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Gloucestershire Hospitals NHS Foundation Trust

Advanced Specialist Clinical Pharmacist-Gastro, Neuro, Derm, Rheum

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Job summary

Advanced Specialist Clinical Pharmacist-Gastro, Neuro, Derm, Rheum, Band 8a

A number of Exciting opportunities through new funding to enhance the clinical pharmacy service at GHFT by being involved as a Specialist in either Gastroenterology, Neurology, Dermatology and/or Rheumatology. The post-holders will be responsible for leading the introduction and development of an advanced clinical pharmacy service to the specialties listed. They will provide an expert pharmaceutical service for the management of these patients, deliver high quality pharmaceutical care and improve patient safety.

The post-holders will be an independent prescriber and prescribe medicines for agreed patients within their own level of experience and competence, and in line with current legislation and local polices. They may work within the outpatient setting (conducting outpatient clinic appointments) or ward setting, as required by the service. This really is an opportunity to develop yourself within a specialist area or revisit a specialism or interest to you, in an exciting and innovative role.

Part time available

Main duties of the job

Please see individual JDs for the specific duties in each area, although there are consistent core duties for each role.

The post-holder(s) will be responsible for leading development of an advanced clinical pharmacy service to the appropriate Department. They will provide expert pharmaceutical service for the management these patients, deliver high quality pharmaceutical care and improve patient safety. They will provide information and advice to the team about drugs, doses administration and potential side effects, including initiating and modifying treatment. They will educate patients about changes to their medication and how to take specific medicines.

The post-holder(s) will be an independent prescriber and prescribe medicines for agreed patients within their own level of experience and competence, and in line with current legislation and local polices. They may work within the outpatient setting (conducting outpatient clinic appointments) or ward setting, as required by the service. They will review patients as part of a pharmacist led consultation which may include prescribing medication, ordering and interpreting bloods tests or other investigations and corresponding with Primary Care. They will access and interpret clinical information e.g., from the ePMA system (Sunrise), the Patient administration system (TrakCare), Pharmacy computer system (EMIS) as well as case notes. They will work with the speciality to reduce waiting lists and streamline follow ups.

About us

Gloucestershire Hospitals NHS Foundation Trust is the largest employer in the county and with over 8000 staff, we are one of the largest NHS trusts in the UK. We offer a generous annual leave allowance, discounts for local shops, restaurants and services, access to our health and well-being hub, access to two on-site nurseries, flexible working options, discounted public transport, reward & recognition schemes and exercise & activity classes. Both hospitals are located in the city centres with access to shops & cafes.The pharmacy department has over 240 staff. The 2 sites provide dispensary services to inpatients & outpatients, medicines information, procurement and full clinical service to wards; the onsite aseptic and manufacturing services are centralised at CGH. The department also provides Advanced clinical services to various specialities.Pharmacy is at the forefront of many exciting projects including an award-winning service provided by pharmacist prescribers in orthopaedic pre-admission clinic.

Within the department are specialist clinical teams; the Specialist Mental Health Pharmacy facilitates delivery of Specialist services for MH & LD.

The cancer services team provide a pharmacy service at both sites for oncology & haematology and satellite pharmacy.

We are a friendly, inclusive department who wish to nurture and develop our staff at all grades, from a mentoring programme for junior pharmacists to the development of pharmacist prescribers and beyond.

Details

Date posted

01 November 2023

Pay scheme

Agenda for change

Band

Band 8a

Salary

£50,952 to £57,349 a year pa pro rata

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

318-23-D&S-T1234

Job locations

Gloucestershire Royal Hospital

Gloucester

GL1 3NN


Job description

Job responsibilities

Please see attached JDs for comprehensive duties and responsibilities for each speciality.

The postholder(s) will work within the Gastroenterology team, and-

- Conduct outpatient clinic appointments

- Prescribe and Monitor specialist medicines for inflammatory bowel disease

Registering patients for homecare and completing prescriptions

Requesting, reviewing and monitoring lab results and other relevant investigations

- Infusion prescribing and chart rewrites for case day admissions

- Counselling patients on complex medication

- Participate in MDT

- Consultation with patients between appointments where required to resolve medication and prescription issues.

