Specialist Clinical Pharmacist - Oral medicine and Gastroenterology

Guy's and St Thomas' NHS Foundation Trust

This job is now closed

Job summary

An exciting opportunity to work as a specialist in Oral Medicine and Gastroenterology service at Guy's and St Thomas' NHS Foundation Trust.The services incorporate the management of patients with Orofacial granulomatosis, Inflammatory Bowel Disease and Hepatitis.

The Gastroenterology services at encompasses the management of patients with Hepatitis and Inflammatory Bowel Disease (IBD). The IBD centre at Guy's and St Thomas' NHS Foundation Trust is internationally renowned for its expertise and serves as a tertiary referral centre for the region and beyond.

Our extensive multidisciplinary team (MDT) including consultants, registrars, clinical nurse specialists, specialist pharmacists, dieticians, psychologists and research staff, work closely in a dynamic and supportive environment to deliver high quality clinical care and research.

We are looking for an enthusiastic, experienced and committed clinical pharmacist to join our oral medicine, IBD and gastroenterology pharmacy team. You will be working with the current team of pharmacists and wider oral medicine and gastroenterology MDT to support the management and monitoring of IBD patients.

Main duties of the job

This role will encompass a variety of tasks and will include managing patients prescribed immunomodulators and biologic treatments in various settings be it via virtual or in a face to face clinics, or on the ward. You will play an integral role in developing the innovative services we provide.

We take your personal development seriously and where possible, we would be happy to facilitate the Independent Prescribing course for the right candidate.

Key activities of the post holder will include:

Delivering the pharmacist-led outpatient monitoring clinics for Inflammatory Bowel Disease

Delivering the pharmacist-led monitoring clinic for Oral Medicine

Management and review of patients receiving biologic treatments administered at home

Drug expenditure analysis, financial reporting and supporting the MDT to complete individual funding requests

Management of the pharmacist-led patient helpline

Provision of clinical support to gastroenterology inpatients

Induction and training of registrars, specialist nurses, junior and pre-registration pharmacists

Supporting development of local pathways and protocols to help improve patient management and transfer of care to GPs

Closing Date: 27th February 2024 at Midnight

Interviews week commencing 18th March 2024

About us

You will be joining a small team dedicated to providing expert care to a growing cohort of patients within gastroenterology and oral medicine. As a specialist oral medicine and gastroenterology pharmacist, you will play an integral role within the MDT to provide clinical support to oral medicine and gastroenterology consultants, SpRs and IBD clinical nurse specialists.

At Guy's and St Thomas', our values help us to define and develop our culture, what we do and how we do it. It is important that you understand andreflect these values throughout your employment with the Trust.

The post holder will:

Put patients first
Take pride in what they do
Respect others
Strive to be the best
Act with integrity

Date posted

14 February 2024

Pay scheme

Agenda for change

Band

Band 7

Salary

£51,488 to £57,802 a year p.a. inc. HCA

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

196-LIS8212

Job locations

Guy's Hospital

London

SE1 9RT

Job description

Job responsibilities

Job Summary

The Specialist Clinical Pharmacist (0.4 WTE in oral medicine and 0.6 WTE Gastroenterology) position ensures patients in this clinical area, with specialist pharmaceutical needs receive safe and clinically effective medicines. This role will deliver and develop clinical pharmacy services to the Dental directorate (for treatment of orofacial granulomatosis) and Gastrointestinal Medicine directorate (predominantly for treatment of inflammatory bowel disease) in accordance with the objectives set between the Clinical Director and Highly Specialist pharmacist for Gastroenterology. To provide a consistently high quality pharmaceutical service for patients in line with GSTT corporate objectives. The position is designed to provide clinical pharmacists with the specialist skills, knowledge and experience they need in order to develop into Highly Specialist Clinical Pharmacist roles.

