Prisons Services Clinical Pharmacist

Job description

Job responsibilities

Leadership, Management and Training

1. To devise and implement SystmOne computer searches to identify cohorts of patients at high risk of harm from medicines.
2. To devise and implement SystmOne searches to identify cohorts of patients most likely to be at risk of unplanned admission/readmission to hospital from medicines.
3. To provide leadership to the Healthcare Manager and GPs to ensure that practice is compliant with CQC standards where medicines are involved.
4. As part of the Health and Wellbeing model, to contribute to public health campaigns, including flu vaccinations and adult immunisation programmes using specialist knowledge on immunisation. To ensure all relevant PGDs for immunisation are in place and staff authorised to administer using a PGD have receive the relevant training.
5. Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
6. Identify and provide leadership on areas of prescribing requiring improvement. Present results of audits and provide leadership on suggested changes.
7. To develop and manage new services that are built around new medicines or NICE guidance, where a new medicine/recommendations allow the development of a new care pathway.
8. Provide education and training to the primary healthcare team on therapeutics and medicines optimisation.
9. Support the Specialist Prison Service Pharmacist in providing education and training to the pharmacy team members as required.
10. Identify from SystmOne patients prescribed medication that should be prescribed or initiated by Specialists/hospital doctors or subject to shared care and liaise directly with hospital colleagues to ensure prescribing and dispensing of such medicines is appropriately undertaken and adheres to the requirements of the secure environment.
11. Develop, implement and maintain the prison formulary, in liaison with other OPS colleagues, and ensure this is updated onto SystmOne locally when changes are made.
12. Manage the process if implementing changes to medicines resulting from MHRA alerts and product withdrawals and provide guidance for practitioners.

Clinical

1. Work with the dispensary and Primary Care teams to identify patients as at risk from high-risk medicines to minimise such risks through medicines optimisation. Provide scheduled clinics for offenders across HMP Guys Marsh, HMP The Verne and HMP Portland and to give advice and support on their prescribed medicines, OTC medicines and other medical issues they may raise.
2. To put in place changes to reduce the prescribing of medicines likely to cause readmission to high-risk patient groups.
3. Promote healthy lifestyles for offenders in line with local and national guidelines or promotions.
4. To be an active member of the HMP Guys Marsh, HMP The Verne and HMP Portland clinical governance/medicines management committee(s).
5. To provide face to face clinics to help patients with questions, queries and concerns about their medicines.
6. To hold clinics for patients requiring face-to-face Clinical Medication Reviews (CMRs) i.e. a review of the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their concordance with prescribed medication.
7. To undertake clinical medication reviews with patients with multi-morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests.
8. To see patients in multi-morbidity clinics and in partnership with the Health and Wellbeing coordinator(s), implement improvements to the patients medicines, including deprescribing.
9. Run own long term conditions clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component (e.g. stable angina, warfarin monitoring and dose adjustment).
10. To demonstrate on-going continual professional development (CPD) and be responsible for self-development and learning within the field of pharmacy or other specialty where appropriate.
11. Make recommendations for and manage changes to medicines (switches) designed to save on medicines costs where a medicine or product with a lower acquisition cost is now available.
12. Answer all medicine-related enquiries from GPs, other healthcare staff and patients with queries about medicines. Suggesting and recommending solutions. Providing follow up for patients to monitor the effect of any changes.
13. Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance, including national prison formularies.

Dispensary

1. To act as responsible pharmacist in the dispensary
2. Co-ordinate and manage the workload in HMP Guys Marsh, HMP The Verne and HMP Portland Prison Pharmacy Dispensary/Healthcare
3. To undertake clinical screening and final accuracy checks when working in the dispensary.

Communication

1. To make clinical judgments within your clinical ability where information is highly complex or lacking or ambiguity exists. Where such judgments are outside of your clinical ability to refer the situation to a more senior pharmacist or GP for assistance.
2. To provide newsletters on important prescribing messages to improve prescribers knowledge and work with the GP and Primary Care team to develop and implement other techniques known to influence implementation of evidence such as audit and feedback.
3. To communicate with external healthcare providers to ensure prisoners are treated with medication suitable for continuation on return to the secure environment.

Research

1. To ensure systems are in place that support the implementation of evidence-based guidelines into practice within HMP Guys Marsh, HMP The Verne and HMP Portland
2. To undertake own audit of prescribing practices), analyse complex data, feedback results and make suggestions for change.
3. Audit compliance against NICE technology assessment guidance involving medication at HMP Guys Marsh, HMP The Verne and HMP Portland. Feeding back findings, analysis and solutions to the GPs and Medicines Management Committee.

Other

1. Post holders will be subjected to an advanced DBS check and a prison security check (level 2).
2. To appreciate the secure environment you are working in and to adhere to all prison procedures as necessary.

Person Specification

Skills

Essential

• Recent clinical pharmacy practice in a GP practice or prison setting
• Sound clinical skills at diploma level

Education and Qualifications

Essential

• Masters Degree of Pharmacy or equivalent
• Registered Independent Pharmacist Prescriber
• Diploma in General Pharmacy Practice/Clinical Pharmacy/Mental Health or equivalent (or working towards)

Desirable

• A member of or working towards Faculty Membership of the Royal Pharmaceutical Society

Experience

Essential

• Previous prison/hospital/community pharmacy experience in the UK
• At least 4 years experience of providing clinical pharmacy services
• At least 2 years experience of providing clinical services within prisons or GP practices

Desirable

• Experience of providing clinical services to mental health or substance misuse patients

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).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Oxleas NHS Foundation Trust

Address

HMP Guy's Marsh, HMP Portland and HMP The Verne

Dorset

SP7 0AH

Employer's website

http://oxleas.nhs.uk/ (Opens in a new tab)