Total 332 clinical researcher job vacancies in Health / Beauty / Fitness category in Malaysia

Main Duties & Responsibilities Clinical - The role is essentially mainly patient facing. Within your scope of competence carry out structured medication reviews (SMRs) for patients. For those meeting the Directed Enhanced Service (DES) requirements this will be via telephone, video or face to face and may require a domiciliary or care home visit. Ensure that any monitoring that is needed for the review is completed or arrange for this to be done. As competence grows this will involve ordering and then later reviewing blood tests. Review and manage where appropriate long-term conditions within your area of competence such a blood pressure control and other cardiovascular risk factors. Run clinics and manage workload and processes around this to see patients for follow up and medicines optimisation, being aware of holistic needs of the patient. Make changes to therapy where needed. This will be in collaboration with colleagues such as healthcare assistants, nurses and GPs. To educate and support patients in the use of their medicines and optimising their health. This will include referral onto to other services as appropriate. This may also involve supporting colleagues to run groups, and production of health promotional information and materials. To handle day to day medication issues highlighted by patients, staff, or other professionals within your area of competence. Such issues may be alternatives for out of stock items, clinical assessment of need for items not on repeat prescription and overseeing requests for prescribing from other professionals. To support the pharmacy technicians with clinical decision making when required Identify patients suitable for electronic repeat dispensing (eRD), discuss with them how the scheme works, assess consent, and liaise with community colleagues to ensure appropriate communication to allow smooth continuation of care. Medicines reconciliation - To reconcile medicines on the patients, record from discharge letters and outpatient clinic letters. To support the technicians with the more clinically challenging discharges, to provide quality assurance of the process and to follow up any outstanding issues to ensure reconciliation is completed in a safe and timely manner. Assess patients new to the PCN to review their medicines and their care. Refer into hospital services for ongoing care as appropriate. Arrange future monitoring as needed. Working with the PCN pharmacy technicians if required to ensure that processes around receiving ongoing medication supplies are understood. Projects and quality improvement - Work with the PCN pharmacy teams to collate PCN data for the optimisation of medication in key areas. To conduct audits, searches and prepare reports with the support of the senior clinical pharmacist. Track progress and feedback to senior members of the team as required. Work with the PCN pharmacy technician and other staff in carrying out audits, identifying areas requiring improvement. Draft action plans and lead on areas of implementation, as necessary. Play a key role working with colleagues to develop PCN wide policies and protocols. Draft documents and present these to senior colleagues adjusting and reviewing as directed. Contribute to the dissemination and implementation of agreed processes and changes in practice overseeing and supervising within your designated practices. Medication safety - To facilitate switches of medication in line with local formulary choices or changes in practice within your area of competence Work with the PCN pharmacy team to assess and give advice on medication alerts as appropriate. Where required support dissemination and action. Identify areas where new or updated policies and procedures are necessary. Produce such policies and protocols for the practices within your scope of competence. Work with senior colleagues in implementation of these and later assessing impact. Help with keeping a database of when reviews of current documents are required and ensuring the cycle of review is kept active. Construct or use existing searches to identify patients on high-risk medicines and ensure that monitoring and review is carried out in line with guidelines. Flag up any deviations or concerns with clinical colleagues. To report Significant Events and complaints in a timely manner to the practice leads as appropriate. To access Eclipse and work with colleagues to ensure that this is used appropriately to optimise outcomes for patients and the practices. Carry out searches for people on medicines that require a shared care agreement (SCA). Ensure that this agreement is documented and that the actions allocated