PCN Pharmacist Independent Prescriber

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 admission 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 of common/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 sta 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 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.