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PCN Independent Prescriber

NHS
London
2 weeks ago
Applications closed

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Job Summary

We are seeking a PCN pharmacist with previous experience of working in primary care to develop and manage Medicines Optimisation services within general practice. You will be working with a very supportive large pharmacy team of 40 pharmacists and 5 Pharmacy Technicians. The post holder will work as part of a multi- disciplinary team in a patient-facing role. They will take responsibility for areas of chronic disease management within practices and undertake clinical medication reviews to proactively manage patients with complex polypharmacy.

Job Summary

We are seeking a PCN pharmacist with previous experience of working in primary care to develop and manage Medicines Optimisation services within general practice. You will be working with a very supportive large pharmacy team of 40 pharmacists and 5 Pharmacy Technicians. The post holder will work as part of a multi- disciplinary team in a patient-facing role. They will take responsibility for areas of chronic disease management within practices 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 prescriptions and medication queries. They will help support the repeat prescribing system, medicines reconciliation, and support systems for safer prescribing. They will be expected to provide expertise in clinical medicines advice while addressing both public and social care needs of patients.

The post holder will provide clinical leadership on Medicines Optimisation and manage some aspects of the Quality and Outcomes Framework and Enhanced Services. They will ensure that practices integrate with community and hospital pharmacy to facilitate effective communication across different healthcare settings.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.

Main duties of the job

Patient Facing Activities:

Structured Medication reviews

Frail elderly patient with problematic Polypharmacy, renal and/ or hepatic impairment

Patients on high risk medicines

STOPP/START identified patients

Revolving door Hospital admissions

LTC: Diabetes, Hypertension, Asthma, COPD

contraception

Learning Disability reviews

Rheumatoid arthritis reviews

Musculoskeletal pain management, e.g. osteoarthritis

Ongoing care of defined conditions, e.g. eczema, psoriasis, irritable bowel syndrome IBS

Contribute to multimorbidity reviews and multidisciplinary reviews

Management ofcommon/minor/self- limiting ailments

Managing caseload for 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

Repeat Prescribing :

Produce and implement robust systems for repeat prescribing

Support the management of repeat prescribing reauthorization process by reviewing complex patient requests for repeat prescriptions and reviewing medicines overdue a review

Coordinate with patients and community pharmacies as appropriate

About Us

Islington GP Federation (IGPF) is a growing organisation representing 31 practices; we have established ourselves as a leader in new ways of working, including running Islingtons extended access primary care services (I: HUB) as well as supporting the Islington Primary Care Networks (PCNs). Our current range of services include the Extended Access Service, I: HUB, Community Ear, Nose and Throat (ENT), Integrated Community Gynaecology, practice-based pharmacists and a range of practice support mechanisms.

IGPF works very closely with a range of partners including the regional commissioning group, NHS England, Healthy London Partnership, Public Health, local hospitals such as UCLH,Whittington Health and the London Borough of Islington.

IGPF is the host organisation for the Primary Care Network (PCN) workforce and the Islington Training Hub and has been working for over three years to create training and development programmes that meet the needs of staff working in primary and community care settings.

IGPF runs four Islington GP Practices-Northern Medical Practice, Barnsbury Medical Practice, City Road Medical Centre and Hanley Primary Care Centre

Details

Date posted

01 July 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

E0031-25-0031

Job locations

Unit 16-18

The Studios, Hornsey Street

Holloway

London

N7 8EG

Job Description

Job responsibilities

Islington GP Federation is looking to recruit clinical pharmacists to support patient care in Primary Care Networks in line with the new Network Contract Directed Enhanced Service (DES) Specification.

We are seeking a PCN pharmacist with previous experience of working in primary care to develop and manage Medicines Optimisation services within general practice. You will be working with a very supportive large pharmacy team of 40 pharmacists and 5 Pharmacy Technicians. The post holder will work as part of a multi- disciplinary team in a patient-facing role. They will take responsibility for areas of chronic disease management within practices 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 prescriptions and medication queries. They will help support the repeat prescribing system, medicines reconciliation, and support systems for safer prescribing. They will be expected to provide expertise in clinical medicines advice while addressing both public and social care needs of patients.

The post holder will provide clinical leadership on Medicines Optimisation and manage some aspects of the Quality and Outcomes Framework and Enhanced Services. They will ensure that practices integrate with community and hospital pharmacy to facilitate effective communication across different healthcare settings.

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 will be supported to complete the Primary care pharmacy education pathway with CPPE and develop their role to become a non-medical prescriber.

