• The post holder will deliver core clinical pharmacist duties to our practices within the North Cornwall Coast Primary Care Network as one of the multidisciplinary clinical team. Duties will include medicines reviews, independent prescribing, diagnosis and treatment of non-complex acute illness, patient reviews and interventions and expertise to the wider clinical and administrative teams within the practice.
KEY DUTIES AND RESPONSIBILITIES
• Identify patients requiring medication review and conduct appropriate medication review clinics or home visits if required by the organisation/practices and liaise with carers, Community Health teams or social care staff in order to optimise drug therapy, reduce polypharmacy and minimise unnecessary waste, communicating directly with patients as necessary.
• Provide medicines and long term disease advice and support to GP practice staff, practice registered patients, and the wider practice team such as community staff (district nurses, mid-wife’s, and physiotherapists) where appropriate.
• Help support the safe and effective operation of the prescribing system in the GP practice, including updating repeat medication regimes, issuing of appropriate acute prescriptions, ordering relevant laboratory testing, and where necessary completing patient referrals (for example audiology, x-ray, diabetes prevention schemes).
• Deal with appropriate patient presentations, such as minor illnesses, without direct GP involvement/ Provide pharmaceutical input to chronic disease management, as appropriate Provide ‘make every contact count’ public health education interventions to patients.
•Provide pharmaceutical support to a designated group of GP practices or care settings to enable them to develop, implement and monitor an agreed prescribing plan which meets the objectives of the medicines management plan.
• Assist practices/ care settings in developing formularies, guidelines and policies to ensure the implementation of NICE guidelines, National Service Frameworks and the requirements of the medicines-related aspects of the GMS contract.
• Advise GPs, care staff and primary health care teams on risk management processes relating to the prescribing and monitoring of specialist drugs e.g. controlled drugs and those subject to shared care arrangements.
• Support practices to review specific areas of prescribing, specified by the line management or identified with the GP prescribing lead, including the interpretation of e-PACT data and the use of practice information to review prescribing and identify areas for action.
• Assist with the development and ongoing review of practice policy with regard to repeat prescribing systems and repeat dispensing to encourage the implementation of prescribing guidance and monitoring guidelines where appropriate.
• Liaise with Community Pharmacists to encourage them to reinforce changes made, encouraging them to identify savings which can be achieved with regard to generics, dose optimisations etc. and to assist in building their relationship with the practice.
• Answer any medicine related queries from GPs, care settings, practice staff, PALS, social care staff and the general public in a timely and appropriate manner, using professional judgement where specific guidance is unavailable.
• Provide advice and support to improve the disease registers within each practice to ensure all suitable patients are identified and offered suitable treatment and monitoring for their condition.
• Facilitate and participate in multi-disciplinary meetings related to prescribing topics and to engage in the training of other healthcare professionals and practice staff on matters relating to medicines usage.
• Attend primary/secondary care interface meetings in designated specialist therapeutic areas to improve the cost effective and evidence based use of medicines across locality and develop links with the hospital pharmacists involved in these areas.
• Undertake any other duties appropriate to the grade as allocated by line management.
Responsibilities for physical and financial resources
• Contribute to, and promote the delivery of, safe, effective and cost efficient prescribing across primary and secondary care to achieve the most effective use of the medicines resource at both practice level and across the entire health economy
• Analyse and use web based prescribing data (PACT and e-PACT) at practice to facilitate appropriate prescribing habits and keep drug budgets within limits. Evaluate this information to identify areas of increased expenditure and advise on actions to be taken to ensure prescribing is cost effective and evidence based.
• Evaluate GP practices’ position with respect to QOF or other incentive schemes including achievement of both financial and quality targets and communicate this to practices updating the plan with the practice.
• Be responsible for the correct use and security of all equipment, information and data used.
Communications and leadership
• Be required to communicate information, sometimes complex, to a wide range of individuals and groups with different levels of understanding using a well developed range of verbal and written skills.
• Provide written reports on therapeutic topics and summaries of clinical evidence for doctors as well as devising easily understood information for patients and practice staff.
• Demonstrate tact, diplomacy and negotiating skills to engage with doctors to persuade them to work towards objectives, overcoming resistance to change.
• Develop good working relationships with the whole range of practice staff and a network of contacts within the locality and secondary care to provide problem-solving advice on a wide range of matters relating to medicines.
• Advise community pharmacists in the vicinity of where prescribing and medicines management developments and/or changes are planned so they may anticipate the impact on their pharmacies and give a consistent message to patients.
• Work in a discreet and professional manner, respecting and maintaining the confidentiality of patient specific and prescribing data (both at practice and organisational/locality wide level).
• Be aware of, and monitor, the advice given to practices by representatives of the pharmaceutical industry and to counter the impact of inappropriate information to prescribers.
