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Reports to: Clinical Lead GP and Practice Manager Responsible to: Clinical Lead GP Proposed salary: Band 8.1 – 8.7 on the ABC pay scale, which is equivalent to £49,419.20 - £55,654.05 per annum dependent on experience (pro rata). Hours of work: Full Time – 37.5 hours per week Base: The successful candidate will be based mostly at one practice site but there will be an expectation that cross-cover be provided to all three network practices as needed. Some home working may be necessary. Time will also be dedicated to training and networking. About Alliance for Better Care CIC Alliance for Better Care CIC is a GP Federation that unites 47 NHS GP practices across 12 Primary Care Networks in Sussex and Surrey. We support our Primary Care colleagues as well as their patients, to transform how healthcare is managed within the community. As a membership organisation, our focus is to work in partnership with our members and help them to improve the provision of General Practices in the local area. We work with – and listen to – our GP Practices, PCNs, Hospitals, Community Organisations and the Third Sector. These vital partnerships ensure that, together, we deliver a truly integrated approach that offers the support and expertise needed to effectively serve our communities. Job summary This is an exciting opportunity for the successful candidate to join the Haywards Heath Villages Primary Care Network (PCN) team in supporting a wide range of patients of all ages. This post is part of the Additional Roles Reimbursement Scheme for Primary Care Networks funded by NHS England. The successful candidate will be an experienced pharmacist, who acts within their professional boundaries. They will work as part of a multi-disciplinary team in a patient-facing role; take responsibility for areas of chronic disease management within the practice and undertake clinical medication reviews to proactively manage patients with complex polypharmacy. In particular, older adults, people in residential care homes and those with multiple co-morbidities. The successful candidate will provide support to general practice staff with regards to prescription and medication queries. They will help support the repeat prescriptions system, deal with acute prescription requests, medicine reconciliation on transfer of care and systems for safer prescribing. They will provide expertise in clinical medicines advice whilst addressing both public and social care needs of patients registered with the practice. The successful candidate will provide clinical leadership on medicines optimisation and quality improvement, manage some aspects of the quality and outcomes framework and enhanced services and contribute to the delivery of the local medicines optimisation strategy. They will ensure that the practice integrates with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare and help manage workload. This role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service within general practice. Primary duties and areas of responsibility From Start of Post: Patient facing long-term condition clinics See patients in multi‐morbidity clinics and in partnership with primary healthcare colleagues and implement improvements to patient’s medicines, including de-prescribing. Manage own case load and run long-term condition clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. medicine optimisation for stable angina symptom control, warfarin monitoring and dose adjustment for patients requiring long‐term anticoagulants). Review the on-going need for each medicine, a review of monitoring needs and an opportunity to support patients with their medicines ensuring they get the best use of their medicines (i.e. medicines optimisation). Whilst carrying out the above ensure document appropriately to support achievement of relevant QOF targets. Patient facing Clinical Medication Review Undertake clinical medication reviews with patients with multi‐morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Patient facing care/residential home clinical medication reviews Future potential to manage own caseload of care home residents. Support and work with CCG Medicines Management (MM) Team to undertake clinical medication reviews with patients with multi‐morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. Patient facing medicines support Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice. Telephone medicines support Provide telephone support for patients with questions, queries and concerns about their medicines. Medicine information to practice staff and patients Act as a source of medicines information for all of the practice team and patients, (such as around doses, side effects, adverse events, possible alternatives, i.e. around out of stocks). Suggesting and recommending solutions. 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). Work in partnership with hospital and local provider colleagues (e.g. care of the elderly doctors and clinical pharmacists) to proactively manage patients at high risk of medicine related problems before they are discharged to ensure continuity of care. Managing of common/minor/self-limiting ailments Managing caseload of patients with common/minor/self-limiting ailments while working within scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate. Differential/un-differential diagnosis Manage own caseload for patients and diagnose people with long term ailments while remaining within scope of practice and limits of competence. Referring to GP and/or other healthcare professionals where appropriate Signposting Ensure that patients are referred to the appropriate healthcare professional for the right care. Ensuring that the addition of the pharmacist to the clinical team results in a reduction in workload for other clinicians. Unplanned Hospital Admissions Work with case managers, multidisciplinary (health and social care) review teams, hospital colleagues and virtual ward teams to manage medicines-‐related risk for readmission and patient harm. Put in place changes to reduce the prescribing of these medicines to high-‐risk patient groups. Repeat prescribing Produce and implement a practice repeat prescribing policy in line with the recommendations from the Medicines Management Team (MMT), implement the practice’s 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. Medicines Safety Identify national and local policy and guidance that affects patient safety through the use of medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials. Manage the process of implementing changes to medicines and guidance for practitioners. Frailty Take a leading role in the contractual requirements to support frail patients with their medication including medication review and patient identification (i.e. patients with problematic polypharmacy) Implementation of local and national guidelines and formulary recommendations Work with CCG MMT to implement local and national guidelines including NICE etc. Liaise with hospital colleagues where prescribing needs to be returned to specialists. Education and Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Provide training to visiting medical, nursing, pharmacy and other healthcare students where appropriate. Care Quality Commission Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved. Undertake risk assessment and ensure compliance with medicines legislation. Public Health To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public. Role May Evolve to Include: Patient facing domiciliary/home visits Manage own caseload of vulnerable housebound patients at risk of hospital admission and harm from poor use of medicines. Implement own prescribing changes (as an independent prescriber) and ordering of monitoring tests. Attend and refer patients to multidisciplinary case conferences. Identifying key areas of need for vulnerable patients and formulating care plans. Medicines Quality Improvement Programme Working with colleagues, identify and provide leadership on areas of prescribing and medicines optimisation. Conduct clinical audits and medicine optimisation projects or work with colleagues such as GP registrars, practice managers etc., feedback the results and implement changes in conjunction with the practice team. Present results and provide leadership on suggested changes. Contribute to national and local research initiatives. Telephone Triage 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 test results, common/minor ailments, acute conditions, long term condition reviews etc Person specification: Senior Clinical Pharmacist Professional Registration Mandatory registration with General Pharmaceutical Council - E Membership of the Royal Pharmaceutical Society - D A member of or working towards Faculty membership of the Royal Pharmaceutical Society - D Qualifications Masters degree in Pharmacy (MPharm)or equivalent - E Clinical diploma - D Independent prescriber - E Completed Primary Care Pharmacy Education Pathway/CPPE - E Skills and knowledge Minimum of 2 years post qualification experience - E In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare - E An appreciation of the nature of GPs and General Practice - E An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing - E Excellent interpersonal, influencing and negotiating skills - E Excellent written and verbal communication skills - E Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients) - E Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions - E Good IT skills - E Able to obtain and analyse complex technical information - E Recognise priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate - E Able to work under pressure and to meet deadlines - E Produce timely and informative reports - E 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. - E Work effectively independently and as a team member - E Demonstrates accountability for delivering professional expertise and direct service provision - E Other Self-motivation - E Adaptable - E Full driving licence - E