Job responsibilities
Job Summary
The post-holder(s) will be responsible for leading the development of an advanced clinical pharmacy service to the Dermatology Department, in particular for patients with inflammatory dermatological conditions. They will provide an expert pharmaceutical service for the management of these patients, deliver high quality pharmaceutical care and improve patient safety. They will provide information and advice to the Dermatology 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 Clinical Manager), 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 patient follow ups.
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
Participation in pharmacy department late night, weekend and bank holiday rotas will be required. Based on the needs of the service and at the discretion of the Associate Pharmacy Directors, the post holder(s) may be required to work at both the Gloucestershire Royal Hospital and Cheltenham General Hospital sites.
Knowledge, Skills and Experience
Four year Vocational Masters degree with one years postgraduate competency assessment with examination to enter the register otherwise Bachelor of Pharmacy degree or Bachelor of Science degree along with equivalent skills gained through experienceRegistration with the General Pharmaceutical Council (GPhC)Provide evidence of Continuing Professional Development to comply with General Pharmaceutical Council (GPhC) requirementsPostgraduate Diploma in Clinical Pharmacy or equivalent skills gained through significant experience as a clinical pharmacist within hospital pharmacyPharmacist Independent Prescribing qualificationKnowledge of current therapeutics within area of clinical responsibility and promote evidence based practiceAble to work alone and unsupervisedAbility to organise and prioritise own workload including dealing with frequent interruptionsEffective oral and written communication with colleagues, staff and patients.Ability to write reports and make presentations to a range of colleagues in various settingsIntermediate competence in standard range of IT programs
Main Duties and Responsibilities
1. Provision of Clinical Services/Clinical Responsibilities
The postholder(s) will work within the Dermatology team, and-
Conduct outpatient clinic appointments
Acting as a pharmacist independent prescriber, 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 to provide patients with an understanding of the expected outcomes of treatment, the monitoring requirements and potential side-effects.
Development and maintenance of patient information leaflets for dermatology therapies
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 and support formulary biologic switches to ensure adoption of best value biologic (e.g. formulary, pathways, setting up homecare service where applicable)
2. Professional Development, Education and Training
Participate in the departmental clinical pharmacy induction and development programme through;
Involvement in the devising of training and development programmes
Provide clinical supervision of less experienced pharmacists, trainee pharmacists and vacation students as required
Act as a clinical diploma tutor for junior pharmacists as appropriate
Develop and deliver education and training in line with local and national objectives and contribute to pharmacy modernisation initiatives being undertaken within the department.
Be involved in, and lead where appropriate, the recruitment, selection, induction and appraisal of new staff.
Conduct formal and in-formal teaching sessions for medical professionals and nursing and pharmacy staff on;
Therapeutics within area of clinical responsibility.
The prescribing and administering of medicines and appropriate Trust policies.
Support clinical placements for undergraduate pharmacy students and participate in the programme through;
Supervision of ward-based activities
Tutorials
Assessment of students participation and work produced during placement, and the provision of formal feedback to the university as required.
3. Management and Leadership
Promote positive and effective communication
Act as the central point of contact between the Pharmacy Department and the Dermatology Department
Lead and develop the clinical pharmacy service to Dermatology
Represent the service, and the department, as part of multi-professional teams, and at meetings (Departmental and Divisional)
Support the Clinical Governance agenda by advising on strategy for reducing medication errors and improving safety in conjunction with the Associate Pharmacy Directors and Lead Clinical Pharmacists
Investigate individual adverse incidents related to drug use within the speciality in collaboration with the Clinical Risk and Effectiveness Department.
Monitor trends associated with errors in prescribing, dispensing or administering drugs
Produce financial reports as appropriate, and work in collaboration with Pharmacy and Dermatology colleagues to ensure best value use of medicines for dermatology indications
Work with the Biologics Pharmacists to co-ordinate the adoption of best value biosimilars.
Work with the Formulary Pharmacy team to monitor drug expenditure, horizon scan for new medicines within speciality and support the implementation of NICE technology Appraisals
Act as a role model for junior pharmacy staff
Line management of junior pharmacists (including appraisals, career development interviews and performance management)
Manage and/or supervise MOTs and junior Pharmacists as necessary
Deputise for Line Manager where delegated/instructed
4. Research and Development
Maintain safe systems of work at all times, being responsible for the quality and accuracy of all work undertaken
Develop and maintain clinical skills and knowledge necessary to deliver an evidence-based service.
Identify own development needs, aligning these to service requirements and personal aspirations. Proactively develop and improve own practice using all available resources
Understand and contribute to the development, implementation, monitoring and evaluation of policies/ protocols/ guidelines relevant to the specialist area.
Contribute to the clinical pharmacy service strategy including participation in the clinical pharmacy meetings.
Work with departmental leads to enhance service where appropriate to increase efficiency and modernise the department e.g. prepare business plans for proposed new service developments.
To be responsible for implementing changes in clinical pharmacy practice and reducing variation in prescribing practice.
Plan, undertake and participate in project work and clinical audit to monitor and develop the service.
To promote a research culture within the pharmacy department e.g. by encouraging pharmacy staff to publish articles, to integrate research evidence into practice, and to identify gaps in the evidence base.
