About this role
Job summary
Bury GP Federation is committed to delivering health equality for all, and provides the Clinical Pharmacy service to 3 of the Primary Care Networks in Bury. We are also part of the Local Care Organisation and work with our partners in Health and Social care to provide an integrated service for our patient population.
We are expanding our Primary Care Network Pharmacy team, and an exciting opportunity available for a Clinical Pharmacist to join our networks.
Successful candidates must be motivated and flexible to respond to the developing nature of these roles, and be able to prioritise support depending on the needs of their allocated network.
The post holder will be supported by our existing team of Clinical Pharmacists and help deliver care as part of the Enhanced service to Care home residents and Housebound patients and help identify other cohorts of patients to prioritise for structured medication review.
The team have established links with our Neighbourhood multidisciplinary teams, and Intermediate Tier services and other Community services to ensure effective medicine management across the integrated care system.
Successful candidates will be eligible for the Primary Care Pharmacy Education Programme provided by CPPE.
We welcome applicants from Community, Hospital or Primary Care backgrounds.
For further information contact: Juliet Bell, Lead Clinical Pharmacist, Bury GP Federation at [email protected]
Main duties of the job
Key Responsibilities
Medication review
Deliver a programme of structured medication review for the practices, to include: patients with multi-morbidity and polypharmacy or complex health needs.
Care Home Review
Undertake clinical medication review for patients residing in care homes, working with the Pharmacy Technicians and care home staff to improve safety of medicines ordering and administration, and ensure safe transfer of care.
Risk Stratification
Identify cohorts of patients at high risk of harm from medicines. Risks may be patient related, medicine related or both.
Medicine Reconciliation
Support practices with medicine reconciliation following discharge from hospitals, through intermediate care and on admission to care homes, ensuring changes are actioned and implemented, and communicated in a timely manner.
Advanced Care Planning
Work with case managers, hospital colleagues, Practice teams and Community Pharmacy as part of the neighbourhood multidisciplinary health and social care team to manage medicine related risk for re-admission and patient harm.
Long term conditions
Support the management of long term conditions as specified in the Pharmacy Workplan.
Medicine Safety
Advises practices in the network, regarding medicine safety alerts, such as MHRA alerts, product withdrawal and other local and National Guidance
Quality Improvement
Work with practices to demonstrate continuous Quality Improvement.
About us
Bury GP Federation (BGPF) is a federation of 23 GP practices within Bury, Greater Manchester, providing a platform for collaboration, knowledge-sharing and co-ordination. Through working at scale, we redirect resources into delivering at-scale support, relieving capacity pressures and enabling local general practice to maintain high standards of care for patients and to keep pace with best practice. We are proud of the services that we run.
Our four core objectives are as follows:
A reliable support organisation providing a range of services for our practices, achieving greater organisational efficiency through collaboration and reducing duplication, maximising the economic advantages of delivering primary care at scale
A respected service provider able to attract investment into primary care to help sustain local general practice, delivering a more expansive range of at scale services available closer to patients homes
A GP led, patient centred partner organisation working collaboratively with our practices and our partners across health and social care to facilitate the enhanced delivery of responsive, high quality and innovative services across Bury and GM
A trusted voice for primary care providing at scale leadership and in partnership with the LMC and PCNs, able to advocate for and support our shareholder practices
Job description Job responsibilities
Job Summary
The post holder will work, within their professional boundaries, as part of a multidisciplinary team, across practices within the network.
They will conduct clinical medication review, to proactively manage patients with complex polypharmacy, including frail elderly and vulnerable adults as identified by the practices, and other members of the integrated neighbourhood teams.
They will ensure that they consider; medicine optimisation, medicine safety, antibiotic stewardship and de-prescribing agendas as part of any structured medication review.
They will integrate with the wider healthcare teams, including Community and Hospital Pharmacy and Intermediate Care colleagues, communicating and implementing medication changes as appropriate.
Key Working Relationships
Works collaboratively with the Senior Pharmacist and GP Practice leads within the Primary Care network.
Works as part of the Neighbourhood Multi-disciplinary team, to provide Pharmacy Professional expertise. This involves working with social care, GPs, nursing professionals, housing representatives, therapists, social prescribers, paramedics etc.
Works with Pharmacists and Pharmacy Technicians within the Pharmacy team to deliver the workplan.
Works with Community Pharmacy colleagues to ensure consistency of patient care.
Liaises with sub ICB colleagues including Medicine Optimisation Pharmacists and Technicians on prescribing related matters to ensure consistency of patient care.
Liaise with Hospital Staff including Pharmacists and Intermediate Care staff to ensure smooth transfer of care.
Liaises with Hospital staff with responsibilities for prescribing and medicine optimisation, on prescribing related matters to ensure consistency of patient care.
Liaises with other PCN Pharmacists in neighbouring networks as needed for the collective benefit of patients, and to provide continuity of service.
Liaises with Practice Pharmacists to ensure complementary working and to avoid duplication of effort.
Engages with Local Professional Networks to benefit from Peer support and enhance collaborative working relationships
Key Responsibilities
Medication review
Undertake structured medication review with patients with multi-morbidity and polypharmacy or complex health
needs.
