Job summary
The Pharmacy Department at Barts Health covers a population of 2.5 million. We provide medicines management and medicines optimisation services from our four hospital sites across the City of London and East London.
We are looking for a motivated and dynamic pharmacist with clinical experience in intestinal failure to join our Pharmacy team at the Royal London hospital.
You will work closely with Intestinal failure/nutrition team and the wider multidisciplinary team on a wide range of medicines optimisation matters, and to ensure standardisation of medicine policies and procedures wherever appropriate.
You will be mainly based at Royal London Hospital. Royal London Hospital is an accredited intestinal failure centre. We are part of the Central London Intestinal Failure Partnership (CLIP). CLIP is a collaboration between Barts Health, Guy's and St Thomas', and University College London Hospitals. We are three of the largest NHS trusts in the country serving a patient population of over 5 million people, working together with over 15 hospitals across London.The purpose of the CLIP is to facilitate the provision of the best care and experience for all intestinal failure patients within North Central,East, and South East London.
The post holder will also be expected to contribute to the research agenda working with staff across the Pharmacy department and student placements.
Main duties of the job
The post holder will carry out the full range of duties as the Highly Specialist Pharmacist in Intestinal Failure(IF) & Nutrition to deliver patient focused, quality care, based primarily at the Royal London Hospital.
To promote the responsible, safe and cost-effective prescribing of medicines within IF and nutrition to optimise clinical outcomes, minimise adverse reactions and improve medicines safety. The post holder will be supporting the Lead Pharmacist in leading a team of staff in the delivery of high quality clinical pharmacy.
The post holder will be expected to support the Lead Pharmacist in managing the professional, clinical and technical input of pharmacy into the IF and nutrition service at Royal London Hospital.
The job description is not intended to be exhaustive and it is likely that duties may be altered from time to time in the light of changing circumstances and after consultation with the post-holder. The post holder might be required to work across the Trust at any time throughout the duration of his/her contract, which may entail travel and working at a different hospital site.
About us
Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers.
The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.
Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.
We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.
We particularly welcome applications from Black, Asian and minority ethnic candidates as they are underrepresented within Barts Health at this band.
Job description
Job responsibilities
Professional responsibilities
- To actively support the improvement of Pharmacy Services based on evidence and appropriate innovation metrics.
- To develop external links and actively input into local primary care organisations and any other relevant local and national specialist interest groups.
- To work closely with the Lead Pharmacist and Trust Medicine Safety Team to ensure standardisation of medicine policies and procedures where appropriate and compliance with medicines legislation.
Clinical Practice and Delivery
- To provide a high level of clinical pharmacy input to the relevant specialty as part of the multidisciplinary team to ensure optimal medicines usage and value for money. Responsibilities include:
- Regular consultant ward rounds
- Medicines reconciliation
- Development of evidence-based prescribing guidelines
- Development and review of Patient Group Directions and Shared Care Guidelines
- Concordance enhancement programmes
- Interpretation and implementation of national guidelines at a local level
- To promote high-quality, cost-effective prescribing for patients
- Work collaboratively with pharmacy and Trust staff on medicines savings and cost improvement opportunities
- Work closely with the relevant pharmacy lead, Head of Pharmacy and clinical services lead to ensure standardisation of medicine policies and procedures where appropriate and compliance with medicines legislation within the division
Management and Leadership
- Lead on IF & clinical nutrition pharmacy service at the Royal London Hospital and to promote optimal pharmaceutical care to pharmacy and multidisciplinary staff, ensuring they are aware of the pharmaceutical needs of patients within the speciality
- To promote optimal pharmaceutical care and lead on the management of high cost drugs in the service.
- Deputise for the relevant pharmacy lead when required and to contribute to shared core duties in the clinical pharmacy team when necessary e.g. undergraduate visits, teaching sessions
- Manage the foundation training and senior pharmacists rotating into the speciality
- Act as an educational supervisor as needed e.g. trainee pharmacists tutor, clinical diploma tutor etc
- Line-manage direct reports to include performance management, appraisals, SMARTER objective/ target setting, personal development plans and attendance monitoring.
- To demonstrate a Pharmacy department, Barts Health and whole healthcare-system focused approach.
- Undertake coaching of staff to improve performance.
- Develop and implement systems to monitor performance of team to ensure that all staff/teams are managed effectively, are motivated and perform their roles and responsibilities to a high standard.
