Clinical Pharmacist - Anticoagulation Service

Bromley GP Alliance Ltd

The closing date is 04 April 2025

Job summary

Bromley GP Alliance is looking for an enthusiastic, forward-thinking Clinical Pharmacist to join the Anticoagulation Service.

This position has become available due to the expansion of our existing team to support the growth of the Anticoagulation Service and the significant positive impact on the stroke prevention scheme within Bromley and Lewisham.

The role of the Anticoagulation Pharmacist is to work within the BGPA Community Anticoagulation Service and managing patients on warfarin, as well as clinically screening incoming referrals and practising as a Pharmacist Independent Prescriber and conducting Initiation appointments and prescribing suitable Anticoagulants. Pharmacist is expected to work according to a Standard Operating Procedures (SOP) and PGDs.

This is a part time role, for 1 day a week to cover clinics in Lewisham and Bromley area and work as a hub pharmacist supporting clinical queries.

Main duties of the job

The BGPA Anticoagulation Service is led by Clinical Pharmacists.

Their responsibilities include:

Assisting in the running of the Community anticoagulation clinics across Bromley and Lewisham

Working in close liaison with the service team to assist in the achievement of short and long term objective

Facilitating anticoagulant prescriptions and ensure patients receive the correct anticoagulation medication

Promoting the safe, effective and economic use of anticoagulant drugs within the community and to train other healthcare staff in anticoagulant management.

About us

Bromley GP Alliance (BGPA) Department Information

BGPA is a federation of all 43 Bromley practices working collaboratively to enhance the health and wellbeing of Bromley residents, covering over 350,000 patients, 100% of the Bromley population.

BGPAs partner organisation is Bromley Education and Training Hub (BETH). BETH supports education, training and professional development across primary care in Bromley and beyond.

BGPAs goals are to work strategically with Bromley practices to help secure the best services for patients whilst working together to support member practices in the challenges of a changing NHS.

BGPA aims to improve the morale of general practice in Bromley by sharing expertise, services and supporting its workforce.

BGPA will make a positive impact on medical services in Bromley by working closely with One Bromley Partners including NHS SEL ICB, local NHS trusts, local providers and patient groups, to improve the delivery of healthcare to the local population

At BGPA we truly believe that diversity fosters creativity and innovation. We are committed to equality of opportunity, to being fair and inclusive, and to being a place where all belong.

We want a workplace culture that truly reflects our values. We particularly encourage applications from candidates who are likely to be underrepresented in the BGPA workforce.

These include people from Black, Asian and minority ethnic backgrounds, disabled people and LGBTQI+ people.

Date posted

19 March 2025

Pay scheme

Other

Salary

£46,148 to £53,755 a year (pro rata) depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

B0166-25-0025

Job locations

14 The Crescent

Beckenham

Kent

BR3 1DU


Job description

Job responsibilities

Manage and support patient receiving anticoagulant therapy in the community, according to national standards of practice.

Support multi-disciplinary team of staff within the community involved in supporting patients on anticoagulation therapies including DOACs, enoxaparin and VKAs.

Help to promote standardisation in initiation and maintenance of anticoagulant therapy.

Regularly review patients on warfarin (including at the outset) with regard to indication, duration, compliance, target INR, and clinical safety and liaise/refer to appropriate clinicians and/or Consultant Haematologists for medical opinion.

Assess and identify the correct regime for patients outside the therapeutic range and refer to an appropriate health professional when necessary.

Screen patients referral for DOAC initiations

Provide support in a clinic, or by telephone, for prescribing, dose adjustment and close monitoring of patients on anticoagulant treatment following agreed protocols and patient group directions

Provide specialist advice to individual patients and to other healthcare professionals on the dose of anticoagulants in accordance with agreed protocols

Assess patients condition according to INR and counsel accordingly, taking into account the relevant clinical details.

Identify and follow up patients who fail to attend for INR checks.

Support in the management of patients requiring vitamin K.

Provide anticoagulant services in line with SELICB, NICE, NPSA and other relevant guidelines.

Support the management of patients on LMWH

Participate in the domiciliary visiting service for patients on anticoagulant therapy, either in person, or by supporting ancillary staff by telephone when they are visiting the patient at home

Job description

Job responsibilities

Manage and support patient receiving anticoagulant therapy in the community, according to national standards of practice.

