About this role
Job summary
Hertsmere Proactive Anticipatory Care (PAC) Service
0.4 WTE
£55,000 per annum (pro rata)
Anticipated Start Date: 1st February 2027
Working Pattern - Mon-Fri, Hybrid
Help Shape One of Hertsmere's Flagship Neighbourhood Programmes
Herts Health Federation is seeking an enthusiastic and forward-thinking Clinical Pharmacist to join the new Hertsmere Proactive Anticipatory Care (PAC) Service.
The PAC service is one of Hertsmere's flagship neighbourhood transformation programmes, developed through a partnership between:
- Herts Health Federation
- Central London Community Healthcare NHS Trust (CLCH)
- West Hertfordshire Teaching Hospitals NHS Trust
with funding support from Macmillan Cancer Support.
The service has been designed to identify people earlier, intervene proactively and coordinate support around patients living with frailty, multiple long-term conditions and increasing risk of hospital admission.
Using population health management tools, multidisciplinary working and proactive case management, the service aims to improve patient outcomes whilst reducing avoidable deterioration and crisis-led care.
Main duties of the job
The Clinical Pharmacist (Independent Prescriber) will be a core member of the Proactive Anticipatory Care (PAC) multidisciplinary team, providing advanced clinical pharmacy expertise to support patients at high risk of deterioration, unplanned hospital admission, escalating frailty and increasing health and care needs.
The postholder will undertake comprehensive medication reviews, independent prescribing, medicines optimisation and proactive clinical interventions for patients with complex needs, multiple long-term conditions and polypharmacy.
Working collaboratively with General Practice teams, Practice Pharmacists, Pharmacy Technicians, Primary Care Network Pharmacy Teams, community services, social care colleagues and the wider neighbourhood multidisciplinary team, the postholder will contribute to holistic assessment, anticipatory care planning and personalised interventions designed to improve outcomes and reduce avoidable healthcare utilisation.
The postholder will work autonomously within their professional scope of practice whilst contributing to the wider objectives of integrated neighbourhood working, admission avoidance, proactive care and population health management.
About us
This role will be working as part of an integrated neighbourhood team comprising staff from primary care and community services with links to secondary care.
Herts Health GP Federation is a membership organisation supporting 8 local GP practices in Hertsmere.
We are a warm and welcoming team with great links to our local practices and community.
Job description
Job responsibilities
Clinical Practice
- Undertake comprehensive, patient-centred clinical assessments for patients identified through the PAC service.
- Provide expert pharmaceutical advice for patients with frailty, multiple long-term conditions and complex medication regimes.
- Undertake structured medication reviews in line with national medicines optimisation guidance.
- Assess and manage medication-related risks associated with frailty, falls, cognitive impairment, hospital admission and care home placement.
- Develop, implement and monitor medicines optimisation plans.
- Identify inappropriate polypharmacy and opportunities for deprescribing.
- Support medicines-related elements of anticipatory care plans, personalised care and support plans and treatment escalation plans.
- Escalate clinical concerns appropriately and contribute to safeguarding processes where required.
Independent Prescribing
The postholder must hold a recognised Independent Prescribing qualification and will:
- Assess, diagnose and manage patients within their professional scope of practice.
- Prescribe safely, appropriately and cost-effectively in accordance with local and national guidance.
- Initiate, amend, optimise and discontinue medicines where clinically indicated.
- Prescribe proactively to support admission avoidance and stabilisation of long-term conditions.
- Monitor treatment effectiveness, therapeutic response and adverse effects.
- Support implementation of anticipatory care plans and agreed treatment pathways.
- Maintain appropriate prescribing records and documentation.
- Participate in prescribing audit, governance and quality assurance processes.
Medicines Optimisation
- Deliver high-quality medicines optimisation interventions for patients enrolled within PAC.
- Reduce medicines-related harm through proactive review and intervention.
- Promote evidence-based and cost-effective prescribing.
- Support patients to improve adherence, understanding and confidence in managing their medicines.
- Optimise prescribing for frailty, cardiovascular disease, respiratory disease, diabetes and other long-term conditions.
- Support safe and effective transfer of care following hospital discharge.
