Job summary
To provide medicines optimisations services and support the GPs at HMP Bristol by acting as a Non-Medical Prescriber.
Main duties of the job
- To provide medicines optimisations services and support the GPs at HMP Bristol, Erlestoke, Leyhill and Ashfield.
- To support patients with their medicine queries and concerns.
- To undertake medication review clinics.
- To stratify risk with high-risk medicines and work to reduce such risk for patients.
- As part of the health and wellbeing team:
- Identify patients at risk of admission to hospital and work to manage medicine-related risk for these patients.
- Implement improvements to patients medicines for LTCs, including de-prescribing and run LTC clinics where medicines are a large component of care
- Develop and manage new services that are built around new medicines or NICE guidance.
- To provide leadership to ensure practice within healthcare is compliant with CQC standards where medicines are involved.
- Working with the Specialist Prison Services Pharmacist, develop and enforce the formulary
- Support the audit process in line with Oxleas NHSFT audit programme including and disseminate findings appropriately to improve prescribing practice
About us
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.
We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
This Is Strengthened By Our New Values
Our purpose is to improve lives by providing the best possible care to our patients and their families.
- We're Kind
- We're Fair
- We Listen
- We Care
Job description
Job responsibilities
Clinical
- Work with the Health and Wellbeing team and patients identified as at risk from high risk medicines to minimise such risks through medicines optimisation.Provide scheduled clinics for offenders to give advice and support on their prescribed medicines, OTC medicines and other medical issues they may raise.
- Working with the Health and Wellbeing coordinators and hospital colleages, clinically manage patients identified at risk from medication-related readmission and harm.
- To put in place changes to reduce the prescribing of medicines likely to cause readmission to high-risk patient groups.
- Promote healthy lifestyles for offenders in line with local and national guidelines or promotions.
- To be an active member of the HMP Bristol clinical governance/medicines management committee(s).
- To provide face to face clinics to help patients with questions, queries and concerns about their medicines.
- 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.
- 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.
- 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.
- 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).
- To demonstrate on-going continual professional development (CPD) and be responsible for self-development and learning within the field of pharmacy or other speciality where appropriate.
- Make recommendations for and manage changes to medicis (switches) designed to save on medicines costs where a medicine or product with a lower acquisition cost is now available.
- 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.
- Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance, including national prison formularies.
Job description
Job responsibilities
Clinical
- Work with the Health and Wellbeing team and patients identified as at risk from high risk medicines to minimise such risks through medicines optimisation.Provide scheduled clinics for offenders to give advice and support on their prescribed medicines, OTC medicines and other medical issues they may raise.
- Working with the Health and Wellbeing coordinators and hospital colleages, clinically manage patients identified at risk from medication-related readmission and harm.
- To put in place changes to reduce the prescribing of medicines likely to cause readmission to high-risk patient groups.
- Promote healthy lifestyles for offenders in line with local and national guidelines or promotions.
- To be an active member of the HMP Bristol clinical governance/medicines management committee(s).
- To provide face to face clinics to help patients with questions, queries and concerns about their medicines.
- 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.
- 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.
- 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.
- 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).
- To demonstrate on-going continual professional development (CPD) and be responsible for self-development and learning within the field of pharmacy or other speciality where appropriate.
- Make recommendations for and manage changes to medicis (switches) designed to save on medicines costs where a medicine or product with a lower acquisition cost is now available.
- 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.
- Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance, including national prison formularies.
Person Specification
Education/Qualifications
Essential
- Masters Degree of Pharmacy or equivalent
- Registered with the General Pharmaceutical Council of GB (GPhC)
- 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
Skills/Ability/Knowledge
Essential
- Recent clinical pharmacy practice in a GP practice or prison setting
- Sound clinical skills at diploma level
- Demonstrates and appropriate level of clinical reasoning and judgment.
Desirable
- Computer literate: Word Processing and Spreadsheet skills
Person Specification
Education/Qualifications
Essential
- Masters Degree of Pharmacy or equivalent
- Registered with the General Pharmaceutical Council of GB (GPhC)
- 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
Skills/Ability/Knowledge
Essential
- Recent clinical pharmacy practice in a GP practice or prison setting
- Sound clinical skills at diploma level
- Demonstrates and appropriate level of clinical reasoning and judgment.
Desirable
- Computer literate: Word Processing and Spreadsheet skills
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).
