Job description

Job responsibilities

Knowledge, Skills and Experience

a) Recognises priorities when problem-solving and identifies deviations from normal pattern and is able to refer to senior pharmacist or other clinical staff when appropriate

b) Able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct

c) Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidelines.

Leadership

a) Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.

b) Demonstrate understanding of, and contributes to, the workplace vision

c) Engages with Patient Participation Groups (PPGs) and involves PPGs in development of the role and practices

d) Demonstrates ability to improve quality within limitations of service

e) Reviews yearly progress and develop clear plans to achieve results within priorities set by others.

f) Demonstrate ability to motivate self to achieve goals

g) Promotes diversity and equality in people management techniques and leads by example.

h) To deputise for senior pharmacists during periods of absence

Management

a) Demonstrate understanding of the implications of national priorities for the team and/or service

b) Demonstrate understanding of the process for effective resource utilisation

c)Demonstrate understanding of, and conforms to, relevant standards of practice

d) Demonstrates ability to identify and resolve risk management issues according to policy/protocol

e) Follows professional and organisational policies/procedures relating to performance management

f) Demonstrate ability to extend boundaries of service delivery within the team

g) To follow and conform to relevant standards of care and demonstrate professional accountability

Research and Evaluation

a) Demonstrates ability to critically evaluate and review literature

b) Demonstrates ability to identify where there is a gap in the evidence base to support practice

c) Demonstrates ability to generate evidence suitable for presentations at practice and local level

d) Demonstrates ability to apply research evidence base into working place

e) Demonstrates understanding of principles of research governance.

Education, Training and Development

a) Understands and demonstrates the characteristics of a role model to members in the team and/or service

b) Demonstrates understanding of the mentorship process

c) Demonstrates ability to conduct teaching and assessment effectively according to a learning plan with supervision from more experience colleague

d) Demonstrates self-development through continuous professional development activity in line with the General Pharmaceutical Council, working alongside senior clinical pharmacist to identifying areas to develop

e) Participates in the delivery of formal education programmes as appropriate

f) Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice.

g) Ensures appropriate clinical supervision is in place to support development

h) Enrolled into review and appraisal systems within the practice

The wide scope of this role is not an expectation of where the post holder will start but where they aim to be within two years of coming into the role Key aspects of the role include:

Patients Facing Long Term Condition Clinics

See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. cardiovascular disease, diabetes, asthma)

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). Make appropriate recommendations to Senior Pharmacists or GPs for medicine improvement.

Patient Facing Structured Clinical Medication Review

Undertake clinical structured medication reviews with patients, in line with the PCN contract specifications and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.

Patient Facing Care Home Medication Reviews

Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacist, nurses or GPs on prescribing and monitoring.

Work with care home staff to improve safety of medicines ordering and administration.

Patient Facing Domiciliary Clinical Medication Review

Undertake clinical medication reviews with patients and produce recommendations for the senior clinical pharmacists, nurses and GPs on prescribing and monitoring.

Attend and refer patients to multidisciplinary case conferences.

Management of Common/Minor/Self-Limiting Ailments

Managing caseload of 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

Patients Facing Medicines Support

Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice

Telephone Medicines Support

Provide a telephone help line for patients with questions, queries and concerns about their medicines.

Medicine Information to Practice Staff and Patients

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

Unplanned Hospital Admissions

Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews.

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 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).

Signposting

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 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 and flagging up those needing a review.

Ensure patients have appropriate monitoring tests in place when required.

Risk Stratification

Identification of cohorts of patients at high risk of harm from medicines through preprepared practice computer searches.

This might include risks that are patient related, medicine related, or both

Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets).

Service Development

Analyse, interpret and present medicines data to highlight issues and risks to support decision- making.

Information Management

Undertake clinical audits of prescribing in areas directed by the PCN, feedback the results and implement changes in conjunction with the practice team.

Medicines Safety

Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance

Implementation of Local and National Guidelines and Formulary Recommendations

Monitor practice prescribing against the local health economies RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs).

Auditing practices compliance against NICE technology assessment guidance.

Provide newsletters or bulletins on important prescribing messages.

