Job summary
Specialist Pharmacist - HIV/GUM - Band 7
The HIV/ GUM & Dermatology directorate and Pharmacy department services are continually evolving to include increasing development of clinical pharmacy services and the continuing growth of sub- specialities such as hepatitis co-infection.
This post will be part of a HIV-specialist pharmacy team consisting of five other band 7 pharmacists, one rotational band 6 pharmacist and four band 8 pharmacists. The successful applicant will rotate across different sites to provide:
-A ward pharmacy service to the dedicated HIV ward and day care unit including ward round attendance and Gender Affirmation Surgery service;-Clinical and dispensary pharmacy services to the HIV clinic at 10 Hammersmith Broadway;-Clinical pharmacy services to the Dean Street Clinic;-Clinical pharmacy services to the Kobler Clinic including clinical trials and training band 6 resident pharmacists-Clinical pharmacy services to the West Middlesex Hospital HIV clinic
-Enhanced clinical pharmacy service to the TransPlus Service at Dean Street
Main duties of the job
To provide a specialist clinical pharmacy service to patients within the HIV/GUM Directorate across the clinical sites in accordance with objectives set by senior directorate pharmacists in HIV/GUM. The post holder will rotate through the following sites:
-
- TransPlus Service at Dean Street
- Kobler clinic
- Inpatient and day care and Gender Affirmation Surgery Service at Chelsea & Westminster Hospital
- 56 Dean Street Clinic
- 10 Hammersmith Broadway clinic
- West Middlesex Hospital HIV clinic
To ensure the safe, effective, legal and accurate use of medicines within the speciality and to support and supervise less experienced pharmacists on rotation.
The post-holder will be involved in providing clinical oversight to the various outsourced dispensaries and to the clinics, including some early morning and evening sessions. The post-holder will also clinically support the senior directorate pharmacists in a variety of projects including directorate work, audit and research. Further training and development is encouraged.
About us
Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.
We have nearly 7,000 members of staff that are PROUD to Care for nearly one million people.
Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.
We're one of the best performing Trusts in the country. We're also one of the top trusts to work for - our staff says they're engaged, motivated, and would recommend us as a place to work and receive treatment.
Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an
'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.
Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate.
We have recently completed a £30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminster and are planning an ambitious £60m development of an Ambulatory Diagnostics Centre at West Middlesex.
Job description
Job responsibilities
Roles and responsibilities
- Clinical Practice
- Be responsible and accountable for the day to day clinical pharmacy service provided within the HIV/GUM Directorate, as directed by the Lead Directorate Pharmacist HIV/GUM.
- Review prescriptions for accuracy and legality and identify actual or potential problems.
- Ensure the effective supply of medicines suitable for use as an inpatient and appropriately labelled for discharge if applicable.
- Ensure the effective outcomes of treatment with medicines.
- Monitor patients for potential and actual adverse effects of their medicines.
- Take steps to ensure patients understand the purpose of their medicines and deal with any practical issues that may prevent the optimal use of their medicines.
- Liaise with medicines management technicians to conduct medicines reconciliations and support the seamless planning of patient discharge with respect to medication, including the transcription of requests for dispensing.
- Demonstrate professional accountability to patients.
- Support the Lead Directorate Pharmacist to provide and develop clinical pharmacy services to the Directorate including ward pharmacy, medicines management and independent pharmacist prescriber clinics.
- Aim to provide safe, clinically effective and cost efficient use of drugs in the patients as allocated.
- Make appropriate referrals where necessary; 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.
- Demonstrate and apply general pharmaceutical knowledge, and where applicable, specialist clinical pharmacy knowledge in core areas in order to plan, manage, monitor and review therapeutic programmes for patients allocated, thereby ensuring the quality of patient care.
- Work across traditional boundaries, including the transcription of discharge medication.
- Participate in the development of Directorate Patient Group Directions where appropriate
- Participate in multidisciplinary ward rounds within the directorate where appropriate, to integrate into the multidisciplinary team and raise the pharmacy profile via contributions at consultant level.
- Demonstrate appropriate clinical reasoning and judgement.
- Be readily available and keen to answer any general medicine related pharmaceutical queries from patients, pharmacists and other members of staff within pharmacy as well as from other health care professionals including medical staff.
