Do you want a new challenge? Are you full of ideas and committed to developing pharmacy ward based services? If you have the passion and drive for medicine and want to be a crucial part of delivering inpatient gastroenterology services in Worcestershire, we would love to hear from you!

We are looking for a dynamic and enthusiastic pharmacist to come and work alongside the lead pharmacists in medicine to deliver best practice care to the patients of Worcestershire.

The post offers a highly motivated skilled clinical pharmacist the opportunity to deliver a ward based service within this specialty and the opportunity to innovate and support implementation of new ways of service delivery in response to the needs of the gastroenterology directorate.

You will have experience of pro-actively influencing prescribing within a secondary care environment, hold or are undertaking a post graduate clinical diploma, be eligible to undertake an independent prescribing course (if not already held) and above all, be a team player!

We are committed to achieving a balance between high quality service delivery and professional development. We can offer you a supportive and training-focused environment, within a friendly team.

Main duties of the job

Key responsibilities for the posts will include:

• Providing an embedded ward based pharmacist prescriber service to the gastroenterology ward
• Providing specialist advice on medications and treatments to the ward and other pharmacists within the trust
• Identify key areas for service development and expansion in conjunction with the team lead for medicine
• Act as a mentor and role model for junior pharmacists rotating into specialty medicine
• Providing on-going pharmaceutical care to patients admitted to gastroenterology and general medicine wards
• Discharge planning and communication of key issues for patients post discharge across the whole Health Economy

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is nearly 6,800 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:

• Best services for local people
• Best experience of care and best outcomes for our patients
• Best use of resources
• Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Job description

Job responsibilities

Key Duties:

Provision of Specialist Clinical Services:

Provide a specialist clinical pharmacy and medicines optimisation service to Gastroenterology and Specialty Medicine wards at WRH.

Following accreditation, function as an Independent Prescriber within an allocated clinical area or to a defined cohort of patients.This will be in line with GPhc registration requirements and be formally agreed with all appropriate and relevant Clinicians, as well as being within the departmental scope and funding for IP practice.As an IP pharmacist the post holder will:

oPractice within the scope of GPhC registration.

oAdhere to the Medicines Policy in relation to scope and responsibilities of role.

oComply with the Trust Medicines formulary.

oBe responsible for providing on-going evidence of competency in relation to theirprescribing role.

Ensure compliance with medicines legislation, the Trust Medicines Policy, and medicines related national and local guidelines within the Specialty Medicine Division WRH.

Contribute to producing and implement appropriate technical and professional SOPs and associated policies to ensure that the Medicine Directorate medicines management systems are safe, robust, guided by national directives, standards, guidelines, and the post-holders own specialist knowledge, and are quality assured.

Evaluate prescribing practices and amend according to evidence-based practice, national/regional directives and clinical governance targets on a daily basis, during Consultant ward-rounds, and at multidisciplinary team meetings.

Recommending best treatment.

Substantiate pharmaceutical recommendations and advice to medical and nursing staff and communicate effectively any necessary actions to medical and nursing staff.

Construct pharmaceutical care plans for patients, assess and monitor clinical progress and outcome with regard to their medication and actively intervene to ensure that patients receive optimal care with minimal side effects.

Navigate/refer patient appropriately across the health care economy to meet their specific care needs.

Communicate all findings for patient to the patient, carer and their usual care co-ordinator

Provide expert advice to other health care professionals on all pharmaceutical issues arising within the specialist clinical area. This will include the extrapolation of clinical and highly complex medicines information and clinical trials where data may be lacking and analysing, interpreting and comparing differing opinion or facts to determine the best prescribing strategy for an individual patient or patient group

Be responsible for the therapeutic blood monitoring of identified drugs within the post-holders clinical area.

Medication History Taking, Provision of Patient Information and Counselling:

Ensure that information and patient counselling systems are implemented within their specialist area according to patient need to ensure that patients obtain the most benefit from their medicines.

Contribute to setting standards for, and manage the counselling of patients on their medicines within the Medical Directorate, to improve concordance and knowledge of their therapy.

Ensure all newly admitted patients are interviewed to construct an accurate medication history and assess compliance/concordance issues.

Review information against the admission details and prescription chart.

Pro-actively identify to medical staff any potential or actual medicines-related hospital admissions or associated issues and outline any required action to resolve identified discrepancies.

Assess patients discharge information requirements as early as possible in the admission stay to be able to prepare information on medicines for them based on individual need.

Complete Patient Need Assessments to assess patients information requirements and suitability for delegation of counselling to a junior pharmacist or lead medicines management technician.

Counsel patients with complex needs such as a physical disability which may affect information requirements (sight or hearing), language difficulties, those with life-threatening or terminal diagnoses and highly distressed patients.

