Key Duties and Responsibilities Medicines Optimisation
- Support the implementation of medicines optimisation initiatives across the practice.
- Undertake structured medication reviews within competency where appropriate.
- Assist with medication synchronisation.
- Promote cost-effective prescribing in accordance with local formularies.
- Identify opportunities to reduce medicines waste.
- Support deprescribing initiatives where clinically appropriate.
- Monitor prescribing against local and national prescribing indicators.
- Assist with implementation of NICE guidance relating to medicines management.
- Promote evidence-based prescribing.
Medicines Reconciliation
- Complete medicines reconciliation following:
- Hospital discharge
- Outpatient appointments
- Community services
- Care home admissions
- Mental health services
- Review discharge summaries.
- Identify discrepancies between secondary and primary care records.
- Escalate clinical queries appropriately.
- Ensure medication records remain accurate and up to date.
- Code medication changes where appropriate.
- Communicate with patients where clarification is required.
Prescription Management
- Process prescription requests in accordance with practice protocols.
- Review repeat medication requests.
- Identify medications due for clinical review.
- Identify inappropriate early or excessive requests.
- Escalate concerns regarding misuse or dependency.
- Support repeat prescribing systems.
- Review acute medication requests where appropriate.
- Remove expired medications from repeat templates following clinical authorisation.
- Ensure prescribing records remain accurate.
Clinical Safety
Identify and escalate:
- High-risk medicines.
- Monitoring requirements.
- Drug interactions.
- Duplicate therapies.
- Contraindications.
- Allergies.
- Medicines requiring blood monitoring.
- Shared care medicines.
- Controlled Drug concerns.
- Hospital prescribing discrepancies.
Support clinical governance activities relating to medicines safety.
Patient Support
- Respond to medicines-related patient enquiries.
- Explain changes made to medication.
- Promote adherence.
- Provide lifestyle and self-care advice where appropriate.
- Signpost patients to relevant healthcare professionals.
- Support patients to understand medication reviews.
- Assist vulnerable patients with medicines queries.
Medicines Monitoring
Support practices in monitoring patients prescribed:
- DMARDs
- DOACs
- Lithium
- Methotrexate
- Amiodarone
- ACE inhibitors
- ARBs
- Diuretics
- High-risk NSAIDs
- Controlled Drugs
Identify overdue monitoring and ensure appropriate clinical follow-up.
Clinical Systems
Work confidently across:
- EMIS Web
- SystmOne
- Docman
- Accurx
- NHS Spine
- Electronic Prescription Service (EPS)
Maintain accurate electronic patient records.
Ensure all prescribing actions are appropriately documented.
Medicines Safety Audits
Participate in:
- Prescribing audits
- Controlled Drug audits
- Medicines optimisation audits
- CQC evidence collection
- National prescribing incentive schemes
- Local Enhanced Services
- Quality Improvement projects
Assist with implementation of audit recommendations.
Communication
Work collaboratively with:
- GPs
- Clinical Pharmacists
- Practice Nurses
- Advanced Clinical Practitioners
- Care Coordinators
- Social Prescribers
- Community Pharmacies
- Hospital Pharmacy Teams
- Integrated Care Boards
- PCNs
- Patients and carers
Communicate professionally and compassionately at all times.
Governance and Compliance
Maintain compliance with:
- Human Medicines Regulations 2012
- Medicines Act 1968
- Data Protection Act 2018
- UK GDPR
- NHS England guidance
- NICE guidance
- CQC Fundamental Standards
- GPhC Standards
- Practice prescribing policies
- Clinical governance frameworks
Maintain confidentiality at all times.
General Responsibilities
- Maintain accurate clinical records.
- Participate in multidisciplinary meetings.
- Attend mandatory training.
- Maintain Continuing Professional Development (CPD).
- Participate in annual appraisal.
- Maintain professional registration.
- Support service improvement initiatives.
- Report incidents through the practice reporting system.
- Comply with infection prevention and control policies.
- Promote equality, diversity and inclusion.
- Maintain professional boundaries.
- Undertake any other duties commensurate with the role.
Pay: From £17.00 per hour
Experience:
- General Practice : 2 years (required)
Licence/Certification:
- NHS email account (required)
- NHS smartcard (required)
Work Location: Remote
