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Job description

Are you an enthusiastic, motivated, and dynamic clinical pharmacist with an interest in Trauma and Orthopaedics or Rheumatology looking to work within a Major Trauma centre offering tertiary services to a number of different specialties?

Are you at the stage of your career where you are looking to develop your clinical skills and work within well-respected and proactive multidisciplinary teams supporting the Lead Care Group pharmacist for Surgery & Critical Care to deliver high quality clinical pharmacy services across the Trauma, Orthopaedics and Rheumatology service line?

Would you like to work towards credentialing for a consultant post alongside utilising your skills as a non-medical prescriber?

Do you want to be part of an innovative Department that have had an ambitious 5-year strategy and workforce plan approved by the Trust Board?

If so, we would love to hear from you!

Depending on the stage of your career, further study will be encouraged and supported. Practice research is also encouraged in this role; we currently have Band 7 Academic intern pharmacists.

***Preference will be given to internal Trust staff, as well as ‘Priority’ and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification.***

• This post holder will be responsible for the provision of a high-quality patient focused clinical pharmacy service for patients within the Surgery Pharmacy team in Trauma, Orthopaedics & Rheumatology patient settings
• Act as team leader for the ward-based pharmacy team and as team member of for the Surgery Pharmacy
• Undertake teaching and clinical supervision of pharmacy staff and other healthcare employees.
• Provide specialist clinical pharmacy services and advice to the clinical specialities, demonstrating a high level of clinical effectiveness.
• Work closely with care group lead pharmacist & associate chief pharmacist for clinical services strategic development of clinical pharmacy services and establish clearly defined roles for pharmacist non-medical prescribers within surgical areas and rheumatology settings.
• Develop and manage the delivery of pharmacy services to ensure efficient use of resources and systems including monitoring drug expenditure, delivery of financial savings within the critical care areas primarily.
• Develop and build increased pharmacist presence into outpatient clinical areas, where appropriate.
• Work with the clinical and governance teams to develop guidelines, protocols and PGDs within the Trauma, Orthopaedics & Rheumatology
• Undertake audits and engage with Quality Improvement and practice research projects.
• Deputise for the Lead Pharmacist Surgery Care Group as required.

University Hospitals Plymouth (UHP) NHS is the largest hospital on the Southwest Peninsula providing comprehensive secondary and tertiary care to a population of around 2,000,000 people who can access our specialist services including cardiothoracic surgery, kidney transplantation, neurosurgery, and the regional trauma Centre. Our specialist cancer treatments include bone marrow transplant, sarcoma surgery and hepatobiliary and pancreatic cancer surgery (not exhaustive). We work closely with our community partners in delivering comprehensive health and social care.

The Trauma, Orthopaedic and Rheumatology department offer complex trauma services and major surgery alongside largest range of specialist musculoskeletal services in the South West peninsula. The trust also undertakes elective and trauma day surgery and inpatient surgery takes place covering upper limb, hand, wrist, hip, knee, foot, and ankle surgery.

The Rheumatology department specialises in the diagnosis, treatment and ongoing management of rheumatological conditions such as inflammatory arthritis, connective tissue disease and osteoporosis, offering treatment with both disease modifying and biologic agents.

The Pharmacy team are considered an integral member of the multidisciplinary team supporting these services joining a team of clinicians, nurse specialists and other allied healthcare professionals.

• Responsible to the Lead Pharmacist for Critical Care & Surgery Care Group and the Associate Chief Pharmacist Clinical Services for strategic planning and delivery of clinical pharmacy services to patients within trauma, orthopaedics & rheumatology.
• Support the Chief Pharmacist / Deputy Chief Pharmacist / Associate Chief Pharmacist and Care Group Lead Pharmacist in developing, monitoring and reporting on drug expenditure and medicines budget and the delivery of financial savings as part of the pharmacy CIP.
• Development, implementation and update of clinical pharmacy policy in conjunction with senior pharmacists within the clinical pharmacy team, trauma, orthopaedics & rheumatology.
• Work as a member of the Clinical Pharmacy Team, Trauma & Orthopaedics and Rheumatology Service Lines and wider UHP pharmacy team.
• Monitor, review and report on medicines related incidents within Trauma & Orthopaedics and Rheumatology Service Lines.
• Provide highly specialist clinical pharmacy care to patients in the trauma & orthopaedics and rheumatology areas and related units.
• To manage, lead and co-ordinate the clinical pharmacy team including junior pharmacists and technicians in the provision of a safe, effective and efficient clinical pharmacy service in accordance with local and national standards and strategy and to ensure all members of the pharmacy team are trained and competent for their roles.
• To act as a role model as a clinical pharmacist and team leader, to pharmacists, technicians, ATOs and all other members of the multidisciplinary team.
• To be a lead and role model in the fields of Trauma & Orthopaedics and Rheumatology locally, regionally, and nationally.
• To practice as an independent prescriber.
• To work towards advanced clinical practice.
• To engage with Quality Improvement and practice research.
• To write and review policies and procedures relevant to pharmacy practice in Trauma & Orthopaedics and Rheumatology.
• Monitor and evaluate medicines related protocols and guidelines in Trauma & Orthopaedics and Rheumatology.
• Ensure an appropriate level of clinical pharmacy service is provided to the Trauma & Orthopaedics and Rheumatology settings.
• Propose policy or service changes which improve services and may have multidisciplinary and resource implications
• Configure and implement inductions for pharmacists in Trauma & Orthopaedics, Rheumatology and the pharmacy department with support from the Associate Chief Pharmacist Clinical Services and Care Group Lead Pharmacists.
• Assist in the development and implementation of PGD’s and non-medical prescribing initiatives, when appropriate.
• Ensure that expertise within your area is seen as a resource within and outside the Trust and form working partnerships with other health and social care service providers.
• Recommendation of appropriate therapy for individual patients where evidence is not available, controversial evidence exists or other professionals may challenge advice
• Contribute to the organisations wider antimicrobial surveillance programme, implementing local programmes ensuring appropriate antimicrobial prescribing
• Attendance at Consultant/GP white board/MDT meetings/ward rounds to actively facilitate and provide advice on treatment, including highly complex patients.
• Promote compliance by prescribers and other healthcare staff with local/national policies and the South and West Devon Formulary.
• Application of highly complex knowledge of the evidence base behind drug therapies used.
• Manage day to day medicines queries, including face to face consultations with patients identified to have compliance or other problems in medicine administration.
• Refer patients to other community services where appropriate.
• Liaise with all levels of healthcare staff, patients and carers in all areas of work.
• Analysis, interpretation and monitoring of clinical data including but not limited to: drug levels, U&E’s, blood counts and microbiological sensitivities to guide diagnosis and drug therapy.
• Assess clinical requirements of patients as a clinical pharmacist and an independent prescriber through interpretation of clinical data and examination. If required request appropriate tests and examinations for patients directly under your care.
• Contribute to pharmaceutical initiatives that help with the seamless transfer of patients between different healthcare settings.
• Provide education and training to all healthcare professionals including medical students.
• Pharmacists are expected to work largely unsupervised and to act on their own professional judgement.
• Clinical supervision from another health professional can be arranged and is to be encouraged.
• Clinical roles are supported by policies and guidelines within which the pharmacist is allowed to exercise professional discretion / interpretation.
• Participate in any wider departmental rotas where needed.