to the GP practice are carried out. Highlight any concerns to senior clinical colleagues as applicable. Evidence based medicines and medicines information - To provide information to colleagues in response to formal and informal enquiries. As appropriate log information given. Refer to senior clinical colleagues for advice or handover as needed. Promote evidence-based medicine, use of licensed medicines and clear documentation of discussions, reasoning, and consent where medicines are used outside of usual practice. Ensure that alternatives have been considered and therapy is appropriate. Raise any issues with the senior clinical pharmacists or prescriber. Training and development - Develop and deliver training for other staff such as doctors, nurses, and allied health professionals on medicine related themes. Invite feedback to improve training in the practice and disseminate good practice in all the surgeries. Collaborate with colleagues to develop and deliver training to non-clinical staff and patients. Complete or have completed the 18 months CPPE PCPEP pathway (or equivalent) To be or be willing to become an Independent Prescriber Complete all statutory and mandatory training as required. Provide support and supervision to less experienced pharmacy staff. Aid development and facilitate competency assessments of staff within your area of competence. Relationships and networks- Develop mutual working relationships with colleagues. Liaise with community pharmacy colleagues as appropriate. Develop working relationships to promote communication and cooperation. Signpost patients to the community pharmacy or other services that may be of benefit to them. Liaise with Integrated Care Board (ICB) colleagues where appropriate Liaise with hospital and mental health pharmacy colleagues as well as community colleagues such as district nurses and care home staff for advice and discussion on individual patient care. Participate in meetings such as practice meetings, patient meetings and informal meetings to raise the role of the pharmacist and promote medicines optimization. Strategic - Work with colleagues to determine important outcomes and track progress towards these. Contribute to spreadsheets or dashboards to demonstrate the work of the pharmacy team. Help ensure that evidence is available to facilitate regulatory oversight such as Care Quality Commission (CQC) inspections and audits. Help with any concerns raised around medication storage or processes relating to surgery held medicines in a timely manner. Work with colleagues in promoting public health schemes and promoting health equity across the PCN. Lead on aspects of this as required by the senior team. Work with colleagues in promoting consistent ways of working and introducing new ways of working. Lead on aspects of these as required by the senior team. Personal - To plan own work schedule, prioritising items as they arise and seeking support as required. Engage in clinical and managerial supervision. Ensure that requirements for continuing registration with the General Pharmaceutical Council are met on an annual basis. To be aware of and adhere to the policies and procedures of the PCN. Personal transport access will be required as the postholder may need to carry out domiciliary visits, deliver the covid vaccination programme or attend meetings at other sites. To carry out any reasonable requests from the employer that has not been identified beforehand. The post may be subject to change or review as the needs of the population or the service change. Changes will be made in consultation with the individual before any changes are made. Personal/Professional Development: The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work. Quality: The post-holder will strive to maintain quality within the Practice, and will: Alert other team members to issues of quality and risk. Assess own performance and take accountability for own actions, either directly or under supervision Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance. Work effectively with individuals in other agencies to meet patients needs. Effectively manage own time, workload, and resources Communication: The post-holder should recognize the importance of effective communication within the team and will strive to: Communicate effectively with other team members. Communicate effectively with patients and carers. Recognise peoples needs for alternative methods of communication and respond accordingly. Contribution to the Implementation of Services: The post-holder will: Apply Practice policies, standards, and guidance. Discuss with other members of the team how the policies, standards and guidelines will affect own work. Participate in audit where appropriate.