- Proactively provide advice and information on any pharmaceutical issues within the HIV/GUM directorate to pharmacy staff and other healthcare professionals as needed.
- To contribute to the specialist clinics across the Directorate sites as required e.g. Virtual Clinic
- Participate in pharmacy cover arrangements for directorate clinics across multiple sites i.e. Kobler, 56 Dean Street,10 Hammersmith Broadway and West Middlesex University Hospital.
- Assist in completion of specific patient information leaflets for drugs used in HIV
- Demonstrate awareness and commitment to the Trusts Clinical Governance Agenda.
- Support the development of Specialist Role within the directorate.
- Leadership
- Line manage a resident pharmacist (as directed by Lead Pharmacist for Education and Training) and act as their Educational Supervisor, overseeing their progress through the JPB diploma.
- Act as a role model for junior pharmacists and pre-registration pharmacists in the rotation.
- Support, supervise and participate in the training of pharmacists, pre-registration pharmacists, pharmacy undergraduate students and multi-disciplinary staff.
- Promote best practice e.g. evidence-based practice through prescription monitoring.
- Implement and/or follow agreed clinical governance initiatives such as incident/error reporting.
- Develop clinical pharmacy services in line with local and national objectives and contribute to pharmacy modernisation initiatives being undertaken within the department.
- Management of service
- Support delivery of national and local agendas.
- Follow and conform to relevant standards of care, standard operating procedures and policies.
- Identify and manage risks in relation to medicines use according to policy/protocol including reporting of incidents where appropriate in line with Trust processes.
- Delegate duties / responsibilities appropriately to junior staff.
- Evaluate the performance of junior staff against identified criteria using departmental/Trust APR tools and General Level Competence Framework.
- Provide evaluated pharmaceutical and financial information in accordance with the needs of the directorate, as directed by the Lead Directorate Pharmacist HIV/GUM.
- Identify changes in prescribing practices that may impact on the drugs budget, thereby providing information on drug usage and expenditure to the Directorate as directed by the Lead Directorate Pharmacist HIV/GUM.
- Assist in the set-up and implementation of clinical trials and named patient drug programmes in HIV/ GUM.
- Deputise for the Lead and Highly Specialist Directorate Pharmacists HIV/GUM as required and represent pharmacy at directorate management meetings when considered appropriate, for example at clinic-level head of department operational management meetings.
- Evaluation of Service
- Monitor clinical pharmacy in order to ensure safe, clinically effective and cost efficient use of drugs in these patients
- Document the workload and quality of pharmacy services in line with departmental and corporate objectives.
- Perform audits of drug usage within the Directorate as part of the multi-disciplinary audit process.
- Undertake assessments/evaluations as required e.g. of new products within the allocated speciality.
- Research and Service Development
- Demonstrate a critical approach towards pharmacy practice within the HIV/GUM Directorate.
- Integrate research evidence into practice.
- Develop clinical pathways within speciality area.
- Actively seek to improve the ward and clinical services provided.
- Undertake practice research in accordance with the pharmacy research agenda.
- Assist with the supervision of undergraduate and postgraduate projects.
- Education and Training
- Participate in the training and supervision of junior pharmacists, pre-registration pharmacists, and pharmacy undergraduate students in providing a clinical pharmacy service to patients in the HIV/GUM directorate.
- Act as an Educational Supervisor for a foundation pharmacist undertaking the JPB diploma, as directed by Lead Pharmacist for Education and Training.
- Identify training needs of junior staff in order to undertake their required roles.
- Identify own training needs and be able to devise solutions to meet these needs using SMART objectives.
- Develop strategies to meet the training needs of staff.
- Provide education and training to pharmacy and other staff.
- Evaluate the training provided.
- Participate in the clinical training of the ward staff and of multidisciplinary HIV/GUM directorate staff.
- Identify own training needs and maintain a portfolio of practice.
- Participate in the Departmental Education and Training Programme and ensure that a written record of Continuing Professional Development (CPD) is maintained for review at appraisal.
- Attend and participate in clinical pharmacy teaching and multi-disciplinary directorate teaching as appropriate.
- Other
- Participate in other areas of clinical pharmacy practice in order to ensure a broad base of pharmaceutical knowledge.
