Clinical Pharmacist

The clinical pharmacist in a general practice organisation has the following key responsibilities in relation to delivering health services. Work as part of a multi-disciplinary team in a patient-facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas Be a prescriber, or completing training to become a prescriber, and work with and alongside the general practice team Be responsible for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with multiple co-morbidities (in particular frailty, COPD and asthma) and people with learning disabilities or autism (through STOMP Stop Over Medication Programme) Provide specialist expertise in the use of medicines whilst helping to address both the public health and social care needs of patients at the organisation and to help in
tackling inequalities 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 Through structured medication reviews, support patients to take their medications to get the best from them, reduce waste and promote self-care Have a leadership role in supporting further integration of general practice with the wider healthcare teams (including community and hospital Pharmacy) to h elp improve patient outcomes, ensure better access to healthcare and help manage General Practice workload. Develop relationships and work closely with other pharmacy professionals across the wider health and social care system Take a central role in the clinical aspects of shared care protocols, clinical research with medicines, liaison with specialist pharmacists (including mental
health and reduction of inappropriate antipsychotic use in people with learning difficulties), liaison with community pharmacists, and anticoagulation To consult patients within defined levels of competence and independently prescribe acute and repeat medication To receive referrals and directed patients from triage services and other clinicians To receive and resolve medicines queries from patients and other staff To provide medication review services for patients in the practice and during domiciliary visits to the local nursing home To manage a caseload of complex patients To manage a therapeutic drug monitoring system and the recall of patients taking high risk drugs, i.e., anticoagulants, anticonvulsants and DMARDs, etc. To deliver long term condition clinics and home visits, particularly for patients with complicated medication regimes, and prescribe accordingly To provide pharmaceutical consultations to patients with long term conditions as an integral part of the
multidisciplinary team To review medications for newly registered patients To improve patient and carer understanding of confidence in and compliance with their medication To maintain accurate clinical records in conjunction with extant legislation To encourage cost-effective prescribing throughout the organisation To implement and embed a robust repeat prescribing system To provide advice and answer medication related queries from patients and staff To organise and oversee the organisations medicines optimisation systems, including the repeat prescribing and medication review systems To improve the quality and effectiveness of prescribing through clinical audit and education, to improve performance against NICE standards and clinical and prescribing guidance.

To develop yourself and the role through participation in clinical supervision, training and service redesign activities To ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. To apply infection-control measures within the practice according to local and national guidelines To provide subject matter expertise on medication monitoring, implementing and embedding a system To support clinicians with the management of patients suffering from drug and alcohol dependencies To actively signpost patients to the correct healthcare professional To manage a caseload of complex patients and potential care institutions and to provide advice for the GP management of more complex patients or areas such as addictive behaviours, severe mental illness or end of life care To review the latest guidance, ensuring the organisation conforms to NICE, CQC etc. To provide targeted support and proactive reviews for vulnerable, complex patients and
those at risk of admission and re-admission to secondary care To handle prescription queries and requests directly To provide proactive leadership on medicines and prescribing systems to the organisation, patients and their carers To support in the delivery of enhanced services and other service requirements on behalf of the organisation To participate in the management of patient complaints when requested to do so, and participate in the identification of any necessary learning brought about through clinical incidents and near-miss event To undertake all mandatory training and induction programmes To contribute to and embrace the spectrum of clinical governance To attend a formal appraisal with your manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed To contribute to public health campaigns (e.g., COVID-19 or flu clinics) through advice
or direct care To maintain a clean, tidy, effective working area at all times.