Job summary 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. About us Starting with NELFT NELFT place a great deal of importance on new starters being properly welcomed and inducted into the Trust. All new starters will join the Trust on the first Monday of each month and will undertake a comprehensive induction of up to two weeks which will include mandatory training, systems training and the allocation of equipment. As part of the process new starters will have the opportunity to also meet the executive team, senior managers and attend a number of drop in sessions focussing in engagement, health and wellbeing and key processes. The induction will be held at our head office in Rainham, Essex. Probationary Period This post will be subject to a probationary period. Internal applicants are exempt from the probationary period (unless you are an internal applicant currently part way through a probationary period or currently a bank member of staff). High Cost Area Supplement This post also attracts payment for High Cost Area Supplement of 15% of the basic salary (with a minimum of £4,551 to a maximum of £5,735). We reserve the right to close this vacancy early should sufficient applications be received. Date posted 04 February 2025 Pay scheme Agenda for change Band Band 8a Salary £53,755 to £60,504 a year per annum plus HCAS Contract Permanent Working pattern Full-time, Flexible working, Compressed hours Reference number 395-CC044-25 Job locations Goodmayes Hospital Barley Lane Ilford IG3 8XJ Job description Job responsibilities Contribute to admission avoidance through a multidisciplinary team approach and case management. To work across traditional professional and geographical boundaries and extending provision of support and advice to primary care, secondary care, local authorities and social care to ensure vulnerable patients are well supported with all their medicines needs. Provide highly specialist medicines management support and training for GPs, nurses and other members of the multi-disciplinary teams across the interface where appropriate. Provide highly specialist medicines advice and training to patients, carers, and care home staff on medicines related issues where appropriate. Empower and encourage self-care and independence by implementing robust self-administration support processes and undertake domiciliary visits where appropriate Working to improve healthcare outcomes for patients using a holistic approach to care, ensure the safe and effective use of medicines. Engaging with patients in primary and community health services to improve their experience of medicines, ensure their voices are heard and integral to any decisions made about their care Carry out physical observations, phlebotomy and undertake clinical examinations within areas of competence. Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients with an undifferentiated diagnosis. To provide care for the patient from initial history, clinical assessment, diagnosis, treatment (including prescribing when required) and evaluation of care. Undertake telephone / video consultation / face to face consultations Undertake structured medication reviews and create pharmaceutical management plans. Liaise with PCN pharmacists and GPs to carry out the management plans once initiated. Monitor patient progress where appropriate. To utilise prescribing and de-prescribing skills as a non-medical prescriber in line with competency and agreed scope of practice as approved by the relevant Trust governance process and line management. Empower and encourage self-care and independence by implementing robust self-administration support processes and domiciliary visits where appropriate To proactively plan and initiate actions related to improving the use of medicines for better outcomes and reducing medicines waste across the primary/ secondary care interface and if needed, within the GP practice setting. Manage medicines related risks on an individual patient basis and in line with the local and national patient safety agenda. To develop outcome measures through data collection and effective audit processes with a view to extending the service to other practice areas and patient cohorts as deemed appropriate. Developing quantitative and qualitative performance measures, co-ordinate their use and be involved in disseminating and acting on the information gathered. Use of AI Applications for this role should be written by the applicant. If artificial intelligence (AI) programmes are used, then the application may be rejected due to this document being an important part of the assessment process. This does not prevent applicants seeking appropriate support with applications should they need to for the purposes of any declared disability. Please see the attached job description and person specification for more information about this role and working at North East London NHS Foundation Trust. We encourage you to refer closely to this when completing your application. We welcome your application even if you do not meet all the criteria listed in the person specification. Any development needs to help you succeed in the role, can be discussed at the interview stage. Job description Job responsibilities Contribute to admission avoidance through a multidisciplinary team approach and case management. To work across traditional professional and geographical boundaries and extending provision of support and advice to primary care, secondary care, local authorities and social care to ensure