Job description


Competitive Salary & Benefits: Earn up to $130k PLUS relocation or rental assistance and annual bonuses between 5 -15%.
Professional Development: Training costs covered for full scope or alternative training paths.
Partnership Potential: Opportunity to evolve into a Managing Partner role, driving your career to new heights.

Position: Clinical Pharmacist (Option for Managing Partner)
Client & Location Information:
Situated in the picturesque Western Downs where peace and tranquility reigns, except of course when it's fun festival time. This tree change location offers the ideal setting for a Clinical Pharmacist looking to make a significant impact in a a welcoming communities' healthcare while enjoying a fulfilling life outside of work.
Job Specification:
In this dynamic role, you will:

Be responsible for dispensing (Robotic), counselling, and assisting in the management of DAA's and vaccinations.
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... Click here to view more detail / apply for Clinical Pharmacist

Please see further information on the attached document entitled job description and person specification.

Pharmacist Band 7/8a Guildford Hospital | Woking Hospital | Pharmacy | Permanent Contract | Full Time Competitive salary, dependent on experience 37.5 hours per week Must have flexibility to travel to other sites - Woking hospital Build a brighter future while you're helping us build a healthier nation. At Nuffield Health, our approach is to fully integrate medicines into a personalised pathway of patient care. That means you'll benefit from a way of working that allows you to do the best job you can. It's everything you need to grow your career. It starts with you. As a Pharmacist at our Guildford Hospital, you'll be registered with the General Pharmaceutical Council and you'll have proven post-qualification experience. It's also important that you have excellent communication and people skills, as you'll be working closely with our patients and a variety of clinical staff. As a Pharmacist, you will: Join our talented multidisciplinary team Be responsible for supervising the procurement, dispensing & supply of medicines to patients Deliver high-quality clinical care and advice where it's needed Offer services to a range of departments, including the pre-assessment clinic, outpatient department, ward and theatres Helping you feel good. We want you to love coming to work, feeling healthy, happy and valued. That's why we've developed a benefits package with you in mind. From free private healthcare to gym membership, a cycle to work scheme and more. At Nuffield Health, we take care of what's important to you. Nuffield Health Guildford Hospital. Nuffield Health Guildford Hospital provides high-quality healthcare working with leading Consultants to offer a range of services and treatments for preventing, diagnosing and treating a wide array of medical conditions and offer a wide range of complex surgery and services. Our care is matron led and we are proud to have received a "good" rating from the health care regulator, the Care Quality Commission (CQC). Our facilities include 51 en-suite patient bedrooms, 4 operating theatres, acute dependency and oncology units. We've been awarded the Macmillan Quality Environment Mark for cancer care. Our site is shared with an NHS Trust hospital, giving us access to their facilities. The working atmosphere is highly professional and stimulating, yet friendly and collaborative like that of a large family unit. The hospital is easily accessible from the A3 or M25 and we are located about 1.5 miles from Guildford town centre. Woking Hospital. Our Woking Hospital is a leading private hospital in Surrey, South East England. We pride ourselves on providing exceptional standards of treatment and care in our state-of-the-art facilities and CPD programme. Our specialities include Women's and Men's health, Orthopaedics, and Eye Care with many more available. We are registered for 27 beds with en-suite facilities on the Ward, two Theatres with facilities including lamina flow and one Minor Operating Theatre, Pre-Assessment,Physiotherapy clinic, Onsite Pharmacy, Mammography, Xray and Ultrasound, with nine consulting rooms in Outpatients. Join Nuffield Health and create the future you want, today. If you like what you see, why not start your application now? We consider applications as we receive them and reserve the right to close adverts early (for example, where we have received an unprecedented high volume of applications). So, it's a good idea to apply right away to ensure you're considered for this role. Community pharmacists and pharmacists from other sectors are highly recommended to apply for this post. No prior hospital experience is required and all training will be provided . It starts with you.

To see the full detailed job description and main responsibilities of the job please refer the job description attached.