- Participate in education and training programmes to develop skills as part of a commitment to continuing education and the concept of lifelong learning.
- The post holder will be required to travel to clinical areas of the directorate not on the Chelsea and Westminster site.
- The post holder will be required to participate in early and late shift rotas, and weekend rotas as dictated by the needs of the service.
- The post holder will be required to participate in the back-up on call rota.
- Liaise with other clinical pharmacists to ensure efficient transfer of drug related care.
- Be aware of, and apply, relevant legislation such as the H & SAWA, COSHH, Medicines Act, GMP etc.
- At all times practice in accordance with the Code of Ethics of the General Pharmaceutical Council.
This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and his/her manager.
All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure you must seek clarification from a more senior member of staff.
Job description
Job responsibilities
Roles and responsibilities
- Clinical Practice
- Be responsible and accountable for the day to day clinical pharmacy service provided within the HIV/GUM Directorate, as directed by the Lead Directorate Pharmacist HIV/GUM.
- Review prescriptions for accuracy and legality and identify actual or potential problems.
- Ensure the effective supply of medicines suitable for use as an inpatient and appropriately labelled for discharge if applicable.
- Ensure the effective outcomes of treatment with medicines.
- Monitor patients for potential and actual adverse effects of their medicines.
- Take steps to ensure patients understand the purpose of their medicines and deal with any practical issues that may prevent the optimal use of their medicines.
- Liaise with medicines management technicians to conduct medicines reconciliations and support the seamless planning of patient discharge with respect to medication, including the transcription of requests for dispensing.
- Demonstrate professional accountability to patients.
- Support the Lead Directorate Pharmacist to provide and develop clinical pharmacy services to the Directorate including ward pharmacy, medicines management and independent pharmacist prescriber clinics.
- Aim to provide safe, clinically effective and cost efficient use of drugs in the patients as allocated.
- Make appropriate referrals where necessary; 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.
- Demonstrate and apply general pharmaceutical knowledge, and where applicable, specialist clinical pharmacy knowledge in core areas in order to plan, manage, monitor and review therapeutic programmes for patients allocated, thereby ensuring the quality of patient care.
- Work across traditional boundaries, including the transcription of discharge medication.
- Participate in the development of Directorate Patient Group Directions where appropriate
- Participate in multidisciplinary ward rounds within the directorate where appropriate, to integrate into the multidisciplinary team and raise the pharmacy profile via contributions at consultant level.
- Demonstrate appropriate clinical reasoning and judgement.
- Be readily available and keen to answer any general medicine related pharmaceutical queries from patients, pharmacists and other members of staff within pharmacy as well as from other health care professionals including medical staff.
- Proactively provide advice and information on any pharmaceutical issues within the HIV/GUM directorate to pharmacy staff and other healthcare professionals as needed.
- To contribute to the specialist clinics across the Directorate sites as required e.g. Virtual Clinic
- Participate in pharmacy cover arrangements for directorate clinics across multiple sites i.e. Kobler, 56 Dean Street,10 Hammersmith Broadway and West Middlesex University Hospital.
- Assist in completion of specific patient information leaflets for drugs used in HIV
- Demonstrate awareness and commitment to the Trusts Clinical Governance Agenda.
- Support the development of Specialist Role within the directorate.
- Leadership
- Line manage a resident pharmacist (as directed by Lead Pharmacist for Education and Training) and act as their Educational Supervisor, overseeing their progress through the JPB diploma.
- Act as a role model for junior pharmacists and pre-registration pharmacists in the rotation.
- Support, supervise and participate in the training of pharmacists, pre-registration pharmacists, pharmacy undergraduate students and multi-disciplinary staff.
- Promote best practice e.g. evidence-based practice through prescription monitoring.
- Implement and/or follow agreed clinical governance initiatives such as incident/error reporting.
- Develop clinical pharmacy services in line with local and national objectives and contribute to pharmacy modernisation initiatives being undertaken within the department.
- Management of service
- Support delivery of national and local agendas.
- Follow and conform to relevant standards of care, standard operating procedures and policies.
- Identify and manage risks in relation to medicines use according to policy/protocol including reporting of incidents where appropriate in line with Trust processes.
- Delegate duties / responsibilities appropriately to junior staff.
- Evaluate the performance of junior staff against identified criteria using departmental/Trust APR tools and General Level Competence Framework.
