8am – arrive in practice – coffee

8-9.30am – Practice meeting once a week – One of the clinicians will present on a given condition, new medication or patient group followed by practice discussion. My turn this week on Asthma Management.

On non – meeting days – Process acute prescription requests and prescribe within my areas of competence. Process Hospital Discharge Letters – updating the patients repeat medication with any changes made during hospital stay. Liaise with local community pharmacy to make sure any changes to medication are supplied as quickly as possible by processing prescriptions. Call patient to make sure they understand changes.

9.30 -11.30 – Medication Reviews – a combination of level 3 – face to face appointments and level 2 – review of medication using patient notes. All patients have an annual medication review. My practice have a great system in place which means that the patients are called in for bloods and any other investigation prior to review, so decision are made on up to data data.

11.30-12.00 De-brief with GPs, trainee GPs and ANPs. Discuss tricky patient challenges and agree treatment plans.

12.30 – 2pm –  Complete practice audit work and undertake Medicines Optimisation tasks

2-3.30pm – Longer appointments (20 mins) to support polypharmacy patients and patient with long term conditions. Update Clinical Notes with results of the consultations

3.30 – 5pm –  Process any medication requests, hospital discharge letters and out-patients treatment requests that have arrived during the day, Review tasks sent by other clinicians during the day.