Clinical Pharmacist - Independent Prescriber (IP)

Job summary

The post holder will provide primary support to general practice staff with regard to prescription and medicines management at different sites. They will help support the repeat prescription system, deal with acute prescription requests, and medicines reconciliation on the transfer of care and systems for safer prescribing, providing expertise in clinical medicines advice while addressing both public and social care needs of patients in the GP practice (s). They will deliver an efficient, cost-effective, and high-quality clinical service by providing clinical and professional development to the clinical workforce within KandW Healthcare and member practices.The role is pivotal to improving the quality of care and operational efficiencies so require motivation and passion to deliver excellent service within general practice.

Main duties of the job

Demonstrate a significant reduction in the amount of GP time spent (especially locum GP time) by seeing patients in appointment slots for clinical medication reviews, and responding to urgent medication requests and queries. Complex patients or those with additional needs may require longer appointment slots.Review the ongoing need for each medicine, a review of monitoring needs, and an opportunity to support patients with their medicines.Managing minor ailments triageContribute to multidisciplinary reviews about medication-related issuesReconcile medicines following hospital dischargeTargeted medication reviews particularly in high-risk patientsMedication reviewsSignpost patients to other services or sources of information in addition to medication information when necessary in order to improve the general health and well-being of patients.Review the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audits and individual patient reviews.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 medicine supply to high-risk groups of patients (e.g. those with medicine compliance aids or those in care homes).

About us

KandW Healthcare''s primary objective is to support GP Practices and services across the Brent localities of Kingsbury, Willesden and Wembley. Our aim is to develop quality primary care for patients within Brent and strive for continuous improvement in the delivery of primary healthcare services across our GP practices.KandW Healthcare is a GP-led organisation made up of 27 GP practices serving a registered population of over 220,000 patients. We are committed to improving the care provided to patients, reducing health inequalities and raising the quality and standards of GP practices.You can find out more about our governing body, member practices and how we work with Brent Integrated Care Partnership to provide better outcomes for our patients by clicking the button below.

Details

Date posted: 12 September 2025Pay scheme: OtherSalary: £25 to £28 an hourContract: PermanentWorking pattern: Full-timeReference number: U0125-25-0004Job locations: 22 Fryent Way, Kingsbury, London NW9 9SB; Medical Centre, High Road, London NW10 2PTJob description and responsibilities

Clinical reviews/inputDemonstrate a significant reduction in the amount of GP time spent (especially locum GP time) by seeing patients in appointment slots for clinical medication reviews, and responding to urgent medication requests and queries. Complex patients or those with additional needs may require longer appointment slots.Review the ongoing need for each medicine, a review of monitoring needs, and an opportunity to support patients with their medicines. Ensuring they get the best use of their medicinesMinor ailments triage: Managing caseload of patients with common /minor/self-limiting ailments requesting GP appointments and triaging patients appropriately.Provide patient-facing clinics for those patients with questions, queries, and concerns about their medication in order to improve medication adherence.Minor ailments appointment slots as appropriateContribute to multidisciplinary reviews about medication-related issuesReconcile medicines following hospital dischargeReview daily pathology results for selected patients on known medicinesTargeted medication reviews particularly in high-risk patients (frail elderly, poly-pharmacy, renal and hepatic impairment, high-risk medicines, etc.)Undertake clinical medication reviews with patients and produce recommendations for the nurses and GPs on prescribing.Administer influenza and travel vaccinesSupport practices with the management of patients with drug dependence and alcohol-related disorders.Signpost patients to other services or sources of information in addition to medication information when necessary in order to improve the general health and well-being of patients.Make appropriate recommendations to the senior clinical pharmacist or GPs for medical improvement.Unplanned admissions and dischargeReview the use of medicines most commonly associated with unplanned hospital admissions and readmissions through audits and individual patient reviews.Put in place changes to reduce the prescribing of these medicines to high-risk patient groups.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 medicine supply to high-risk groups of patients (e.g. those with medicine compliance aids or those in care homes).

