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Specialist Clinical Pharmacist- Rheumatology

Nottingham University Hospitals NHS Trusts
£50,952 to £57,349 per annum (pro rata)
Closing date
21 Jul 2024

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Other Health Profession
Band 8A
Full Time
Nottingham University Hospitals is one of the UK's largest and busiest acute teaching hospital Trusts and has a national and international reputation for many of its specialist services and expertise.

An exciting 6 month opportunity has arisen for a dynamic, motivated and forward thinking Specialist Clinical Rheumatology Pharmacist to deliver and lead on developing pharmacy services within Rheumatology at NUH.

The successful post holder will be working directly with our Rheumatology Consultants and nurse specialists and will be an integral part of our Rheumatology Multidisciplinary Team. The role involves participating in outpatient clinics and having an active role as an independent prescriber conducting patient assessments and being involved in the prescribing of DMARDs, biologics and specialist medicines.

This role provides an excellent opportunity todevelopadvanced clinical skills and to directly deliverenhanced level patient centred-care. Participatinginresearch and teachingare otherkeys aspectsof the role.

This post will also support clinical governance processes, such as development of guidelines, policies and procedures,

Although this role provides an excellent opportunity for an experienced clinical pharmacist to develop further as an Advanced level practitioner, however we welcome applications from pharmacists with varied Rheumatology experience. Hospital experience is desirable but not essential as role development support will be provided.

Main duties of the job

To provide highly specialist clinical pharmacist input to the Rheumatology Specialty and wider Rheumatology outpatient service

To proactively deliver, develop and evaluate specialist clinical pharmacy services to Rheumatology patients across NUH.

To participate in outpatient Rheumatology clinics providing highly specialist Pharmaceutical care to a defined group of patients, either as a member of the multidisciplinary team alongside medical consultants and specialist nurses, or as an independent practitioner with a defined patient case load.

As an independent prescriber, initiate drug therapies, review treatment plans and support with the repeat prescribing of specific DMARDs and biological agents as agreed. To provide specialist advice on drug monitoring and facilitate dose adjustments where required.

To be involved in reviewing, writing and developing procedures, policies and guidelines within Rheumatology, and to contribute towards developing education and training material.

To support develop, implement and audit prescribing guidelines and drug protocols for the specialty. This includes risk assessments for new drug therapies and to provide support for clinicians in the preparation of new product evaluations within Rheumatology for the Trust's Drugs and Therapeutics Committee.

To provide leadership , management and operational service support.

About us

The pharmacy department at NUH is forward thinking and constantly implementing innovative ways of working to deliver the best possible patient care. We continue to extend the ideal model of delivering medicines optimisation and pharmaceutical care where pharmacists are fully integrated in to the medical teams, supported by a team of medicines management technicians and assistants.

You will also be joining the trust at an exciting time as we are currently in the process of implementing electronic prescribing and administration.

The post will be predominately based at the Treatment Centre Campus and Queens Medical Centre, but there may be the odd expectation to travel to the City Hospital Campus. You will be required to participate in a rostered flexible shift working system including evening, weekend and bank holiday arrangements over a 7 day period and support the on-call pharmacists through the senior pharmacist back-up rota.

Job description

Job responsibilities

Please refer to the job description and person specification attached to the advert for the full details of the vacancy.

To work as an independent prescriber and to participate in outpatient clinics alongside Consultant Rheumatologists for patients with Rheumatoid Arthritis or other conditions under the care of the Rheumatology team, providing highly specialist Pharmaceutical care and contributing to medicines optimisation and safe, cost -effective prescribing.

To take an active role as a prescriber within the service, taking responsibility for prescribing DMARDs, biologics and supportive medicines independently but with support from the Rheumatology multidisciplinary team.

To provide a highly specialist and expert clinical Pharmaceutical service to the Rheumatology department and become as expert within the speciality.

To review prescriptions, challenge treatment choices and communicate highly complex drug and therapeutic information to senior clinicians, senior managers and other professionals in order to influence treatment options and ensure compliance with medicines legislation.

To review, write and develop procedures, policies and guidelines within Rheumatology, and contribute towards the provision of education and training.

