Clinical Pharmacist - DOR PCN

Interface with community and hospital pharmacy colleagues and develop referral processes between primary care professionals including the promotion of the repeat dispensing service. Oversee and support the dispensary function of the Practice. Oversee the repeat prescribing reauthorisation process, including reviewing requests for repeat prescriptions and medicines reaching review dates. Manage patients and health care professionals medicine queries.

Increase quality and safety of prescribing through mechanisms such as audit and PDSA (PLAN DO STUDY ACT) cycles. Manage practice formularies to improve the quality, safety, and cost effectiveness of prescribing. Implement drug withdrawals and alerts e.g., MHRA, aimed at improving medicines safety. Work with primary care professionals and patients to implement NICE and other evidence-based guidelines.

Work with Commissioning organisations and SW Healthcare to comply with local medicines optimisation schemes and projects. Support and hold clinics where medicines are the main interventions e.g., asthma clinics. Contribute to multi-morbidity reviews and multidisciplinary reviews. Provide medicines information and training to Practice healthcare professionals and admin staff.

Review daily Pathology results for patients on known medicines. Act as a source of medicines information for all of the practice team and patients (e.g., around doses, side effects, adverse events, possible alternatives e.g., around out of stocks) Ultimately to undertake minor ailments triage, dealing with minor ailments and triaging patients appropriately. Working within the practice-based team to undertake medication reviews particularly in high-risk groups such as: - Frail elderly - Polypharmacy - Renal impairment - Hepatic impairment - Asthma, diabetes, hypertension and Rheumatoid and Dmard drug monitoring - Substance misuse - Patients on high-risk medicines - STOPP/START identified patients - Revolving door Hospital admissions Management support for the dispensary including profitability and stock control; negotiations with drug company representatives and wholesalers; and organisational management including review of SOPS (Standard Operating Procedures) and compliance
issues. Ensure the Practice continues to participate in, and meet the requirements of, the local DSQS (Dispensing Services Quality Scheme) Improve prescribing practice through educational support for all prescribers within the practice.

Lead on where changes in evidence require changes in prescribing across the patient population, e.g., where a drug is withdrawn or indications change. Liaise with colleagues in community pharmacy to align support for medicines adherence such as MUR (Medication Use Reviews) and NMS (New Medicine Service). Support improvements in clinical care through practice-based audit and implementing change. Prescribing advice to prescribers in practice e.g., temporary non-availability of drugs Ensure patient safety when they are transferred between care providers through reconciliation of prescribed medicines.

Lead for medicines optimisation scheme compliance, including care home support; discharge reviews; medication reviews; and QIPP.
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