- Undertake and manage formal Trust HR policies e.g. disciplinary, sickness, grievance etc.
- Responsible for ensuring a robust recruitment process of team members within the IF & clinical nutrition team that adhere to Trust policies including review of roles / responsibilities, preparing / agreeing adverts, short listing, chairing interview panels and selecting team members.
- Approve for use all training and on the job skills accreditations.
- Ensure all staff in the operational areas are fully compliant with statutory and mandatory training.
- To appropriately manage difficult and ambiguous problems.
- To demonstrate advanced level of reasoning and judgement.
- Act as a member of the site-operational team at Royal London site, liaising with the site management team to resolve any day-to-day queries regarding pharmacy services.
Financial responsibilities
- Support and advise the senior leadership team on budget issues relating to IF & clinical nutrition at Royal London Hospital.
- Assist the relevant pharmacy leads in managing their medicines budget. Responsibilities include:
- Providing regular, evaluated financial reports that analyse expenditure to the services finance manager and general manager
- Forecasting new drug developments and scoping potential medicine cost pressures
- Supporting with with drawing up business cases to support applications for new medicines and prescribing guidelines
- Identifying, implementing and auditing initiatives to save money on medicines spend, waste or costs associated with medicines administration
- To support clinicians in completing individual funding requests (IFRs) to commissioners
- To support the directorate and clinical lead on the management and control of medicines expenditure including the identification of the medicine cost pressures by facilitating horizon scanning for new medicines that may impact both clinically and financially in the future
Quality, Risk, Governance and Performance Management
- Manage drug related incidents and complaints, both written and verbal, effectively and according to Trust policies
- Together with Pharmacy stakeholders, develop a process of peer review / self-inspection and internal audit for services and authorise proposed remedial / improvement actions following audits.
- Review and approve investigatory reports and change control actions from operational staff, such as those derived from complaints and incidents and to ensure learning is cascaded throughout all team members.
- Ensure an appropriate level of review and approval of documentation for the Pharmacy Clinical Services.
- Ensure risk assessments are carried out and approved at an appropriate level within the team and develop options to minimise risk within service areas.
- To assist in identifying risks from medicine use and handling in the service and support the design, implementation and audit of strategies to minimise them.
- To work with the Pharmacy Governance Team to support the implementation of local and national initiatives to reduce medicine risks within the service.
- To ensure the use of unlicensed and off label medication is appropriate within the service.
Strategic Service Development
- Together with key stakeholders, develop the clinical pharmacy service to IF and clinical nutririon in line with the needs of the service, ICS and the Medicines Optimisation Strategy
- Contribute to the Pharmacy and service business plans by developing business cases to support requests for finance or other resources associated with the strategic development work. These should include:
- Benefits and costs analyses
- Analysis of the risks (linked to security of supply, compliance and demand issues through consultation with key stakeholders),
- Analysis of the impact of any changes on the cost base
Education, Training and Professional Development
- To support the development and clinical training of the:
- the band 7 senior pharmacists within the area
- Rotational band 6 pharmacist(s) and pre-registration pharmacists in line with their defined competency-based programmes as required by the Pharmacy department
- Medicine Management Pharmacy Technicians within the area
- To be an educational supervisor for a diploma student and actively participate in their development
- To participate in the education and training of various groups when required e.g. pharmacy staff, nurses, doctors, other HCPs and pharmacy students
- To participate in the departmental CPD education sessions
- To maintain an active portfolio of CPD
Research and Development
- To support and demonstrate a critical approach towards pharmacy practice research and the integration of research evidence into practice
- To undertake research in accordance with the pharmacy agenda and lead and assist with the supervision of undergraduate and postgraduate projects
- To develop own areas of research, undertaking own pharmacy, practice and pharmacy clinical practice related research
- To present and publish research outputs locally, nationally and internationally, as appropriate
Information Management
- To support the division through the provision of appropriate analyses, audits and reviews, suitable to inform decision making, to allow evidence based service planning and provision
- To support the pharmacy financial management team in maintaining systems to ensure income retrieval for high cost drugs and Homecare services
Job description
Job responsibilities
Professional responsibilities
- To actively support the improvement of Pharmacy Services based on evidence and appropriate innovation metrics.