Primary duties contained within this role include the following: Patient facing long-term condition clinic -See (where appropriate) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma). 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 -Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP 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 senior clinical pharmacist, nurses and/or GP 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. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate. Work in collaboration within the acute triage multi-disciplinary team -Undertake resolution of medication related acute requests and management of common/minor/self-limiting ailments within our acute care enablement platform Patient facing medicines support -Provide patient facing clinics for those with questions, queries and concerns about their medicines. Telephone medicines support -Provide a telephone help line for patients with questions, query and concerns about their medicines. 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. Provide follow up for patients to monitor the effect of any changes. Unplanned hospital admissions -Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups. Management of medicines at discharge form 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 pharmacist 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 patient (e.g. those with medicine compliance aids or those in care homes). Supporting cost effective medicines use -Make the best use of NHS resources spent on medicines. Work with NHS Sheffield Place Based ICB Medicines Optimisation Team to maximise cost effective prescribing in primary care. 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. Repeat prescribing -Produce and implement a practice 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. Risk stratification -Identify of cohorts of patients at high risk of harm from medicines through pre-pared 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 (e.g. advice on treatment pathways and patient information leaflets). 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 in areas directed by the GPs, feedback the results and implement changes in conjunction with 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 formulary recommendations -Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages. Education and training -Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Care Quality Commission -Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved. Public health -Support public health campaigns providing specialist knowledge on all public health programmes available to the public. Collaborative working relationships -Demonstrate the use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, other professionals, other NHS/private organisations e.g. ICB), Demonstrate ability to work as a member of a team, Recognise personal limitations and refer to more appropriate colleagues(s) when necessary, Actively work toward developing and maintaining effective working relationships both within and outside the practice and locality, Foster and maintain strong links with all services across locality, Explore the potential for collaborative working and take opportunities to initiate and sustain such relationships, Demonstrate ability to integrate general practice with community and hospital pharmacy teams, Liaise with ICB colleagues including ICB pharmacists and technicians on prescribing related matters to ensure consistency of patient care and benefit, Liaise with ICB pharmacists and Head of Medicines Management to benefit from peer support, Liaise with other stakeholders as needed for the collective benefit of patients Knowledge, skills and experience -Work towards an independent prescribing qualification, Prioritise when problem-solving and identify deviations from normal pattern, referring to seniors or GPs when appropriate, Follow legal, ethical, professional and organisational policies/procedures and codes of conduct, Involve patients in decisions about prescribed medicines and support adherence as per NICE guidelines Leadership -Apply clinical governance, implementing appropriately within the workplace, Engage with Patient Participation Groups (PPGs) in development of the clinical pharmacist role in practices, Improve quality within the limitations of the service, Review yearly progress and develop clear plans to achieve results within priorities set by others, Motivate self to achieve goals, Promote diversity and equality in people management techniques and lead by example. Management -Effectively implement local and national priorities for the team and/or service, Demonstrate an understanding of the process for effective resource utilisation, Demonstrate an understanding of and conform to relevant standards of practice, Identify and resolve risk management issues according to policy/protocol, Follow professional and organisational policies/procedures relating to performance management, Adapt to extended boundaries within the delivery of the service Education, training and development -Participate in formal education programmes relevant to the role including CPPE GP Education Pathway and Independent Prescribing (if not already complete), Act as role model to members in the team and/or service, Demonstrate an understanding of the mentorship process, Conduct teaching and assessment effectively according to a learning plan with supervision from more experienced colleagues, Participate in continuous professional development activity; working alongside senior clinical pharmacist to identify areas to develop, Demonstrate an understanding of current education policies relevant to working areas of practice and keep up to date with relevant clinical practice, Ensure there is appropriate clinical supervision in place to support development, Enrol in review and appraisal systems with the organisation Research and Evaluation -Critically evaluate and review literature, Identify gaps in evidence base to support practice, Generate evidence suitable for presentations at practice and local level, Apply research evidence base into work place, Understand principles of research governance Special Working Conditions -The post-holder is required to travel independently between practice sites, to patient homes, care homes and to attend meetings hosted by other agencies, The post-holder will have contact with body fluids i.e. wound exudates, urine etc. while in clinical practice

Pharmacist Band 7/8a

Guildford Hospital | Woking Hospital | Pharmacy | Permanent Contract | Full Time
Competitive salary, dependent on experience

37.5 hours per week

Must have flexibility to travel to other sites - Woking hospital

Build a brighter future while you're helping us build a healthier nation. At Nuffield Health, our approach is to fully integrate medicines into a personalised pathway of patient care. That means you'll benefit from a way of working that allows you to do the best job you can. It's everything you need to grow your career. It starts with you.

As a Pharmacist at our Guildford Hospital, you'll be registered with the General Pharmaceutical Council and you'll have proven post-qualification experience. It's also important that you have excellent communication and people skills, as you'll be working closely with our patients and a variety of clinical staff.