To act as a role model for specialist clinical pharmacists, junior medical staff, students and others in the management of medication, demonstrating advanced skills in drug utilisation review and evaluation .

To monitor drug usage, prescribing patterns and expenditure in order to support the service in achieving a balanced drugs budget and planning for new drug developments.

To attend Multidisciplinary meetings within Rheumatology e.g. Rheumatology Clinical Governance meetings and represent Pharmacy views.

To maintain contact with and actively participate in regional and national specialty groups, providing advise as appropriate. Identifying best practice and supporting the incorporation of this locally into NUH practice.

If you have any further questions about the post please do not hesitate to get in touch and contact Harjinder Dhillon Lead Divisional Pharmacist via email: or mobile number: 07812 269 456

Person Specification



  • Clinical Diploma or equivalent qualification
  • Independent Prescribing qualification
  • B.Pharm / BSc (Pharmacy) or MPharm
  • GPhC registered


  • Membership of the Royal Pharmaceutical Society (MRPharmS)
  • Play an active role in a relevant national network / specialist pharmacist group



  • Broad previous experience (post-registration) of clinical pharmacy, particularly in acute settings
  • Broad knowledge base across a range of clinical areas
  • Experience of provision of specialist clinical pharmacy review and advice relating to the safe use of medicines
  • Experience of developing and implementing medicines and service related policies for a specialty
  • Some experience of line management, including effective performance management, recruitment and allocation of staff
  • Some experience of excellent leadership and management skills
  • Experience of training and education of both pharmacy staff and other healthcare professionals
  • Experience of multidisciplinary and team working at Pharmacy, Trust and regional level
  • Understanding of issues affecting the NHS
  • Demonstrable knowledge of caring for people who require Disease Modifying Anti- rheumatic drugs (DMARDs) and biologics used for Rheumatology conditions


  • Publication of audit/research/clinical work at national level
  • Experience of working actively on national groups
  • Experience in undertaking, supervising and reporting/presenting audit / research work at local (Trust) level
  • Experience in project management (including department-wide roles) and evidence of completed outcomes
  • Effective liaison with relevant Trust level committees / groups or equivalent



  • Strong, accurate and concise written and oral communication skills, including presentation skills
  • Effective independent and team working skills, including ability to interact with multidisciplinary teams.
  • Excellent interpersonal and negotiating skills, -must be able to communicate highly complex drug or medicine related information to prescribers, clinicians, patients, relatives, relevant Trust committees and other stakeholders.


  • Teaching skills



  • Effective time management skills
  • Excellent organisational skills

Analytical and Judgement skills


  • Able to assess and minimise risk in medication processes
  • Experience in making judgements involving complex facts, which require analysis, interpretation and options appraisal e.g. drug expenditure medicines optimisation
  • Ability to work alone and make decisions within agreed parameters and appropriate referral / escalation as necessary
  • Critical evaluation of literature and literature searching skills for analysing, interpreting medicines information, production issues, drug therapy decisions and patient information.


  • Experience of analysing expenditure

Physical skills


  • Competent ICT skills, word processing, presentations, spreadsheets, databases, retrieval of information from internet.


  • High level IT skills (e.g. website or database design)

Other requirements specific to the role (e.g. be able to drive or work shifts


  • Self-motivated, conscientious, confident, accurate, assertive
  • Professional, credible, accountable, responsible and confident
  • Prepared to work flexible hours over 7 day shifted pattern of work

Planning and organisation skills


  • Ability to plan and organise existing and new clinical pharmacy services to a specialty. This may include creation and adjustment of plans.
  • Ability to be flexible and manage change in a complex and changing healthcare environment.
  • Self-motivated with excellent organisational skills, able to motivate others, to manage time effectively and work to deadlines, even when under pressure.
  • Positive thinker, problem solver, ability to think laterally to develop new ideas.

Commitment to Trust Values and Behaviours


  • Must be able to demonstrate behaviours consistent with the Trust's We are here for you behavioural standards

Employer details

Employer name

Nottingham University Hospitals NHS Trusts


Queens Medical Centre

Derby Road



Any attachments will be accessible after you click to apply.


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