Band 8a Senior pharmacist – Clinical Commissioning and SRIAP

Job description

Job responsibilities

1. CLINICAL RESPONSIBILITIES

To provide a high quality clinical pharmacy service as part of the multidisciplinary team to patients, to ensure maximum efficacy, safety and economic drug use and to demonstrate professional accountability to enhance patient care. The responsibilities will include:

• Regular attendance at consultant ward rounds and multidisciplinary team meetings where applicable
• Demonstration of expert Immunoglobulin as well as a general clinical knowledge.
• Delivery of a high quality, specialist ward-based pharmacy service. This involves obtaining medication histories from patients, clarifying inconsistencies with the patients GP or Community Pharmacist, ensuring appropriate use of patients own drugs, drug supply, review of highly complex medication regimens, clarification of medication changes made during inpatient stay by liaising with the medical team, drug interaction and adverse drug reaction monitoring, discharge planning and rapid turnaround of TTAs, full medication counselling to patients, and assessment for appropriateness of compliance aids to assist patients medication needs.
• To make clinical decisions where limited/conflicting information is available.
• Promotion of high quality and cost-effective prescribing.
• Making evidence based decisions, in partnership with patients and other professionals within the specialist area.
• Liaising with other pharmacists to ensure continuity of medicines management, and to implement systems for the effective transfer of medicines between different care setting.
• Development and review of Shared Care guidelines
• Implementation of relevant local, regional and national guidelines within the specialist area particularly with respect to Immunoglobulins.
• Assist in the implementation and evaluation of Drug Usage Reviews and clinical audits, and implement changes in prescribing practice accordingly.
• To liaise and work with other specialist pharmacists to share the best practice, to strengthen patient focused pharmaceutical care.
• To practice as a supplementary/independent prescriber within a defined scope of practice within the specialist area.
• To assist in the implementation of e-referrals and electronic Medicines Management within the specialist areas.
• Support the monitoring of the use of High-Cost Drugs, with a specialist interest in Immunoglobulin, ensuring on-going compliance with clinical guidelines and eligibility criteria.

• To assist in the planning and organising of a clinical pharmacy service to the patients in both the inpatient and outpatient settings.
• Develop a detailed understanding of NHS England IFR and IVIG procedures and support appropriate applications to the relevant panels, with a specialist responsibility towards the NCL SR-IAP.
• To assist in identifying and managing changes necessary to maintain a high quality service responsive to patients needs and to consider the implications of changes for other areas/personnel.
• To provide clinical screening and dispensing support to the pharmacy team to ensure the accurate and timely dispensing of prescriptions
• To deal effectively with situations where medication errors have occurred, including liaising directly with patients and staff concerned.
• Assist in responding to complaints from patients and the public in relation to medicines management issues as required.
• To deliver a high quality and comprehensive medicines counselling service to patients and/or their relatives on all aspects of their pharmaceutical care including specialist and unlicensed drugs. To overcome communication barriers through the use of interpreters or other forms of communication.

• To support and Coordinate the North London Sub-Regional Immunoglobulin Assessment Panel (SR-IAP)
• Create the minimum dataset required to enable patients to be discussed at the SR-IAP and ensure all patients for discussion meet these requirements
• To develop the pathway that ensures patients are discussed at the SR-IAP in a timely fashion.
• Work in conjunction with the Commissioners to establish KPIs of the Panel, as well as how and when progress against these KPIs will be monitored and reported
• To provide efficient and timely Secretariat support for the SR-IAP

• To assist in the production and implementation of business plans for the development of the pharmacy service provided to the SR-IAP.
• To assist in the formulation, prioritisation and implementation of long term strategic plans for clinical commissioning and immunoglobins use in line with local, network and national objectives.

• Contribute to the development of and ensuring adherence to evidence based prescribing guidelines including production of evidence reviews for Immunoglobulin request for non-routinely commissioned indications.
• Ensuring compliance with CQC medicine related outcomes, NICE medicines appraisals and other regulatory related initiatives
• To ensure that all pharmacy activities, procedures and documentation within the speciality are carried out in accordance with standard operating procedures and relevant medicines legislation
• To assist in the implementation of the Trusts Clinical Governance agenda within the specialties
• To identify the risks of medicines use in the directorate and implement strategies to minimise them, working closely with the specialities Clinical Risk Management Committees. Assist in the implementation of nationally- led strategies to improve medication safety.

• To assist in the management of changes in order to optimise patient care and to consider and act upon the implications of the change to other areas/personnel.