Patient facing activities

Structured Medication reviews

Frail elderly patient with problematic Polypharmacy, renal and/ or hepatic impairment

Patients on high risk medicines

STOPP/START identified patients

Revolving door Hospital admissions

LTC: Diabetes, Hypertension, Asthma, COPD

contraception

Learning Disability reviews

Rheumatoid arthritis reviews

Musculoskeletal pain management, e.g. osteoarthritis

Ongoing care of defined conditions, e.g. eczema, psoriasis, irritable bowel syndrome IBS

Contribute to multimorbidity reviews and multidisciplinary reviews

Management ofcommon/minor/self- limiting ailments

Managing caseload for 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

Repeat prescribing

Produce and implement robust systems for repeat prescribing

Support the management of repeat prescribing reauthorization process by reviewing complex patient requests for repeat prescriptions and reviewing medicines overdue a review

Coordinate with patients and community pharmacies as appropriate

Management of medicines at discharge from hospital

To reconcile medicines following discharge from hospitals, intermediate care and into care homes

Perform a clinical medication review, produce a post discharge medicines care plan including dose titration and booking of follow up tests and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge

Risk Management and Patient Safety

Responsible for high risk drug monitoring

Responsible for design, development, and implementation of system searches to identify cohorts of patients at high risk of harm from medicines.

Increase quality and safety of prescribing through mechanisms such as audit and PDSA cycles

Implement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safety

Medicine information to practice staff and patients

Deal will all medication queries from

From patients, community pharmacy, secondary care

From admin staff

From clinicians

Act as a source of medicines information for the practice team and patients e.g. around doses, side effects, adverse events, possible alternatives for out of stocks

Care Quality Commission

Provide leadership to the general practice teams to ensure practices are compliant with CQC standards where medicines are involved.

Undertake risk assessment and management and ensure compliance with medicines legislation.

Public health

To contribute to public health campaigns, including u vaccinations, and adult immunisation programmes

Cost saving programs

Promote evidence based, cost effective prescribing

Lead on compliance with medicines formulary

Training

Provide education and training to primary healthcare team on procedures around medicines as appropriate

Medicines quality improvement

Identify medicine-related areas of care including using software tools to improve patient safety and use of medicines.

Conduct medicine-related audits, significant event audit and complaint review.

Contribute to medicine-related complaint response letters as appropriate

Lead on use of TARGET toolkit for antimicrobial stewardship.

Lead on stopping over-medication of people with a learning disability, autism, or both STOMP and people with dementia.

Medicines safety

Identify national and local policy and guidance that affects patient safety using medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials.

Manage the process of implementing changes to medicines and guidance for practitioners.

Behavioural Competencies And Skills For The Role:

Expert Professional Practice

Demonstrates general pharmaceutical skills and knowledge in core areas

Demonstrates accountability for delivering professional expertise and direct service provision as an individual

Demonstrates ability to use skills in a range of routine situations requiring analysis or comparison of a range of options

Recognises priorities when problem-solving and identifies deviations from the normal pattern and can refer to seniors or GPs when appropriate

Can follow legal, ethical, professional, and organisational policies/procedures and codes of conduct

Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidance

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

Can recognise personal limitations and refer to more appropriate colleague(s) when necessary

Liaises with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit

Liaises with other GP Practices and staff as needed for the collective benefit of patients

Leadership

Demonstrates understanding of the pharmacy role in governance and can implement this appropriately within the workplace

Demonstrates understanding of, and contributes to, the workplace vision

Demonstrates ability to improve quality within limitations of service

Reviews last years progress and develops clear plans to achieve results within priorities set by others

Demonstrates ability to motivate self to achieve goals

Management

Demonstrates understanding of the implications of national priorities for the team and/or service

Demonstrates understanding of the process for effective resource utilisation

Demonstrates understanding of, and conforms to, relevant standards of practice

Demonstrates ability to identify and resolve risk management issues according to policy/protocol

Follows professional and organisational policies/procedures relating to performance management

Demonstrates ability to extend boundaries of service delivery within the team

Education, Training and Development

Understands and demonstrates the characteristics of a role model to members in the team and/or service

Demonstrates self-development through continuous professional development activity

Participates in the delivery of formal education programmes

Key working relationships

Patients

GP, nurses, and other practice staff

Members of the Medicines Management team including pharmacists, technicians, and dieticians

Locality / GP prescribing leads and clinical directors

Community nurses and other allied health professionals

Community pharmacists and support staff

Hospital staff with responsibilities for prescribing and medicines optimization

Codes of Conduct

Pharmacists must comply with the Code of Professional Conduct set by the General Pharmaceutical Council and Islington GP Federation

Equal Opportunities

Islington GP Federation is committed to an equal opportunities policy that affirms that all staff should be afforded equality of treatment and opportunity in employment irrespective of sexuality, marital status, race, religion/belief, ethnic origin, age, or disability. All staff are required to observe this policy in their behaviour to fellow employees.

