About this role
Job summary
As Clinical Governance Lead, the role will be to have oversight of, and lead on, quality assurance activities within the practice. This will include managing QOF, designing, carrying out and training others on clinical audits, having an oversight of NICE guidelines and clinical risk, and incident management.
As Practice Clinical Pharmacist, the role will be to support City View Medical Practice with all aspects of medicines optimisation. The post holder will work within their clinical competencies as part of a multi-disciplinary team to provide expertise in clinical medicines optimisation within City View Medical Practice. This will include structured medication reviews with direct patient contact and may include contributing to:
Management of long-term conditions
Minor illness
Management of medicines on transfer of care
Reviewing systems for safer prescribing
Contributing to repeat prescription authorisations and reauthorisation
Actioning acute prescription requests
Addressing both the public health and social care needs of patients
Contributing to achievement of QOF and locally commissioned quality improvement schemes
Undertaking clinical audit
The post-holder will act as line manager to any clinical pharmacists or pharmacy technicians employed by the Practice. The post holder will be supported by a GP clinical mentor and the Head of Clinical Pharmacy for SELGP Group.
Main duties of the job
Clinical Governance Lead:
Oversight of quality assurance activities within the PracticeLead on quality improvement activitiesAudit workPolicy approvalOversight of NICE guidelinesOversight of clinical risk and incident managementPractice Clinical Pharmacist:
Patient-facing clinical medication reviewMedicines quality improvementMedicines safetyLeadership and managementManagement of common/minor/self-limiting ailmentsPatient-facing medicines supportTelephone medicines supportManagement of medicines at change of care settingMedicine information and advice to practice staff and patientsDrug monitoringSignpostingRepeat prescribingService developmentInformation managementEducation and trainingCompliance with CQC standardsPublic healthCollaborative working arrangements within the practice and the local area.Professional developmentResearch and evaluation
About us
City View Medical Practice has a large multi-disciplinary team looking after 15,500 patients. We work across two sites - our main site is at Beeston Hill Health Centre, and our branch surgery is just five minutes' away at Shafton Lane - both of which are modern, purpose-built health centres.
This is a busy practice, where we all work hard to do the best we possibly can for our patients. We like to use everyone's skills and to play to people's strengths. We are a training practice, welcoming GP Registrars, Medical Students, Student Nurses and Apprentices. We encourage every member of the team to extend their knowledge and skills, so that we can better help our patients and improve the flow of work through the practice.
There is a strong focus on support, training, education, assessment and audit, ensuring the team is clinically confident and competent to meet simultaneous Practice and NHS England guidance.
Job description Job responsibilities
Clinical Governance Lead
1. Oversight of quality assurance activities within the Practice:
a. Quality Outcomes Framework (QOF) working with the Clinical & HR Manager to ensure targets are reached and the highest possible points attained each year. This is to be achieved by encouraging a whole-practice approach.
b. Delegating work to individuals and to other teams, e.g. sending tasks to GP/team for coding changes. Teaching other members of the team always to consider QOF when coding.
c. End of year QOF lists January to March, ensuring maximum profit.
d. General Practice Outcomes Programme (GPOP)/Quality Improvement Scheme (QIS)/any current iteration.
e. Investment and Impact Fund (IIF).
2. Lead on quality improvement activities
a. Using information supplied by others and produced by in-practice searches, suggest and implement ways of improving practice and protocol.
b. Work with the Management Team to identify and target areas of practice that could be improved.
3. Audit work
a. Carry out or have oversight of audits prescribed as part of contractual/enhanced service requirements.
b. Identify audits that would be useful to the practice and/or that would improve patient care/safety.
c. Train GPs in how to do QOF and LTC audits.
4. Policy approval
a. Approval of policies created/updated by the Business Manager or another member of the Leadership Team.
b. Production of protocols when a specific issue has been identified.
5. Oversight of NICE guidelines
a. Ensuring that the clinical team has been updated on new NICE guidelines.
b. GPs take it in turns to do this at Clinical Governance Meetings, so offering support where necessary.
6. Oversight of clinical risk and incident management.
Working with the Senior Management Team to identify risks and to manage response to significant incidents and learning events.
Practice Clinical Pharmacist
1. Patient facing Clinical Medication Review
Undertake clinical medication reviews with patients and work within your scope of practice as a non-medical prescriber to implement any necessary changes (or produce recommendations for/refer to other prescribing pharmacists, nurses and/or GPs to implement if outside your scope).
2. Medicines quality improvement
Undertake clinical audits of prescribing in areas identified by yourself and agreed by the Practice or as directed by the Practice, feedback the results and implement changes in conjunction with the relevant members of the practice team.
Identify cohorts of patients at high risk of harm from medicines through computer searches. This might include risks that are patient related, medicine related, or both. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups
3. Medicines safety
Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.
4. Leadership and management
As the Practice Clinical Pharmacist you will be expected to contribute to the leadership of medicines-related issues for the Practice.
Demonstrate understanding of the pharmacy role in governance and is able to implement this appropriately within the workplace.
