clinical pharmacist United Kingdom
Job description
Leadership Lead in the development and delivery of pharmaceutical issues to the EIC Division. Ensure delivery of the clinical governance agenda in relation to drug use in the EIC Division to minimise the number of drug related incidents Motivate and inspire others (both within pharmacy and the division) in order to create and maintain a good working environment and facilitate staff retention. Proactively develop clinical pharmacy services in line with local and national objectives. Demonstrate innovation in the highly specialised field Cardiology, Care of the Elderly pharmacy practice or other sub-speciality within Medicine and A&E.
Ensure that issues related to pharmaceutical care are appropriately represented within the EIC Division. Work collaboratively with pharmacy and medical staff, the multidisciplinary team and management in the national agenda for pharmacy services in accordance with the agreed objectives. Represent C&W at the external meetings in order to network and share knowledge and experience with other EIC Division Pharmacists at a national level. Ensure that issues around prescribing and medication use are managed within the development of Electronic Patient Records and prescribing system Act as the Deputy for the Associate Chief Pharmacist, Clinical Services when appropriate.
Management of service Provide clinical pharmacy services for patients admitted to medical wards and Emergency Department in accordance with the priorities set by the post holder and Associate Chief Pharmacist, Clinical Services. Identify and prioritise clinical pharmacy services to the EIC Division. Ensure all clinical areas within the division are covered to provide the most appropriate service within the resources available. Reconcile national priorities with local realities e.g.
the implementation of NICE guidance within local guidelines and budgets of the EIC Division. Work across traditional boundaries e.g. pharmacist transcription of discharge medication. Ensure national and local agendas are delivered.
Establish processes for the setting of standards of care; identify and manage changes that need to occur to achieve these and then manage the risks involved. Review all handover e-mails and deal with all issues relevant to the division, providing feedback and training where necessary. Delegate authority appropriately to junior staff, e.g. sub-divisions and wards within Medicine, which are appropriate for their level of experience.
Manage and appraise the designated trainee pharmacist, diploma and MSc students and specialist pharmacists. Evaluate their performance against identified departmental tools, General Level Competency Framework and PDPs. Be responsible for recruitment and retention of staff for the Medicine and A&E clinical pharmacy team. Advise and support on the development and implementation of shared-care guidelines in order to promote seamless care for patients.
Provide evaluated pharmaceutical and financial information for the EIC Division in accordance with the needs of the division. Effectively monitor and report on the budget for the EIC Division and provide feedback to service managers, clinicians and accountants at division level. Monitor drug expenditure within the division and participate in the negotiation of contracts as appropriate with the aim of achieving agreed targeted savings each year. Develop and maintain close working relations with the local Integrated Care System (ICS) Pharmacists and the Community Healthcare NHS Trust Pharmacists.
Liaise closely with the local ICS Pharmacists and Chief Pharmacist of Hounslow and Richmond Community Healthcare NHS Trust to ensure effective working across the interface. Identify changes in prescribing practices that may impact on the drugs budget, including new prescribing practices (horizon scanning). Provide advice on the cost effective use of medicines within the division including the implementation of prescribing guidelines in this area. Oversee the provision of medicines to patients at home using home care delivery companies.
Demonstrate professional accountability to service users, stakeholders and the profession Identify resources required to improve clinical pharmacy services to the EIC Division. Produce and implement business plans for advancements of these pharmacy services. Review drug related incidents that occur within the EIC Division and implement actions to reduce re-occurrence. This involves membership of the Trusts Drug Incident Committee.
Assume the responsibilities described in the Trust Major Incident Plan and implement appropriate actions in the event of such an incident. Responsible for the investigation of errors and complaints involving the pharmaceutical services delivered to the EIC Division, liaising with the Associate Chief Pharmacist and division risk managers to ensure a satisfactory outcome. Develop the provision of clinical pharmacy services to EIC outpatient clinics and support the accurate and effective screening processes within the outpatient dispensary. Liaise closely with the Senior Technicians regarding the delivery and development of technician-led medicines management service to the EIC Division.
Represent Pharmacy / EIC Division on Trust committees or groups where appropriate. Provide advice on the implementation and maintenance of Patient Group Directions used in the EIC Division. Evaluation of Service Monitor and evaluate clinical pharmacy services for patients admitted to the EIC Division. Ensure that the qualities of the EIC Division pharmacy services are recognised as a lead in the national field in line with the corporate objectives.
Evaluate the contributions of the EIC pharmacists to the division by way of twice-yearly intervention monitoring, pharmacist transcribing and the evaluation of on-call data. Ensure departmental standards are met. Supervise and undertake clinical audit as part of the multi-disciplinary audit process Undertake assessments / evaluations of services, patient care and individuals as required. Clinical Practice Act as a clinical role model for the EIC Division pharmacists and demonstrate the ability to provide safe, clinically effective and cost efficient use of drugs in these patients.
Provide highly specialist pharmaceutical expertise into the care for older people (or other speciality of Medicine). Participate in the post-take ward rounds to integrate into the multidisciplinary team and raise the pharmacy profile via contributions at consultant level. Act as an independent prescriber within the agreed scope of practice as appropriate. Ensure that appropriate pharmaceutical input occurs in other areas of responsibility including accident and emergency, medical admissions and all of the medical specialities.
Be responsible and accountable for providing a clinical pharmacy service to patients admitted to medical wards and Emergency Department. Research and Development Demonstrate a critical approach towards pharmacy practice in the EIC Division. Integrate research evidence into practice. Develop, implement, monitor and evaluate protocols and guidelines.
Develop clinical pathways of care in the EIC Division environment. Co-ordinate the undergraduate and trainee pharmacist clinical audit activity in the division. Develop an annual research and audit programme related to medicines use in EIC Division (Medicine and A&E). Actively present drug related/pharmacy practice based research at national and international conferences.
Provide pharmaceutical advice and input for the clinical trials being undertaken within the EIC Division when necessary. Education and Training Identify training needs of staff and develop strategies to meet them in order to undertake the roles required within the EIC Division. Be a mentor for a junior pharmacist, undertaking formal appraisal and support to meet their objectives and career aspirations. Contribute to the Clinical Pharmacists teaching programme by presenting at least one session per annum.
Develop strategies to meet the training needs of staff on rotation in Medicine. Provide appropriate education and training for medical and nursing staff. Provide the Pharmacy induction for new junior doctors on a six monthly basis. Be a ward tutor for a junior pharmacists in training which includes regular (weekly/fortnightly) informal ward accompanied visits and two formal visits in their fixed rotation through the Medicine specialties.
Actively participate in the development of current and future pharmacy workforce Act as a GPhC trainee pharmacist Practice Supervisor or Educational Supervisor (depending on experience) as appropriate and identify relevant staff in the division who could also act as supervisors Support those who are undertaking formal supervisor roles to meet training requirements Act as an Educational Supervisor for Diploma practitioners Represent Pharmacy at appropriate external meetings, education and training events in order to network, share knowledge and experience at a national level, as appropriate. Financial Responsibilities Support the Chief Pharmacist in: Provision of drug expenditure information required by the ICBs in order for Finance to recover costs for high cost drugs. Act as a resource to the Finance Department in dealing with complex and contentious issues around the use of high cost drugs. Negotiations with the ICBs to secure funding for high cost drugs, especially for patients from outside the usual catchments area, in conjunction with the Contracts Department.
