Clinical PharmacistNHS

Job summary

Are you a motivated and passionate Clinical Pharmacist looking to make a meaningful difference in primary care?

Central London Healthcare (CLH) is seeking a dedicated Clinical Pharmacist to join our multidisciplinary team, supporting patients across our Primary Care Networks (PCNs) and GP practices in Central London.

At CLH, we work collaboratively with 27 GP practices across four PCNs to deliver high-quality, accessible and patient-centred healthcare services.

This is an exciting opportunity to play a key role in improving patient outcomes through medicines optimisation, structured medication reviews and the management of long-term conditions. You will work closely with GPs, nurses and other healthcare professionals to ensure patients receive safe, effective and personalised care.

We offer a supportive and collaborative working environment where you can develop your clinical expertise, contribute to service improvements and make a real impact on the health and wellbeing of our local communities.

Main duties of the job

As a Clinical Pharmacist, you will play an important role in supporting safe and effective prescribing, improving medicines management and delivering high-quality patient care across our GP practices.

Your main responsibilities will include:

Conducting structured medication reviews and supporting patients with complex medication needs, particularly those with long-term conditions and multiple health needs.

Providing patient-facing consultations and advice on medicines optimisation, prescribing and medication safety.

Supporting the management of long-term conditions such as asthma and COPD.

Working collaboratively with GPs, nurses and other healthcare professionals to improve patient outcomes.

Supporting medicines reconciliation following hospital discharge and ensuring continuity of care.

Contributing to prescribing audits, quality improvement initiatives and the implementation of clinical guidelines.

Providing expert medicines advice to patients and practice teams, supporting safe and effective prescribing.

You will also contribute to service development, patient safety and the continuous improvement of pharmaceutical care across our Primary Care Networks.

Job description

Patient facing long-term condition clinics See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma).

Delivering pharmacy related aspects of the Network DES such as conducting structured medication reviews (SMRs).

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 clinical medication review. Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring.

Patient facing care home medication reviews where required. 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 manage caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence.

Signpost to community pharmacy and refer to GPs or other healthcare professionals where appropriate.

Patient facing medicines support.

Provide patient facing clinics for those with medicines queries.

Telephone medicines support.

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.

Provide follow up for patients to monitor the effect of any changes.

Identify medications associated with harm or unplanned hospital admissions through audits or reviewing discharge summaries, and be able to proactively optimise their therapy and prevent harm

Recommend changes to the prescribing of high risk medications, especially to high risk patient groups

Management of medicines at discharge from hospital.

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. Ensure continuity of medicines supply post discharge

Signposting - ensure patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time.

Assist with the development of a repeat prescribing process at the practice

Assist in managing 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.

Identify cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches. This might include risks that are patient related, medicine related, or both.

Service development: contribute pharmaceutical advice for the development and implementation of new services that have medicinal components.

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

Medicines quality improvement: Undertake clinical audits of prescribing as directed by the GPs, practice manager or Senior Clinical Pharmacist and feedback 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 the local formulary.

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

Assist the practices with keeping them up to date on how to access the local formulary. Auditing practices compliance against NICE technology assessment guidance

Education and Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation.

Care Quality Commission (CQC) work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved.

Provide knowledge on public health programmes available where applicable.

Recognises the roles of other health and social care colleagues and develops and maintains effective working relationships within them. Liaises effectively with other allied healthcare professional stakeholders as needed for the collective benefit of patients.

Recognises personal limitations and refer to more appropriate colleagues when necessary.

Demonstrates ability to work collaboratively with community and hospital pharmacy teams.

Liaises with ICB Pharmacists and Medicines Management team on prescribing related matters and to benefit from peer support.

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

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

Demonstrates ability to improve quality within limitations of service.

Reviews yearly progress and develops clear plans to achieve results within priorities set by others.

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

Demonstrate understanding of effective resource utilisation and the implications of national priorities for the team and service.

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.

About us

Central London Healthcare (CLH) is the GP Federation covering the Central London borough area. The organisation supports 27 General Practices and 4 Primary Care Networks (PCNs). We operate a number of NHS contracts including a Care Navigation Service, a Clinical Pharmacy Service, a Community Dermatology Service etc.

Our vision is to be recognised as a leading GP provider network, run by clinicians for the benefit of our local population. We will achieve this by working with patients and partners to ensure that general practice remains sustainable and independent.

Our approach is to deliver exceptional assistance to our 27 General Practice members and to operate our NHS contracts in a manner that supports our Practices and their patients by providing services economically, locally, promptly, and in a familiar environment.