- Respond to medication related questions from other members of the MDT

- Demonstrate excellent communication skills, verbal and written documentation.

- Review and write policies and procedures as required

- Implement new medicines when they become available/NICE approved (e.g. formulary, pathways, setting up homecare service where applicable)The postholder(s) will work within the Pharmacy and Rheumatology team, and-

- Conduct outpatient clinic appointments (telephone and face-to-face as appropriate) e.g. Offering a tapering service to stable patients on biologics

- Infusion prescribing and chart rewrites for day case admissions

- Writing prescriptions for patients switched between biosimilars (ad hoc) and for patients on biologic medication every 6 months (currently ~1500 Rheumatology Biologic patients in total across the county)

- Prescribe and Monitor specialist medicines

Registering patients for homecare and completing prescriptions

Completing and renewing BlueTeq where appropriate

Requesting, reviewing and monitoring lab results and other relevant investigations

- Providing education, if necessary, in the form of group education or virtual education, for patients identified by the clinical team for starting standard DMARDs as well as biologic medication Counselling patients on complex medication

- Contributing to an advice line for pharmacy colleagues in the community with particular reference to supporting concerns around DMARD monitoring Participate in MDT

- Answer advice line queries and call patients between appointments where required, e.g. management of medication around surgery, timing of vaccinations with treatment, medication travel letters

- Respond to medication related questions from other members of the MDT

- Demonstrate excellent communication skills, verbal and written documentation.

- Review and write policies and procedures as required

- Implement new medicines when they become available/NICE approved (e.g. formulary, pathways, setting up homecare service where applicable)

The postholder(s) will work within the Neurology team, and-

- Conduct outpatient clinic appointments e.g. Multiple Sclerosis clinic for Natalizumab and Ocrelizumab

- Prescribe and Monitor specialist medicines

Registering patients for homecare and completing prescriptions

Completing and renewing BlueTeq where appropriate

Requesting, reviewing and monitoring lab results and other relevant investigations

- Infusion prescribing and chart rewrites for case day admissions

- Counselling patients on complex medication

- Participate in MDT

- Answer advice line queries and call patients between appointments where required, e.g. management of medication around surgery, timing of vaccinations with treatment, medication travel letters

- Respond to medication related questions from other members of the MDT

- Demonstrate excellent communication skills, verbal and written documentation.

- Review and write policies and procedures as required

- Implement new medicines when they become available/NICE approved (e.g. formulary, pathways, setting up homecare service where applicable)

The postholder(s) will work within the Dermatology team, and-

- Conduct outpatient clinic appointments

- Prescribe and Monitor specialist medicines for inflammatory dermatological conditions

Registering patients for homecare and completing prescriptions

Requesting, reviewing and monitoring lab results and other relevant investigations

- Infusion prescribing and chart rewrites for case day admissions

- Counselling patients on complex medication

- Participate in MDT

- Consultation with patients between appointments where required to resolve medication and prescription issues.

- Respond to medication related questions from other members of the MDT

- Demonstrate excellent communication skills, verbal and written documentation.

- Review and write policies and procedures as required

- Implement new medicines when they become available/NICE approved (e.g. formulary, pathways, setting up homecare service where applicable)

As a member of the wider clinical pharmacy team, the post-holder(s) will be required to provide general pharmacist duties within the department and to other clinical specialities as the service requires. This would involve provision of a ward clinical pharmacy service. The post holder(s) would be responsible for:

- Reviewing prescriptions to ensure they are legal, safe, cost effective, clinically necessary and appropriate, accurate and complete.

- Undertaking medicines optimisation and reconciliation

- Arrange for drugs to be supplied to a patient, ward or department

Contact Details

Israr Baig (Associate Pharmacy Director)

israr.baig@nhs.net

0300 422 6839

or

David Richards (Clinical Pharmacist Lead for Medicine)

david.richards@nhs.net

0300 422 6841

Job description

Job responsibilities

Please see attached JDs for comprehensive duties and responsibilities for each speciality.

