To provide a proactive clinically orientated pharmacy service, in accordance with professional, departmental and Trust policiesResponsible for the provision of a clinical pharmacy service to a clinical specialty or patient group as agreed. Duties will include; - Taking Medication histories from patients on admission - Review patients' medication to ensure safe and effective use - Formulate individual patient pharmaceutical care plans - Therapeutic level monitoring fort specific medicines - Education of patients about their medicinal therapy - Participation in consultant ward rounds - Facilitate implementation of local and national guidelines where appropriate - Challenging inappropriate prescribing Deliver clinical & where appropriate, final dispensing checks within the systems for dispensing & issuing medication from the pharmacy, in accordance with the prevailing safe systems of work. Provide professional and legal clinical supervision in the dispensary as allocated. Participate in, and supervise technical staff in, patient counselling to outpatient, inpatients and day-case patients. Provide counselling and information about the use of medicines to all grades of healthcare staff and patients Provide Medicines Information services to health care professionals from within and outside the trust and to members of the general public Undertake where appropriate, post graduate qualifications in clinical pharmacy Please refer to the full job description and person specification