- To develop external links and actively input into local primary care organisations and any other relevant local and national specialist interest groups.
- To work closely with the Lead Pharmacist and Trust Medicine Safety Team to ensure standardisation of medicine policies and procedures where appropriate and compliance with medicines legislation.
Clinical Practice and Delivery
- To provide a high level of clinical pharmacy input to the relevant specialty as part of the multidisciplinary team to ensure optimal medicines usage and value for money. Responsibilities include:
- Regular consultant ward rounds
- Medicines reconciliation
- Development of evidence-based prescribing guidelines
- Development and review of Patient Group Directions and Shared Care Guidelines
- Concordance enhancement programmes
- Interpretation and implementation of national guidelines at a local level
- To promote high-quality, cost-effective prescribing for patients
- Work collaboratively with pharmacy and Trust staff on medicines savings and cost improvement opportunities
- Work closely with the relevant pharmacy lead, Head of Pharmacy and clinical services lead to ensure standardisation of medicine policies and procedures where appropriate and compliance with medicines legislation within the division
Management and Leadership
- Lead on IF & clinical nutrition pharmacy service at the Royal London Hospital and to promote optimal pharmaceutical care to pharmacy and multidisciplinary staff, ensuring they are aware of the pharmaceutical needs of patients within the speciality
- To promote optimal pharmaceutical care and lead on the management of high cost drugs in the service.
- Deputise for the relevant pharmacy lead when required and to contribute to shared core duties in the clinical pharmacy team when necessary e.g. undergraduate visits, teaching sessions
- Manage the foundation training and senior pharmacists rotating into the speciality
- Act as an educational supervisor as needed e.g. trainee pharmacists tutor, clinical diploma tutor etc
- Line-manage direct reports to include performance management, appraisals, SMARTER objective/ target setting, personal development plans and attendance monitoring.
- To demonstrate a Pharmacy department, Barts Health and whole healthcare-system focused approach.
- Undertake coaching of staff to improve performance.
- Develop and implement systems to monitor performance of team to ensure that all staff/teams are managed effectively, are motivated and perform their roles and responsibilities to a high standard.
- Undertake and manage formal Trust HR policies e.g. disciplinary, sickness, grievance etc.
- Responsible for ensuring a robust recruitment process of team members within the IF & clinical nutrition team that adhere to Trust policies including review of roles / responsibilities, preparing / agreeing adverts, short listing, chairing interview panels and selecting team members.
- Approve for use all training and on the job skills accreditations.
- Ensure all staff in the operational areas are fully compliant with statutory and mandatory training.
- To appropriately manage difficult and ambiguous problems.
- To demonstrate advanced level of reasoning and judgement.
- Act as a member of the site-operational team at Royal London site, liaising with the site management team to resolve any day-to-day queries regarding pharmacy services.
Financial responsibilities
- Support and advise the senior leadership team on budget issues relating to IF & clinical nutrition at Royal London Hospital.
- Assist the relevant pharmacy leads in managing their medicines budget. Responsibilities include:
- Providing regular, evaluated financial reports that analyse expenditure to the services finance manager and general manager
- Forecasting new drug developments and scoping potential medicine cost pressures
- Supporting with with drawing up business cases to support applications for new medicines and prescribing guidelines
- Identifying, implementing and auditing initiatives to save money on medicines spend, waste or costs associated with medicines administration
- To support clinicians in completing individual funding requests (IFRs) to commissioners
- To support the directorate and clinical lead on the management and control of medicines expenditure including the identification of the medicine cost pressures by facilitating horizon scanning for new medicines that may impact both clinically and financially in the future
Quality, Risk, Governance and Performance Management
- Manage drug related incidents and complaints, both written and verbal, effectively and according to Trust policies
- Together with Pharmacy stakeholders, develop a process of peer review / self-inspection and internal audit for services and authorise proposed remedial / improvement actions following audits.
- Review and approve investigatory reports and change control actions from operational staff, such as those derived from complaints and incidents and to ensure learning is cascaded throughout all team members.
- Ensure an appropriate level of review and approval of documentation for the Pharmacy Clinical Services.
- Ensure risk assessments are carried out and approved at an appropriate level within the team and develop options to minimise risk within service areas.
- To assist in identifying risks from medicine use and handling in the service and support the design, implementation and audit of strategies to minimise them.
