Job responsibilities
Lead on the implementation of NHS England commissioning policies including:
Identification of the financial impact of such recommendations for specialised commissioning
Development of a process to identify, and where appropriate authorise, the providers use of HCMs for individual patients meeting agreed on criteria
Support the Medicines Effectiveness Pharmacist with the implementation of NICETA Ivling HCD.
Development of effective systems for identifying and reviewing impending NICE guidance on High-Cost Drugs (HCDs)
Identify the financial impact of such recommendations with commissioners, including population sizes and costs per capita
Implement and develop a process to identify and where appropriate authorise acute Trust use of high-cost and out-of-tariff medicines, including NICE, for individual patients meeting agreed criteria
Ensure robust policies and procedures are in place to effectively manage Patient Access Schemes (PAS) and related claims/income
Liaise and negotiate with a range of senior colleagues to ensure successful implementation and monitoring of agreed QIPP schemes relating to HCMs.
To propose and lead the implementation of initiatives designed to maximise savings for commissioners (CCG & NHSE).
Work with the provider, Wessex Area Team and service specialists to identify, agree and implement new QIPP proposals involving HCMs.
Work alongside the Medicines Effectiveness and Clinical Effectiveness Pharmacists to ensure horizon scanning is completed and there is a process for Individual Funding Requests (IFR) in the Trust.
Work with the Wessex Area Specialised Commissioning Team, pharmacy lead, the Chief Pharmacist and Medicines Effectiveness Pharmacist to deliver the annual commissioning intentions for HCMs.
Support the development of robust contracting arrangements to promote high quality and cost effective prescribing.
Attend on behalf of the Wessex Area Team appropriate prescribing committees and network groups, such as MMTC, Immunoglobulin Advisory Panel and Area Prescribing Committee of Oxfordshire (APCO).
To ensure operational processes are followed for specific commissioning requirements related to reimbursement of individual medicines.
To provide commissioning support to the specialist pharmacist team leaders, to assist in understanding and implementing commissioning policies and protocols.
To be responsible for the implementation of systems for homecare and overall manage the provision of all Trust homecare services, ensuring that national standards and governance arrangements are in place for all medicines supplied via homecare.
To represent the Trust at the monthly regional homecare procurement meetings
To be the main point of contact between the pharmacy department, Trust staff and Homecare/pharmaceutical companies with regards to medicines supplied via Homecare and other patient access/risk sharing schemes.
Work with senior clinical pharmacists and outpatient staff and other Pharmacy staff to identify, plan, and develop new opportunities for homecare services.
To be the primary point of contact within the Trust between Pharmacists, Clinicians, Purchasers, Contracting and Finance regarding medication supplied via Homecare.
To support the strategic development and planning of drug expenditure reporting
To have a high level of expertise in the use of the Pharmacy databases used to provide usage information on high-cost and other rechargeable drugs.
To resolve specific queries from commissioners on PRBex medicines expenditure information
To support the provision of specialist drug expenditure information and advice to departmental and Trust staff
To support effective communication throughout the pharmacy service and the Trust of any developments in reporting expenditure on PRBex medicines
To implement service changes, policies and procedures for the effective and accurate provision of patient-level drug expenditure information.
To understand the implications and importance of PbR, and of high-cost and other rechargeable drugs - to be able to engage other staff in supporting the provision of information to the Trust Contracts Department and Commissioners.
To support the management of schemes and services (Homecare, drug company patient access schemes) to ensure timely and safe patient access to PRBex medicines.
Build regional links with other pharmacists and technicians in order to share best practice.
To contribute to wider policies that have an impact within the pharmacy department and across the Trust.
To maintain and develop high-quality, consistent, patient-focused pharmacy services in conjunction with clinical and patient services staff.
Patient Care
To provide the highest care and service delivery to all homecare patients.
To deliver on our responsibilities to ensure cost-effective and appropriate prescribing of homecare.
To provide specialist advice to Pharmacy and Trust staff regarding patient level drug expenditure and usage information.
To promote and deliver pharmaceutical care specifically for all patients.
To provide highly specialised evidence-based clinical advice and information to nursing and medical staff on the care and treatment of patients.
To proactively support the development of ward and clinical pharmacy services in clinical areas in order to advance the safe, clinically effective and cost-effective use of drugs
To actively participate in key multi-disciplinary ward rounds, as necessary.
To promote pharmaceutical care for all patients.
To ensure appropriate and timely supply of medication to patients in conjunction with dispensary staff.
To liaise with other pharmacists to ensure efficient transfer of clinical and medicines management issues.
To participate in discharge planning where appropriate.
To contribute to and participate in the clinical / ward pharmacy service.
