To act as Ward Clinical Pharmacist including: Providing advice on the safe and cost-effective use of medicines Optimising patient care with respect to medicines (across multiple specialties) in liaison with health care professionals, including medical and nursing staff Input into the development of treatment protocols and guidelines Delivery of a full clinical pharmacy service covering multiple specialties Monitoring expenditure on drugs and providing feedback (including transportation of medicines to patients home addresses) Participate in clinical audit involving medicines including the audit requirements within national guidelines and protocols eg. NICE. Participate in and lead where required on novel pharmacy projects; identify and undertake research to inform practice developments and underpin delivery of an effective, evidence-based pharmacy service. Review patients to complete: Medicines reconciliation Comprehensive medication review Identifying and addressing concordance issues Liaising with community pharmacy where appropriate and where consent has been given, particularly on discharge Assess direct responses to drug treatments (in collaboration with the Multi-Disciplinary Team) Review and update patient care records Undertake clinical medication review for patients to optimise their medication Assist in development of robust and safe medicines optimisation processes for the ward. Contribute to the efficient and timely discharge of patients, this includes: Identifying and prioritising patient discharges Writing TTOs (as required) Clinically checking discharge prescriptions in a timely fashion Reviewing the supply of medications Non-medical Prescribing: Following successful completion of an accredited prescribing course, to take on the role of the prescribing of medicines within the Ward in line with personal competencies and expertise. This will include the initiation of therapies in line with approved patient care management plans and/or in response to clinical presentation requiring treatment with medicines endorsed through local formularies. Ensure on-going CPD to maintain competency to prescribe in line with advice for GPhC and national legislation. Be familiar with and work in line with the national legislation governing the scope of practice for non-medical prescribers. Develop a highly specialist knowledge of medicines and treatment to promote and support evidence-based medicine across the Trust. Actively participate in ward rounds, case conferences, Directorate meetings, etc. as appropriate. In liaison with the multi-disciplinary team, work with patients to optimise their care with medicines including: Development of PILs relevant to their medicines Patient education and counselling on their medicines Self-administration of medicines Liaise with other members of the multi-disciplinary team in the provision and development of clinical pharmacy services, including complex drug or medication related information, and act on any associated problems which may arise.