Progression Milestones: The postholder is expected to achieve the following milestones in order to progress from a band 7 to band 8a. This is expected within 2 years of the post start date. Extensions may be discussed with the Clinical Services Manager. Clinical Milestones: Qualify as an independent prescriber and provide evidence of prescribing to a satisfactory standard. Provide expert advice on pharmaceutical matters, understanding risk management and ensuring compliance with guidelines and formulary. Provide pharmaceutical advice and support to the multidisciplinary team meetings. Management: Successful completion of management course. Line management/supervision of junior staff to satisfaction of Education and Training Lead Pharmacist. Directorate: Service improvement task demonstration of leadership improving some aspect of the pharmacy service to the directorate. Review and update guidelines, policies and actively update pharmacy staff on drug shortages and formulation switches or switching to generics. Provide feedback from doctors and nursing staff within the directorate. Main responsibilities: To lead and strategically develop the clinical pharmacy service to the specialist areas in line with patient needs and priorities set by the Clinical Services Manager, in order to ensure the delivery of a high quality, patient centered and effective clinical pharmacy service. To contribute effectively to patient care as part of the multidisciplinary team, by attending ward round or other appropriate meetings, in order to make proactive interventions in individual patients therapy and to provide information on drug related issues and to act as the lead pharmacy contact for the specialist area. Communicate specialised drug or medicine related information to patients, relatives, prescribers and other health professionals. To provide counselling to patients (and/or carers where appropriate) on any aspects of medication use, in order to improve understanding and compliance with the prescribed regimen. To review patients medication at each step of the drug use process in order to ensure optimum therapy in line with the Trust Formulary and treatment guidelines, in order to reduce the prescribing of unsuitable or unnecessary drugs. To contribute to the multidisciplinary identification, review and development and ratification of treatment guidelines and policies in the specialist area, in order to promote safe and evidence-based patient care. To update and implement existing drugrelated guidelines in the specialist area, and to provide support in the implementation of NICE guidelines as required, in order to optimise patient care. To advise the Assistant Director of Pharmacy - Clinical Services and Director of Pharmacy as necessary on any local or national issues or legislation relevant to the specialist areas, in order to ensure that any implications can be recognised and actioned at an appropriate senior level in the Trust. To lead, facilitate and participate in the development, implementation, monitoring, review and analysis of departmental audit/research projects in order to ensure that cost improvement and quality targets are met. To manage as necessary the work of the pharmacists and ward-based technicians working in the specialist areas, in order to maintain and further develop a high quality pharmacy workforce. To manage, within the specialised area, the teaching of Trainee Pharmacists and Early Careers Pharmacists, medical and nursing staff to help support them in their induction, development and obtaining their qualification. To provide multidisciplinary education and training on all aspects of medicines management. Co-ordinate practice research within the Pharmacy Directorate for the specialist area; this includes identifying areas of research, acting as a research mentor for students, implementing research findings and promoting publications of audit and research findings locally or nationally. Participates in multidisciplinary and departmental audit/research activities, in order to ensure that cost-improvement and quality targets are met.