Confidentiality

All employees are required to observe the strictest confidence regarding any patient/client information that they may have access to, or accidentally gain knowledge of, in the course of their duties.

Job Description

Job responsibilities

Islington GP Federation is looking to recruit clinical pharmacists to support patient care in Primary Care Networks in line with the new Network Contract Directed Enhanced Service (DES) Specification.

We are seeking a PCN pharmacist with previous experience of working in primary care to develop and manage Medicines Optimisation services within general practice. You will be working with a very supportive large pharmacy team of 40 pharmacists and 5 Pharmacy Technicians. The post holder will work as part of a multi- disciplinary team in a patient-facing role. They will take responsibility for areas of chronic disease management within practices 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 prescriptions and medication queries. They will help support the repeat prescribing system, medicines reconciliation, and support systems for safer prescribing. They will be expected to provide expertise in clinical medicines advice while addressing both public and social care needs of patients.

The post holder will provide clinical leadership on Medicines Optimisation and manage some aspects of the Quality and Outcomes Framework and Enhanced Services. They will ensure that practices integrate with community and hospital pharmacy to facilitate effective communication across different healthcare settings.

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 will be supported to complete the Primary care pharmacy education pathway with CPPE and develop their role to become a non-medical prescriber.

Patient facing activities

Structured Medication reviews

Frail elderly patient with problematic Polypharmacy, renal and/ or hepatic impairment

Patients on high risk medicines

STOPP/START identified patients

Revolving door Hospital admissions

LTC: Diabetes, Hypertension, Asthma, COPD

contraception

Learning Disability reviews

Rheumatoid arthritis reviews

Musculoskeletal pain management, e.g. osteoarthritis

Ongoing care of defined conditions, e.g. eczema, psoriasis, irritable bowel syndrome IBS

Contribute to multimorbidity reviews and multidisciplinary reviews

Management ofcommon/minor/self- limiting ailments

Managing caseload for 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

Repeat prescribing

Produce and implement robust systems for repeat prescribing

Support the management of repeat prescribing reauthorization process by reviewing complex patient requests for repeat prescriptions and reviewing medicines overdue a review

Coordinate with patients and community pharmacies as appropriate

Management of medicines at discharge from hospital

To reconcile medicines following discharge from hospitals, intermediate care and into care homes

Perform a clinical medication review, produce a post discharge medicines care plan including dose titration and booking of follow up tests and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge

Risk Management and Patient Safety

Responsible for high risk drug monitoring

Responsible for design, development, and implementation of system searches to identify cohorts of patients at high risk of harm from medicines.

Increase quality and safety of prescribing through mechanisms such as audit and PDSA cycles

Implement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safety

Medicine information to practice staff and patients

Deal will all medication queries from

From patients, community pharmacy, secondary care

From admin staff

From clinicians

Act as a source of medicines information for the practice team and patients e.g. around doses, side effects, adverse events, possible alternatives for out of stocks

Care Quality Commission

Provide leadership to the general practice teams to ensure practices are compliant with CQC standards where medicines are involved.

Undertake risk assessment and management and ensure compliance with medicines legislation.

Public health

To contribute to public health campaigns, including u vaccinations, and adult immunisation programmes

Cost saving programs

Promote evidence based, cost effective prescribing

Lead on compliance with medicines formulary

Training

Provide education and training to primary healthcare team on procedures around medicines as appropriate

Medicines quality improvement

Identify medicine-related areas of care including using software tools to improve patient safety and use of medicines.

Conduct medicine-related audits, significant event audit and complaint review.

Contribute to medicine-related complaint response letters as appropriate

Lead on use of TARGET toolkit for antimicrobial stewardship.

Lead on stopping over-medication of people with a learning disability, autism, or both STOMP and people with dementia.

Medicines safety

Identify national and local policy and guidance that affects patient safety using medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials.

Manage the process of implementing changes to medicines and guidance for practitioners.

