Clinical Pharmacist Services for GP Practices and PCNs
Access experienced clinical pharmacist support without taking on the recruitment, training and day-to-day management of an additional member of staff.
The Medicines Management Team (TMMT) provides managed Clinical Pharmacist Services tailored to GP practices and Primary Care Networks. From medication reviews and long-term condition management to medicines optimisation, prescription management and PCN targets, we build our support around your existing team, workload and priorities.
Whether you need ongoing capacity, sickness or vacancy cover, support with available ARRS funding or help delivering a specific project, TMMT manages the clinical workforce behind the service too.
GP Practices
PCNs
Clinical Pharmacist Hours
Medication Reviews

What Can Our Clinical Pharmacists Support With?
Our Clinical Pharmacist Services aren’t restricted to a fixed package of work. We’ll agree what you need your pharmacist to take responsibility for and build the service around those requirements.
Medication Reviews & Long-Term Conditions
Our pharmacists can provide patient-facing clinical support including:
- Structured Medication Reviews (SMRs)
- General medication and polypharmacy reviews
- Medicines optimisation and deprescribing
- High-risk medicines and medication monitoring
- Asthma, COPD and diabetes reviews
- Hypertension, AF, heart failure and CKD reviews
- SMI, CCMI and dementia reviews
- And other medication and long-term condition reviews
Medication Reviews & Long-Term Conditions
Our remote prescribers can also undertake patient-facing clinical work, including:
- Structured Medication Reviews (SMRs)
- General medication and polypharmacy reviews
- Hypertension and lipid optimisation
- Asthma and COPD reviews
- Diabetes reviews
- Heart failure and CKD reviews
- AF and DOAC reviews
- Serious Mental Illness (SMI) reviews
- Chronic Complex Mental Illness (CCMI) reviews
- Dementia reviews
- Mental health medication reviews
- QRISK assessment, statin initiation and follow-up
- And other medication and long-term condition reviews
Where something falls outside the pharmacist’s agreed scope or requires GP assessment, it can be escalated through an agreed pathway.


Prescription Management & Medicines Reconciliation
Support can include:
- Repeat medication requests and reauthorisations
- Medication, patient and community pharmacy queries
- Medicines reconciliation following hospital discharge
- Reviewing and actioning medication changes
- Discharge summaries and clinical correspondence
- Appropriate clinical coding and follow-up
Where independent prescribing is required, TMMT can provide appropriately qualified prescribing pharmacists who can issue and sign prescriptions within their scope of competence.
QOF, PCN Targets & Clinical Projects
Additional pharmacist capacity can also be directed towards QOF work, PCN targets, medicines optimisation initiatives, defined patient cohorts and other clinical projects. That flexibility means you can use Clinical Pharmacist Services where they can provide the greatest value to your organisation.
TMMT’s existing service material supports this breadth, including SMRs, repeat prescription management, medicines reconciliation, LTC management and QOF clinical actions.

A Managed Clinical Pharmacist Service
Recruiting a pharmacist can fill a vacancy, but it doesn’t remove the work involved in recruiting, onboarding, training, supervising and retaining them.
With TMMT, you get the clinical capacity while we manage the workforce behind it.
Our managed service can include:
Recruitment & Onboarding
We handle recruitment, onboarding and preparation so your pharmacist is ready to integrate with your team.
Training & Development
Clinical and systems training, ongoing professional development and competency support are managed by TMMT.
Supervising & Management
We provide clinical supervision, performance management, reviews and appraisals throughout the service.
Maintaining Your Capacity
Operational support and planned cover help maintain continuity during sickness, maternity leave and other absences.

Remote Support, Face-to-Face Management
Our Clinical Pharmacist Services are primarily delivered remotely, saving practices the need for additional workspace while allowing clinicians to integrate with existing systems and workflows.
But our pharmacists aren’t simply left to work remotely in isolation. TMMT uses a face-to-face hub model to train, support and manage clinicians internally, with access to wider clinical and management support.
This means your practice can access additional clinical capacity without taking on the same training, supervision, performance-management and workforce responsibilities associated with employing an additional pharmacist directly.
Supporting Your Existing Pharmacy Team
TMMT doesn’t have to replace your existing pharmacy workforce.
Our clinical pharmacists can work alongside pharmacists and pharmacy technicians already employed by your practice or PCN, providing additional clinical support, capacity and help managing priorities such as medicines optimisation, QOF work and PCN targets.
This gives you the option to strengthen an existing team as well as bringing in additional TMMT clinicians.
Flexible Clinical Pharmacist Support
You don’t need a permanent vacancy or a large contract to use TMMT.
Support can be provided for:
- Ongoing prescribing capacity – dedicated support integrated into your existing team.
- Additional team capacity – supplement your existing GPs, pharmacists, pharmacy technicians or wider MDT.
- Sickness, maternity and absence cover – maintain capacity during temporary staffing gaps.
- Backlog support – target outstanding medication reviews, prescription work or other agreed activity.
- Project support – deliver defined work such as SMR programmes, SGLT2 switches, medicines optimisation projects, PCN targets or prescribing efficiency programmes.
ARRS-funded and directly commissioned arrangements are available, with service scope tailored around the organisation’s requirements.

Clinical Pharmacist Support in Practice
109 Structured Medication Reviews Completed in Eight Days
When Elm Tree Medical Centre needed additional capacity for a defined Structured Medication Review project, TMMT mobilised a managed service around a cohort of 114 patients.
From request to completion, the project was delivered in eight days, with:
- 109 SMRs completed
- 95.6% completion rate
- 51 medicines stopped or deprescribed
- 57 dose optimisation interventions
- 63 medication monitoring interventions
- 104 eRD setups
- 109 repeat synchronisations
The project demonstrates how additional clinical pharmacist capacity can be mobilised around a specific workload while delivering measurable clinical activity without creating an additional management burden for the practice.
Clinical Pharmacist Services FAQs
Find the Right Clinical Pharmacist Support for Your Organisation
Whether you’re dealing with staff shortages, available ARRS funding, an SMR backlog, PCN targets or increasing medicines-related workload, we’ll build the service around the support you actually need.
From a small clinical project to ongoing managed pharmacist capacity, speak to TMMT about the right approach for your practice or PCN.