Assist with the development and initiation of any self-administration schemes as appropriate within the post-holders clinical area in line with ward requirements and team resources.

Managerial responsibilities:

Plan his or her own workload, contribute to the planning of the pharmacy servicesand ensure pharmacy services to theMedical Directorate are delivered according to plan.

Clinically supervise on a day to day basis the ward-based medicines management pharmacy team of medicines management technicians, pharmacists, and students as allocated to achieve Trust and departmental medicines management targets on allocated wards within the Medical Directorate.

Advise and support technical staff in the delivery of pharmaceutical care within the Medical Directorate WRH and refer performance related issues to the Clinical Pharmacy Team Leader as appropriate.

Use the Pharmacy Computer System and MS Word, Excel, Access, and Powerpoint to produce reports, SOPs, analyses and training materials for others to support the delivery of the post holders key roles and responsibilities.

Financial Responsibilities:

Analyse prescribing trends and provide guidance and advice on drug expenditure, prescribing patterns and high cost drug use for Gastroenterology medicine as needed

Advise Consultants on proposed new medicines for use within the post-holders clinical area and assist with compiling new product assessments and evidence-based reviews for submission to the Area Prescribing Committee for formulary and funding approval.

Implement measures to keep the Medical Divisions drug expenditure within agreed budgets. Discuss and influence drug expenditure and its management with key medical staff, and Modern Matrons within the post-holders specialist area.

Handle prescription charges whennecessary

Service Development and Business Planning:

The post holder will:

Develop links with the Clinical staff, Matrons and Ward Managers in relation to the pharmaceutical needs of the Gastroenterology team and Speciality Medical Division.

Contribute to the pharmacy service development plan for the Speciality Medical Division, with the Lead Clinical Pharmacists.

Contribute to the pharmacy modernisation initiatives within theMedical Division.

Contribute to planning and organising the delivery, standard and modernisation of clinical pharmacy services within WAHT.

Research and Clinical Audit:

Ensure all pharmaceutical aspects of research in the post-holders clinical area complies with relevant legislation

Ensure that all clinical trials of medicines in the post holders area comply with National Guidelines, the Trust medicines policy, and the Trial Protocols.

Help plan and conduct pharmaceutical practice-based research/audit in the Medical Unit in conjunction with the Clinical Team Lead Pharmacist-Medicine.

Create guidelines on the use of unlicensed medicines or licensed medicines used in an unlicensed way where standard information is not available, within the specialist post-holders area and to assist the pharmacy department.

Contribute to the creation, implementation and audit of clinical guidelines relating to all areas of medicines use within the post-holders area.

Education, Training and CPD:

Participate in the Trust personal development review (PDR).

Agree service and personal objectives with the Pharmacy Team Leader Specialty Medicine and be responsible for self audit to demonstrate both achievement of objectives and evidence of value to the Trust.

Participate in a regular review of all duties with the Pharmacy Team Leaderand make such alterations as necessary to meet the demands of a changing service.

Deliver teaching and training on the post holders specialist area to pharmacy and nursing staff including pharmaceutical induction for new medical and nursing staff in theMedical Directorate WRHH.

Train, assess and provide feedback for Foundation Trainee Pharmacist Graduates as allocated.

Train, assess and provide feedback for undergraduate students, medicines management technicians and student technicians as allocated.

Identify personal training and development required to ensure the quality of the service.

Agree and complete a yearly training plan (PDP) with the Pharmacy Team Leader at personal development review (PDR)

Dispensary and other Operational Responsibilities:

The post holder will:

Assist in the delivery of the WRH pharmacy departments dispensing and other operational, and clinical, services as required to meet the needs of the service:

oProvide the clinical professional check on prescriptions dispensed within the dispensary, ensuring that the Trust high cost drug procedure and Trust Formulary is adhered to.

oAccurately, with no margin for error, dispense/prepare medicines ensuring doses are correct and accurately weighed, measured and or counted.

oEnter patient details on the Pharmacy Computer System from prescriptions of doctors and other practitioners and produce medicine labels.

oCheck medicines that other pharmacy staff have dispensed/prepared to ensure they have been dispensed correctly.

Participate in the weekend and Bank Holiday rotas.

Participate in the emergency on-call rota

Person Specification

Qualifications

Essential

• Currently Registered as a pharmacist in UK: Member of the General Pharmaceutical Council
• Postgraduate clinical specialist knowledge acquired through diploma level training eg: working towards completion of Diploma in Clinical Pharmacy or equivalent.
• Currently meeting the RPSGB standard for continuing professional development
• Eligible to undertake independent prescribing qualification

Desirable

• Accredited independen
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