Education and Training

Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Support training and supervision of junior members of staff and trainees

Care Quality Commission

Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.

Public Health

To support public health campaigns.

To provide specialist knowledge on all public health programmes available to the general public.

Person Specification

Skills

Essential

• Excellent interpersonal, influencing and negotiating skills
• Excellent written and verbal communication skills
• Ability to communicate complex and sensitive information in an
• understandable form to a variety of audiences
• Ability to use work-based IT programmes to deliver high quality
• care
• Ability to obtain and analyse complex technical information
• Able to prioritise when problem solving and identify deviations from
• the normal pattern
• Able to recognise limitations and refer to seniors or GPs when
• appropriate
• Able to work under pressure and meet deadlines
• Able to produce timely and informative reports
• Able to work without supervision, providing specialist advice to the
• organisation.
• Work effectively independently and as a team member

Desirable

• Ability to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions
• Able to gain acceptance for recommendations and
• influence, motivate, persuade the audience to comply with
• the recommendations, agreed course of action where there may be significant barriers

Qualifications

Essential

• Masters degree in pharmacy (MPharm) (or equivalent)
• Mandatory registration with General Pharmaceutical Council

Desirable

• Specialist knowledge acquired through post- graduate diploma
• Level, Primary Care Pharmacy Education Pathway or equivalent training/experience
• Independent prescriber or working towards/intent of gaining independent prescribing qualification
• A member of or working towards Faculty membership of the Royal Pharmaceutical
• Society
• Member of the Royal Pharmaceutical Society

Other requirements

Essential

• Self-motivated and self-driven
• Adaptable and flexible approach to delivering high quality patient care
• Current Enhanced DBS
• Safeguarding adult and children level three
• Full immunisation status
• Basic life support training

Desirable

• Information Governance toolkit completion

Experience

Essential

• Significant postqualification experience
• Knowledge of GPs and general practice services
• Proven experience of working in a GP practice or Primary Care Network
• In depth therapeutic and clinical knowledge and
• understanding of the principles of evidence-based healthcare
• Knowledge of primary care prescribing, concepts of rational
• prescribing and strategies for improving prescribing
• Demonstrates accountability for delivering professional expertise and direct service provision

Desirable

• Independent prescriber or working towards Active Prescribing - intent of gaining independent prescribing qualification
• Experience of running a clinic
• Experience of supervising others
• Experience of documenting patient care in EMIS

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Quay Health Solutions CIC

Address

Spa Medical Centre

50 Old Jamaica Road

London

North Southwark

SE16 4BL

United Kingdom

Employer's website

https://www.quayhealthsolutions.co.uk (Opens in a new tab)

Job description

Job responsibilities

Key Responsibilities

Neighbourhood Care Coordination

Act as a senior point of contact for patients, carers, practices and partner organisations.

Proactively contact patients to understand their needs, priorities, goals and barriers to care.

Complete structured holistic reviews, capturing clinical, social and wider wellbeing factors and providing good quality written or verbal information to assist with choices about care.

Prepare for clinics by ensuring patient records are up to date and include any tests required by the clinic.

Follow up on post clinic tasks effectively (such as making referrals, multiple disciplinary team (MDT) meeting preparation etc).

Develop, record and coordinate personalised care plans in line with patient goals and local protocols.

Arrange any follow-ups, updating patient notes accordingly and pro-actively check these tasks have been completed.

Signpost or refer patients to appropriate health, social care, voluntary sector and community services.

Maintain accurate records, including Universal Care Plans and shared care records where appropriate.

Prioritise caseload activity and escalate risks, safeguarding concerns or clinical issues appropriately.

Provide guidance and day-to-day support to care coordination colleagues to share learning and best practice.

Ad-hoc neighbourhood tasks as and when services require this.

Support the CYP Programme by coordinating recalls for children and young people with tracer conditions, ensuring timely follow-up and accurate record keeping.

MDT and Partnership Working

Work with the neighbourhood primary care team to identify cohorts of patients who are eligible for neighbourhood services. In Southwark we currently have 3 priority areas: frailty, multiple long term conditions and children & young people but as neighbourhood services expand, additional priority areas will be identified.