As a Pharmacist, you will:

• Join our talented multidisciplinary team

• Be responsible for supervising the procurement, dispensing & supply of medicines to patients

• Deliver high-quality clinical care and advice where it's needed

• Offer services to a range of departments, including the pre-assessment clinic, outpatient department, ward and theatres

Helping you feel good.

We want you to love coming to work, feeling healthy, happy and valued. That's why we've developed a benefits package with you in mind. From free private healthcare to gym membership, a cycle to work scheme and more. At Nuffield Health, we take care of what's important to you.

Nuffield Health Guildford Hospital.

Nuffield Health Guildford Hospital provides high-quality healthcare working with leading Consultants to offer a range of services and treatments for preventing, diagnosing and treating a wide array of medical conditions and offer a wide range of complex surgery and services. Our care is matron led and we are proud to have received a "good" rating from the health care regulator, the Care Quality Commission (CQC).

Our facilities include 51 en-suite patient bedrooms, 4 operating theatres, acute dependency and oncology units. We've been awarded the Macmillan Quality Environment Mark for cancer care. Our site is shared with an NHS Trust hospital, giving us access to their facilities. The working atmosphere is highly professional and stimulating, yet friendly and collaborative like that of a large family unit.

The hospital is easily accessible from the A3 or M25 and we are located about 1.5 miles from Guildford town centre.

Woking Hospital.

Our Woking Hospital is a leading private hospital in Surrey, South East England. We pride ourselves on providing exceptional standards of treatment and care in our state-of-the-art facilities and CPD programme. Our specialities include Women's and Men's health, Orthopaedics, and Eye Care with many more available. We are registered for 27 beds with en-suite facilities on the Ward, two Theatres with facilities including lamina flow and one Minor Operating Theatre, Pre-Assessment,Physiotherapy clinic, Onsite Pharmacy, Mammography, Xray and Ultrasound, with nine consulting rooms in Outpatients.

Join Nuffield Health and create the future you want, today.

If you like what you see, why not start your application now? We consider applications as we receive them and reserve the right to close adverts early (for example, where we have received an unprecedented high volume of applications). So, it's a good idea to apply right away to ensure you're considered for this role.

Community pharmacists and pharmacists from other sectors are highly recommended to apply for this post. No prior hospital experience is required and all training will be provided .

It starts with you.

Manage caseload of patients with common/minor/self-limiting ailments while working within the scope of practice, formalised training and limits to competence to support all treatment and preventative healthcare services within the PCN, as delegated and agreed by the Operations Director. Integrate with community and hospital pharmacy to help utilise skill mix, improve patient outcomes, ensure better access to healthcare and help manage workload. Undertake clinical medication reviews with patients with multi-morbidity and polypharmacy and order relevant monitoring tests according to protocols and policies. Review the on-going need for each medicine, review monitoring needs and support patients with their medicines taking ensuring they get the best use of their medicines (medicines optimisation). Review the use of medicines most associated with unplanned hospital admissions and re-admissions. Suggest and recommend medicines management solutions to reduce the risk to identified patients and follow outcomes. Prescribe safe, appropriately and within limits of competence and independent prescribing Qualification Provide telephone help line for patients with questions, queries and concerns about their medicines with some bookable appointments. Work with case managers, multidisciplinary (health and social care) review teams and hospital colleagues to management medicines-related risk for re-admission and patient harm. Participate in clinical audits, presenting results and providing recommendations to improve projects Undertake clinical audits of prescribing in areas directed by PCN, feedback the results and implement changes in conjunction with the multi-disciplinary teams. Lead on evidence based medicine and support CCG medicine strategies. Adhere to national and local policy and guidance that affects patient safety through the use of medicines using MHRA alerts, product withdrawals and emerging evidence from clinical trials. Ensure prescribing is in accordance with APC guidelines and monitor prescribing of Specialist only/ initiated medicines (SO/SI). Support prescribers in the use of the formulary tools and local recommendations. Provide education and training to the PCN on therapeutics and medicines optimisation, where appropriate. Provide support to the practices to ensure compliance to CQC standards where medicines are involved