Medicines optimisation

Assist with QOF targets, especially with the management of long-term conditions: Asthma, COPD, diabetes, hypertension, and heart failure — seeing these patients where their long-term condition needs to be reviewed or where dose optimizations and monitoring are required as per guidelines.Undertake training/certification in health assessments, history taking, and physical examination. Commit to starting an independent prescribing course within 6 months of the probationary period endingReduce inappropriate poly-pharmacy.Address medicines adherence with patients and provide follow-up phone calls to check progress.

Audits and Risk Stratification

Increase quality and safety of prescribing through regular KandW audits and practice-specific auditsImplement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safetyImplementing medication-related NICE guidelinesIdentification of cohorts of patients at high risk of harm from medicines through practice computer searches.Repeat prescribing processLink with the community and hospital pharmacies about discharges and repeat prescribing queries.Improve the repeat prescribing process within KandW practices by working extensively with dispensing community pharmacies. Communicating with them more effectively about medication queriesImplement and manage the repeat dispensing process.Manage the repeat prescribing reauthorization process by reviewing requests for repeat prescriptions and medicines reaching review datesSyncing patient\''s medication to reduce wastage, DMD corrections to facilitate EPSHelp improve the processes for monitoring and prescribing high-risk drugs (especially warfarin and methotrexate)Ensure all practices have a repeat prescribing policy and all staff are aware and are adhering to it.

Medicines Optimisation Systems

Improve the quality, safety, and cost-effectiveness of prescribing by liaising with GPs and/or other non-medical prescribers to action MM recommendationsBe a source of medicines information for all of the KandW practice teams and patients (e.g. around doses, side effects, adverse events, possible alternatives e.g. around stocks)Working with GPs to ensure medicines management audits, prescribing recommendations and targets are up-to-date.Provide newsletters or bulletins on important prescribing messagesLiaising with other pharmacy teams including the CCG medicines management team to obtain practice-specific prescribing data and information on other local prescribing initiatives guidance.Encourage practices to work in line with the NWL integrated formulary.Encourage regular locums to work in line with locally agreed guidance.Empower other K and W Healthcare staff to contribute to good quality medicines management for member practices and care homes.Work with the general practice team to ensure that the practice is compliant with CQC standards where medicines are involved.Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long-term condition reviews, etc.

Public Health

To support public health campaignsTo provide specialist knowledge on all public health programs available to general practiceMaintaining an open door policy throughout the day unless consulting with a patient. KandW and practice personnel can contact the clinical pharmacist for any medication advice and urgent issues that they feel are appropriate.Practice sessions will be set up on an agreed day(s) of the week. Admin and GPs can directly book in patients and telephone consults. GPs can also directly book patients requiring pharmacist interventions into sessions.An overview (brief) will be developed about the clinical pharmacist role and the appropriate types of patients that can be booked into sessions.

Other duties

Assist with the implementation of the various local and national frameworks and strategies which aim to improve the quality and provision of care to patientsWork in conjunction with other professionals to ensure clinical, management, and administration teams are working in partnership to provide the provision of patient-centered care.Participate in the development and implementation of systems for use by colleagues.Contribute to the development and implementation of clinical pathways to ensure a streamlined service is delivered.Contribute to new initiatives and ways of working to deliver the core services, maximizing the potential to effectively provide a high-quality service.Be responsible for personal and professional practice and development, ensuring registration with the relevant regulatory bodies and compliance with the code of professional conduct at all times.Regularly reflect on clinical practice to ensure a satisfactory training standard is maintained.Advise patients within the limits of their competence, recognizing when to seek help. When they are not able to advise the patient in a safe and skilled manner, or when necessary, the post-holder will ask advice from a more experienced colleague or duty doctor, or clinical service lead.Assist with the education of callers in the correct use of the service and other health-related organisations.

Qualifications

EssentialExperience in a PCN settingExperience in EMISExperienceExperience working within a MDT

Registration and Compliance

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: KandW Healthcare LtdAddress: 22 Fryent Way, Kingsbury, London NW9 9SBEmployer''s website: kwhealthcare.org.uk (Opens in a new ..... full job details .....