The postholder(s) will work within the Gastroenterology team, and-

- Conduct outpatient clinic appointments

- Prescribe and Monitor specialist medicines for inflammatory bowel disease

Registering patients for homecare and completing prescriptions

Requesting, reviewing and monitoring lab results and other relevant investigations

- Infusion prescribing and chart rewrites for case day admissions

- Counselling patients on complex medication

- Participate in MDT

- Consultation with patients between appointments where required to resolve medication and prescription issues.

- Respond to medication related questions from other members of the MDT

- Demonstrate excellent communication skills, verbal and written documentation.

- Review and write policies and procedures as required

- Implement new medicines when they become available/NICE approved (e.g. formulary, pathways, setting up homecare service where applicable)The postholder(s) will work within the Pharmacy and Rheumatology team, and-

- Conduct outpatient clinic appointments (telephone and face-to-face as appropriate) e.g. Offering a tapering service to stable patients on biologics

- Infusion prescribing and chart rewrites for day case admissions

- Writing prescriptions for patients switched between biosimilars (ad hoc) and for patients on biologic medication every 6 months (currently ~1500 Rheumatology Biologic patients in total across the county)

- Prescribe and Monitor specialist medicines

Registering patients for homecare and completing prescriptions

Completing and renewing BlueTeq where appropriate

Requesting, reviewing and monitoring lab results and other relevant investigations

- Providing education, if necessary, in the form of group education or virtual education, for patients identified by the clinical team for starting standard DMARDs as well as biologic medication Counselling patients on complex medication

- Contributing to an advice line for pharmacy colleagues in the community with particular reference to supporting concerns around DMARD monitoring Participate in MDT

- Answer advice line queries and call patients between appointments where required, e.g. management of medication around surgery, timing of vaccinations with treatment, medication travel letters

- Respond to medication related questions from other members of the MDT

- Demonstrate excellent communication skills, verbal and written documentation.

- Review and write policies and procedures as required

- Implement new medicines when they become available/NICE approved (e.g. formulary, pathways, setting up homecare service where applicable)

The postholder(s) will work within the Neurology team, and-

- Conduct outpatient clinic appointments e.g. Multiple Sclerosis clinic for Natalizumab and Ocrelizumab

- Prescribe and Monitor specialist medicines

Registering patients for homecare and completing prescriptions

Completing and renewing BlueTeq where appropriate

Requesting, reviewing and monitoring lab results and other relevant investigations

- Infusion prescribing and chart rewrites for case day admissions

- Counselling patients on complex medication

- Participate in MDT

- Answer advice line queries and call patients between appointments where required, e.g. management of medication around surgery, timing of vaccinations with treatment, medication travel letters

- Respond to medication related questions from other members of the MDT

- Demonstrate excellent communication skills, verbal and written documentation.

- Review and write policies and procedures as required

- Implement new medicines when they become available/NICE approved (e.g. formulary, pathways, setting up homecare service where applicable)

The postholder(s) will work within the Dermatology team, and-

- Conduct outpatient clinic appointments

- Prescribe and Monitor specialist medicines for inflammatory dermatological conditions

Registering patients for homecare and completing prescriptions

Requesting, reviewing and monitoring lab results and other relevant investigations

- Infusion prescribing and chart rewrites for case day admissions

- Counselling patients on complex medication

- Participate in MDT

- Consultation with patients between appointments where required to resolve medication and prescription issues.

- Respond to medication related questions from other members of the MDT

- Demonstrate excellent communication skills, verbal and written documentation.

- Review and write policies and procedures as required

- Implement new medicines when they become available/NICE approved (e.g. formulary, pathways, setting up homecare service where applicable)

As a member of the wider clinical pharmacy team, the post-holder(s) will be required to provide general pharmacist duties within the department and to other clinical specialities as the service requires. This would involve provision of a ward clinical pharmacy service. The post holder(s) would be responsible for:

- Reviewing prescriptions to ensure they are legal, safe, cost effective, clinically necessary and appropriate, accurate and complete.

