Job description

Job responsibilities

Job Role - may include the following:

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 high-risk groups of patients (e.g., those with medicine compliance aids or those in care homes).

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.

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.

Repeat prescribing

• Produce and implement a 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 to the GP. Monitor and manage patients with polypharmacy.

Telephone and patient facing medicines support

• Provide a telephone help line for patients with questions, queries and concerns about their medicines.
• Hold clinics for patients requiring face-to-face medicines use reviews

Medication review

• Undertake clinical medication reviews with patients and produce recommendations for the GPs on prescribing and monitoring.

Care home medication reviews

• Undertake clinical medication reviews with patients and produce recommendations for the GP on prescribing and monitoring.
• Work with care home staff to improve safety of medicines ordering and administration.
• Domiciliary clinical medication review
• Undertake clinical medication reviews with patients and produce recommendations for the GPs on prescribing and monitoring.

Long-term condition clinics

• See patients with single medical problems where medicine optimisation is required (e.g., COPD, asthma).
• Make recommendations to GPs for medicine improvements.

Service development

• Contribute pharmaceutical advice for the development and
• implementation of new services that have medicinal components (e.g., advise on treatment pathways and patient information leaflets).

Care Quality Commission

• Work with the Federation and Member Practices to ensure compliance 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 flu vaccinations and adult immunisation programmes.

Cost saving programmes

• Undertake changes to medicines (switches) designed to save on medicine costs where a medicine or product with lower acquisition cost is now available.

Medicine information to practice staff and patients

• Answers all medicine-related enquiries from GPs, other practice staff and patients with queries about medicines.

Information management

• Analyse, interpret and present medicines data to highlight issues and risks to support decision making.

Medicines quality improvement

• Undertake simple audits of prescribing in areas directed by the GPs, feedback the results and implement changes in conjunction with the practice team.

Training

• Provide education and training to primary healthcare team on therapeutics and medicines optimisation.
• 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 setting 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.

Medicines safety

• Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.

Person Specification

Experience

Essential

• In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based

Desirable

• An appreciation of the nature of GPs and general practice

Skills

Essential

• Excellent written and verbal communication skills
• Good IT skills
• Able to recognise priorities
• Able to work under pressure and to meet deadlines
• Full Driving License / willingness to travel across patch
• Strong analytical and judgement skills
• Ability to analyse and interpret information and present results in a clear and concise manner
• Experienced working with EMIS Web Medical Record system

Desirable

• Able to effectively influence others to complete agreed actions

Personal Qualities

Essential

• Professional attitude, calm and efficient manner
• Conscientious, hardworking, self- motivated, work with minimal supervision
• Creative and tenacious in finding solutions to difficult problems
• Ability to work with both clinical and administrative staff
• Ability to meet deadlines and work under pressure
• Ability to engage and sustain relationships with all professionals, other organisations and service-users
• Honest, reliable and enthusiastic, has a flexible approach
• Committed to personal development, willingness to undergo further training or development
• Car user and willing to travel between PCN GP practices

Qualifications

Essential

• Pharmacy Degree
• Minimum 2 years post qualification experience in Pharmacy
• Experience of / familiarity with clinical systems such as Emis
• Current GPhC registration

Desirable

• Independent Prescribing

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Bolton GP Federation

Address

Bolton Primary Care Hub

Chorley Street

BOLTON

BL1 4AL

United Kingdom

Employer's website

http://www.boltongpfed.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Key Responsibilities and Duties:

The Care Coordinator will undertake work in line with PCN and directed priorities. The following are the core responsibilities of the role:

Clinical Pharmacy Support

Use clinical system risk stratification tools and Ardens Manger to identify and call/recall patients for the Clinical Pharmacy Team to review. This includes, but is not limited to, patients for:

Structured Medication Reviews

QOF Quality Improvement indicators

QOF Medicines indicators

IIF Medicines indicators

Practice Prescribing Schemes

Audits

Early Cancer Diagnosis

Support the delivery of PCN objectives under the Early Cancer Diagnosis requirements of the PCN DES. This includes but is not limited to:

Attending Cancer Steering Group meetings

Patient follow-up from cancer screening

Cancer care planning

Patient communications

Enhanced Care in Care Homes

You will:

Support the practice team to identify gaps in existing care plans and help produce and annual Personalised Care and Support Plan (PCSP), referring to the patients named GP to complete.