vulnerable patients are well supported with all their medicines needs. Provide highly specialist medicines management support and training for GPs, nurses and other members of the multi-disciplinary teams across the interface where appropriate. Provide highly specialist medicines advice and training to patients, carers, and care home staff on medicines related issues where appropriate. Empower and encourage self-care and independence by implementing robust self-administration support processes and undertake domiciliary visits where appropriate Working to improve healthcare outcomes for patients using a holistic approach to care, ensure the safe and effective use of medicines. Engaging with patients in primary and community health services to improve their experience of medicines, ensure their voices are heard and integral to any decisions made about their care Carry out physical observations, phlebotomy and undertake clinical examinations within areas of competence. Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients with an undifferentiated diagnosis. To provide care for the patient from initial history, clinical assessment, diagnosis, treatment (including prescribing when required) and evaluation of care. Undertake telephone / video consultation / face to face consultations Undertake structured medication reviews and create pharmaceutical management plans. Liaise with PCN pharmacists and GPs to carry out the management plans once initiated. Monitor patient progress where appropriate. To utilise prescribing and de-prescribing skills as a non-medical prescriber in line with competency and agreed scope of practice as approved by the relevant Trust governance process and line management. Empower and encourage self-care and independence by implementing robust self-administration support processes and domiciliary visits where appropriate To proactively plan and initiate actions related to improving the use of medicines for better outcomes and reducing medicines waste across the primary/ secondary care interface and if needed, within the GP practice setting. Manage medicines related risks on an individual patient basis and in line with the local and national patient safety agenda. To develop outcome measures through data collection and effective audit processes with a view to extending the service to other practice areas and patient cohorts as deemed appropriate. Developing quantitative and qualitative performance measures, co-ordinate their use and be involved in disseminating and acting on the information gathered. Use of AI Applications for this role should be written by the applicant. If artificial intelligence (AI) programmes are used, then the application may be rejected due to this document being an important part of the assessment process. This does not prevent applicants seeking appropriate support with applications should they need to for the purposes of any declared disability. Please see the attached job description and person specification for more information about this role and working at North East London NHS Foundation Trust. We encourage you to refer closely to this when completing your application. We welcome your application even if you do not meet all the criteria listed in the person specification. Any development needs to help you succeed in the role, can be discussed at the interview stage. Person Specification Skills Essential 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 Written communication skills Shows initiative attention to detail, accuracy and numeracy skills Desirable Experience of supporting medicines committees Qualifications Essential MPharm or equivalent postgraduate clinical diploma in physical health Non medical prescriber qualification Registration with the GPhC Desirable Advanced clinical practitioner qualification Post graduate certificate in mental health Management qualification Experience Essential substantial clinical pharmacy experience post qualification including acute hospital setting Experience in frailty, geriatrics, general medicine and community services Desirable Writing and reviewing PGDs Community and primary care experience supporting medicine comittees Essential Essential change management clinical knowledge in frailty awareness of service delivery and clinical governance priorities verbal communication Person Specification Skills Essential 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 Written communication skills Shows initiative attention to detail, accuracy and numeracy skills Desirable Experience of supporting medicines committees Qualifications Essential MPharm or equivalent postgraduate clinical diploma in physical health Non medical prescriber qualification Registration with the GPhC Desirable Advanced clinical practitioner qualification Post graduate certificate in mental health Management qualification Experience Essential substantial clinical pharmacy experience post qualification including acute hospital setting Experience in frailty, geriatrics, general medicine and community services Desirable Writing and reviewing PGDs Community and primary care experience supporting medicine comittees Essential Essential change management clinical knowledge in frailty awareness of service delivery and clinical governance priorities verbal communication 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name NELFT North East London Foundation Trust Address Goodmayes Hospital Barley Lane Ilford IG3 8XJ Employer's website https://www.nelft.nhs.uk/ (Opens in a new tab)