Job summary

Oxleas NHS Foundation Trust is a mental health and community trust that provides a wide and growing range of services across the boroughs of Bexley, Greenwich, Bromley, Kent and the South West of England. Oxleas Prison Services Ltd is a wholly owned subsidiary of Oxleas NHS Foundation Trust and provides the pharmacy services to the prison pharmacy contracts.

Prisons healthcare can be one of the most challenging, yet rewarding professions to work in. The pharmacy department has a long history of innovation, with established policies and procedures in line with National Guidelines governing patient care within a prison setting.

The postholder will provide medicines optimisations services and support the GPs and dispensary team at HMP Exeter, Devon Cluster.

Further information relating to the role and responsibilities can be found in the following information and attached supporting documentation.

Main duties of the job

To support patients with their medicine queries and concerns.

To undertake medication review clinics.

To stratify risk with high-risk medicines and work to reduce such risk for patients.

As part of the health and wellbeing team:

Identify patients at risk of admission to hospital and work to manage medicine-related risk for these patients.

Implement improvements to patients medicines for LTCs, including de-prescribing and run LTC clinics where medicines are a large component of care

Develop and manage new services that are built around new medicines or NICE guidance.

To provide leadership to ensure practice within healthcare is compliant with CQC standards where medicines are involved.

Working with the Specialist Prison Services Pharmacist, develop and enforce the formulary

Support the audit process in line with Oxleas NHSFT audit programme including and disseminate findings appropriately to improve prescribing practice

About us

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.

We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.

Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

• We're Kind
• We're Fair
• We Listen
• We Care

Job description

Job responsibilities

To devise and implement SystmOne computer searches to identify cohorts of patients at high risk of harm from medicines.

To devise and implement SystmOne searches to identify cohorts of patients most likely to be at risk of unplanned admission/readmission to hospital from medicines.

To provide leadership to the Healthcare Manager and GPs to ensure that practice is compliant with CQC standards where medicines are involved.

As part of the Health and Wellbeing model, to contribute to public health campaigns, including flu vaccinations and adult immunisation programmes using specialist knowledge on immunisation. To ensure all relevant PGDs for immunisation are in place and staff authorised to administer using a PGD have receive the relevant training.

Analyse, interpret and present medicines data to highlight issues and risks to support decision making.

Identify and provide leadership on areas of prescribing requiring improvement. Present results of audits and provide leadership on suggested changes.

To develop and manage new services that are built around new medicines or NICE guidance, where a new medicine/recommendations allow the development of a new care pathway.

Provide education and training to the primary healthcare team on therapeutics and medicines optimisation.

Support the Specialist Prison Service Pharmacist in providing education and training to the pharmacy team members as required.

Identify from SystmOne patients prescribed medication that should be prescribed or initiated by Specialists/hospital doctors or subject to shared care and liaise directly with hospital colleagues to ensure prescribing and dispensing of such medicines is appropriately undertaken and adheres to the requirements of the secure environment.

Develop, implement and maintain the prison formulary, in liaison with other OPS colleagues, and ensure this is updated onto SystmOne locally when changes are made.

Manage the process if implementing changes to medicines resulting from MHRA alerts and product withdrawals and provide guidance for practitioners.

Clinical

Work with the dispensary and Primary Care teams to identify patients as at risk from high-risk medicines to minimise such risks through medicines optimisation. Provide scheduled clinics for offenders across HMP Exeter, Devon Cluster and to give advice and support on their prescribed medicines, OTC medicines and other medical issues they may raise.

To put in place changes to reduce the prescribing of medicines likely to cause readmission to high-risk patient groups.

Promote healthy lifestyles for offenders in line with local and national guidelines or promotions.

To be an active member of HMP Exeter, Devon Cluster clinical governance/medicines management committee(s).

To provide face to face clinics to help patients with questions, queries and concerns about their medicines.

To hold clinics for patients requiring face-to-face Clinical Medication Reviews (CMRs) i.e. a review of the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their concordance with prescribed medication.

To undertake clinical medication reviews with patients with multi-morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests.

To see patients in multi-morbidity clinics and in partnership with the Health and Wellbeing coordinator(s), implement improvements to the patients medicines, including deprescribing.

Run own long term conditions clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. stable angina, warfarin monitoring and dose adjustment).

To demonstrate on-going continual professional development (CPD) and be responsible for self-development and learning within the field of pharmacy or other specialty where appropriate.

Make recommendations for and manage changes to medicines (switches) designed to save on medicines costs where a medicine or product with a lower acquisition cost is now available.

Answer all medicine-related enquiries from GPs, other healthcare staff and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes.

Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance, including national prison formularies.

Dispensary

To act as responsible pharmacist in the dispensary

Co-ordinate and manage the workload in HMP Exeter, Devon Cluster Pharmacy Dispensary/Healthcare

To undertake clinical screening and final accuracy checks when working in the dispensary.

Communication

To make clinical judgments within your clinical ability where information is highly complex or lacking or ambiguity exists. Where such judgments are outside of your clinical ability to refer the situation to a more senior pharmacist or GP for assistance.

To provide newsletters on important prescribing messages to improve prescribers knowledge and work with the GP and Primary Care team to develop and implement other techniques known to influence implementation of evidence such as audit and feedback.

To communicate with external healthcare providers to ensure prisoners are treated with medication suitable for continuation on return to the secure environment.

Research

To ensure systems are in place that support the implementation of evidence-based guidelines into practice within HMP Exeter, Devon Cluster

To undertake own audit of prescribing practices), analyse complex data, feedback results and make suggestions for change.

Audit compliance against NICE technology assessment guidance involving medication at HMP Exeter, Devon Cluster. Feeding back findings, analysis and solutions to the GPs and Medicines Management Committee.

Other

Post holders will be subjected to an advanced DBS check and a prison security check (level 2).

To appreciate thesecure environment you are working in and to adhere to all prison procedures as necessary.

Person Specification

Education & Qualifications

Essential

• Masters Degree of Pharmacy or equivalent
• Registered with the General Pharmaceutical Council of GB (GPhC)
• Diploma in General Pharmacy Practice/Clinical Pharmacy/Mental Health or equivalent (or working towards)
• Registered Independent Pharmacist Prescriber

Desirable

• A member of or working towards Faculty Membership of the Royal Pharmaceutical Society

Experience

Essential

• Previous prison/hospital/community pharmacy experience in the UK
• At least 4 years experience of providing clinical pharmacy services
• At least 2 years experience of providing clinical services within prisons or GP practices

Desirable

• Experience of providing clinical services to mental health or substance misuse patients

Skills and Abilities

Essential

• Recent clinical pharmacy practice in a GP practice or prison setting
• Sound clinical skills at diploma level

Any attachments will be accessible after you click to apply.

277-5177317-SWP-B