Job responsibilities
Expert Practice Function
1.
To participate in clinical pharmacy activities when delivering a specialist
pharmacy service, including, establishing, and resolving
individual patient pharmaceutical care issues and providing pharmacy advice
with the aim of ensuring safe and effective use of medicines e.g:
• Systematic approach to
individual patient care: - Take account of patient and medication risk
factors when assessing the patient to confirm pharmaceutical needs, and to
identify, assess and prioritise pharmaceutical care issues. Medication
history taking, medicines reconciliation, prescription monitoring, consulting
case notes and liaising with patients, carers and other healthcare
professionals will all contribute to the process of assessment.
• Disease Modifying
Anti-Rheumatic Drug (DMARD) education, monitoring and adjustment: - For
patients prescribed DMARDs to provide tailored patient education to
facilitate shared decision making, assess their individual dosage needs and
monitor treatment. Advise on dosage adjustment when required.
• Biological and biosimilar medicines
education, monitoring and tapering: - For patients prescribed biological or
biosimilar medicines to screen patients for contraindications, provide
tailored patient education to facilitate shared decision making, monitor
treatment and advise on dose tapering according to protocols.
• Adverse drug reactions (ADR):
- Monitor patients for adverse reactions or unexpected events related to
their medication. Investigate and report suspected adverse effects to the
MHRA. Ensure that details of any ADR and hypersensitivity reactions are
documented under the hypersensitivity section of the case notes, the
prescription and administration record and immediate discharge letter.
Discuss the findings of the investigation and any necessary future avoidance
with the patient.
2.
Responsible for individual and staff participation in shared care by
reviewing patients prior to transfer to shared care for pharmaceutical care
related issues e.g. DMARDs, Denosumab. Promoting efficient patient flow
within the specialist area and across primary care. Factors to be considered
include patient education, adherence to medication regimen; seamless care;
review of patients own medicines for return to patient or destruction; named
patient medication.
3.
To be involved in the assessment of patients within the FLS, to refer for investigations
and advise on treatment options. To participate in the continuing service
development of the FLS.
4.
To be involved in working groups to develop and implement protocols,
guidelines, patient group directions and to train relevant staff in their
use. Also participate in guideline development at a national level when
required.
5.
May initiate medication prescribing and management in line with independent
prescribing competencies post qualification.
6. To ensure identification and compliance
with national quality standards e.g. NICE, NHS England Commissioning
Framework for Biological Medicines
7.
To participate in the reporting of incidents involving medications and use
analysis of incidents to advise on required actions or changes in practice to
avoid recurrence.
8.
To provide advice to the service on drug related clinical governance and risk
management issues and provide support to the Quality Improvement teams.
9.
To participate in business continuity planning for the management of
medicines.
Professional Leadership and Governance Function
1.
To be responsible for the provision of expert advice on medicine use and
formulary management within the specialist service, including adherence to
local prescribing policies and medicines governance framework and provide
regular written financial reports to the clinical management team
contributing to the control of the medicine budget and promote effective use
of resources.
2. To facilitate the Central Alerting
System (CAS) officer role for the organisation,
including checking the organisation’s generic patient safety email for CAS
alerts daily and delegating this responsibility to other members of the
service improvement team in the absence of the CAS officer. Alerts are screened
for their relevance to the care setting and an action plan is developed where
necessary and information is disseminated. Relevant alerts are logged with a
record of action taken.
3.
To be involved in the identification, evaluation and costing of new medicine
developments including biosimilar medicines and provide advice on their place
in therapy within the specialist service and other relevant areas e.g.
primary care, other services. This will include horizon scanning for new
medicines and national guidelines that impact on medicine use within the
specialist service.
4.
To facilitate in the identification and delivery of CQUIN and QIPP schemes on
prescribing efficiencies with medicines.
5.
Participate in the supervision of individual and staff participation in
effective medicines management, including conducting regular stock control
reviews.
6. Participate in the review of policies and
Patient Group Directions relating to medicines management.
7.
Participate in the identification of any changes/developments to strategic
and operational plans within specialist service area and liaise with the
Senior Management Team regarding impacts on pharmacy services and management
thereof.
8.
Participate in the development and maintenance of a business continuity focus
for the organisation which will includes ensuring the ongoing review of
plans, training, and exercising and communication requirements.
Education
and Research Function
1.
To contribute to research and audit ensuring findings are reported both at a
local and national level as appropriate.
2.
To liaise with the research team on legal, ethical, professional and cost
aspects of proposed clinical trials within the specialist service and provide
advice on suitability to the Director for service Improvement.
3. To contribute to the
training and development of multi-disciplinary team across the service
through the provision of expert pharmacy advice including workshops / teaching sessions.
4. To undertake continuing professional development to identify
and address learning needs.
General Responsibilities
1. To ensure that risk is managed in all
elements of work including the reporting of Critical Incidents, near misses and
hazards in line with Pennine MSK Partnership policy and that appropriate
actions are put into place where required.
2. To maintain the highest standards of
communication, written and verbal, with patients and colleagues ensuring
satisfactory and timely resolution of queries whilst upholding confidentiality
in accordance with Data Protection Act 1998.
3.
To demonstrate responsibility and
leadership for promoting and championing all aspects of equal opportunities by
valuing diversity in all areas of work.
4.
To maintain accurate and contemporaneous
records in line with Pennine MSK Partnership policy.
5.
To take responsibility for ensuring and
achieving the objectives of the Pennine MSK Partnership Health and Safety
Policy.
6.
To undertake any other duties in order
to meet personal, team and organisational objectives following consultation
with your manager.
This
job description does not attempt to describe all the tasks the post holder will
undertake, it does, however, indicate the degree of authority, range of duties
covered and the flexibility required for the job.
This job description may be amended in consultation with the post holder
as developments evolve, and as part of the appraisal process.
