Description
The Enhanced Access Clinical Pharmacist provides safe, evidence-based and patient-centred clinical care within a multidisciplinary primary care service.
The role provides episodic care rather than continuity of care, assessing and managing patients based on their presenting need. This includes medication reviews, medicines-related queries, acute conditions and prescribing where appropriate. The post holder will ensure accurate documentation, safety-netting and clear handover to the patient's registered practice where ongoing care is required.
Independent Prescribing qualification is desirable.
Main duties of the job
- Episodic care rather than continuity of care the pharmacist manages the patient's presenting clinical need during the Enhanced Access consultation.
- Safe prescribing prescribing decisions must be based on sufficient clinical information and remain within the pharmacist's competence and the scope of the service.
- Clear ownership where ongoing monitoring, treatment or review is required, responsibility must be clearly transferred to the patient's registered practice or appropriate clinician.
- Effective clinical handover every consultation requiring further action must leave an accurate and actionable clinical record.
- Safety-netting patients must understand what to do if their condition does not improve, deteriorates or new symptoms develop.
- Appropriate escalation pharmacists must recognise when a patient requires GP, specialist, urgent or emergency care.
- No inappropriate creation of continuity the pharmacist should not inadvertently become responsible for ongoing management of a patient where this sits outside the Enhanced Access service model.
- Patient-centred care despite the episodic nature of the service, every patient should receive a safe, respectful and clinically appropriate consultation.
- Prescribing in accordance with the NWL prescribing formulary and NICE guidance.
Job responsibilities
- Conduct face-to-face, telephone and remote clinical consultations.
- Assess and manage acute, minor and common conditions within scope of practice.
- Undertake medication reviews, medicines reconciliation and medicines optimisation.
- Process appropriate acute and repeat prescription requests in line with service protocols.
- Provide evidence-based medicines advice and support antimicrobial stewardship.
- Prescribe within competence and service protocols; independent prescribing is desirable.
- Identify red flags, safeguarding concerns and patients requiring escalation or onward referral.
- Provide clear safety-netting and ensure appropriate follow-up arrangements.
- Maintain accurate, contemporaneous clinical records and communicate relevant information to the patient's registered practice.
- Work collaboratively with GPs, nurses, HCAs, physiotherapists, pharmacists and other healthcare professionals
- Contribute to clinical governance, audit, quality improvement and medicines safety
- Maintain professional registration, competence and CPD in accordance with GPhC requirements.
Person Specification
Qualifications
- Full registration with the General Pharmaceutical Council (GPhC) with no restrictions on practice.
- Appropriate primary care/community pharmacy experience.
- Up to date with mandatory training.
- Appropriate professional indemnity insurance in place
- Current enhanced DBS clearance as required for the role.
Experience
- Proven experience delivering high-quality NHS primary care pharmacy consultations.
- Experience undertaking medication reviews and medicines optimisation.
- Proficiency with SystmOne and relevant clinical systems, including ICE where required.
- Strong clinical, consultation, communication and time-management skills.
- Ability to work autonomously and prioritise workload under pressure.
- Ability to work effectively as part of a multidisciplinary team.