Key Relationships

Accountable to: Chief Pharmacist

Managed by: Highly Specialist Pharmacist, Gastroenterology

Objectives set by: Highly Specialist Pharmacist Gastroenterology

Clinical Director, Gastrointestinal Medicine and

Surgery

Clinical Director Oral Medicine

Supervises: Junior Pharmacists

Pre-registration Pharmacists

Pharmacy Technicians

Pharmacy Assistants

Undergraduate students

Liaises with: Gastrointestinal Medicine & Oral Medicine Management teams

Nursing and Medical Staff, and wider MDT members

Academic staff and students

Senior Clinical Pharmacy Practitioners and Dispensary staff

Clinical staff within surgical specialities

Pharmacy Homecare team

Outpatient Pharmacy team

Immunotherapy Pharmacy team

Detailed Duties and Responsibilities

3.1 Clinical Practice

To provide clinical support for pharmacists involved in the care of gastroenterology and oral medicine patients. To provide safe, clinically effective and cost efficient use of drugs in these patients.
To demonstrate and apply clinical knowledge in order to plan, manage, monitor and review therapeutic programmes for patients allocated.
To demonstrate and apply specialist clinical pharmacy knowledge in gastroenterology in order to plan, manage, monitor and review therapeutic programmes for patients allocated, and enhance the quality of patient care
To manage patients pharmaceutical needs appropriately and make appropriate referrals.
To follow legal, ethical, professional and employers codes of conduct.
To ensure the quality of patient care.
To demonstrate appropriate clinical reasoning and judgement.
To ensure the clear and effective communication of patients pharmaceutical needs to other pharmacists and health care professionals both within the trust and in other health care environments.
To demonstrate professional accountability to patients.
To demonstrate awareness and commitment to the Trusts Clinical Governance Agenda

Leadership

To deliver and support development of clinical pharmacy services for Gastroenterology Medicine & Surgery and oral medicine patients in accordance with priorities set by the post holder, Highly Specialist pharmacist, and Head of Service/Clinical Director for Gastroenterology Medicine & Surgery and Oral medicine to ensure safe, clinically effective and cost efficient use of drugs in these patients

To act as a role model for rotational pharmacists, pre-registration pharmacists in the rotation.
To promote best practice.
To implement agreed clinical governance initiatives.
To develop clinical pharmacy services in line with local and national objectives.
To work with collaboratively pharmacy and medical staff, the multidisciplinary team and management and to participate in the natural agenda for pharmacy services in accordance with the agreed objectives.
To ensure that issues related to pharmaceutical care of Gastroenterology Medicine & Surgery and oral medicine patients are appropriately escalated to appropriate senior management team, and where appropriate, represented at directorate level
To demonstrate innovation

Management of service

To provide clinical pharmacy in accordance with the priorities set by the clinical supervisor in order to ensure safe, clinically effective and cost efficient use of drugs in these patients.

To ensure national and local agendas are delivered.
To follow and conform to relevant standards of care
To identify and manage risks in relation to medicines use according to policy/protocol.
To delegate duties / responsibilities appropriately to junior staff
To evaluate junior staff performance against identified criteria using departmental/Trust IPR tools and General Level Competence Framework.
To promote Improvements in Working Lives
To provide evaluated pharmaceutical and financial information in accordance with the needs of the directorate.
To identify changes in prescribing practices that may impact on the drugs budget
To demonstrate professional accountability.
To be aware of and adhere to SFIs and the Trusts Corporate Governance commitments.
To identify trends in drug errors from Datix reports, patient complaints and root cause analyses in patients and support strategies to minimise these

Evaluation of Service

To monitor clinical pharmacy services to Oral medicine and Gastroenterology Medicine & Surgery patients in accordance with the priorities set by the post holder, and Highly Specialist pharmacist for Gastroenterology, in order to ensure safe, clinically effective and cost efficient use of drugs in these patients.

To document the workload of pharmacy services in line with departmental and corporate objectives.
To document the quality of pharmacy services in line with departmental and corporate objectives
To document the contributions, quality of pharmacy services to the directorate and to patient pathways
To undertake clinical audit as part of the multi-disciplinary audit process.
To undertake assessments / evaluations as required be able to apply the key principles of giving feedback.

Research and Service Development

To demonstrate a critical approach towards pharmacy practice in gastroenterology and oral medicine.
To integrate research evidence into practice
To develop and improve clinical pathways in gastroenterology inpatients and outpatients.
To actively seek to improve the ward and clinical services provided.
To undertake practice research in accordance with the pharmacy research agenda.
To assist with the supervision of undergraduate and postgraduate projects and overseas visitors.

Education and Training

To identify training needs of junior/rotational staff in order to undertake the roles required.
To develop strategies to meet the training needs of staff.
To provide education and training to pharmacy and other staff in relation to pharmaceutical care of Gastroenterology and Oral Medicine patients.
To evaluate the training provided.
To participate in the clinical training of the ward staff
To identify own training needs.
To maintain a portfolio of practice.
To contribute to the established undergraduate clinical pharmacy teaching programmes
To supervise KCL undergraduate clinical pharmacy placements in the trust, providing assessment and feedback for these students
To participate in the clinical training of the pharmacists, nursing and medical staff
To participate in in-service clinical pharmacy teaching and multi-disciplinary teaching as appropriate.
To contribute, as appropriate, to postgraduate teaching.

