Job summary We are seeking to recruit an experienced Pharmacist to work in the Bucks Attention Deficit Hyperactive Disorder Service (ADHD) in Buckinghamshire. The service is located together within the Bucks Adult Autism Diagnostic and Intervention Service and Bucks Autism Reasonable Adjustments Team. You will be working with friendly, enthusiastic, supportive and skilled colleagues. This newly created post of an ADHD Independent Prescriber Pharmacist will support named Consultant Psychiatrists by managing a delegated caseload of service users with an established diagnosis of ADHD. You will be based at The Whiteleaf Centre in Aylesbury and possibly Saffron House in High Wycombe, with the potential for some remote working. This post would appeal to an experienced Clinical Pharmacist (mental health experience is certainly highly desirable, but not essential) who has an interest in service development and can work well in both a multidisciplinary team setting as well as autonomously. The post holder must possess excellent communication skills (both written and verbal), have strong clinical and consultation skills and be innovative and driven. The post holder must hold or be working towards current registration with the General Pharmaceutical Council, postgraduate qualifications in Clinical Pharmacy and/or Psychiatric Therapeutics (up to diploma level) or equivalent experience and be a qualified Independent Prescriber. Main duties of the job The post holder will support a named Consultant Psychiatrist and community adult Attention Deficit Hyperactive Disorder (ADHD) team by managing a delegated caseload of service users who have an established diagnosis and treatment plan for ADHD. The post holder will provide on-going appointments, prescribe and adjust medication as necessary and undertake all associated physical and mental health monitoring. The post holder will be joining a team of clinical lead pharmacists across the Trust and support the Chief Pharmacist in delivering the Trusts' Medicines Optimisation Strategy with respect to adults with ADHD. About us Oxford Health NHS Foundation Trust provides physical, mental health and social care for people of all ages across Oxfordshire, Buckinghamshire, Swindon, Wiltshire, Bath and North East Somerset. Our services are delivered at community bases, hospitals, clinics and people's homes, delivering care as close to home as possible Our vision is that no matter who you are or where you are, you will tell us that you receive: "Outstanding care delivered by an outstanding team" Our values are: "Caring, safe and excellent" At Oxford Health we offer a wide range of benefits designed to support your career and wellbeing. These include: Excellent opportunities for career progression Access to tailored individual and Trust wide learning and development 27 days annual leave, plus bank holidays, rising to 33 days with continuous service NHS Discount across a wide range of shops, restaurants and retailers Competitive pension scheme Lease car scheme Cycle to work scheme Employee Assistance Programme Mental Health First Aiders Staff accommodation (please note waiting lists may apply) Staff networking and support groups hosted by our Equality, Diversity & Inclusion team Date posted 07 November 2024 Pay scheme Agenda for change Band Band 8a Salary £53,755 to £60,504 a year per annum Contract Permanent Working pattern Full-time Reference number 267-BM6760155 Job locations Whiteleaf Centre Bierton Road Aylesbury HP20 1EG Job description Job responsibilities Initially the scope of practice for the post holder would be to manage the treatment of ADHD. This may be extended to other diagnoses based on education, training, development and achievement of competence, as well as the clinical caseload and mix of the team. To undertake all relevant physical health monitoring associated with ADHD treatment e.g. weight, blood pressure and pulse. This may be extended to patients not on the pharmacist caseload. To modify the treatment plan with respect to drug therapy once trained in diagnostic tools for ADHD management (and other diagnoses where appropriate). To act as a core member of the multidisciplinary team, attending medical reviews and other clinical case review sessions across a geographical area. This will include partaking in multidisciplinary review of new referrals and actively advising on medicines-related issues to ensure the most appropriate management of caseload by the team. Where appropriate, referrals requiring only advice directly back to GPs may be undertaken. To provide specialist education and training to consultants, other prescribers, other health care professionals, clients, relatives and carers. This may also involve presenting complex, sensitive or contentious information to a large group of staff, service users or carers. To provide highly specialist pharmaceutical advice concerning the care and treatment of service users within the service to promote safe, effective and evidence-based use of medicines. Design and deliver psycho-educational sessions for parents and carers, GP and schools. This will require effective and adaptable communication skills. To act as a clinical specialist pharmacist for the adult ADHD services across the directorate and ensure that pharmacological treatments used in ADHD service are in line with national guidance, legislation and best practice through the development of guidelines and policies. The post holder will support the implementation of the shared care pathway for service users with ADHD across primary and secondary care. This will involve effective communication of complex information about individual patients and medicines, as well as the planning and facilitation of care between clinical staff in OHFT, GPs and community pharmacists, and patients and carers. The post holder will ensure cost effective prescribing within the team. This will involve monitoring the adult ADHD prescribing budget across the team and developing opportunities for cost and quality improvements. The post holder will support the implementation and monitoring of the trust Medicines Optimisation Strategy with respect to the adult ADHD services in the directorate. This will require excellent written and verbal communication skills, excellent planning and organisation of a broad range of complex activities and ongoing programmes which will require ongoing formulation and adjustment. To support the effective operation, monitoring and feedback of the Trust Medicines Policy, Medicines Optimisation Strategy, ICS Formulary, NICE Guidance and other policies and guidelines approved by the Drugs & Therapeutics Group, including those agreed across the Buckinghamshire Integrated Care System. Investigate medication related incidents within the services and produce remedial action plans and undertake risk assessments if required. Undertake and support the consultant psychiatrist and clinical team with research and innovation projects. To provide leadership and guidance to all pharmacy staff with respect to adult ADHD related issues, and to support and supervise junior pharmacists and pre-registration