This may include vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines.
Implement prescribing changes, within own prescribing competences, liaising with other prescribers as appropriate.
Care home review
Undertake clinical medication review for patients residing in care homes, working with the Pharmacy Technicians and care home staff to improve safety of medicines ordering and administration, and ensure safe transfer of care.
Risk stratification
Identify cohorts of patients at high risk of harm from medicines. Risks may be patient related, medicine related or both.
Identify patients at risk of unplanned admission and readmission from medicines known to cause harm, through audit and individual patient reviews.
Put systems in place to reduce the prescribing of these medicines to high-risk patient groups.
Medicine Reconciliation
Support practices with medicine reconciliation following discharge from hospitals, through intermediate care and on admission to care homes, ensuring changes are actioned and implemented, and communicated in a timely manner.
Advanced care planning
Work with case managers, hospital colleagues, Practice teams and Community Pharmacy as part of the neighbourhood multidisciplinary health and social care team to manage medicine related risk for re-admission and patient harm.
Long term conditions
Support the management of long-term conditions as specified in the Pharmacy Workplan.
Ensure patients with long term conditions within SMR caseload are managed, monitored and treated appropriately and effectively according to the latest guidance.
Make recommendations or changes to treatment regimen as appropriate within sphere of competence.
Medicine Safety
Advise practices in the network, regarding medicine safety alerts, such as MHRA alerts, product withdrawal and other local and National Guidance.
Work alongside the medicines optimisation team to identify patient groups affected by such alerts and assist with implementation of changes where relevant to work plan.
Quality Improvement
Work with practices to demonstrate continuous Quality Improvement.
Conduct audit and implement changes in collaboration with the Practice teams within the network.
Demonstrate implementation of the de-prescribing agenda, antibiotic stewardship and medicines safety tool.
Demonstrate Quality outcomes from SMR projects.
Care Quality Commission
Provide advice and support to practices in the network regarding compliance with CQC standards where medicines are involved.
Demonstrate activity in support of these standards.
Repeat Prescribing
Record medication review, within patient electronic record and update prescription record as appropriate and in accordance with Repeat Prescribing policy.
Provide advice to practices regarding Repeat Prescribing policy and consider standardisation across the network.
Education and Training
Provide education and training to patients and the primary healthcare team on therapeutics and medicine optimisation.
Support Pharmacy Students and Trainee Pharmacists and Pharmacy Technicians as requested by the Lead Pharmacist.
Public health
Support the public health agenda and provide specialist knowledge to patients and other members of the health care team.
Miscellaneous
It is anticipated that this will be a developing role and the job description will need to be reviewed periodically. There may be additional asks, in keeping with the role of the Pharmacist in General Practice.
Leadership
Demonstrate an understanding of the Pharmacy role in governance and be able to implement this appropriately within the workplace.
Demonstrate an understanding of, and contribute to, the workplace vision
Demonstrate ability to improve quality within the limitations of service
Demonstrate ability to lead a team and provide support to colleagues with differing abilities
Understand and demonstrate the characteristics of a role model to members in the team/service
Demonstrate ability to motivate self to achieve goals
Demonstrate understanding of and conform to relevant standards of practice
Management
Provide direct line management for members of the team as delegated by the Lead Pharmacist
Support the Lead Pharmacist to demonstrate ability to extend boundaries of service delivery within the team
Follow professional and organisational policy relating to performance management
Support the Lead Pharmacist to review progress and develop plans to achieve results within priorities set by others
Understand resource allocation and support the lead pharmacist to utilise this accordingly
Promote diversity and equality in people management techniques and lead by example
Demonstrate an understanding of the implications of national priorities for the team and service and support the Lead Pharmacist in managing the team through these changes.
Person Specification
Personal Attributes Essential
Commitment to continuing professional development Self-motivated Ability to work on own initiative and as part of a team Flexible and adaptable to work environment Ability to work under pressure and meet deadlines Neat and tidy and well-groomed appearance Full driving licence and access to transport
Experience Essential
Minimum of 2 years experience In depth therapeutic and clinical knowledge and understanding of principles of evidence based healthcare An appreciation of the nature of GPs and general practice Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to Seniors or GPs when appropriate. Excellent interpersonal, influencing and negotiating skills Excellent written and verbal communication skills Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions. Knowledge of IT systems, including ability to use word processing, email and the internet to create simple plans and reports. Demonstrates accountability for delivering professional expertise and direct service provision Ability to maintain effective working relationships and promote collaborative working
Desirable
An appreciation of the nature of Primary care prescribing concepts of rational prescribing and strategies for improving prescribing Able to obtain and analyse complex technical information Produce timely and informative reports Understanding of health inequalities and approaches to reducing them Experience of working within multidisciplinary or neighbourhood teams
Qualifications Essential
Vocational Masters degree in Pharmacy (MPharm) or equivalent
Desirable
Clinical Diploma or equivalent Non-medical Prescribing Qualification Completion of the CPPE Pathway PCPEP (or GPPTP or MOCH)
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 Bury GP Federation
Address Business Lodge
Barcroft Street
Bury
Lancashire
BL9 5BT
Employer's website https://www.burygpfederation.com/ (Opens in a new tab)