Job responsibilities To support Antimicrobial Stewardship Agenda within the trust on: QUALITY - Reduction in HCAI, through reduced use of drugs which predispose to C diff etc COST - Economy in the use of antimicrobials, through best practice prescribing RISK - Avoidance of clinical complications GOVERNANCE - Compliance with standards To provide specialist clinical pharmacy support to a specialities on complexpharmaceutical To manage pharmacist within specialities and to support their development. To support the development of the medicine management technician to utilise theirs skills within the provision of the clinical pharmacy service. CRITICAL ACTIVITIES: Key working relationships Head of Pharmacy Deputy Head of Pharmacy and Medicine Safety Officer Principal Clinical Service Manager Principal Pharmacist for Infection. Other Pharmacy staff in the Trust Microbiologists, the Director of Infection Prevention and Control (DIPC), & the Infection Control team Consultant medical staff and teams Trust governance lead Senior Nursing staff and other senior healthcare professionals Counterparts in other Trusts and in the Community, through Networks andon line fora CSU medicines management team and commissioners Clinical Pharmacy The post-holder will be part of a team providing a clinical pharmacy service to the Trust and will be responsible for: Antimicrobial Stewardship To work with Trust Antimicrobial Stewardship Group to develop strategies for the trust to meet National Antimicrobial Stewardship directives Attend trust level meetings including Infection Prevention Board, seasonalflu planning meetings To design and deliver packages of pharmaceutical care to individualpatients. Notably this includes in depth clinical reviews of choice and useof antimicrobials Challenge prescribing practice outside of antimicrobial guidelines Monitoring of the development of anti-infectives resistance in the locality Support the development, implementation, monitoring and evaluation ofpolicies and protocols relating to anti-infective agents including IV to oralswitches, automatic review dates, renal dosing, allergy recording,therapeutic drug monitoring TDM Maintains professional networks to give SWFT the benefit of learningelsewhere Advises and supports on the use of anti-infectives hand washing, surfacesanitization Teaching of Pharmacy, medical and nursing staff to raise awareness andimprove practice Attendance at antimicrobials round, C.difficile round, AntimicrobialsStewardship Team meetings Uses the Pharmacy IT system, EPMA and other data sources to researchanti-infectives use and identify opportunities to improve practice and / ordocument evidence based care. Participation in Microbiology review of Antibiotic guidelines for communityuse and for acute use Medicine Specialities To work with medical specialities to develop new strategies with thedirectorates. Providing an excellent standard of Clinical Pharmacy service to a specialityon the wards, virtual wards, community and outpatient To provide a high level of pharmaceutical support, advice and information,to medical, nursing and other healthcare staff providing clinical care inspecialty General Clinical Service To liaise with hospital colleagues and contribute to the provision of clinicalpharmacy services at SWFT. To advise on / recommend / adapt clinical treatment guidelines that havebeen produced locally or by national bodies e.g. NICE, NSFs, NationalPrescribing Centre, for use in the specialty area To contribute to directorate work for all medical specialities To be a lead pharmacist in advising the Principal Pharmacist, and the Headof Pharmacy, on the strategic development of clinical pharmacy services tothe designated specialist services. Work with the ward based and dispensary pharmacy teams in thedevelopment of and maintenance of the Trusts pharmacy services. To ensure that safe systems of handling medicines are in place and thatnational guidelines and local protocols relating to medicines managementare adhered to. To advise medical, nursing, other professional staff, managers and patientson any aspect of drug therapy or drug control as required or whenconsidered necessary. To maintain an awareness of current developments in pharmacy practicepertinent to the services, by liaising with relevant bodies, outside agencies,special interest groups and other pharmacists. To inform and advise seniorpharmacy staff as appropriate. Governance To work directly with the medicine Safety officer and principle pharmacistin addressing the pharmacy and medicines management governanceagenda within the Trust relevant to their designated specialty To represent Pharmacy on the Audit and Operational Governance group ofthe relevant division, in the postholders own right, or as alternate. To undertake the reporting of medication incidents when necessary,according