Policy and Service Development
• Support the development of prescribing policy in individual practices and care settings, the implementation of that policy and be involved in the development of policy in discreet areas of prescribing, involving working with clinicians in both primary and secondary care.
Planning and organising
• Be able to prioritise and meet set deadlines particularly when under pressure.
• Take the delegated lead responsibility for specific projects or key specialist areas of pharmacy practice as identified by line management.
• Organise and manage their personal workload in the face of competing priorities, managing their own time effectively and working closely with a range of practice staff and the administration and technical staff in the Medicines Management department.
• Record and report to line management and practices on the work undertaken and the benefits produced, in a timely manner, using tools such as Microsoft Word, Excel, and e-mail.
Analysis and data management
• Critically appraise information from drug industry to inform other staff members and healthcare professionals in practices.
• Assist in analysing medicines data, including interpreting e-PACT data (web-based electronic prescribing data analysis system) and providing reports at practice level for designated practices.
• Demonstrate good computer literacy (e-mail, word, excel, PowerPoint, on-line medicines information databases).
• Promote and be an advocate for the use of local formularies in practices in both written and electronic format ensuring that the formulary is the cornerstone for all prescribing practice in primary care.
Work complexity: Mental, physical, emotional effort and working conditions
• Be a car driver and work across multiple sites on a daily basis.
• Use a VDU for significant amounts of the time e.g. email, prescribing data analysis, web searching and report writing.
• Be required to concentrate on tasks to ensure accuracy around practice work e.g. recommendations to GPs and changing prescriptions on the computer which, if incorrect, could lead to serious harm to a patient.
• Deal with queries, or complaints, from patients who may be distressed or unhappy with changes made to their medication, either face-to face or on the telephone.
• Be required to negotiate with practice staff (including GPs, practice nurses, practice managers and health professionals) who may be unhappy when challenged about their practices relating to prescribing or medicines management.
• Manage a competing and frequently changing workload, responding rapidly to new national or local policy, guidance and/or new legislation.
• Work in a discreet and professional manner, respecting the contractor status of the GP practices and to maintain confidentiality of information, including Prescribing And CosT (PACT) data, at all times in accordance with the Data Protection Act and Caldicott guidance (at practice level).
• Present, negotiate and resolve conflict around the implementation of a practice formulary and prescribing policies which are consistent with the aims of quality prescribing and budgetary control, when members of the practice team may be unhappy to co-operate or change their practice.
Decisions made: (Freedom to act)
• The post holder will be guided by their professional Code of Ethics, relevant legislation, policies and guidelines, local and national medicines management frameworks and guidance and will be able to interpret these and make judgements on how they apply when dealing with specific situations as they arise. The post holder will be expected to work under their own initiative, often in isolation, but will be able to seek guidance from their peers or line managers if the need arises.
• To undertake any other duties as allocated by line management, commensurate with grade.
• Confidentiality: In line with the General Data Protection Regulations 2018 and the Caldicott Principles of Confidentiality, the post holder will be expected to maintain confidentiality as outlined in the contract of employment. This legal duty of confidentiality continues to apply after an employee has left Kernow Health CIC. The post holder may access information only on a need to know basis in the direct discharge of duties and divulge information only in the proper course of duties.
• Health and Safety: The post holder is required to ensure health and safety duties and requirements are complied with. It is the post holder’s personal responsibility to conform to procedures, rules and codes of practice. All staff have a responsibility to access Occupational Health and other support in times of need and advice.
• Risk Management: The post holder will be required to comply with Kernow Health CIC’s Health and Safety Policy and actively participate in this process, having responsibility for managing risks and reporting exceptions.
• Safeguarding Children and Adults: Kernow Health CIC is committed to safeguarding children and adults and therefore all staff must participate in the required level of safeguarding children and adults training.
• No Smoking: To give all patients, visitors and staff the best chance to be healthy, all Kernow Health premises and grounds are smoke free.
• Equality and Diversity: All staff have a personal responsibility under the Equality Act 2010 to ensure they do not discriminate, harass, or bully or contribute to the discrimination, harassment or bullying of any colleague(s) or visitors or condone discrimination or bullying by others. The post holder will be responsible for promoting diversity and equality of opportunity across all areas of your work. This applies to service delivery as an employee and for anyone who you may be working with. You will be made aware of your responsibilities to uphold organisational policies and principles on the promotion of equality valuing diversity and respecting people’s human rights as part of your everyday practice.
• Making Every Contact Count (MECC): Is an approach to behaviour change that utilises day to day interactions that organisations and individuals have with other people to support them in making positive changes to their physical and mental health and wellbeing. MECC enables the opportunistic delivery of consistent and concise healthy lifestyle information and enables individuals to engage in conversations about their health at scale across organisations and populations.
Job Description: This job description is not inflexible but is an outline and account of the main duties. Any changes will be discussed fully with the post holder in advance. The job description will be reviewed periodically to take into account changes and developments in service requirements.