Liaise with care homes to schedule the monthly Clinical Pharmacist visits.

Liaise with care homes to ensure new admissions and patients who have been discharged from hospital, are reviewed at the next Ward Round, and have an updated PCSP.

Cardiovascular Disease Prevention and Diagnosis

Support patient call and recall as directed by the Senior Network Manager.

Health Inequalities

Identify patient cohorts being targeted by the PCN health inequalities steering group, inviting them to participate in agreed interventions.

Learning disabilities care planning.

Supporting patients & Social Prescribing:

Actively sign-post patients to a variety of services including Social Prescribing, making referrals as appropriate.

Utilise population health intelligence to proactively identify a cohort of patients to deliver personalised care.

Information Technology

Write searches to identify target patient cohorts.

Write and update templates and protocols to effectively capture relevant clinical and non-clinical information.

Multi-Disciplinary Team (MDT) Meetings

Prepare agendas for MDT meetings and contact all parties to ensure attendance and to confirm patients to be discussed.

Care Planning

Support the practice objectives (local and PCN-level) to ensure care plans are actively created and updated. This includes for learning disability patients, dementia patients, care home residents and cancer patients.

Identify patients without recent care plans in place and work with their name GP to update these plans.

Ensure that preventative actions are agreed and detailed in care plans to support the reduction of unnecessary hospital admissions.

Investment and Impact Fund (IIF)

Support patient call and recall as directed by the Senior Network Manager.

Ensure the minimum number of patient contacts by aligning multiple tests and reviews.

Support Data Collection:

Ensure timely and accurate collation of data for the PCN

Appropriate management of collected data, ensuring all data is kept and shared in accordance with all relevant governance requirements.

Validate and quality assure incoming data.

Run regular patient searches using clinical systems to have an up-to-date record of progress of achievement of Key Performance Indicators (KPIs).

Case finding to support target achievement and enhancing register prevalence.

PCN Duties

Provide an agreed Care Coordinator service to all PCN practices with duties to be defined by the PCN managers.

Person Specification

Qualifications

Essential

• Good standard of education with excellent literacy and numeracy skills

Desirable

• NVQ Level 3 Business Administration (or relevant experience)

Experience

Essential

• Experience of working in General Practice, the NHS or Social Care
• Understanding of current issues facing the NHS and social care process
• Experience of administrative duties
• Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
• Working in a multi-disciplinary setting where influence and negotiation is required
• Working in a busy and demanding environment whilst delivering in a timely manner

Desirable

• Knowledge/familiarity with medical terminology
• Previous experience in the Care Coordinator role.

Skills

Essential

• Proven record of excellent written skills and verbal communication skills and interpersonal skills
• Evidence of excellent knowledge of Microsoft Office
• Able to work as part of a team
• Excellent motivational and influencing skills
• Able to prioritise and manage own workload and ensuring completion of tasks on time
• Strong analytical and judgement skills
• Ability to analyse and interpret information and present results in a clear and concise manner

Desirable

• Experience working with EMIS Web, Medical record system
• Able to effectively influence others to complete agreed actions

Personal Qualities

Essential

• Professional attitude, calm and efficient manner
• Conscientious, hardworking, self- motivated, work with minimal supervision
• Creative and tenacious in finding solutions to difficult problems
• Ability to work with both clinical and administrative staff
• Ability to meet deadlines and work under pressure
• Ability to engage and sustain relationships with all professionals, other organisations and service-users
• Honest, reliable and enthusiastic, has a flexible approach
• Committed to personal development, willingness to undergo further training or development
• Car user and willing to travel between PCN GP practices