to the Trusts Incident Reporting Policy, to assist otherpharmacists in reporting, to investigate medication incidents as necessary,to provide senior pharmacist input to incident report forms and root causeanalyses, and to recommend improvements and implement agreed actions. To contribute to duties as a clinical pharmacist to other wards in the Trustwhen necessary. To liaise with the Senior Pharmacists for the allocation of staff, notably tonegotiate staffing resource to provide cover of the specialist services in thepostholders absence. Supporting the assessment of medicines management competencies. To deputize for senior pharmacy managers as required. As a registered practising Pharmacist with the General PharmaceuticalCouncil, the post-holder must undertake Continuing ProfessionalDevelopment CPD and meet the mandatory requirements Participation in Root Cause Analyses when incidents occur which involveanti-infectives. Operational Pharmacy To participate in the provision of the total pharmaceutical service, includinga contribution to dispensary rotas on weekdays, late duties, and publicholidays. The department provides a 7 day pharmacy service and the postholder will be expected to work weekends on a regular basis To participate in on call service depending on service needs To undertake routine duties within the dispensary as required, includingsupervising the work of junior pharmacists, pharmacy technicians and(senior) ATOs. To assure the standards of pharmaceutical care provided to patients ondesignated wards, ensuring that a satisfactory level of pharmacy service isprovided within the resources available. Education and Training The post holder will support the pharmacy departments aspirations inachieving and maintaining the highest possible standards of clinicalpharmacy excellence. If agreed, to act as a Pre-Registration Pharmacist tutor, or as a clinicalcoordinator for a post-graduate diploma student. To provide clinical education and training to medical, nursing and pharmacystaff, both undergraduate and postgraduate, including tutoring andmentoring. To supervise, contribute to and undertake research and audit projects inthe specialty areas, particularly those concerned with the clinical and costeffective use of drugs, compliance with safer prescribing and drugadministration policies, procedures and guidelines, and implementation ofpharmacy service developments. To provide reports and present the auditfindings within the Trust or to outside organizations or regional or nationalmeetings where appropriate. Notably this will include point prevalencestudies of antimicrobials use and of adherence to antibiotics guidelines forthe locality, and the benchmarking of antimicrobials use against otherTrusts and localities. To support the Education and Training Lead Pharmacist to develop andmaintain a training Programme for clinical pharmacists allocated to thespecialty, and to develop and administer a competency assessmentprocess to ensure the appropriate standards are achieved. To provideclinical pharmacy training for undergraduate pharmacy students, post-grad.diploma students, vacation students, pre-registration pharmacists (hospitaland community-based) and hospital clinical pharmacists Research The post holder may undertake practice research and will support researchand audit by students and others within the department Locality, Regional, and National benchmarking of anti-infectives use in theTrust, comparing with secondary care peers, and with primary care General Responsibilities At all times to comply with all policies of the Pharmacy Department and ofthe Trust to ensure the maintenance of professional standards andcompliance with legal requirements. At all times to maintain safe standards of work and a safe and appropriateenvironment as required by the provisions of the Medicines Act, the Healthand Safety at Work Act, COSHH and waste disposal regulations. Any otherrequirements as may from time to time be placed upon the departmentincluding those of the MHRA. To carry out any task appropriate to the post-holders training, experienceand expertise, as may be required by the Head of Pharmacy The following responsibilities relate to general support of the Head ofPharmacy, the Pharmacy department and the Trust. They are notresponsibilities specific to the post-holder but areas in which, as a memberof the department, the post-holder will be expected to make an input. Pharmacy Strategy To suggest and support continuing service developments for inclusionwithin the Business Plan of the Pharmacy Department. To maintain an awareness of current developments in pharmacy practicepertinent to the services, by liaising with relevant bodies, outside agencies,special interest groups and other pharmacists. To inform and advise seniorpharmacy staff as appropriate future Strategies.