NhsJobs London

Job Summary

The post holder is an experienced pharmacist, who acts within their

professional boundaries, to develop, manage and mentor a team of pharmacists.

The post holder will work as

part of a multi-disciplinary team in a patient-facing role. The post holder

will take responsibility for areas of chronic disease management within the

practice and undertake clinical medication reviews to proactively manage patients

with complex polypharmacy, especially for older people, people in residential

care homes and those with multiple co-morbidities.

The post holder will provide primary support to general practice staff

with regards to prescription and medication queries. They will help support the

repeat prescriptions system, deal with acute prescription requests, medicines

reconciliation on transfer of care and systems for safer prescribing, providing

expertise in clinical medicines advice while addressing both public and social

care needs of patient in the GP practice (s).

The post holder will provide clinical leadership on medicines

optimisation and quality improvement and manage some aspects of the quality and

outcomes framework and enhanced services.

The post holder will ensure that the practice

integrates with community and hospital pharmacy to help utilise skill mix,

improve patient outcomes, ensure better access to healthcare and help manage

workload. The role is pivotal to improving the quality of care and operational

efficiencies so requires motivation and passion to deliver excellent service

within general practice.

Primary Responsibilities

Patient facing long term conditions clinics

-See patients in multimorbidity

clinics and in partnership with primary healthcare colleagues and implement

improvements to patients medicines, including deprescribing.

-Manage own case load and run

long-term condition clinics where responsible for prescribing as an independent

prescriber for conditions where medicines have a large component (e.g. medicine

optimisation for stable angina symptom control, warfarin monitoring and dose

adjustment for patients requiring longterm anticoagulants).

-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).

Patient facing clinical medication review

-Undertake clinical medication

reviews with patients with multimorbidity and polypharmacy and implement own

prescribing changes (as an independent prescriber) and order relevant

monitoring tests

Patient facing care home/residential clinical medication reviews

-Manage own caseload of care home

residents. Undertake clinical medication reviews with patients with

multimorbidity and polypharmacy and implement own prescribing changes (as an

independent prescriber) and order relevant monitoring tests.

-Work with care home staff to

improve safety of medicines ordering and administration

Patient facing domicillary/home visits

- Manage own caseload of care home

residents. Undertake clinical medication reviews with patients with

multimorbidity and polypharmacy and implement own prescribing changes (as an

independent prescriber) and order relevant monitoring tests.

- Work with care home staff to

improve safety of medicines ordering and administration.

Management of common/minor/self-limiting ailments

- Managing caseload for patients

with common/minor/self-limiting ailments while working within a scope of

practice and limits of competence.

- Signposting to community pharmacy

and referring to GPs or other healthcare professionals where appropriate.

Differential/Undifferential diagnosis

- Manage own caseload for patients

and diagnosis people with long term and/or acute/common conditions/ailments

while remaining within scope of practice and limits of competence

- Referring to GP and/or other

healthcare professionals where appropriate

Patient facing medicines support

- Provide patient facing clinics for

those with questions, queries and concerns about their medicines in the

practice

Telehphone medicines support

- Provide a telephone help line for

patients with questions, queries and concerns about their medicines.

Extended Hours/Out of Hours/On call service

- Provide out of hours/on

call/extended services for the practice and the patients. These can include

patient facing and telephone consultations

- Signposts to other services and/or

healthcare professionals where appropriate, while working within a scope of

practice and limits of competency.

Medicine Information to practice staff and patients

-Answers all medicinerelated

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.

Unplanned hospital admissions

-Devise and implement practice

searches to identify cohorts of patients most likely to be at risk of an

unplanned admission and readmissions from medicines.

-Work with case managers,

multidisciplinary (health and social care) review teams, hospital colleagues

and virtual ward teams to manage medicines-related risk for readmission and

patient harm.

-Put in place changes to reduce the

prescribing of these medicines to high-risk patient groups.

Management of medicines at discharge from hospital

-To reconcile medicines following

discharge from hospitals, intermediate care and into care homes, including

identifying and rectifying unexplained changes manage these changes without

referral to a GP.

-Perform a clinical medication

review, produce a post discharge medicines care plan including dose titration

and booking of follow up tests and working with patients and community

pharmacists to ensure patients receive the medicines they need post discharge

and working with patients and community pharmacists to ensure patients receive

the medicines they need post discharge.

-Set up and manage systems to

ensure continuity of medicines supply to high- risk groups of patients (e.g.

those with medicine compliance aids or those in care homes).

-Work in partnership with hospital

colleagues (e.g. care of the elderly doctors and clinical pharmacists) to

proactively manage patients at high risk of medicine related problems before

they are discharged to ensure continuity of care.

Telephone triage

-Ensure that patients are referred

to the appropriate healthcare professional for the appropriate level of care

within an appropriate period of time e.g. pathology test results, common/minor

ailments, acute conditions, long term condition reviews etc.

Repeat prescribing

-Produce and implement a practice

repeat prescribing policy. Manage the repeat prescribing reauthorisation

process by reviewing patient requests for repeat prescriptions and reviewing

medicines reaching review dates; make necessary changes as an independent

prescriber, and ensure patients are booked in for necessary monitoring tests

where required.

Risk stratification

-Design, development and

implementation of computer searches to identify cohorts of patients at high

risk of harm from medicines.

-Responsibility for management of

risk stratification tools on behalf of the practice.

-Working with patients and the

primary care team to minimise risks through medicines optimisation.

Service development

-Develop and manage new services

that are built around new medicines or NICE guidance, where a new

medicine/recommendations allow the development of a new care pathway (e.g. new

oral anticoagulants for stroke prevention in atrial fibrillation).

Information management

-Analyse, interpret and present

medicines data to highlight issues and risks to support decision-making.

Medicines Quality Improvement programmes

-Identify and provide leadership on

areas of prescribing and medicines optimisation.

…

What is the salary for this clinical pharmacist role in London?

The advertised salary for this clinical pharmacist role at Greenwich PCN Alliance is Negotiable (per hour). Typical clinical pharmacist pay in London varies by experience, sector (NHS versus community), and employer; see the PharmSee UK pharmacy salary guide for benchmarks.

How many pharmacy jobs are currently open in London?

PharmSee is currently tracking 83 active pharmacy vacancies in London across 11 major UK chains and NHS sources. Browse every open London pharmacy role on PharmSee's jobs search.

How do I apply for this role?

Applications are handled directly by the employer via NhsJobs. Use the Apply button above — you will be taken to the original listing to complete your application. PharmSee is not involved in the hiring decision.