Pharmacist

Pennine MSK Partnership

The closing date is 19 August 2022

Job summary

The post holder will work within the Fracture Liaison (FLS) and Rheumatology services. Within FLS the role will involve assessing patients bone health, referring for investigations, advising on treatment options and assessing concordance. Within the rheumatology service the role will involve carrying out pharmacist-led rheumatology out-patient clinics to deliver patient education, monitor response to medicines and promote and deliver the best clinical practice in line with local and national guidelines. The post holder will participate in the arrangement of homecare medicines and working with the multi-disciplinary team to ensure clinical and cost-effective prescribing of medicines. This role includes being involved in the clinical management of patients as an independent pharmacist and acting as a resource for prescribing knowledge, education and clinical advice to nurses, medical staff and allied health professionals working in the service and the Senior Management Team.

Main duties of the job

1. To participate in the organisation and delivery of a specialist clinical pharmacy service within the agreed standard of pharmaceutical care for the identified patient population, safely, effectively and within the defined limits of responsibility, resources and activity.

2. To be involved in the specialist clinical pharmacy service across the service area in line with established national and regional guidelines and standards.

3. To provide prescribing and professional advice to clinical management team (Clinical Director, Director for Service Improvement, Lead Nurse and Finance Director) to aid in the planning of clinical services and contribute to good clinical governance in the use of medicines.

About us

Pennine MSK Partnership is a service commissioned by Oldham CCG to provide care for the patients of Oldham in Orthopaedics, Rheumatology and Persistent Pain in a community setting across several sites in and around Oldham.

We have a large multidisciplinary team of 90 Clinicians and 40 Operational staff who work in the service to provide an outstanding pathway of care for our patients.

Our multidisciplinary clinical team include, Rheumatology Consultants, Orthopaedic Consultants, Consultant Liaison Psychiatrists, Clinical Psychologists, GP’s with special interest in Rheumatology and Persistent Pain, Clinical Specialist Physiotherapists, Rheumatology Specialist Physiotherapists, Clinical Specialist Podiatrists, Rheumatology Nurse Specialists, Occupational Therapists and Cognitive Behavioural Therapists

Date posted

14 July 2022

Pay scheme

Agenda for change

Band

Band 7

Salary

£40,057 to £45,839 a year

Contract

Permanent

Working pattern

Full-time

Reference number

A4982-22-5553

Job locations

NHS Oldham Integrated Care Centre

New Radcliffe Street

Oldham

OL1 1NL


Job description

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.

Job description

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.

Person Specification

Experience

Essential

  • Knowledge of Microsoft Office
  • Committed to continuing professional development

Desirable

  • Post registration clinical pharmacy practice experience within clinical specialty (rheumatology/ MSK)
  • Experience of planning, delivering, and reporting
  • audit and research projects

Specific Job Requirements

Essential

  • Ability to be flexible to work out with core normal working hours

Qualifications

Essential

  • Masters degree in pharmacy or equivalent
  • Membership of the General Pharmaceutical Council of Great Britain
  • Postgraduate or working towards a qualification in clinical pharmacy or equivalent competency

Desirable

  • Independent prescribing qualification

Personal Traits

Essential

  • Enthusiastic, motivated
  • Innovative
  • Empathic
  • Flexible
  • Team player

Skills and Abilities

Essential

  • Good ability to communicate (verbally, written, and formal presentations)
  • Good interpersonal skills
  • Good numeracy skills
  • Standard keyboard skills
  • Personal organisational abilities
  • Able to work to deadlines
Person Specification

Experience

Essential

  • Knowledge of Microsoft Office
  • Committed to continuing professional development

Desirable

  • Post registration clinical pharmacy practice experience within clinical specialty (rheumatology/ MSK)
  • Experience of planning, delivering, and reporting
  • audit and research projects

Specific Job Requirements

Essential

  • Ability to be flexible to work out with core normal working hours

Qualifications

Essential

  • Masters degree in pharmacy or equivalent
  • Membership of the General Pharmaceutical Council of Great Britain
  • Postgraduate or working towards a qualification in clinical pharmacy or equivalent competency

Desirable

  • Independent prescribing qualification

Personal Traits

Essential

  • Enthusiastic, motivated
  • Innovative
  • Empathic
  • Flexible
  • Team player

Skills and Abilities

Essential

  • Good ability to communicate (verbally, written, and formal presentations)
  • Good interpersonal skills
  • Good numeracy skills
  • Standard keyboard skills
  • Personal organisational abilities
  • Able to work to deadlines

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

Pennine MSK Partnership

Address

NHS Oldham Integrated Care Centre

New Radcliffe Street

Oldham

OL1 1NL


Employer's website

https://www.pmskp.org/ (Opens in a new tab)


Employer details

Employer name

Pennine MSK Partnership

Address

NHS Oldham Integrated Care Centre

New Radcliffe Street

Oldham

OL1 1NL


Employer's website

https://www.pmskp.org/ (Opens in a new tab)


For questions about the job, contact:

Emma Hughes

emma.hughes2@nhs.net

01613575270

Date posted

14 July 2022

Pay scheme

Agenda for change

Band

Band 7

Salary

£40,057 to £45,839 a year

Contract

Permanent

Working pattern

Full-time

Reference number

A4982-22-5553

Job locations

NHS Oldham Integrated Care Centre

New Radcliffe Street

Oldham

OL1 1NL


Supporting documents