and outcomes framework and enhanced services.
• To reconcile medicines following discharge from hospitals, intermediate care and into care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge.
• Report back to CCG/secondary care pharmacy teams queries around…