• To contribute to the management of the NHS England budget designated to the NCL SRIAP with oversight from the Principal Pharmacist-Clinical Commissioning.
• To contribute to the management and reporting of commissioner funded medicines. The responsibilities will include:

• Work with NHS England CMU to provide detailed evaluated reports on Immunoglobulin usage and expenditure for the NCL SRIAP associated trusts.
• Identify options for reducing drug expenditure in line with savings programmes.
• Forecasting new drug developments and identify changes in prescribing practice that may impact on regional drugs budgets.
• Maintain local databases for high cost drugs to monitor usage and ensure funding is in place to reduce financial risk
• Interpreting published data on new Immunoglobulin preparations or alternative therapies for new or existing clinical indications.
• Liaising with the key decision makers (senior managers, Senior Clinicians, Chief Pharmacists, Senior Pharmacists and Commissioners) to enable best demand management of Immunoglobulin for the NCL SRIAP associate trusts.
• To provide advice on Immunoglobulin and other high cost drugs to facilitate the seamless transition of patient care between interfaces or care settings by liaising with consultants, Service Performance and Primary Healthcare Professionals.
• Contribute to, monitor and report on quality / cost improvement programmes for High Cost Drugs, with a specialist interest in Immunoglobulin.
• Provide management, mentorship, support and assistance to pharmacy staff in connection with the NHSE medicines optimisation strategy and quality / Improving Value Schemes.

• To work closely with the chair of the NCL SRIAP and other core panel members to ensure smooth running of the panel.
• Establish an effective working relationship with the NHSE Specialised Commissioning team, including IFR and CDF teams, and with other Clinical Commissioning Pharmacists for specialised services
• To share expertise with healthcare professionals on a regional and nationwide level through professional conferences, forum and bodies.
• To manage and support the development of Senior, and rotational and trainee pharmacists/pharmacy technicians rotating through commissioning.
• To support and facilitate the development of junior pharmacists and pharmacy technicians
• To deputise for the Principal Pharmacist Clinical Commissioning in their absence.
• To assist in the management of changes in order to optimise patient care and to consider and act upon the implications of the change to other areas/personnel.
• To manage difficult and ambiguous situations and be aware of controversial political and ethical dilemmas that may present in patient care and provide support and guidance to colleagues in any decision making process.
• To contribute to the implementation of the risk management and Trust Clinical Governance agenda.
• To identify the risks of medicines use within the area of Immunoglobulin use and implement strategies to minimise them, working closely with the specialities clinical risk management committees across the region.
• To attend and be active participant in relevant clinical and managerial groups divisionally, corporately and externally, in order to ensure the delivery of best care to patients. This may include presenting data / guidelines that may be controversial / likely to be challenged
• To represent the North Central London Sub regional panel and pharmacy by acting as link person at relevant meetings and conferences and disseminate knowledge of developments to other staff.
• To act as an effective role model and provide advice and support on clinical issues within specialist area to junior pharmacists and members of the multi-disciplinary team.
• To share expertise with healthcare professionals on a nationwide level through professional conferences, forum and bodies.

Person Specification

Royal Free World Class Values

Essential

• Demonstrable ability to meet the Trust Values

Education & professional Qualifications

Essential

• MPharm or equivalent
• Registered with the General Pharmaceutical Council (GPhC)
• Post graduate diploma in pharmacy practice or equivalent

Desirable

• Advanced qualification in specialist area
• Registered supplementary or independent prescriber.

Experience

Essential

• Considerable experience working in hospital pharmacy and proven experience as a specialist clinical directorate pharmacist and some experience working with medical patients
• Experience of managing change and leading service developments
• Experience of managing and analysing drug expenditure
• Experience of writing / implementing clinical guidelines and government directives
• Experience of multidisciplinary working
• Evidence of clinical audit/drug evaluation/practice research and the promotion of evidence based practice.
• Experience of appraising staff and giving feedback
• Experience in delivering education and training.
• Comprehensive band 6/7 hospital pharmacy rotation including managing immunoglobulin demand management
• Demonstrated knowledge of medicines related risk management
• Knowledge of medicines legislation and guidance

Desirable

• Demonstrated knowledge of principles of commissioning e.g. contracts, PBR excluded drugs, PAS
• Demonstrated knowledge of GDP Quality Systems

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

Royal Free London NHS Foundation Trust

Address

Royal Free Hospital

Pond Street

London

NW3 2QG

Employer's website

https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)