- Undertaking medicines optimisation and reconciliation

- Arrange for drugs to be supplied to a patient, ward or department

Contact Details

Israr Baig (Associate Pharmacy Director)

israr.baig@nhs.net

0300 422 6839

or

David Richards (Clinical Pharmacist Lead for Medicine)

david.richards@nhs.net

0300 422 6841

Person Specification

Qualifications

Essential

  • Active registration with the General Pharmaceutical Council (GPhC)
  • UK recognised Degree in Pharmacy
  • Qualified as a Pharmacist Independent Prescriber

Desirable

  • Health assessment skills qualification

Experience

Essential

  • Significant clinical experience working in a UK hospital at band 7 level equivalent or above, covering a wide range of duties
  • Experience delivering and developing a clinical pharmacy service
  • Evidence of significant personal development, professionally and managerially

Knowledge

Essential

  • Extensive knowledge of medicines optimisation acquired through Post graduate Clinical Pharmacy Diploma or equivalent experience or training
  • Self-motivated, able to use initiative & prioritise workload as well as work as part of a multi-disciplinary team
  • Excellent communication skills, both oral and written. Able to produce a range of written documents, including drug usage reports, SOPs, policies and guidelines.
  • Excellent interpersonal skills. Able to challenge inappropriate prescribing and influence prescribing decisions of all healthcare professionals including senior medical colleagues.
  • Able to effectively and appropriately escalate concerns to reduce risk & promote safety
  • Adaptable to the changing needs of the service
  • Has a responsive, solution focused approach to addressing issues and barriers

Qualities

Essential

  • Proactive attitude
  • Positive and Enthusiastic about area of work and achieving results
  • Demonstrate Trust values of Caring, Listening and Excelling within role and act as a role model to junior colleagues
  • Reliable, polite and approachable
  • Awareness of professional and personal limitations, and willing to seek advice and support where necessary
Person Specification

Qualifications

Essential

  • Active registration with the General Pharmaceutical Council (GPhC)
  • UK recognised Degree in Pharmacy
  • Qualified as a Pharmacist Independent Prescriber

Desirable

  • Health assessment skills qualification

Experience

Essential

  • Significant clinical experience working in a UK hospital at band 7 level equivalent or above, covering a wide range of duties
  • Experience delivering and developing a clinical pharmacy service
  • Evidence of significant personal development, professionally and managerially

Knowledge

Essential

  • Extensive knowledge of medicines optimisation acquired through Post graduate Clinical Pharmacy Diploma or equivalent experience or training
  • Self-motivated, able to use initiative & prioritise workload as well as work as part of a multi-disciplinary team
  • Excellent communication skills, both oral and written. Able to produce a range of written documents, including drug usage reports, SOPs, policies and guidelines.
  • Excellent interpersonal skills. Able to challenge inappropriate prescribing and influence prescribing decisions of all healthcare professionals including senior medical colleagues.
  • Able to effectively and appropriately escalate concerns to reduce risk & promote safety
  • Adaptable to the changing needs of the service
  • Has a responsive, solution focused approach to addressing issues and barriers

Qualities

Essential

  • Proactive attitude
  • Positive and Enthusiastic about area of work and achieving results
  • Demonstrate Trust values of Caring, Listening and Excelling within role and act as a role model to junior colleagues
  • Reliable, polite and approachable
  • Awareness of professional and personal limitations, and willing to seek advice and support where necessary

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).

Employer details

Employer name

Gloucestershire Hospitals NHS Foundation Trust

Address

Gloucestershire Royal Hospital

Gloucester

GL1 3NN


Employer's website

https://www.gloshospitals.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Gloucestershire Hospitals NHS Foundation Trust

Address

Gloucestershire Royal Hospital

Gloucester

GL1 3NN


Employer's website

https://www.gloshospitals.nhs.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Associate Pharmacy Director

Israr Baig

israr.baig@nhs.net

03004226839

Details

Date posted

01 November 2023

Pay scheme

Agenda for change

Band

Band 8a

Salary

£50,952 to £57,349 a year pa pro rata

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

318-23-D&S-T1234

Job locations

Gloucestershire Royal Hospital

Gloucester

GL1 3NN


Supporting documents

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