Table 1

Clinical pharmacist roles

Direct client careIndirect client care
  • Visiting clients in their homes (with the community nurse where practical) to review and discuss medicines management, identify medication-related problems and educate clients/carers on their medicines use.

  • Obtaining ‘best-possible medication histories’ (current medication list, verified using two or more sources).

  • Reconciling the best-possible medication history with current medication orders held by the home nursing service to identify and resolve discrepancies.

  • Working with clients’ prescribers and community pharmacies to resolve medication-related problems, withdraw (deprescribe) unnecessary or inappropriate medicines and simplify medication regimens.

  • Liaising with prescribers and community pharmacies to update clients’ medicines lists and community nurses’ medication treatment authorisations.*

  • Providing advice to community nurses to optimise clients’ medication management plans.

  • Answering client-specific medicines information questions from community nurses and others.

  • Following-up clients and/or community nurses, GPs, community pharmacies to ensure positive outcomes from medicine reviews (via telephone and/or repeat home visits where necessary).

  • Answering general medicines information questions from nurses.

  • Providing nurse education regarding medicines and medication management.

  • Developing medication information resources for nurses.

  • Contributing to development or revision of organisational medication policies and procedures.

  • *Medication treatment authorisations are signed orders from a medical practitioner authorising the nurse to administer medicines or support clients’ medicine self-administration.

  • GP, general practitioner.