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Oxleas NHS Foundation Trust is a mental health and community trust that provides a wide and growing range of services across the boroughs of Bexley, Greenwich, Bromley, Kent, Wandsworth and also services in the South West of England. Oxleas Prison Services Ltd is a wholly owned subsidiary of Oxleas NHS Foundation Trust and provides the pharmacy services to the prison pharmacy contracts. Due to the recent contract award from NHS England, we are now providing pharmacy services (OPS Ltd) and Healthcare Services (Oxleas NHS Foundation Trust) to the Devon and Dorset Prisons and are recruiting to newly established posts.

Oxleas Prison Services Ltd and Oxleas NHS Foundation Trust has a long history of innovation, with established prescribing guidelines, excellent relationships with medical staff, a strong culture of leading clinical audit and research projects and an excellent publication record. All of these attributes we wish to extend to the prison pharmacy and healthcare services.

We believe in supporting our staff to develop to their full potential.

• To support patients with their medicine queries and concerns.
• To undertake medication review clinics.
• To stratify risk with high-risk medicines and work to reduce such risk for patients.
• To provide medicines optimisations services and support the GPs and dispensary team at HMP Guy’s Marsh, HMP The Verne and HMP Portland

As part of the health and wellbeing team:
Identify patients at risk of admission to hospital and work to manage medicine-related risk for these patients.

Implement improvements to patients medicines for LTCs, including de-prescribing and run LTC clinics where medicines are a large component of care

Develop and manage new services that are built around new medicines or NICE guidance.

To provide leadership to ensure practice within healthcare is compliant with CQC standards where medicines are involved.

Working with the Specialist Prison Services Pharmacist, develop and enforce the formulary

Support the audit process in line with Oxleas NHSFT audit programme including and disseminate findings appropriately to improve prescribing practice

Oxleas – About Us

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children’s centres, schools and people’s homes.

We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary’s Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.

Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

• We’re Kind
• We’re Fair
• We Listen
• We Care

Leadership, Management and Training
1. To devise and implement SystmOne computer searches to identify cohorts of patients at high risk of harm from medicines.
2. To devise and implement SystmOne searches to identify cohorts of patients most likely to be at risk of unplanned admission/readmission to hospital from medicines.
3. To provide leadership to the Healthcare Manager and GPs to ensure that practice is compliant with CQC standards where medicines are involved.
4. As part of the Health and Wellbeing model, to contribute to public health campaigns, including flu vaccinations and adult immunisation programmes using specialist knowledge on immunisation. To ensure all relevant PGDs for immunisation are in place and staff authorised to administer using a PGD have receive the relevant training.
5. Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
6. Identify and provide leadership on areas of prescribing requiring improvement. Present results of audits and provide leadership on suggested changes.
7. To develop and manage new services that are built around new medicines or NICE guidance, where a new medicine/recommendations allow the development of a new care pathway.
8. Provide education and training to the primary healthcare team on therapeutics and medicines optimisation.
9. Support the Specialist Prison Service Pharmacist in providing education and training to the pharmacy team members as required.
10. Identify from SystmOne patients prescribed medication that should be prescribed or initiated by Specialists/hospital doctors or subject to shared care and liaise directly with hospital colleagues to ensure prescribing and dispensing of such medicines is appropriately undertaken and adheres to the requirements of the secure environment.
11. Develop, implement and maintain the prison formulary, in liaison with other OPS colleagues, and ensure this is updated onto SystmOne locally when changes are made.
12. Manage the process if implementing changes to medicines resulting from MHRA alerts and product withdrawals and provide guidance for practitioners.

Clinical

1. Work with the dispensary and Primary Care teams to identify patients as at risk from high-risk medicines to minimise such risks through medicines optimisation. Provide scheduled clinics for offenders across HMP Guy’s Marsh, HMP The Verne and HMP Portland and to give advice and support on their prescribed medicines, OTC medicines and other medical issues they may raise.
2. To put in place changes to reduce the prescribing of medicines likely to cause readmission to high-risk patient groups.
3. Promote healthy lifestyles for offenders in line with local and national guidelines or promotions.
4. To be an active member of the HMP Guy’s Marsh, HMP The Verne and HMP Portland clinical governance/medicines management committee(s).
5. To provide face to face clinics to help patients with questions, queries and concerns about their medicines.
6. To hold clinics for patients requiring face-to-face Clinical Medication Reviews (CMRs) i.e. a review of the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their concordance with prescribed medication.
7. To undertake clinical medication reviews with patients with multi-morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests.
8. To see patients in multi-morbidity clinics and in partnership with the Health and Wellbeing coordinator(s), implement improvements to the patient’s medicines, including deprescribing.
9. Run own long term conditions clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. stable angina, warfarin monitoring and dose adjustment).
10. To demonstrate on-going continual professional development (CPD) and be responsible for self-development and learning within the field of pharmacy or other specialty where appropriate.
11. Make recommendations for and manage changes to medicines (switches) designed to save on medicines costs where a medicine or product with a lower acquisition cost is now available.
12. Answer all medicine-related enquiries from GPs, other healthcare staff and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes.
13. Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance, including national prison formularies.

Dispensary
1. To act as responsible pharmacist in the dispensary
2. Co-ordinate and manage the workload in HMP Guy’s Marsh, HMP The Verne and HMP Portland Prison Pharmacy Dispensary/Healthcare
3. To undertake clinical screening and final accuracy checks when working in the dispensary.

Communication
1. To make clinical judgments within your clinical ability where information is highly complex or lacking or ambiguity exists. Where such judgments are outside of your clinical ability to refer the situation to a more senior pharmacist or GP for assistance.
2. To provide newsletters on important prescribing messages to improve prescribers’ knowledge and work with the GP and Primary Care team to develop and implement other techniques known to influence implementation of evidence – such as audit and feedback.
3. To communicate with external healthcare providers to ensure prisoners are treated with medication suitable for continuation on return to the secure environment.

Research
1. To ensure systems are in place that support the implementation of evidence-based guidelines into practice within HMP Guy’s Marsh, HMP The Verne and HMP Portland
2. To undertake own audit of prescribing practices), analyse complex data, feedback results and make suggestions for change.
3. Audit compliance against NICE technology assessment guidance involving medication at HMP Guy’s Marsh, HMP The Verne and HMP Portland. Feeding back findings, analysis and solutions to the GPs and Medicines Management Committee.

Other
1. Post holders will be subjected to an advanced DBS check and a prison security check (level 2).
2. To appreciate thesecure environment you are working in and to adhere to all prison procedures as necessary.