pharmacists as required. To plan and carry out audits that evaluate medicines use, the medicines management process, the operation of policies and procedures relating to medicines and risk management processes in the Trust, including national audits e.g. POMH-UK. This will include ensuring that all audit action plans are tracked to completion. Job description Job responsibilities Initially the scope of practice for the post holder would be to manage the treatment of ADHD. This may be extended to other diagnoses based on education, training, development and achievement of competence, as well as the clinical caseload and mix of the team. To undertake all relevant physical health monitoring associated with ADHD treatment e.g. weight, blood pressure and pulse. This may be extended to patients not on the pharmacist caseload. To modify the treatment plan with respect to drug therapy once trained in diagnostic tools for ADHD management (and other diagnoses where appropriate). To act as a core member of the multidisciplinary team, attending medical reviews and other clinical case review sessions across a geographical area. This will include partaking in multidisciplinary review of new referrals and actively advising on medicines-related issues to ensure the most appropriate management of caseload by the team. Where appropriate, referrals requiring only advice directly back to GPs may be undertaken. To provide specialist education and training to consultants, other prescribers, other health care professionals, clients, relatives and carers. This may also involve presenting complex, sensitive or contentious information to a large group of staff, service users or carers. To provide highly specialist pharmaceutical advice concerning the care and treatment of service users within the service to promote safe, effective and evidence-based use of medicines. Design and deliver psycho-educational sessions for parents and carers, GP and schools. This will require effective and adaptable communication skills. To act as a clinical specialist pharmacist for the adult ADHD services across the directorate and ensure that pharmacological treatments used in ADHD service are in line with national guidance, legislation and best practice through the development of guidelines and policies. The post holder will support the implementation of the shared care pathway for service users with ADHD across primary and secondary care. This will involve effective communication of complex information about individual patients and medicines, as well as the planning and facilitation of care between clinical staff in OHFT, GPs and community pharmacists, and patients and carers. The post holder will ensure cost effective prescribing within the team. This will involve monitoring the adult ADHD prescribing budget across the team and developing opportunities for cost and quality improvements. The post holder will support the implementation and monitoring of the trust Medicines Optimisation Strategy with respect to the adult ADHD services in the directorate. This will require excellent written and verbal communication skills, excellent planning and organisation of a broad range of complex activities and ongoing programmes which will require ongoing formulation and adjustment. To support the effective operation, monitoring and feedback of the Trust Medicines Policy, Medicines Optimisation Strategy, ICS Formulary, NICE Guidance and other policies and guidelines approved by the Drugs & Therapeutics Group, including those agreed across the Buckinghamshire Integrated Care System. Investigate medication related incidents within the services and produce remedial action plans and undertake risk assessments if required. Undertake and support the consultant psychiatrist and clinical team with research and innovation projects. To provide leadership and guidance to all pharmacy staff with respect to adult ADHD related issues, and to support and supervise junior pharmacists and pre-registration pharmacists as required. To plan and carry out audits that evaluate medicines use, the medicines management process, the operation of policies and procedures relating to medicines and risk management processes in the Trust, including national audits e.g. POMH-UK. This will include ensuring that all audit action plans are tracked to completion. Person Specification Knowledge Essential UK Registered Pharmacist Qualifications Essential Higher degree or postgraduate qualification in clinical pharmacy up to a minimum diploma level (or equivalent experience) Desirable Post Graduate Certificate / Diploma in Psychiatric Therapeutics Credentialled member of the College of Mental Health Pharmacy Further Training or Job Related Aptitude and Skills Essential Non-Medical Prescribing Qualification and annotation on GPhC register (or working towards). Able to make judgements involving complex facts or situations which require analysis, interpretation and comparison of a range of options. Able to critically appraise clinical trial data and research papers Desirable Experience working as a non-medical prescriber, ideally within the field of ADHD Experience of using the Refine(TM) system for analysing prescribing information. Experience Essential At least 5 years post qualification experience in secondary care Experience of service development in an NHS organisation Good planning and organisational skills - able to plan and lead the development of new areas of medicines management e.g. prescribing and administration of medicines under patient group directions Desirable Experience of working within ADHD Services Project planning and management Person Specification Knowledge Essential UK Registered Pharmacist Qualifications Essential Higher degree or postgraduate qualification in clinical pharmacy up to a minimum diploma level (or equivalent experience) Desirable Post Graduate Certificate / Diploma in Psychiatric Therapeutics Credentialled member of the College of Mental Health Pharmacy Further Training or Job Related Aptitude and Skills Essential Non-Medical Prescribing Qualification and annotation on GPhC register (or working towards). Able to make judgements involving complex facts or situations which require analysis, interpretation and comparison of a range of options. Able to critically appraise clinical trial data and research papers Desirable Experience working as a non-medical prescriber, ideally within the field of ADHD Experience of using the Refine(TM) system for analysing prescribing information. Experience Essential At least 5 years post qualification experience in secondary care Experience of service development in an NHS organisation Good planning and organisational skills - able to plan and lead the development of new areas of medicines management e.g. prescribing and administration of medicines under patient group directions Desirable Experience of working within ADHD Services Project planning and management Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Oxford Health NHS Trust Address Whiteleaf Centre Bierton Road Aylesbury HP20 1EG Employer's website https://www.oxfordhealth.nhs.uk (Opens in a new tab)