Other

To maintain a broad level of pharmacy practice.

To ensure a broad base of pharmaceutical knowledge
To participate in the post-take ward rounds and specialist clinics as appropriate
To undertake clinical duties over the weekend as part of the broader clinical pharmacy team.
To liaise with other clinical pharmacists to ensure efficient transfer of drug related care
To participate in education and training programmes to develop skills as part of a commitment to continuing education and the concept of lifelong learning.
To provide other duties as specified by the Principal Pharmacist.
To be aware of, and apply, relevant legislation such as the H & SAWA, COSHH, Medicines Act, GMP etc.
To at all times practice in accordance with the Standards of conduct, ethics and performance of the General Pharmaceutical Council (GB) and the Professional Standards for Hospital Pharmacy of the Royal Pharmaceutical Society (GB).

Job description

Job responsibilities

Job Summary

Key Relationships

Accountable to: Chief Pharmacist

Managed by: Highly Specialist Pharmacist, Gastroenterology

Objectives set by: Highly Specialist Pharmacist Gastroenterology

Clinical Director, Gastrointestinal Medicine and

Surgery

Clinical Director Oral Medicine

Supervises: Junior Pharmacists

Pre-registration Pharmacists

Pharmacy Technicians

Pharmacy Assistants

Undergraduate students

Liaises with: Gastrointestinal Medicine & Oral Medicine Management teams

Nursing and Medical Staff, and wider MDT members

Academic staff and students

Senior Clinical Pharmacy Practitioners and Dispensary staff

Clinical staff within surgical specialities

Pharmacy Homecare team

Outpatient Pharmacy team

Immunotherapy Pharmacy team

Detailed Duties and Responsibilities

3.1 Clinical Practice

To provide clinical support for pharmacists involved in the care of gastroenterology and oral medicine patients. To provide safe, clinically effective and cost efficient use of drugs in these patients.
To demonstrate and apply clinical knowledge in order to plan, manage, monitor and review therapeutic programmes for patients allocated.
To demonstrate and apply specialist clinical pharmacy knowledge in gastroenterology in order to plan, manage, monitor and review therapeutic programmes for patients allocated, and enhance the quality of patient care
To manage patients pharmaceutical needs appropriately and make appropriate referrals.
To follow legal, ethical, professional and employers codes of conduct.
To ensure the quality of patient care.
To demonstrate appropriate clinical reasoning and judgement.
To ensure the clear and effective communication of patients pharmaceutical needs to other pharmacists and health care professionals both within the trust and in other health care environments.
To demonstrate professional accountability to patients.
To demonstrate awareness and commitment to the Trusts Clinical Governance Agenda

Leadership

To act as a role model for rotational pharmacists, pre-registration pharmacists in the rotation.
To promote best practice.
To implement agreed clinical governance initiatives.
To develop clinical pharmacy services in line with local and national objectives.
To work with collaboratively pharmacy and medical staff, the multidisciplinary team and management and to participate in the natural agenda for pharmacy services in accordance with the agreed objectives.
To ensure that issues related to pharmaceutical care of Gastroenterology Medicine & Surgery and oral medicine patients are appropriately escalated to appropriate senior management team, and where appropriate, represented at directorate level
To demonstrate innovation

Management of service

To provide clinical pharmacy in accordance with the priorities set by the clinical supervisor in order to ensure safe, clinically effective and cost efficient use of drugs in these patients.

To ensure national and local agendas are delivered.
To follow and conform to relevant standards of care
To identify and manage risks in relation to medicines use according to policy/protocol.
To delegate duties / responsibilities appropriately to junior staff
To evaluate junior staff performance against identified criteria using departmental/Trust IPR tools and General Level Competence Framework.
To promote Improvements in Working Lives
To provide evaluated pharmaceutical and financial information in accordance with the needs of the directorate.
To identify changes in prescribing practices that may impact on the drugs budget
To demonstrate professional accountability.
To be aware of and adhere to SFIs and the Trusts Corporate Governance commitments.
To identify trends in drug errors from Datix reports, patient complaints and root cause analyses in patients and support strategies to minimise these

Evaluation of Service

To document the workload of pharmacy services in line with departmental and corporate objectives.
To document the quality of pharmacy services in line with departmental and corporate objectives
To document the contributions, quality of pharmacy services to the directorate and to patient pathways
To undertake clinical audit as part of the multi-disciplinary audit process.
To undertake assessments / evaluations as required be able to apply the key principles of giving feedback.