- Provide evaluated pharmaceutical and financial information in accordance with the needs of the directorate, as directed by the Lead Directorate Pharmacist HIV/GUM.
- Identify changes in prescribing practices that may impact on the drugs budget, thereby providing information on drug usage and expenditure to the Directorate as directed by the Lead Directorate Pharmacist HIV/GUM.
- Assist in the set-up and implementation of clinical trials and named patient drug programmes in HIV/ GUM.
- Deputise for the Lead and Highly Specialist Directorate Pharmacists HIV/GUM as required and represent pharmacy at directorate management meetings when considered appropriate, for example at clinic-level head of department operational management meetings.
- Evaluation of Service
- Monitor clinical pharmacy in order to ensure safe, clinically effective and cost efficient use of drugs in these patients
- Document the workload and quality of pharmacy services in line with departmental and corporate objectives.
- Perform audits of drug usage within the Directorate as part of the multi-disciplinary audit process.
- Undertake assessments/evaluations as required e.g. of new products within the allocated speciality.
- Research and Service Development
- Demonstrate a critical approach towards pharmacy practice within the HIV/GUM Directorate.
- Integrate research evidence into practice.
- Develop clinical pathways within speciality area.
- Actively seek to improve the ward and clinical services provided.
- Undertake practice research in accordance with the pharmacy research agenda.
- Assist with the supervision of undergraduate and postgraduate projects.
- Education and Training
- Participate in the training and supervision of junior pharmacists, pre-registration pharmacists, and pharmacy undergraduate students in providing a clinical pharmacy service to patients in the HIV/GUM directorate.
- Act as an Educational Supervisor for a foundation pharmacist undertaking the JPB diploma, as directed by Lead Pharmacist for Education and Training.
- Identify training needs of junior staff in order to undertake their required roles.
- Identify own training needs and be able to devise solutions to meet these needs using SMART objectives.
- Develop strategies to meet the training needs of staff.
- Provide education and training to pharmacy and other staff.
- Evaluate the training provided.
- Participate in the clinical training of the ward staff and of multidisciplinary HIV/GUM directorate staff.
- Identify own training needs and maintain a portfolio of practice.
- Participate in the Departmental Education and Training Programme and ensure that a written record of Continuing Professional Development (CPD) is maintained for review at appraisal.
- Attend and participate in clinical pharmacy teaching and multi-disciplinary directorate teaching as appropriate.
- Other
- Participate in other areas of clinical pharmacy practice in order to ensure a broad base of pharmaceutical knowledge.
- Participate in education and training programmes to develop skills as part of a commitment to continuing education and the concept of lifelong learning.
- The post holder will be required to travel to clinical areas of the directorate not on the Chelsea and Westminster site.
- The post holder will be required to participate in early and late shift rotas, and weekend rotas as dictated by the needs of the service.
- The post holder will be required to participate in the back-up on call rota.
- Liaise with other clinical pharmacists to ensure efficient transfer of drug related care.
- Be aware of, and apply, relevant legislation such as the H & SAWA, COSHH, Medicines Act, GMP etc.
- At all times practice in accordance with the Code of Ethics of the General Pharmaceutical Council.
This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and his/her manager.
All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure you must seek clarification from a more senior member of staff.