- To work with the Pharmacy Governance Team to support the implementation of local and national initiatives to reduce medicine risks within the service.
- To ensure the use of unlicensed and off label medication is appropriate within the service.
Strategic Service Development
- Together with key stakeholders, develop the clinical pharmacy service to IF and clinical nutririon in line with the needs of the service, ICS and the Medicines Optimisation Strategy
- Contribute to the Pharmacy and service business plans by developing business cases to support requests for finance or other resources associated with the strategic development work. These should include:
- Benefits and costs analyses
- Analysis of the risks (linked to security of supply, compliance and demand issues through consultation with key stakeholders),
- Analysis of the impact of any changes on the cost base
Education, Training and Professional Development
- To support the development and clinical training of the:
- the band 7 senior pharmacists within the area
- Rotational band 6 pharmacist(s) and pre-registration pharmacists in line with their defined competency-based programmes as required by the Pharmacy department
- Medicine Management Pharmacy Technicians within the area
- To be an educational supervisor for a diploma student and actively participate in their development
- To participate in the education and training of various groups when required e.g. pharmacy staff, nurses, doctors, other HCPs and pharmacy students
- To participate in the departmental CPD education sessions
- To maintain an active portfolio of CPD
Research and Development
- To support and demonstrate a critical approach towards pharmacy practice research and the integration of research evidence into practice
- To undertake research in accordance with the pharmacy agenda and lead and assist with the supervision of undergraduate and postgraduate projects
- To develop own areas of research, undertaking own pharmacy, practice and pharmacy clinical practice related research
- To present and publish research outputs locally, nationally and internationally, as appropriate
Information Management
- To support the division through the provision of appropriate analyses, audits and reviews, suitable to inform decision making, to allow evidence based service planning and provision
- To support the pharmacy financial management team in maintaining systems to ensure income retrieval for high cost drugs and Homecare services
Person Specification
Experience
Essential
- Hospital clinical pharmacy experience
- Extensive experience in provision of a clinical pharmacy service to intestinal failure, surgery, gastroenterology wards
- Proven experience of good performance in previous posts
- Previous evaluations or reviews of medicines
- Experience of providing evaluated information on drug expenditure
- Evidence of basic teaching and tutoring in a hospital setting through training others e.g. pre-registration / foundation training pharmacists
Desirable
- Successful experience of managing & leading projects
- Experience of successfully managing staff, performing appraisals and giving feedback
- Experience of delivering professional training and education
- Experience of managing guidelines and PGDs relevant to the speciality
- Experience of managing medication incidents
Skills
Essential
- Excellent interpersonal skills
- Able to complete documentation accurately with attention to detail
- Effective verbal and written communication skills
- Assertive, diplomatic, persuasive with ability to negotiate.
- Demonstrates numeracy skills and ability to perform accurate, complex calculations
- Ability to plan, prioritise and organise self, and others
- Ability to manage time effectively and work to deadlines
- Demonstrates initiative
- Demonstrates critical appraisal skills
- Able to work unsupervised, follow written instruction and work under pressure
- IT literate; able to use Microsoft office with intermediate IT skills including, accurate data entry and use of specialist computer programmes
- Demonstrates effective customer service skills
- Good team worker
- Evidence of good ward practice
- Able to communicate complex information effectively to all health and care professionals, colleagues, patients and their loved ones
- Demonstrates ability to deliver staff training
- Effective pharmaceutical care skills.