Demonstrate understanding of, and contribute to, the workplace vision
Demonstrate ability to improve quality within limitations of service
Demonstrate ability to motivate self to achieve goals
Provide line management for the Practice Pharmacy Technician
Demonstrate understanding of the implications of national priorities for the service
Demonstrate understanding of the process for effective resource utilisation
Demonstrate understanding of, and conforms to, relevant standards of practice
Demonstrate ability to identify and resolve risk management issues according to policy/protocol
Follow professional and organisational policies/procedures relating to performance management
Demonstrate ability to extend boundaries of service delivery within the team
5. Patient medicines support
Provide advice for patients with questions, queries and concerns about theirmedicines.
6. Management of medicines at change of care setting
Reconcile medicines following discharge from hospital or admission to intermediate care or 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).
7. Medicine information to practice staff and patients
Answer relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggest and recommend solutions. Providing follow up for patients to monitor the effect of any changes.
8. Drug monitoring
Ensure robust systems are in place for drug monitoring at the practice, streamlining these where possible. Understand and apply the traffic light classifications for prescribing in the Leeds Health Economy.
9. 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.
10. Repeat prescribing
Ensure the practice has a robust repeat prescribing policy, and streamline this where possible. You may be asked to contribute to the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates. Ensure patients have appropriate monitoring in place when required.
11. Service development
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).
12. Information management
Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
13. Education and Training
Understand and demonstrate the characteristics of a role model to members in the service
Demonstrate understanding of the mentorship process
Demonstrate self-development through continuous professional development activity
Demonstrate an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice
14. Care Quality Commission
Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.
15. Public health
Support public health campaigns. Provide specialist knowledge on all public health
programmes available to the general public.
16. Collaborative working arrangements
Participate in the Practice MDT.
Liaise with ICB, Primary Care Network and Leeds GP Confederation colleagues on prescribing-related matters to ensure consistency of patient care and benefit from peer support.
Engage with the Leeds Practice Pharmacist and Technician Network and with the other SEL GP-employed pharmacists for peer support.
Foster and maintain strong links with all services across the Primary Care Network and neighbouring networks.
Explore the potential for collaborative working and take opportunities to initiate and
sustain such relationships.
Liaise with other stakeholders as needed for the collective benefit of patients, including but not limited to :
Patients and their representatives
GP, nurses and other practice staff
Social prescribers, first contact physiotherapists, physicians associates and paramedics.
Community pharmacists and support staff
PCN / GP prescribing lead
PCN Managers
Community nurses and other allied health professionals
Hospital staff with responsibilities for prescribing and medicines optimisation
17. Professional development
Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities.
Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
Work with your line manager to access regular clinical supervision, to enable you to deal effectively with the difficult issues that people present.
Review yearly progress and develop clear plans to achieve results within priorities set by others.
Demonstrate an understanding of current educational policies relevant to working areas of practice and keep up to date with relevant clinical practice.
Person Specification
Qualifications Essential
Completion of an undergraduate degree in Pharmacy. Registration with the General Pharmaceutical Council. Holds an independent prescribing qualification.
Desirable
Postgraduate diploma in Clinical Pharmacy. Successful completion of the CPPE General Practice Pharmacist Training Pathway. Membership of the Primary Care Pharmacy Association (PCPA). Membership of the Royal Pharmaceutical Society.
Experience Essential
Minimum of five years' experience as a qualified Pharmacist and currently practising at an advanced level, demonstrated within a practice portfolio. Experience and an awareness of the breadth of common acute and long-term conditions that are likely to be seen in General Practice. Detailed knowledge and experience of achieving targets within the Quality Outcomes Framework (QOF). Demonstrates ability to integrate General Practice with community and hospital pharmacy teams and community groups. Experience of partnership/collaborative working, and of working across a variety of organisations.
Knowledge & Skills Essential
Demonstrates the ability to communicate complex and sensitive information in an understandable form to a variety of audiences. In-depth therapeutic and clinical knowledge, and understanding of the principles of evidence-based healthcare. Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities. An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing. Able to plan, manage, monitor and review general medicine optimisation issues in core areas for long-term conditions.
Qualities & Attributes Essential
Commitment to reducing health inequalities and proactively working to reach people from all communities. Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues and other professionals, and other NHS/private organisations). Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary. Ability to identify risk and assess/manage risk when working with individuals. Able to work under pressure and meet deadlines. Able to provide leadership and to finish work tasks. Ability to maintain effective working relationships and to promote collaborative practice with all colleagues. Ability to organise, plan and priorities on own initiative, including when under pressure and meeting deadlines. High level of written and oral communication skills. Ability to work flexibly and enthusiastically within a team or on own initiative. Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety. Demonstrates leadership experience and previous experience of supervising and mentoring more junior staff.
Desirable
Demonstrates accountability for delivering professional expertise and direct service provision.
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 City View Medical Practice
Address Beeston Hill Community Health Centre
123 Cemetery Road
Leeds
LS11 8LH
Employer's website https://www.cityviewmedicalpractice.co.uk (Opens in a new tab)