Specialist Rotational Clinical Pharmacist, Band 7
Gloucestershire Hospitals NHS Foundation Trust
We are looking for enthusiastic patient-orientated clinical pharmacists to join our supportive clinical pharmacy team at Gloucestershire Hospitals NHS Foundation Trust.
We have a progressive rotational programme, enabling pharmacists undertaking the Diploma in Clinical Pharmacy to smoothly transition from the band 6 pharmacist role and establish themselves as clinical pharmacists with initial, shorter rotations (4-months). As clinical pharmacists develop and gain more experience, advanced rotations follow (6- or 12-months) with the additional responsibility of a designated speciality. All clinical pharmacists are provided the opportunity to undertake, and supported through, a non-medical prescribing qualification.
You will become an integral member of our clinical pharmacy team, ensuring safe and effective prescribing and management of medication. Working across both our hospitals, Gloucestershire Royal and Cheltenham General, you will be able to rotate through a wide-variety of clinical specialities, taking into consideration your areas of interest.
Main duties of the job
1. Provide clinical pharmacy service as part of a rotation to one or more specific clinical areas in order to promote safe, rational, effective and economic use of medicines.
2. Act as deputy to the Clinical Pharmacist Leads for Medicine/Surgery.
3. Provide expert pharmaceutical advice to a clinical area(s) and provide clinical pharmacy cover to other areas as required.
4. Participate in the weekend pharmacy service rota as we move towards 7-day working.
5. Undertake teaching and clinical supervision of pharmacists, foundation pharmacists, Medicines Optimisation Technicians, and undergraduate pharmacy students.
6. Undertake audits and service improvement projects within clinical pharmacy.
7. Impact upon pay and non-pay budgets: The post-holder is expected to exert a downward influence upon drug expenditure within the trust and demonstrate actual cost savings on individual wards by improving the efficiency of the prescribing and dispensing process.
8. Some day-to-day supervision of band 6 Pharmacists covering wards (1-2 staff) and Medicines Optimisation technicians (1-2 staff).
About us
With a team of over 9,000 employees, we are proud to be the largest employer in Gloucestershire and rank among the top 10 largest Trusts in the South West region. By joining our Trust, you will benefit from an excellent package that includes exclusive benefits, flexible working opportunities and the chance to gain valuable experience in one of our innovative hospitals. Both hospitals are located in the city centres with access to shops and cafes.
The pharmacy department has approximately 240 staff. The 2 sites provide dispensary services to inpatients & outpatients, medicines information, procurement services and full clinical service to wards; the onsite aseptic and manufacturing services are centralised at CGH.
Pharmacy is at the forefront of many exciting projects including an award-winning service provided by pharmacist prescribers in orthopaedic pre-admission clinic.
Within the department are specialist clinical teams; the Specialist Mental Health Pharmacy facilitates delivery of Specialist services for Mental Health & Learning Disabilities. The cancer services team provide a pharmacy service at both sites for oncology & haematology and satellite pharmacy.
We are a friendly, inclusive department who nurture and develop our staff at all grades, from a mentoring programme for band 6 pharmacists to the development of pharmacist prescribers.
Job responsibilities
1. Provision of Clinical Pharmacy Service to clinical area of responsibility.
2. Collecting, interpreting and documenting details of medication taken at home (the medication history).
3. Confirming details of the medication history with the patient, carer(s), GP Receptionist, the GP (occasionally), and by reviewing the patients own drugs from home if available, working alongside the Medicines Management Pharmacy Technicians.
4. Confirming and documenting important factors affecting the patients ability to manage their medicines at home (e.g. sight, hearing, manual dexterity, and use of a compliance aid).
5. Resolving any discrepancies and problems identified as a prescriber, to complete medicines reconciliation.
6. Review prescriptions to ensure they are legal, safe, cost-effective, clinically necessary and appropriate, accurate, and complete.
7. Undertake Medicines Optimisation.
8. Arrange for drugs to be supplied to patients, ward(s) or department(s).
9. Provide information and advice to nursing staff on a daily basis, about drugs, doses, administration and potential side-effects.
10. Provide information and advice to junior medical staff on a daily basis, and to Consultants as and when needed, including suggestions for initiating and modifying treatment.
11. Educate patients as appropriate about changes to their medication, and how to take specific medicines (e.g. warfarin, inhaler devices).
12. Access and interpret clinical information for specific patients (e.g. e-PMA system (Sunrise Clinical Manager), Patient Administration system (TrakCare), Pharmacy computer system (EMIS) as well as case notes and Summary Care Record (SCR)), and use it to individualise and monitor treatment.
13. Document relevant clinical and pharmaceutical information during in-patient stay which may be used to prepare discharge prescription and/or communicated to patient, carer(s) or GP.
14. Review discharge prescriptions written by medical staff, using professional judgement to make a final decision about content and appropriateness of discharge prescriptions when a suitable prescriber cannot be contacted.
15. Participate in Consultant ward rounds as appropriate, providing pharmaceutical advice and information to medical staff, nursing staff, and patients as part of a multi-professional team.
16. Undertake risk management and ensure compliance with legislation and relevant national policies and guidelines, along with local policies and procedures including the Trust Formulary.
17. Work in an effective team with technicians involved in Trust Medicines Management scheme on designated wards.
18. Usually work unsupervised, although the post-holder can seek advice from a range of colleagues as and when required.
Act as link between pharmacy and designated clinical speciality or directorate.
Person Specification
Qualifications
* Active registration with the General Pharmaceutical Council GPhC
* United Kingdom recognised Degree in Pharmacy
* Completed and passed first year of Post Graduate Clinical Pharmacy Diploma
* Completed Post Graduate certificate in Non-Medical Prescribing
Experience
* Previous experience providing a clinical pharmacy service in a hospital setting
* Work within a multi-disciplinary team and participate in Consultant Ward Rounds
Knowledge and Skills
* Self-motivated, able to use initiative & prioritise workload as well as work as part of a multi-disciplinary team
* Excellent communication skills, both oral and written. Able to communicate effectively with a wide range of other healthcare professionals and with patients
* Excellent interpersonal skills. Able to challenge inappropriate prescribing and influence prescribing decisions of all healthcare professionals including senior medical colleagues.
* Able to effectively and appropriately escalate concerns to reduce risk & promote safety
* Be proficient in IT and applications including Word, Excel, Outlook, Sunrise EPR and EMIS
* Supervise, educate, mentor, support and assess others (MOTs, junior pharmacists, foundation pharmacists, medical students)
* Undertake audit of drug use and expenditure and/or clinical pharmacy practice
Qualities
* Adaptable to the changing needs of the service including flexible working patterns (e.g. weekend working and working at both sites)
* Awareness of professional and personal limitations, and willing to seek advice and support where necessary
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.
Gloucestershire Hospitals NHS Foundation Trust
#J-18808-Ljbffr