Clinical Responsibilities To be responsible for the provision of a highly specialised pharmacy service (clinical, dispensing and supply) to patients within the Care Group. To provide highly specialised evidence-based clinical advice and information (doses, interaction, adverse effects, drug availability, complex dose calculations) to nursing and medical staff (within theTrust and externally) on the management of individual patients, in accordance with legislation. To act as a pharmacist independent prescriber to optimise the care of patients. To participate in consultant ward rounds. To demonstrate expert clinical knowledge. To manage and make appropriate referrals. To provide direct high quality of care to outpatients in clinic(s) within specialist area, as required. To follow legal ethical professional and employers codes of conduct. To enhance the quality of patient care. To manage difficult and ambiguous problems. To make decisions with limited information. To act as a clinical role model for staff providing clinical pharmacy services to the Care Group. To demonstrate advanced level of clinical reasoning and judgement To liaise with other pharmacists, services and Trusts to ensure efficient transfer of clinical and medicines management issues. To promote and deliver pharmaceutical care specifically for patients within the Care Group and generally for all patients. To contribute to and participate in the clinical/ward pharmacy service. To minimise risk to patients through effective supervision of clinicians, nurses and patients relating to medicine use. To update and maintain patient medication record in accordance with Trust policy. To demonstrate awareness and commitment to the Trust Clinical governance agenda. To identify trends in drug errors and develop strategies to minimise these. To demonstrate a whole-system patient-focused approach. To contribute to, adhere to, monitor and assess clinical pharmacy service standards. To provide formal or informal patient / carer education and counselling.