Specialist Rotational Clinical Pharmacist, Band 7

at  Gloucestershire Hospitals NHS Foundation Trust

Provision of Clinical Pharmacy Service to clinical area of responsibility. - Collecting, interpreting and documenting details of medication taken at home (the medication history). - Confirming details of the medication history with the patient, carer(s), GP Receptionist, the GP (occasionally), and by reviewing the patients own drugs from home if available, working alongside the Medicines Management Pharmacy Technicians. - Confirming and documenting important factors affecting the patients ability to manage their medicines at home (e.g.

sight, hearing, manual dexterity, and use of a compliance aid). - Resolving any discrepancies and problems identified as a prescriber, to complete medicines reconciliation. - Review prescriptions to ensure they are legal, safe, cost-effective, clinically necessary and appropriate, accurate, and complete. - Undertake Medicines Optimisation - Arrange for drugs to be supplied to patients, ward(s) or department(s).

• Provide information and advice to nursing staff on a daily basis, about drugs, doses, administration and potential side-effects. - Provide information and advice to junior medical staff on a daily basis, and to Consultants as and when needed, including suggestions for initiating and modifying treatment. - Educate patients as appropriate about changes to their medication, and how to take specific medicines (e.g. warfarin, inhaler devices).
• Access and interpret clinical information for specific patients (e.g. e-PMA system (Sunrise Clinical Manager), Patient Administration system (TrakCare), Pharmacy computer system (EMIS) as well as case notes and Summary Care Record (SCR)), and use it to individualise and monitor treatment. - Document relevant clinical and pharmaceutical information during in-patient stay which may be used to prepare discharge prescription and/or communicated to patient, carer(s) or GP. - Review discharge prescriptions written by medical staff, using professional judgement to make a final decision about content and appropriateness of discharge prescriptions when a suitable prescriber cannot be contacted.
• Participate in Consultant ward rounds as appropriate, providing pharmaceutical advice and information to medical staff, nursing staff, and patients as part of a multi-professional team. - Undertake risk management and ensure compliance with legislation and relevant national policies and guidelines, along with local policies and procedures including the Trust Formulary. - Work in an effective team with technicians involved in Trust Medicines Management scheme on designated wards. - Usually work unsupervised, although the post-holder can seek advice from a range of colleagues as and when required.

Act as link between pharmacy and designated clinical speciality or directorate. Responsibilities include: - To monitor drug expenditure in your area of responsibility and prepare reports as required by the Clinical Pharmacy leads on drug usage and expenditure within a clinical area. - Collect relevant data to monitor and develop the clinical pharmacy service including: - clinical intervention monitoring clinical pharmacy performance indicators/quality issues (e.g. missed doses and cost savings) multidisciplinary audit - Monitor prescribing in order to make suggestions to clinicians for ensuring rational and cost-effective prescribing within the clinical area - Develop, implement, monitor and revise policies and procedures relating to drug use within designated area of responsibility - Represent the service, and occasionally the department, as part of multi-professional teams, and at meetings within the designated area of responsibility whilst acting as deputy for the Clinical Pharmacist Leads for Medicine/Surgery.
Working in other areas within Pharmacy Department The post-holder may be required to work in the dispensary, manufacturing unit or medicines information. They would be working at a supervisory level, acting as deputies for managers when covering annual leave. They would be in sole charge of the section for a proportion of this time. Provide a clinical pharmacy service to other clinical areas when required to cover for colleagues.

During Surgical ward cover, post holder may be involved in monitoring TPN. This is likely to be on a rotational basis. Education and training Participate in the departmental clinical pharmacy induction and development programme through; - Involvement in the devising of training and development programmes. - Teaching sessions and tutorials to Foundation pharmacy graduates and band 6 pharmacists within the department.

• Clinical supervisor for junior pharmacists rotating through area of clinical responsibility, including carrying out monthly assessed accompanied ward visits. - Act as a clinical diploma tutor for junior pharmacists Participate in the departments development programme for pharmacy staff through the provision of teaching sessions. Conduct formal and in-formal teaching sessions for medical students, pre-registration nurses, registered nurses and medical staff on; - Therapeutics within area of clinical responsibility. - The area of prescribing and administering medicines and appropriate trust policies.

Support clinical placements for undergraduate pharmacy students and participate in the programme through; - Supervision of ward-based activities - Tutorials - Assessment of students participation and work produced during placement, and the provision of formal feedback to the university as required. Prescribing If post holder holds a Certificate in Professional Studies/Postgraduate Certificate in Non-Medical Prescribing they must practise within the boundaries of local strategy, professional guidance and the law. - Prescribe medicines for agreed patients within their competency as a dependent (e.g. supplementary) prescriber in line with current legislation, local policies and within their own level of experience and competence - Prescribe medicines in their competency as an independent prescriber in line with current legislation, local policies and within their own level of experience and competence Participation in the Emergency Duty Service and 7-day working The post-holder will provide emergency out of hours cover for the pharmacy department (On Call).

The provision of on call could be on either the Gloucestershire Royal or Cheltenham General site based on the needs of the service and as decided by the Associate Pharmacy Directors. The on-call service entails: - Being the first point of contact for the pharmacy department out of hours in the event of a major incident, and for information, advice and supply of any items required. - Being able to evaluate the appropriateness of requests made to the post holder and to be able to prioritise the response to that request. - Opening up the pharmacy department at unsociable hours to provide medication or advice that is needed urgently.

• Being able to clearly elicit information and communicate responses to all grades of staff including consultants and senior managers. - Being able to refer to other specialist pharmacy colleagues if the post-holder requires assistance. - Participation in 7 day working systems as these evolve - Participation in the dispensary late night rota including responsibility for locking up the department at the end of the working day

Please refer the Job description for details