Advanced Clinical Practitioner (Pharmacist) - Community Treatment Team
NELFT North East London Foundation Trust
The Community Treatment Team (CTT) at Barking & Dagenham, Havering, and Redbridge within the North East London Foundation Trust (NELFT) supports adults with acute physical needs who may be treated safely at home. The service plays a crucial role in preventing hospital admissions for patients facing an acute physical health crisis, such as suspected infections, falls without injury, or exacerbations of chronic conditions.
The advanced clinical pharmacist will join the dynamic team to provide pharmaceutical care for patients. The post will be operating with an appropriate level of clinical supervision from the medical team and the wider MDT as well as a senior pharmacist. It is a requirement to be a non-medical prescriber, and the service will review how this can be utilised within the MDT. For advanced clinical practitioner (pharmacists), the role will include undertaking comprehensive clinical assessments and co-ordinating care between primary care and secondary care. Advanced clinical pharmacists should be committed to upskill to undertake clinical assessments and there will be the opportunity to undertake the Advanced Clinical Practitioner (ACP) training programme, subject to funding.
Main duties of the job
The pharmacist works within a multidisciplinary team to provide pharmaceutical care for patients with an acute physical condition. Their role involves ensuring safe and effective medication management, reviewing prescriptions, advising on drug interactions, supporting treatment plans for patients in the community setting and facilitating discharge. The pharmacist works through a multidisciplinary approach to optimise therapeutic outcomes and promote patient safety and contribute to preventing medicines-related hospital admissions.
The pharmacist undertakes remote and domiciliary visits with face-to-face patient consultations with appropriate clinical examinations. They utilise prescribing and deprescribing skills to optimise therapeutic outcomes. Additionally, they provide education and training to both patients and the multidisciplinary team and participate in the delivery of clinical governance through incident management, audits and service improvement.
Job responsibilities
1. Contribute to admission avoidance through a multidisciplinary team approach and case management.
2. Work across traditional professional and geographical boundaries to extend support and advice to primary care, secondary care, local authorities and social care.
3. Provide highly specialist medicines management support and training for GPs, nurses and other members of the multi-disciplinary teams.
4. Provide highly specialist medicines advice and training to patients, carers, and care home staff.
5. Empower and encourage self-care and independence by implementing robust self-administration support processes.
6. Engage with patients to improve their experience of medicines and ensure their voices are heard in care decisions.
7. Carry out physical observations, phlebotomy and undertake clinical examinations within areas of competence.
8. Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients.
9. Undertake telephone, video and face-to-face consultations.
10. Undertake structured medication reviews and create pharmaceutical management plans.
11. Utilise prescribing and de-prescribing skills as a non-medical prescriber.
12. Manage medicines-related risks on an individual patient basis.
13. Develop outcome measures through data collection and effective audit processes.
Person Specification
Skills
* Demonstration of trust values
* Demonstrates CPD
* Basic IT skills
* Organise and prioritise workload
* Lead and motivate a team
* Delivering training
* Experience of performing and managing clinical audits
* Shows initiative
* Attention to detail, accuracy and numeracy skills
* Experience of supporting medicines committees
Qualifications
* MPharm or equivalent
* Postgraduate clinical diploma in physical health
* Registration with the GPhC
* Advanced clinical practitioner qualification
Experience
* Substantial clinical pharmacy experience post qualification including acute hospital setting
* Experience in frailty, geriatrics, general medicine and community services
* Writing and reviewing PGDs
* Community and primary care experience
* Supporting medicine committees
* Change management
* Clinical knowledge in frailty
* Aware of service delivery and clinical governance priorities
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
NELFT North East London Foundation Trust
Lead Pharmacist - Frailty and Older People
£53,755 to £60,504 a year plus HCAS
Contract
Permanent
Working pattern
Full-time, Flexible working, Compressed hours
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