Prepare, coordinate and refer appropriate cases for MDT discussion.

Track MDT actions and escalate delays or unresolved issues.

Work with the MDT to ensure consistent, patient-centered support across the INT pathway.

Collaborate with primary care, mental health, nursing teams, community services, social care, and voluntary sector partners.

Support safe information sharing and improvements to neighbourhood pathways.

Help to embed the MDT approach across the neighbourhood.

Collaborate with administrative teams to support the organisation, coordination and smooth running of MDT meetings.

Build strong relationships with local partners and help shape the services to improve outcomes for all.

Service Improvement

Support daily workflow, caseload prioritisation and task allocation.

Build and maintain effective relationships with neighbourhood practices, Primary Care Network (PCN), existing practice-based primary care co-ordinators and neighbourhood teams.

Provide coaching and support to colleagues.

Contribute to SOPs, templates and pathway improvements.

Support audit, reporting and quality improvement activity by collating patient data to help inform future service decisions.

Identify key themes, escalate and report service risks, challenges and improvement opportunities to the INT Manager

Resident Engagement and Support

Build trusting relationships to understand patient needs, priorities and barriers.

Use motivational interviewing and goal-setting techniques to support engagement in the INT programme.

Encourage and empower patients to take an active role in their health and care planning.

Support patients with low health and digital literacy, communication needs or complex social circumstances.

Promote self-management, prevention and access to community support.

Support patients to access and manage their Universal Care Plans through the NHS App including signposting to digital inclusion and support services.

Person Specification

Experience

Essential

• Previous experience in a health or social care setting.
• At least 12 months' experience in an administrative role.
• Experience of care coordination.
• Experience working with people with complex needs.
• Experience using clinical, case management or shared care record systems.
• Experience working closely with clinical professionals as part of a multidisciplinary team.
• Experience communicating directly with patients, service users and/or carers.

Desirable

• Experience working in primary care.
• Experience of the Quality and Outcomes Framework (QOF) and/or Enhanced Services.
• Experience supporting frail older people and those living with complex needs.
• Experience working with people with long-term conditions.
• Experience working with children and young people.
• Experience analysing data and producing reports to support service improvement.
• Line management, supervision or coaching experience.
• Experience using motivational interviewing and developing personalised care plans.

Qualifications

Essential

• GCSE Grade A to C in English and Maths
• Level 3 qualification or equivalent relevant experience

Desirable

• Level 4 qualification or equivalent relevant experience

Knowledge and Skills

Essential

• Demonstrable ability to use motivational interviewing, goal-setting and personalised care approaches to support behaviour change and improve patient outcomes.
• Ability to build effective working relationships and work collaboratively across organisational and professional boundaries.
• Excellent verbal and written communication skills, with the ability to engage a wide range of stakeholders and adapt communication to different audiences.
• Strong minute-taking skills, including the ability to capture key discussions, decisions and actions, and produce clear, concise summaries.
• Excellent organisational skills, with the ability to manage and prioritise a varied workload, coordinate multiple tasks, and ensure actions are followed through to completion.
• Good IT skills, including proficiency in Microsoft Office applications and the ability to learn and use digital healthcare systems.
• Sound judgement and the ability to identify, assess and escalate safeguarding risks appropriately.
• Good knowledge and understanding of consent, confidentiality, information governance and data protection requirements (including GDPR).

Desirable

• Knowledge of medical terminology.
• Experience navigating EMIS and maintaining accurate patient records including coding.
• Familiarity with AccuRx, Consultant Connect, Ardens or similar clinical systems.
• Understanding of Universal Care Plans and personalised care planning.

Values and Behaviours

Essential

• Passionate about neighbourhood working and collaborative care across organisational boundaries.
• Committed to person-centred care and reducing health inequalities.
• Works collaboratively, contributes positively to team culture.
• Demonstrates compassion, professionalism and accountability in all aspects of their work.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Quay Health Solutions CIC

Address

Onsite - NHS Primary Care or Community Site

Within your assigned neighbourhood

Borough of Southwark

London

SE5 7JZ

United Kingdom

Employer's website

https://www.quayhealthsolutions.co.uk (Opens in a new tab)