- Ability to motivate and act as a role model
Desirable
- Experience in local implementation of national standards and guidelines
- Demonstrated ability to negotiate with and influence senior medical staff and senior management
Knowledge
Essential
- Understanding of GPhC Revalidation requirements
- Knowledge of medicines management systems at ward level
- Up to date knowledge of legislation relevant to pharmacy practice, e.g. controlled drugs, Health and Safety at Work
- Understanding of stock control systems
- Sound knowledge of drugs and therapeutics in interstital failure / parenteral nutrition patients at diploma level or equivalent
- Sound knowledge of cmpounding / manufacturing processes of parenteral nutrution
- An awareness of current national standards, guidelines and service delivery issues relevant PN patients
- Understanding of stock control systems
- Knowledge of Safe and SecureHandling of Medicines requirements
- Understanding of the importance of adherence to SOPs and legislation
- Demonstrates a good understanding of patient safety initiatives
- Knowledge of drug and therapeutics at Diploma level or equivalent
- Knowledge of the law and relevant guidance relating to medicines, pharmacy, rationing decisions in the NHS, Payment by Results (PbR) and commissioning in relation to PN
Desirable
- Knowledge of interface issues relevant to the patient group
- Knowledge of risk management issues relevant to the patient group and root cause analysis
Qualifications
Essential
- MPharm or equivalent
- Registered as a pharmacist with the GPhC
- Diploma in Clinical Pharmacy / Pharmacy Practice or equivalent
- Independent prescribing qualification, or willing to work towards
Desirable
- GCP Trained in clinical trials
Other
Essential
- DBS - Enhanced check with a check of the barred lists required as patient facing may interact with adults / children
- Reliable with a good attendance record
- Flexibility with regard to working hours for late and early meetings
- Able to act as a role model
Desirable
- Member of the Royal Pharmaceutical Society (RPS)
Person Specification
Experience
Essential
- Hospital clinical pharmacy experience
- Extensive experience in provision of a clinical pharmacy service to intestinal failure, surgery, gastroenterology wards
- Proven experience of good performance in previous posts
- Previous evaluations or reviews of medicines
- Experience of providing evaluated information on drug expenditure
- Evidence of basic teaching and tutoring in a hospital setting through training others e.g. pre-registration / foundation training pharmacists
Desirable
- Successful experience of managing & leading projects
- Experience of successfully managing staff, performing appraisals and giving feedback
- Experience of delivering professional training and education
- Experience of managing guidelines and PGDs relevant to the speciality
- Experience of managing medication incidents
Skills
Essential
- Excellent interpersonal skills
- Able to complete documentation accurately with attention to detail
- Effective verbal and written communication skills
- Assertive, diplomatic, persuasive with ability to negotiate.
- Demonstrates numeracy skills and ability to perform accurate, complex calculations
- Ability to plan, prioritise and organise self, and others
- Ability to manage time effectively and work to deadlines
- Demonstrates initiative
- Demonstrates critical appraisal skills
- Able to work unsupervised, follow written instruction and work under pressure
- IT literate; able to use Microsoft office with intermediate IT skills including, accurate data entry and use of specialist computer programmes
- Demonstrates effective customer service skills
- Good team worker
- Evidence of good ward practice
- Able to communicate complex information effectively to all health and care professionals, colleagues, patients and their loved ones
- Demonstrates ability to deliver staff training
- Effective pharmaceutical care skills.
- Ability to motivate and act as a role model
Desirable
- Experience in local implementation of national standards and guidelines
- Demonstrated ability to negotiate with and influence senior medical staff and senior management
Knowledge
Essential
- Understanding of GPhC Revalidation requirements
- Knowledge of medicines management systems at ward level
- Up to date knowledge of legislation relevant to pharmacy practice, e.g. controlled drugs, Health and Safety at Work
- Understanding of stock control systems
- Sound knowledge of drugs and therapeutics in interstital failure / parenteral nutrition patients at diploma level or equivalent
- Sound knowledge of cmpounding / manufacturing processes of parenteral nutrution
- An awareness of current national standards, guidelines and service delivery issues relevant PN patients
- Understanding of stock control systems
- Knowledge of Safe and SecureHandling of Medicines requirements
- Understanding of the importance of adherence to SOPs and legislation
- Demonstrates a good understanding of patient safety initiatives
- Knowledge of drug and therapeutics at Diploma level or equivalent
- Knowledge of the law and relevant guidance relating to medicines, pharmacy, rationing decisions in the NHS, Payment by Results (PbR) and commissioning in relation to PN
Desirable
- Knowledge of interface issues relevant to the patient group
- Knowledge of risk management issues relevant to the patient group and root cause analysis
Qualifications
Essential
- MPharm or equivalent
- Registered as a pharmacist with the GPhC
- Diploma in Clinical Pharmacy / Pharmacy Practice or equivalent
- Independent prescribing qualification, or willing to work towards
Desirable
- GCP Trained in clinical trials
Other
Essential
- DBS - Enhanced check with a check of the barred lists required as patient facing may interact with adults / children
- Reliable with a good attendance record
- Flexibility with regard to working hours for late and early meetings
- Able to act as a role model
Desirable
- Member of the Royal Pharmaceutical Society (RPS)
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.
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
