Clinical Pharmacist Rheumatology & Acute Medicine - Band 7

Job description

Job responsibilities

1. Work with the Rheumatology and Acute medicine teams to further develop the service within North Bristol NHS Trust.

2. Be a qualified independent prescriber (or willing to be trained) for the Rheumatology service in an outpatient setting and Acute medicine for inpatients.

3. Manage on-going pharmaceutical care of patients being maintained on drug treatment for Rheumatological and related musculoskeletal conditions.

4. Provide an outpatient service to patients with autoimmune and inflammatory conditions, within own competence, referring when necessary.

5. Advise on strategies to ensure cost-effective use of resources.

6. Provide pharmaceutical expertise to any multidisciplinary working groups considering protocols, policies and guidelines in the specialist area and attend weekly multidisciplinary team meetings.

7. Provide risk management support to the management of Rheumatology patients treated at NBT including correct drug selection and managing supply shortages.

8. Produce protocols, policies, and guidelines in conjunction with the speciality teams on designated pharmaceutical practice relating to both Rheumatology and Acute medicine.

9. Work with the specialities to comply with existing NPSA drug alerts and help with the implementation and recommendation of actions for future alerts and patient safety initiatives related to rheumatology and Acute medicine.

10. Provide a clinical ward pharmacy service and if necessary other clinical areas or provides support to the pharmacy patient services team, which includes dispensary duties.

11. Deal with pharmaceutical queries and provides advice to medical and nursing staff from both specialist areas including senior medical staff.

12. Clinically screen prescriptions to ensure the safe, efficient, evidence-based, and rational use of medicines in line with the Trust Formulary and departmental policies so that risks to patients are minimised.

13. Challenge inappropriate prescribing and escalate as appropriate.

14. Support and promote antimicrobial stewardship.

15. Collect clinical and cost outcome data and support both specialist teams medicines optimisation initiatives.

16. Ensure that an accurate medication history is obtained for each patient, where appropriate, using the relevant sources (GP, community pharmacist, patient/carer, clinic notes, nursing home).

17. Provide advice and information to patients/carers to improve adherence andencourage self-management regarding treatment.

18. Work closely with GPs, Community Pharmacists, GP Practice Pharmacists, and other healthcare professionals across the Integrated Care System, to answer outpatient prescribing and clinical queries.

19. Record all major interventions in line with departmental policy. Investigate and support the recording of Adverse Drug Reactions.

20. Audit and risk manage selected areas of practice to promote continuous quality improvement.

21. Develop and maintain medicines management systems in conjunction with patients/carers, ward staff and pharmacy staff.

22. Mentor junior pharmacists and contribute to the appraisal process.

23. Supervise medicines management technicians and/or other dedicated pharmacy staff as required.

24. Contribute to the training of pharmacy undergraduates, medical students, pre-registration pharmacists, qualified pharmacists, pharmacy technicians and medical and nursing staff as appropriate. Train and mentor clinical pharmacy diploma students on aspects of Rheumatology and Acute medicine.

25. Provide patient education and clinical advice to patients in both specialities.

26. Ensure that all procedures are adhered to, reviewed regularly and that all necessary records are completed.

27. Assist with establishing, implementing and monitoring service levels of appropriate Rheumatological high-cost drug therapies to be administered via homecare services or the Medical Day Care Unit.

28. Respond to prescription requests and queries from home delivery companies and medical team.

29. Provide intelligence and evidence of compliance requirements for PbR excluded commissioned Rheumatology medication.

30. Support medical team with Individual Funding Request (IFR) submissions.

31. Support medical team with MHRA Yellow Card reporting for adverse effects related to biologics and targeted synthetic therapies.

32. Provide assurance that resources are being used in line with commissioner guidance to the commissioning groups.

33. Triage Rheumatology non-medical prescriber (NMP) referrals from other team members.

34. Undertake any other relevant work outlined by the Rheumatology Clinical Lead, Rheumatology Consultant Pharmacist or Rheumatology Highly Specialist Pharmacist and equivalent Acute medicine staffing.

35. Deputise for the Rheumatology and Acute medicine Highly Specialist Pharmacists if required.

36. Keep up to date with developments in Pharmacy, Rheumatology and Acute medicine to maintain a high level of professional knowledge and competence. Attend study days and courses as necessary for the development of the service and the individual, if approved by Rheumatology and Acute Medicine. Maintain a record of CPD.

37. Participate in weekend, bank holiday and late rota.

38. Participate in the pharmacy emergency duty (on-call) rota, as required.

Person Specification

Personal Specification

Essential

• Pharmacy degree
• UK registered Pharmacist
• Previous hospital pharmacist experience
• Completed Post Graduate certificate or equivalent in Clinical Pharmacy Practice or Rheumatology
• Experience of audit, quality systems, medicines guideline or policy development
• Proactive approach to the application of specialist pharmaceutical knowledge in order to enhance patient care
• Able to manage time and prioritise effectively
• Adaptable and flexible approach to work
• Able to work under own initiative and as part of a team
• Computer literate

Desirable

• Qualified Pharmacist Independent prescriber
• Experience of teaching
• Experience relevant to the specialist area
• Evidence of CPD
• Pharmacoeconomics experience

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

North Bristol NHS Trust

Address

Southmead Hospital

Southmead Road

Bristol

BS10 5NB

Employer's website

https://www.nbt.nhs.uk (Opens in a new tab)