Person Specification
Education and Training
Essential
- Vocational Master's Degree in Pharmacy (+ completion of pre-registration training)
- Registered as a practicing pharmacist with the General Pharmaceutical Council
- Postgraduate Certificate in Clinical Pharmacy Practice or equivalent relevant general experience
Desirable
- Postgraduate Diploma in Clinical Pharmacy Practice or equivalent relevant general experience
- Registered independent prescriber
- Royal Pharmaceutical Society (RPS) membership
- RPS Faculty Membership
- Membership with HIV Pharmacy Association (HIVPA) / British HIV Association (BHIVA) / British Association for Sexual Health and HIV (BASHH)
Experience
Essential
- oExperience as a clinical pharmacist practitioner, demonstrating appropriate levels of competency e.g. able to show consistent achievement in all areas outlined in the General Level Competency Framework
- oVariety of clinical practice to include medicine, surgical and medicines information rotations
- oEducation and training of staff
- oSupervision of others
Desirable
- oPharmaceutical care of patients within HIV/GUM
- oEducation and training in a multidisciplinary (MDT) environment
- oStaff Management e.g. recruitment / appraisal / training / leadership / motivation/sickness absence / performance monitoring
- oScreening clinical trial protocols (D)
- oUndertaken clinical audits to improve patient care
Skills and Knowledge
Essential
- oMeets expected levels of practice as defined by others
- oMeets sets targets
- oMeets sets targets
- oMeets sets targets
- oUnderstanding and implementation of Trust and local priorities
- oProblem solving and risk assessment
- oGeneral clinical knowledge and skills assessed through the competency framework
- oGood oral and written communication and presentation skills to convey complex and potentially sensitive information
- oEvaluate quality of own work and service quality
- oIdentifies and meets own training needs
- oUndertakes clinical audit for clinical governance purposes
- oWord processing, email, accurate data entry skills
- oService audit
- oAccuracy of clinical screening, transcription, dispensing and checking of prescriptions
- oWorks autonomously
Desirable
- oCan delegate authority appropriately
- oCan delegate authority appropriately
- oAwareness of and commitment to the Clinical Governance Agenda
- oIntegrates research evidence into practice
- oEnsures other training needs are identified and met
- oTolerates uncertainty
Personal Qualities
Essential
- oOccupational health cleared for the role specified
- oEnthusiasm for the position and a mature and positive approach to the out of hours commitment
- oSelf-starter
- oMethodical with attention to detail
- oFriendly, empathetic and reliable team worker able to relate to all grades of staff
- oAbility to cope well within a busy environment
- oFlexibility to travel and work across various off-site clinics
Person Specification
Education and Training
Essential
- Vocational Master's Degree in Pharmacy (+ completion of pre-registration training)
- Registered as a practicing pharmacist with the General Pharmaceutical Council
- Postgraduate Certificate in Clinical Pharmacy Practice or equivalent relevant general experience
Desirable
- Postgraduate Diploma in Clinical Pharmacy Practice or equivalent relevant general experience
- Registered independent prescriber
- Royal Pharmaceutical Society (RPS) membership
- RPS Faculty Membership
- Membership with HIV Pharmacy Association (HIVPA) / British HIV Association (BHIVA) / British Association for Sexual Health and HIV (BASHH)
Experience
Essential
- oExperience as a clinical pharmacist practitioner, demonstrating appropriate levels of competency e.g. able to show consistent achievement in all areas outlined in the General Level Competency Framework
- oVariety of clinical practice to include medicine, surgical and medicines information rotations
- oEducation and training of staff
- oSupervision of others
Desirable
- oPharmaceutical care of patients within HIV/GUM
- oEducation and training in a multidisciplinary (MDT) environment
- oStaff Management e.g. recruitment / appraisal / training / leadership / motivation/sickness absence / performance monitoring
- oScreening clinical trial protocols (D)
- oUndertaken clinical audits to improve patient care
Skills and Knowledge
Essential
- oMeets expected levels of practice as defined by others
- oMeets sets targets
- oMeets sets targets
- oMeets sets targets
- oUnderstanding and implementation of Trust and local priorities
- oProblem solving and risk assessment
- oGeneral clinical knowledge and skills assessed through the competency framework
- oGood oral and written communication and presentation skills to convey complex and potentially sensitive information
- oEvaluate quality of own work and service quality
- oIdentifies and meets own training needs
- oUndertakes clinical audit for clinical governance purposes
- oWord processing, email, accurate data entry skills
- oService audit
- oAccuracy of clinical screening, transcription, dispensing and checking of prescriptions
- oWorks autonomously
Desirable
- oCan delegate authority appropriately
- oCan delegate authority appropriately
- oAwareness of and commitment to the Clinical Governance Agenda
- oIntegrates research evidence into practice
- oEnsures other training needs are identified and met
- oTolerates uncertainty
Personal Qualities
Essential
- oOccupational health cleared for the role specified
- oEnthusiasm for the position and a mature and positive approach to the out of hours commitment
- oSelf-starter
- oMethodical with attention to detail
- oFriendly, empathetic and reliable team worker able to relate to all grades of staff
- oAbility to cope well within a busy environment
- oFlexibility to travel and work across various off-site clinics
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).