Research and Service Development

To demonstrate a critical approach towards pharmacy practice in gastroenterology and oral medicine.
To integrate research evidence into practice
To develop and improve clinical pathways in gastroenterology inpatients and outpatients.
To actively seek to improve the ward and clinical services provided.
To undertake practice research in accordance with the pharmacy research agenda.
To assist with the supervision of undergraduate and postgraduate projects and overseas visitors.

Education and Training

To identify training needs of junior/rotational staff in order to undertake the roles required.
To develop strategies to meet the training needs of staff.
To provide education and training to pharmacy and other staff in relation to pharmaceutical care of Gastroenterology and Oral Medicine patients.
To evaluate the training provided.
To participate in the clinical training of the ward staff
To identify own training needs.
To maintain a portfolio of practice.
To contribute to the established undergraduate clinical pharmacy teaching programmes
To supervise KCL undergraduate clinical pharmacy placements in the trust, providing assessment and feedback for these students
To participate in the clinical training of the pharmacists, nursing and medical staff
To participate in in-service clinical pharmacy teaching and multi-disciplinary teaching as appropriate.
To contribute, as appropriate, to postgraduate teaching.

Other

To maintain a broad level of pharmacy practice.

To ensure a broad base of pharmaceutical knowledge
To participate in the post-take ward rounds and specialist clinics as appropriate
To undertake clinical duties over the weekend as part of the broader clinical pharmacy team.
To liaise with other clinical pharmacists to ensure efficient transfer of drug related care
To participate in education and training programmes to develop skills as part of a commitment to continuing education and the concept of lifelong learning.
To provide other duties as specified by the Principal Pharmacist.
To be aware of, and apply, relevant legislation such as the H & SAWA, COSHH, Medicines Act, GMP etc.
To at all times practice in accordance with the Standards of conduct, ethics and performance of the General Pharmaceutical Council (GB) and the Professional Standards for Hospital Pharmacy of the Royal Pharmaceutical Society (GB).

Person Specification

Research and Development

Essential

Actively seek to improve the ward and clinical services provided
Recent evidence of demonstrated ability of undertaking clinical audit or service evaluation and improving clinical practice or outcome.
Demonstrated ability to undertake a service improvement project to address a pharmacy service issue.

Desirable

Develop, implement, monitor and evaluate protocols and guidelines
Undertake own research - Guide and support others undertaking research. - Integrate research evidence into practice. - Identify gaps in the evidence base

Education and Training

Essential

Demonstrable evidence of teaching and supporting or supervising others
Demonstrable evaluated experience of mentorship and training skills

Desirable

Previous experience of delivering teaching or training to undergraduates
Identify training needs of staff in order to undertake. Develop strategies to meet the training needs of staff
Successful completion of PDR or similar for other staff.
Evaluate the training provided

Experience

Essential

Post registration experience relevant to Hospital Pharmacy Practice with assessed competencies in dispensary services, medicines information and clinical services
Successful completion of a competence based rotation in general surgery
Demonstrable ability to ensure the safe and effective use of medicines in medical and surgical patients
Demonstrable ability to respond to medicines incidents
Successful completion of a competence based rotation in general medicine

Desirable

Demonstrable ability to ensure the safe and effective use of medicines for Gastrointestinal medicine patients, including the delivery of pharmaceutical services to patients with IBD and hepatitis
Demonstrable experience of managing patients independently e.g. anticoagulation clinics/ specialist long term clinics monitoring and managing complex immunosuppressants and/or antiviral agents
Demonstrable ability to ensure the safe and effective use of medicines for patients in another speciality.

Skills

Essential

Demonstrate the ability to make clinical decisions in complex medical or surgical patients
Demonstrable knowledge, skills and ability to undertake clinical screening of prescriptions
Demonstrate the ability to accept referrals from other practitioners and professionally resolve these
Demonstrated ability to critically evaluate the evidence in case where evidence is limited, inconclusive or conflicting in relation to medical or surgical patient management, and formulate recommendations for clinical care
Demonstrates ability to implement and ensure prescribing is within local/national guidance
Demonstrable experience of clinically influencing at senior level e.g. ward rounds
Demonstrable knowledge, skills and ability to provide pharmaceutical care to a specialist patient group with chronic disease
Demonstrate experience in providing evaluated pharmaceutical and financial information

