Clinical Services To provide information, advice and guidance on the safe, effective and economical use of medicines and to challenge poor practice. To maintain appropriate standards of service and safety; to enforce guidelines, policies and procedures to ensure standards are met. To fulfil the requirements of the Code of Ethics and Standards of Good Professional Practice. To optimise medicines management by reconciling drug histories, performing medication reviews, using patients own medicines, counselling and ensuring continuity of care on discharge. To detect, record and report adverse drug reactions to the Medicines and Healthcare Products Regulatory Agency (MHRA) and via Datix as per Trust Policy. To implement countywide and local prescribing strategies within the Trust. Facilitate the expansion of the tools within EPMA (when available) To undertake validation duties in the dispensary. To supervise, check and, if necessary, undertake the supply of medicines. Technical checking is in place; pharmacists make initial validations and have a professional responsibility to decide on the need for their further involvement in the supply process. Speciality Clinical Pharmacy Role Support the development and implementations of antimicrobial guidance, policies and procedures. To manage the introduction of new antimicrobials into the Trust Formulary in conjunction with the Lead Pharmacist, Antimicrobials. To work with Divisions, Infection Prevention and Microbiologists to identify the need for and contribute to new and revised antimicrobial protocols, guidelines and patient group directions. To facilitate implementation of guidelines and their impact. To support restrictive prescribing policies/mechanisms for certain antibiotics and to monitor their impact. To deputise for Lead Antimicrobial Pharmacist. Have a working knowledge of current practice and protocols within antimicrobials and how these relate to national and other guidance. Support the Lead Antimicrobial Pharmacist to implement the Trusts Antimicrobial Stewardship Plan. To participate in CQUINs and QIPPs with Antimicrobials. To monitor pharmacy interventions and Datix reports to identify training and information needs within antimicrobials. To identify and implement service improvements within Antimicrobials. To lead and support on the auditing of antimicrobial prescribing. Support the process for new antimicrobials being integrated into the Trust by Formulary submissions. Attend clinical pharmacy meetings and education/training schemes relevant to post. To audit adherence to the Trusts Antibiotic Guidelines for Adults and Antibiotics and participate in National audits on antimicrobial prescribing and antimicrobial stewardship activities as required, using nationally recommended toolkits. To undertake other relevant audits, related to Clostridium Difficile and MRSA risks, such as IV to oral switch times, total durations of antibiotic treatment, allergy documentation, clinical indication etc. Education, Training and Supervision Attend clinical pharmacy meetings and education/training schemes relevant to post. To take part in formal and informal education of pharmacy staff and other healthcare professionals in antimicrobials as well as the wider pharmacy team. To supervise aspects of pre-registration training. To line manage and lead those staff allocated, undertaking appraisals, supervision and identification of training and development of their skills and knowledge. To assist in the induction of staff into the service; to help identify training and development needs. To provide information to patients, parents, and carers on admission and at discharge regarding treatment and medication to optimise patient concordance, particularly if there is a need to overcome language or communication barriers. To maintain up-to-date clinical knowledge in clinical pharmacy and pharmacy practice to ensure a broad base of pharmaceutical knowledge, clinical reasoning and judgement. To take responsibility for own personal CPD by participating in education and training programmes to improve competence and to develop specialist expertise in antimicrobials area. To obtain/maintain prescribing qualification and support services and ward rounds as appropriate. To help provide the training for Technicians enhanced patient counselling skills and Medicines Management Technician training. Other Duties To undertake duties elsewhere in the locality, if required To undertake late night duties To undertake on call duties To provide a pharmacy service at weekends