ICP Pharmacist Clinical Leads Role description Numbering 17 in total each Pharmacist Clinical Lead will agree a workplan and objectives with the Integrated Care Regional GP Clinical Lead and Local Pharmacy Co-ordinator and regularly report to them on progress against objectives. OBJECTIVES To ensure that patients and clients within the ICP area receive the highest standard of care possible within the available resources. To ensure that services provided are safe, evidence based and as cost effective and efficient as possible in meeting patient & client need To work with Integrated Care to ensure that emerging needs of the ICP community are identified, prioritised and addressed effectively with particular focus on the priorities of frail elderly, respiratory conditions, diabetes and end of life care in these conditions (FREDS). To engage and work with local service providers across primary and secondary care in co-ordinating the service response to the strategic commissioning of pharmaceutical services as set out by Integrated Care. Clinical engagement o Internal The Pharmacist Clinical Lead will liaise with pharmacy and GMS contractors to review pharmacy and medicines management activities to identify areas of service improvement and review initiatives as they are applied with particular regard to Risk Stratification, Information Sharing, Care Planning and Evaluation (RICE). o External Link in with clinical engagement groups with Trusts and other groups to contribute to pathway redesign. Also develop effective linkages with Trust Heads of Pharmacy to facilitate better coordination of information flows between primary and secondary care which would support, for example, improved medicines reconciliation and thereby reduce risk of readmission and improve patient flow. Outcome: establish intersectoral discussions between clinicians and managers to agree local implementation of commissioning directions. Medicines Management o Identify and implement improvements for medicines management across primary care to include extension of prescription interventions; development of medication review to respond to care pathway redesign; support the development of targeted non-medical prescribing in line with strategic direction o Identify and address compliance support arrangements in line with Board direction providing support to compliance support pilots and roll-out e.g. through the development of training arrangements for domiciliary care as opposed to provision of MDS; educate/redirect patients/carers regarding compliance support measures. Outcome: Reduction in multiple dispensing; improved compliance support arrangements; improved utilisation of medicines with better outcomes for patients; development of Medicines review services; reduction in costs and waste of medicines. Medicines Governance o Support HSCB in ensuring that patient safety and good governance arrangements underpin the delivery of all services, o Work with HSCB staff and practitioners to encourage adverse incident reporting and uptake of learning by practitioners. Outcome: Increased reporting of adverse incidents and implementation of safer medicines systems and practices thereby improving medicines safety and reducing admissions. Pharmaceutical Public Health o Support delivery of local commissioning of enhanced pharmaceutical services which would include support for needs assessment; consideration of service delivery; and performance management Outcome: pharmaceutical health improvement activities strategically aligned and delivering against Joint Commissioning Plan. Prescribing o Contribute to the review medicines management activity (including prescribing) across ICPs to support the delivery of pharmaceutical efficiency programmes. Outcome: Contribute to delivery of agreed efficiency targets in 13/14 and maintain existing efficiencies from previous activity. Working arrangements 1 Pharmacy Clinical Lead per ICP. Sessional, ‘as and when required’ until 31 March 2016 in the first instance, to max of 0.1wte (equivalent to 4 sessions /month) Remuneration Equivalent to AfC mid-point Band 8d/4 hour session