Support multi-disciplinary team of staff within the community involved in supporting patients on anticoagulation therapies including DOACs, enoxaparin and VKAs.

Help to promote standardisation in initiation and maintenance of anticoagulant therapy.

Regularly review patients on warfarin (including at the outset) with regard to indication, duration, compliance, target INR, and clinical safety and liaise/refer to appropriate clinicians and/or Consultant Haematologists for medical opinion.

Assess and identify the correct regime for patients outside the therapeutic range and refer to an appropriate health professional when necessary.

Screen patients referral for DOAC initiations

Provide support in a clinic, or by telephone, for prescribing, dose adjustment and close monitoring of patients on anticoagulant treatment following agreed protocols and patient group directions

Provide specialist advice to individual patients and to other healthcare professionals on the dose of anticoagulants in accordance with agreed protocols

Assess patients condition according to INR and counsel accordingly, taking into account the relevant clinical details.

Identify and follow up patients who fail to attend for INR checks.

Support in the management of patients requiring vitamin K.

Provide anticoagulant services in line with SELICB, NICE, NPSA and other relevant guidelines.

Support the management of patients on LMWH

Participate in the domiciliary visiting service for patients on anticoagulant therapy, either in person, or by supporting ancillary staff by telephone when they are visiting the patient at home

Person Specification

Skills and Abilities

Essential

  • Excellent interpersonal skills
  • Excellent communication skills
  • Ability to work on own initiative, able to plan, prioritise, make decisions and meet deadlines.
  • Ability to work well within a team
  • Good organisational skills and time management
  • Ability to deal with difficult situations with diplomacy and sensitivity
  • Confident and assertive in dealing with other healthcare professionals
  • Commitment to learning and development of themselves and others

Desirable

  • Driving Licence

Qualifications

Essential

  • Masters degree in Pharmacy or equivalent qualification pre-2002.
  • Registered with the General Pharmaceutical Council
  • Independent Prescribing qualification
  • Evidence of recent continuing learning/professional development

Desirable

  • Diploma in clinical/community pharmacy

Experience

Essential

  • Experience of working within multi-disciplinary teams
  • Experience of working within a pressurised environment
  • Knowledge of the changing NHS environment and structures
  • Experience of working within Primary Care

Desirable

  • Experience in Anticoagulation Service
  • Experience of EMIS GP Computer System
Person Specification

Skills and Abilities

Essential

  • Excellent interpersonal skills
  • Excellent communication skills
  • Ability to work on own initiative, able to plan, prioritise, make decisions and meet deadlines.
  • Ability to work well within a team
  • Good organisational skills and time management
  • Ability to deal with difficult situations with diplomacy and sensitivity
  • Confident and assertive in dealing with other healthcare professionals
  • Commitment to learning and development of themselves and others

Desirable

  • Driving Licence

Qualifications

Essential

  • Masters degree in Pharmacy or equivalent qualification pre-2002.
  • Registered with the General Pharmaceutical Council
  • Independent Prescribing qualification
  • Evidence of recent continuing learning/professional development

Desirable

  • Diploma in clinical/community pharmacy

Experience

Essential

  • Experience of working within multi-disciplinary teams
  • Experience of working within a pressurised environment
  • Knowledge of the changing NHS environment and structures
  • Experience of working within Primary Care

Desirable

  • Experience in Anticoagulation Service
  • Experience of EMIS GP Computer System

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

Bromley GP Alliance Ltd

Address

14 The Crescent

Beckenham

Kent

BR3 1DU


Employer's website

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


Employer details

Employer name

Bromley GP Alliance Ltd

Address

14 The Crescent

Beckenham

Kent

BR3 1DU


Employer's website

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


For questions about the job, contact:

Clinical Service Manager

Dagmara Cieniawska

dagmara.cieniawska@nhs.net

Date posted

19 March 2025

Pay scheme

Other

Salary

£46,148 to £53,755 a year (pro rata) depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

B0166-25-0025

Job locations

14 The Crescent

Beckenham

Kent

BR3 1DU


Supporting documents

Privacy notice

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