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

Bolton GP Federation

Address

Floor 2, The Hub

Bold Street

Bolton

Lancashire

BL1 1LS

United Kingdom

Employer's website

http://www.boltongpfed.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

• Work within the PCN to provide and monitor care, alongside the wider PCN team, contributing to the delivery of excellent patient care, supporting the existing workforce under direct or indirect supervision
• Improve safety and quality of care at every opportunity
• Undertake additional clinical training as required by the PCN to support the Network Contract/DES Services Specification
• Support registered nurses and the wider team to enable them to focus on the more complex clinical care
• To support with chronic disease clinics and maintaining registers, deliver patient care, referring patients to other members of the PCN or to secondary/specialist care as appropriate. To implement and evaluate individual treatment plans dependant on training and experience
• Provide support to the PCN with regards to their Network Contract DES Services Specification including CVD prevention and tackling health inequalities
• Develop relationships across the PCN to support integration of the role across health and social care: including community care, secondary care, and mental health services
• Provide support and supervision to trainee nursing associates, healthcare assistants, apprentices, and those on learning placements appropriate to level of competence
• Accurately perform and record clinical observations such as blood pressure, temperature, respiration, and pulse rates
• Engage positively with patients/carers/families and staff members promoting mutually respectful and appropriate relationships
• Communicate effectively with patients regarding providing and planning their care and carrying out risk assessment needs as required
• Communicate complex and sensitive information verbally and in writing. Adapt and tailor communication skills to the need of the listener
• To act as patient advocate during practice or PCN meetings, sharing any relevant information confidently and accurately, maintaining patient confidentiality appropriately
• Develop an understanding of MDT structures and members roles
• Support patients to improve and maintain their physical, mental, and behavioural health and well-being
• Provide advice to patients including promoting self -management where appropriate and signposting patients to other PCN colleagues, local community, and voluntary sector services
• Maintain accurate and contemporaneous patient health records
• Skills and training needs to be updated through continuous professional development, attending regular educational updates, via e-learning and face to face sessions as appropriate
• Work in adherence to NMC Code for Nursing Associates, within own level of competence and the protocols and policies of the practices/PCN
• Maintain a good working knowledge of Health and Safety procedures, fire safety and mandatory training as per practice and PCN policies. Participate in policy development and data collection where appropriate
• Work flexibly to meet the needs of the service and patients. Adapt to what may be potentially challenging and changing situations at times
• Willing to undertake other duties deemed appropriate to a Nursing Associate following correct training/guidance and agreed by the post holder and their line manager

Person Specification

Personal Attributes

Essential

• Adaptability and a flexible, positive approach
• Highly dependable
• A common sense, pragmatic approach
• Willingness to undertake further training and learning
• An understanding of the importance of confidentiality
• Ability to take responsibility for own actions
• Ability to share information and good practice appropriately

Qualifications

Essential

• Microsoft Office Qualification or extensive Microsoft Word & Excel experience
• Good standard of education
• Specific qualification and training requirements as specified in the Nursing and Midwifery Council Standards of Proficiency by having undertaken and completed the two year foundation degree, recognised by the Nursing and Midwifery Council.
• Registered with the NMC and revalidation is undertaken in line with NMC requirements.

Experience

Essential

• Understanding on human needs physical, emotional & social
• Proven ability to recognise and manage risk
• Knowledge of the needs of vulnerable adults, safeguarding and the associated legislative framework
• Understanding of basic health and social care terminology
• Good interpersonal skills
• Ability to communicate confidentially with staff of all seniority levels
• Ability to work well across teams
• Good time management and prioritisation skills, ability to work to strict deadlines.
• Ability to work on own initiative without direct supervision, understanding where clinical input is needed, recognising own limitations.
• IT skills and experience using Microsoft packages
• Coordination of services from a variety of organisations.
• Communication and relationship building
• Experience in Health and or Social care
• Experience of developing relationships with a wide variety of people
• Highly organised.

Desirable

• Familiarity with IT systems currently in use in health and social care settings.
• Experience of health and social care assessments
• Demonstrated successful outcomes delivery within determined timeframes

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Bolton GP Federation

Address

Bolton Primary Care Hub

Chorley Street

BOLTON

BL1 4AL

United Kingdom

Employer's website

http://www.boltongpfed.co.uk/ (Opens in a new tab)