Clinical Pharmacist (Independent Prescriber) Frailty


Company:	NHS Jobs
Salary:	from £55,000 a year
Hours:	Full-time
Location:	Potters Bar, EN6 1QH
Job type:	Contract
Posting date:	13 Nov 2026
Closing date:	30 Nov 2026

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Summary

Clinical Practice Undertake comprehensive, patient-centred clinical assessments for patients identified through the PAC service. Provide expert pharmaceutical advice for patients with frailty, multiple long-term conditions and complex medication regimes. Undertake structured medication reviews in line with national medicines optimisation guidance. Assess and manage medication-related risks associated with frailty, falls, cognitive impairment, hospital admission and care home placement. Develop, implement and monitor medicines optimisation plans. Identify inappropriate polypharmacy and opportunities for deprescribing. Support medicines-related elements of anticipatory care plans, personalised care and support plans and treatment escalation plans. Escalate clinical concerns appropriately and contribute to safeguarding processes where required. Independent Prescribing The postholder must hold a recognised Independent Prescribing qualification and will: Assess, diagnose and manage patients within their professional scope of practice. Prescribe safely, appropriately and cost-effectively in accordance with local and national guidance. Initiate, amend, optimise and discontinue medicines where clinically indicated. Prescribe proactively to support admission avoidance and stabilisation of long-term conditions. Monitor treatment effectiveness, therapeutic response and adverse effects. Support implementation of anticipatory care plans and agreed treatment pathways. Maintain appropriate prescribing records and documentation. Participate in prescribing audit, governance and quality assurance processes. Medicines Optimisation Deliver high-quality medicines optimisation interventions for patients enrolled within PAC. Reduce medicines-related harm through proactive review and intervention. Promote evidence-based and cost-effective prescribing. Support patients to improve adherence, understanding and confidence in managing their medicines. Optimise prescribing for frailty, cardiovascular disease, respiratory disease, diabetes and other long-term conditions. Support safe and effective transfer of care following hospital discharge. Contribute to reduction in unnecessary prescribing and medicines waste. MDT Working Participate fully in PAC multidisciplinary team meetings. Provide specialist medicines expertise to support clinical decision-making. Contribute to development of holistic, person-centred care plans. Work collaboratively with GPs, Advanced Practitioners, Community Nurses, Allied Health Professionals, Social Prescribers, Care Coordinators and Social Care colleagues. Support identification and proactive management of high-risk patients through MDT case discussions. Liaison with General Practice and Pharmacy Teams Build and maintain effective working relationships with member practices across the neighbourhood. Work collaboratively with Practice Pharmacists, Pharmacy Technicians and Primary Care Network Pharmacy Teams. Provide specialist support and advice regarding complex medicines optimisation issues. Facilitate seamless communication between PAC services and practice-based pharmacy teams. Support consistency of prescribing approaches across participating practices. Share learning, prescribing intelligence and medicines optimisation opportunities across the neighbourhood. Participate in clinical audits, service improvement projects and educational initiatives with general practice pharmacy teams. Liaise with Community Pharmacists, Secondary Care Pharmacy Teams and wider medicines optimisation services to support continuity of care. Population Health Management and Proactive Care Support risk stratification and case-finding processes. Identify cohorts of patients who may benefit from proactive medicines optimisation interventions. Review prescribing data to identify patients at risk of medication-related harm or deterioration. Support the reduction of health inequalities through targeted interventions. Contribute to admission avoidance pathways and proactive neighbourhood care models. Use clinical and prescribing intelligence to support service planning and delivery. Quality Improvement, Audit and Governance Participate in clinical audit, service evaluation and quality improvement programmes. Support collection and reporting of service activity and outcomes. Contribute to development of clinical pathways, protocols and standard operating procedures. Maintain professional standards in accordance with General Pharmaceutical Council (GPhC) requirements. Adhere to all information governance, clinical governance and safeguarding requirements. Contribute to the ongoing development and evaluation of the PAC service.

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