Desirable

Demonstrate the ability to make clinical decisions in complex gastroenterology patients
Demonstrates understanding of how to process requests for unlicensed medications, and understanding of the process of preparation, review and submission of IFRs and formulary applications
Demonstrable experience of clinically influencing at senior level e.g. MDM, clinic setting- ideally within a specialist patient group/ Gastrointestinal medicine
Demonstrable experience of clinically influencing at senior level within a specialist medicine cohort or Gastroenterology medicine
Demonstrable knowledge, skills and ability to provide pharmaceutical care within specialist medicine or Gastroenterology medicine.
Establish processes for the setting of standards of care. Identify and manage changes that need to occur to achieve these

Qualification and Knowledge

Essential

Vocational masters degree (MPharm) or equivalent
Successful completion of short courses to the equivalent of a Postgraduate Diploma in General Pharmacy Practice, or equivalent experience.
Professional registration with GPHC

Desirable

RPS membership/ RPS Faculty Membership
Registered independent prescriber
Accredited short courses in E&D, management, leadership

Person Specification

Research and Development

Essential

Actively seek to improve the ward and clinical services provided
Recent evidence of demonstrated ability of undertaking clinical audit or service evaluation and improving clinical practice or outcome.
Demonstrated ability to undertake a service improvement project to address a pharmacy service issue.

Desirable

Develop, implement, monitor and evaluate protocols and guidelines
Undertake own research - Guide and support others undertaking research. - Integrate research evidence into practice. - Identify gaps in the evidence base

Education and Training

Essential

Demonstrable evidence of teaching and supporting or supervising others
Demonstrable evaluated experience of mentorship and training skills

Desirable

Previous experience of delivering teaching or training to undergraduates
Identify training needs of staff in order to undertake. Develop strategies to meet the training needs of staff
Successful completion of PDR or similar for other staff.
Evaluate the training provided

Experience

Essential

Post registration experience relevant to Hospital Pharmacy Practice with assessed competencies in dispensary services, medicines information and clinical services
Successful completion of a competence based rotation in general surgery
Demonstrable ability to ensure the safe and effective use of medicines in medical and surgical patients
Demonstrable ability to respond to medicines incidents
Successful completion of a competence based rotation in general medicine

Desirable

Demonstrable ability to ensure the safe and effective use of medicines for Gastrointestinal medicine patients, including the delivery of pharmaceutical services to patients with IBD and hepatitis
Demonstrable experience of managing patients independently e.g. anticoagulation clinics/ specialist long term clinics monitoring and managing complex immunosuppressants and/or antiviral agents
Demonstrable ability to ensure the safe and effective use of medicines for patients in another speciality.

Skills

Essential

Demonstrate the ability to make clinical decisions in complex medical or surgical patients
Demonstrable knowledge, skills and ability to undertake clinical screening of prescriptions
Demonstrate the ability to accept referrals from other practitioners and professionally resolve these
Demonstrated ability to critically evaluate the evidence in case where evidence is limited, inconclusive or conflicting in relation to medical or surgical patient management, and formulate recommendations for clinical care
Demonstrates ability to implement and ensure prescribing is within local/national guidance
Demonstrable experience of clinically influencing at senior level e.g. ward rounds
Demonstrable knowledge, skills and ability to provide pharmaceutical care to a specialist patient group with chronic disease
Demonstrate experience in providing evaluated pharmaceutical and financial information

Desirable

Demonstrate the ability to make clinical decisions in complex gastroenterology patients
Demonstrates understanding of how to process requests for unlicensed medications, and understanding of the process of preparation, review and submission of IFRs and formulary applications
Demonstrable experience of clinically influencing at senior level e.g. MDM, clinic setting- ideally within a specialist patient group/ Gastrointestinal medicine
Demonstrable experience of clinically influencing at senior level within a specialist medicine cohort or Gastroenterology medicine
Demonstrable knowledge, skills and ability to provide pharmaceutical care within specialist medicine or Gastroenterology medicine.
Establish processes for the setting of standards of care. Identify and manage changes that need to occur to achieve these

Qualification and Knowledge

Essential

Vocational masters degree (MPharm) or equivalent
Successful completion of short courses to the equivalent of a Postgraduate Diploma in General Pharmacy Practice, or equivalent experience.
Professional registration with GPHC

Desirable

RPS membership/ RPS Faculty Membership
Registered independent prescriber
Accredited short courses in E&D, management, leadership

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).