- Contribute to reduction in unnecessary prescribing and medicines waste.
MDT Working
- Participate fully in PAC multidisciplinary team meetings.
- Provide specialist medicines expertise to support clinical decision-making.
- Contribute to development of holistic, person-centred care plans.
- Work collaboratively with GPs, Advanced Practitioners, Community Nurses, Allied Health Professionals, Social Prescribers, Care Coordinators and Social Care colleagues.
- Support identification and proactive management of high-risk patients through MDT case discussions.
Liaison with General Practice and Pharmacy Teams
- Build and maintain effective working relationships with member practices across the neighbourhood.
- Work collaboratively with Practice Pharmacists, Pharmacy Technicians and Primary Care Network Pharmacy Teams.
- Provide specialist support and advice regarding complex medicines optimisation issues.
- Facilitate seamless communication between PAC services and practice-based pharmacy teams.
- Support consistency of prescribing approaches across participating practices.
- Share learning, prescribing intelligence and medicines optimisation opportunities across the neighbourhood.
- Participate in clinical audits, service improvement projects and educational initiatives with general practice pharmacy teams.
- Liaise with Community Pharmacists, Secondary Care Pharmacy Teams and wider medicines optimisation services to support continuity of care.
Population Health Management and Proactive Care
- Support risk stratification and case-finding processes.
- Identify cohorts of patients who may benefit from proactive medicines optimisation interventions.
- Review prescribing data to identify patients at risk of medication-related harm or deterioration.
- Support the reduction of health inequalities through targeted interventions.
- Contribute to admission avoidance pathways and proactive neighbourhood care models.
- Use clinical and prescribing intelligence to support service planning and delivery.
Quality Improvement, Audit and Governance
- Participate in clinical audit, service evaluation and quality improvement programmes.
- Support collection and reporting of service activity and outcomes.
- Contribute to development of clinical pathways, protocols and standard operating procedures.
- Maintain professional standards in accordance with General Pharmaceutical Council (GPhC) requirements.
- Adhere to all information governance, clinical governance and safeguarding requirements.
- Contribute to the ongoing development and evaluation of the PAC service.
Person Specification
Qualifications
Essential
- Master of Pharmacy Degree (MPharm) or equivalent.
- Current registration with the General Pharmaceutical Council (GPhC).
- Independent Prescribing Qualification.
- Evidence of active prescribing practice.
- Evidence of continuing professional development.
Desirable
- Postgraduate Clinical Pharmacy Qualification.
- Leadership or Management Qualification.
Knowledge and Skills
Essential
- Advanced knowledge of medicines optimisation principles.
- Advanced clinical assessment and decision-making skills.
- Excellent communication and consultation skills.
- Ability to work autonomously and manage a complex caseload.
- Ability to interpret and act upon complex clinical information.
- Strong organisational and prioritisation skills.
- Excellent IT and record-keeping skills.
- Ability to build effective relationships across organisational boundaries.
Personal Qualities
Essential
- Commitment to person-centred care.
- Collaborative and solution-focused approach.
- Professional integrity and accountability.
- Flexible and adaptable approach to service delivery.
- Commitment to reducing health inequalities and improving patient outcomes.
Experience
Essential
- Significant post-registration clinical pharmacy experience.
- Experience of independent prescribing.
- Experience undertaking structured medication reviews.
- Experience managing patients with frailty, polypharmacy and multiple long-term conditions.
- Experience of medicines optimisation within primary care, community services or integrated care settings.
- Experience working within multidisciplinary teams.
- Experience using electronic prescribing and patient record systems.
Desirable
- Experience within Primary Care Networks.
- Experience of proactive, frailty or admission avoidance services.
- Experience of anticipatory care planning.
- Experience of service redesign and quality improvement programmes.
Additional Requirements
Essential
- Ability to travel independently across the locality.
- Enhanced DBS clearance.
- Compliance with all mandatory training requirements.
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
Herts Health LTD
Address
The Walk
Potters Bar
Hertfordshire
EN6 1QH
United Kingdom
Employer's website
http://www.hertshealth.org/ (Opens in a new tab)