Behavioural Competencies And Skills For The Role:

Expert Professional Practice

Demonstrates general pharmaceutical skills and knowledge in core areas

Demonstrates accountability for delivering professional expertise and direct service provision as an individual

Demonstrates ability to use skills in a range of routine situations requiring analysis or comparison of a range of options

Recognises priorities when problem-solving and identifies deviations from the normal pattern and can refer to seniors or GPs when appropriate

Can follow legal, ethical, professional, and organisational policies/procedures and codes of conduct

Involves patients in decisions about prescribed medicines and supporting adherence as per NICE guidance

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

Can recognise personal limitations and refer to more appropriate colleague(s) when necessary

Liaises with CCG colleagues including CCG Pharmacists on prescribing related matters to ensure consistency of patient care and benefit

Liaises with other GP Practices and staff as needed for the collective benefit of patients

Leadership

Demonstrates understanding of the pharmacy role in governance and can implement this appropriately within the workplace

Demonstrates understanding of, and contributes to, the workplace vision

Demonstrates ability to improve quality within limitations of service

Reviews last years progress and develops clear plans to achieve results within priorities set by others

Demonstrates ability to motivate self to achieve goals

Management

Demonstrates understanding of the implications of national priorities for the team and/or service

Demonstrates understanding of the process for effective resource utilisation

Demonstrates understanding of, and conforms to, relevant standards of practice

Demonstrates ability to identify and resolve risk management issues according to policy/protocol

Follows professional and organisational policies/procedures relating to performance management

Demonstrates ability to extend boundaries of service delivery within the team

Education, Training and Development

Understands and demonstrates the characteristics of a role model to members in the team and/or service

Demonstrates self-development through continuous professional development activity

Participates in the delivery of formal education programmes

Key working relationships

Patients

GP, nurses, and other practice staff

Members of the Medicines Management team including pharmacists, technicians, and dieticians

Locality / GP prescribing leads and clinical directors

Community nurses and other allied health professionals

Community pharmacists and support staff

Hospital staff with responsibilities for prescribing and medicines optimization

Codes of Conduct

Pharmacists must comply with the Code of Professional Conduct set by the General Pharmaceutical Council and Islington GP Federation

Equal Opportunities

Islington GP Federation is committed to an equal opportunities policy that affirms that all staff should be afforded equality of treatment and opportunity in employment irrespective of sexuality, marital status, race, religion/belief, ethnic origin, age, or disability. All staff are required to observe this policy in their behaviour to fellow employees.

Confidentiality

All employees are required to observe the strictest confidence regarding any patient/client information that they may have access to, or accidentally gain knowledge of, in the course of their duties.

Person Specification

Experience

Essential

  • Minimum of 2 years post-qualification experience.
  • In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
  • Basic understanding of General Practice, primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
  • Excellent interpersonal, influencing and negotiating skills
  • Excellent written and verbal communication skills
  • Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients)
  • Demonstrate ability to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
  • Good IT skills
  • Able to obtain and analyse complex technical information
  • Recognises priorities when problem solving and identifies deviations from the normal pattern and can refer to seniors or GPs when appropriate
  • Able to work under pressure and to meet deadlines
  • Work effectively independently and as a team member

Professional Registration

Essential

  • Mandatory registration with General Pharmaceutical Council (GPhC)

Desirable

  • Membership of the Royal Pharmaceutical Society
  • Faculty membership of the Royal Pharmaceutical Society

Qualifications

Essential

  • Masters degree in pharmacy (MPharm) (or equivalent)
  • Specialist knowledge acquired through post- graduate diploma level or equivalent training/experience
  • Independent prescriber or working towards/intent of gaining an independent
  • prescribing qualification

Person Specification

Essential

  • Masters degree in pharmacy (MPharm) (or equivalent)
  • Specialist knowledge acquired through post- graduate diploma level or equivalent training/experience
  • Independent prescriber or working towards/intent of gaining an independent
  • prescribing qualification

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Islington GP Federation

Address

Unit 16-18

The Studios, Hornsey Street

Holloway

London

N7 8EG

Employer's website

https://www.islingtongpfederation.org/ (Opens in a new tab)

Employer details

Employer name

Islington GP Federation

Address

Unit 16-18

The Studios, Hornsey Street

Holloway

London

N7 8EG

Employer's website

https://www.islingtongpfederation.org/ (Opens in a new tab)

LNKD1_UKTJSeniority level

  • Seniority levelEntry level

Employment type

  • Employment typeFull-time

Job function

  • Job functionOther
  • IndustriesPharmaceutical Manufacturing

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