To provide highly specialist advice on all aspects of medicine use, working cooperatively with the nominated Surgical Division CBU to deliver strategic objectives. To advise the pharmacy senior management team of the impact of the strategic and service development plans of the surgical pharmacy services and plan collaborative initiatives to support the ambitions set out. To interpret broad clinical/professional policies and NHS guidance especially in relation to clinical pharmacy service delivery in Surgery to ensure Trust excellence in partnership with the service leads. To take professional responsibility for the provision of a comprehensive clinical pharmacy service to Surgery services with regular reviews of medicine prescriptions and medicine reconciliation to ensure the accuracy, legality, safety and efficacy of medicine use through the appropriate planning and allocation of work.
To make a significant contribution to the delivery of divisional and departmental operational and strategic priorities and to the modernisation of pharmacy services across the Trust. To provide Therapeutic Drug Monitoring services to the clinical team to ensure the safety of products with a narrow therapeutic index and advise on changes to medicine regimens according to results. To utilise non-medical prescribing skills to actively support medicine optimisation practices within the Trust. To develop effective medicine practices around pre-admission clinic reviews ensuring medicine issues are resolved in a timely and effective way to minimise the risk of theatre cancellations.
To be responsible for providing pharmacy support to the specialist Surgery services through attendance at their clinical meetings to ensure that their service goals can be effectively supported by medicine policy, procedure and practice. To build on patient partnerships to ensure medications are taken as prescribed and to counsel patients, or their carers on the safe and proper use of medicines following transfer/discharge. To identify and undertake medicine reviews and clinical audits within the CBU in line with the departmental audit plan reporting results to the relevant committees for action. As a specialist pharmacist report surgical operational and strategic developments to the Principal Pharmacist Surgery Division so that these may be presented at departmental meetings to gain agreement of pharmacy operational and transformational change programmes required to support service development.
To ensure implementation of Trust and national medicines policies and guidance (including NICE guidance and CCG/NHSE commissioning policies) across the CBU. In accordance with the departmental rota ensure the accuracy, legality, efficacy and safety of prescribed medication by undertaking clinical assessment of prescriptions requiring dispensing taking responsibility for resolving prescribing errors or omissions with the responsible prescriber and providing final checks on dispensed items prior to release. To ensure prescribing matches Trust and national guidelines using local and national analysis and benchmarking tools (REFINE / DEFINE). To work cooperatively with the Chief Pharmacist to foster an environment that involves pharmacy staff engagement in decision making within the department and supports staff in delivering key departmental objectives.
To participate and report pharmacy clinical performance, governance and safety issues against local and national standards at the relevant departmental, CBU and divisional meetings. Account for any weaknesses in service provision, developing, implementing and reporting time limited action plans to address them. To provide the pharmacy leadership for the managed introduction of new medicines within the CBU and assure clinical effectiveness in medicine budget management with the service leads. To practice within the boundaries described within the latest version of the Medicines, Ethics and Practice issued by the Royal Pharmaceutical Society.
In collaboration with the Trust Chief Pharmacist, ensure all aspects of pharmacy services meet national and Trust standards including CQC, NHSI, RPS, MHRA and DH standards.
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