-Support the Lead Pharmacists and Clinical Pharmacy Manager in the delivery of a high quality, patient-focused medicines optimisation service for patients in line with nationally approved standards, within a designated area. -Monitor and review therapeutic programmes for patients and provide specialist information, advice and guidance on the safe, effective and economical use of medicines, so that patients receive the best pharmaceutical treatment with minimal adverse effects. -Undertake medication reviews, including medicines reconciliation for newly admitted patients and pharmaceutical care planning prior to discharge, to minimise risks with medication associated with transfers between care settings. Liaise with medical and nursing staff over any clinical issues, to ensure that each patient is receiving the most appropriate medication. -Work as a member of the multi-professional health and care teams including attendance at ward rounds, providing highly complex clinical pharmacy advice and expertise to peers, patients and management to ensure that best practice is promoted and delivered to patients. -Advise on complex prescribing issues to medical and nursing staff to ensure that legislative requirements and best practice standards are met in the delivery of pharmacy service -Support the Clinical Pharmacy Manager in the development of local clinical pharmacy guidelines and policies. Implement national and local policies and guidelines related to medicines. -Provide specialist information to support formulary decisions by the Drugs and Therapeutics Committee. -Provide planned sessional clinical and professional supervision with the pharmacy dispensary. -Develop and deliver medicines related training programmes to medical, nursing and pharmacy staff. -Identify and participate in areas of research including audits of medicines use to assist with medicines optimisation throughout the department.