Job descriptionJob responsibilities Medicine reviews: Conduct telephone, face-to-face, virtual and domiciliary (where appropriate) clinical medication reviews to proactively manage patients including those with complex polypharmacy Review the on-going need for each medication, ensuring monitoring needs are performed and an opportunity to support patients achieve better health outcomes Reduce inappropriate poly-pharmacy and wasteful prescribing. Make appropriate recommendations Repeat prescribing: Advise and implement a practice 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. Medicine information to practice staff and patients: Answers relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes Medicine Management including Risk stratification: Ensure Drug monitoring robust systems are in place for drug monitoring at each practice , streamlining these where possible. Develop and implement ways to improve monitoring of high-risk medication such as anticoagulants, anticonvulsants, and DMARDs, etc Monitor practice prescribing against local guidelines and formulary recommendations Identification of cohorts of patients at high risk of harm from medicines through pre-prepared practice computer searches Develop prescribing guidelines for use within the Primary Care Network Help increase uptake of Electronic Repeat Dispensing where required Telephone medicines support: Provide telephone support for patients with questions, queries and concerns about their medicines. Patient facing medicines support: Provide patient facing and/or virtual appointments or clinics for those with questions, queries and concerns about their medicines in the practice Management of common/minor/self-limiting ailments: Managing patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate, Unplanned hospital admissions: Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups. Management of medicines on 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). 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. Medicines safety & quality improvement: Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance. Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team. Implementation of local and national guidelines and formulary recommendations: Monitor practice prescribing against the local health economy's RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system. Auditing practices compliance against NICE technology assessment guidance. 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. For patients with long-term condition 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 GPs for medicine improvement. See (where appropriate either face to face or using video consultation) patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma). In conjunction with the CCG Medicines Optimisation Pharmacy team undertake clinical medication reviews with patients in Care Homes 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. Undertake clinical medication reviews with housebound patients and those requiring domiciliary visits. Produce recommendations for nurses and GPs on prescribing and monitoring. Attend and refer patients to multidisciplinary case conferences. Education and Training: Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Care Quality Commission: Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved. Public health: To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public

Primary Duties and Areas of Responsibility See patients with single or multiple medical problems where medicine optimisation is required (e.g. COPD, asthma). Review the on-going need for each medicine A review of monitoring needs Support patients with their medicines taking ensuring they get the best use of their medicines (i.e. medicines optimisation). Manage own case load and run long-term condition clinics Make appropriate recommendations to GPs for medicine improvement. Undertake clinical medication reviews with patients and implement own prescribing changes and order relevant monitoring tests Provide patient facing clinics for those with questions, queries and concerns about their medicines in the practice. Answers all 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 Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to highrisk patient groups. 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 highrisk groups of patients (e.g. those with medicine compliance aids or those in care homes). 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 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. Identification of 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 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). Analyse, interpret and present medicines data to highlight issues and risks to support decision-making Undertake clinical audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team Monitor and report on prescribing spend against budget according to the latest available data Analyse variations to expected expenditure and design and implement interventions to correct any negative variation (over spend) To ensure that there is a clear plan to control prescribing spend Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance. Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages. Provide education and training to primary healthcare team on therapeutics and medicines optimisation Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public.

If you would like to find out more information about this role, please see the attached job specification.

Job purpose/summary: The post holder is a pharmacist, who acts within their professional boundaries, supporting and working alongside a team of pharmacists in general practice. In this role they will be supported by a senior clinical pharmacist who will develop, manage and mentor them. The post holder will work as part of a multi-disciplinary team in a patient-facing role. The post holder will take responsibility for areas of chronic disease management within the practice and undertake clinical medication reviews to proactively manage patients with complex polypharmacy. The post holder will provide primary support to general practice staff with regards to prescription and medication queries. They will help support the repeat prescription system, deal with acute prescription requests, and medicines reconciliation on transfer of care and systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patient in the GP practice (s). The post holder will provide clinical leadership on medicines optimisation and quality improvement and manage some aspects of the quality and outcomes framework and enhanced services. The post holder 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. The role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service within general practice. The post holder holds a non-medical prescribing qualification. Main Roles & Responsibilities 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). 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 GPs for medicine improvement. Structured Medication Review. Undertake clinical medication reviews with patients face to face or virtually and produce recommendations for nurses and/or GP on prescribing and monitoring. Management of common/minor/self-limiting ailments. Managing caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriate. 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 a telephone help line for patients with questions, queries and concerns about their medicines. Medicine information to practice staff and patients. Answers relevant medicine-related enquiries from GPs, other practice staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes. Unplanned hospital admissions. Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audit and individual patient reviews. Put in place changes to reduce the prescribing of these medicines to highrisk patient groups. 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 highrisk groups of patients (e.g. those with medicine compliance aids or those in care homes). 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. Repeat prescribing. Manage and support the repeat prescribing process by reviewing patient requests for repeat prescriptions, prescribing and reviewing medicines reaching review dates and flagging up those needing a review. Ensure patients have appropriate monitoring tests in place when required. Risk stratification. Identification of 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 (e.g. Enhanced access to care homes ,advice on treatment pathways and patient information leaflets). 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 in areas directed by the GPs, feedback the 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 formulary recommendations. Monitor practice prescribing against the local health economys RAG list and make recommendations to GPs for medicines that should be prescribed by hospital doctors (red drugs) or subject to shared care (amber drugs). Assist practices in seeing and maintaining a practice formulary that is hosted on the practices computer system. Auditing practices compliance against NICE technology assessment guidance. Provide newsletters or bulletins on important prescribing messages. Education and Training Provide education and training to primary healthcare team on therapeutics and medicines optimisation. Care Quality Commission Work with the general practice team to ensure the practice is compliant with CQC standards where medicines are involved. Public health To support public health campaigns. To provide specialist knowledge on all public health programmes available to the general public. Collaborative Working Relationships Recognises the roles of other colleagues within the organisation and their role to patient care Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. CCGs) Demonstrates ability to work as a member of a team Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary Actively work toward developing and maintaining effective working relationships both within and outside the practice and locality Foster and maintain strong links with all services across locality Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships Demonstrates ability to integrate general practice with community and hospital pharmacy teams Liaises with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit Liaises with CCG pharmacists and Heads of Medicines Management/ Optimisation to benefit from peer support Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to: o Patients o GPs, nurses and other practice staff o Other healthcare professionals including CCG pharmacists, pharmacy technicians, optometrists, dentists, health and social care teams and dieticians etc. o Locality / GP prescribing lead o Locality managers o Community nurses and other allied health professionals o Community and hospital pharmacy teams o Hospital staff with responsibilities for prescribing and medicines optimisation

The post holder is a pharmacist, who acts within their professional boundaries, supporting and working alongside a team of pharmacists in general practice. In this role they will be supported by a clinical director who will develop, manage and mentor them. The post holder will work as part of a multi-disciplinary team in a patient-facing role. The post holder will take responsibility for areas of chronic disease management within the practice and undertake clinical medication reviews to proactively manage patients with complex polypharmacy.

Clinical Specialist Nurse requires post holder to be part of the clinical leadership team. Care co-ordinate caseload. Provide support and supervision within the team. Provide SCM training. Please refer to the attached job description and person specification for further detailed information to ensure that you meet the role criteria before applying.

The successful applicant will be a hold a recognised registration with considerable community experience to help lead the service through community transformation, additionally you would be responsible for the clinical supervision of Senior Community Mental Health Nurses within the team. A thorough understanding of the Mental Health Act, Mental Capacity Act and Human Rights Act will be essential to the role as these will provide the framework for all consideration. Please refer to the attached job description and person specification for further detailed information to ensure that you meet the role criteria before applying. Additional contact details: Jessica Flanagan Advanced Nurse Practitioner 0191 527 5050 jessicaflanagan@nhs.net