Lead Pharmacist Haematology

Worcestershire Acute Hospitals NHS Trust

The closing date is 28 January 2025

Job summary

Are you passionate about the care of haematology patients and want to take your skills to the next level?

Have experience of managing cancer patients and excellent medicines management skills? Would like the opportunity to develop your leadership and management skills?

We manage acute haematological malignancies for patients throughout Herefordshire and Worcestershire with this role being an integral part of the MDT along with consultants and specialist nurses.

We are looking for an enthusiastic pharmacist to join our cancer services team in this key leadership role to work alongside our highly experienced cancer services team.

You will be responsible for managing haematology patients on our dedicated haematology ward alongside mentoring and coaching of band 6 and 7 pharmacists. You will also be able to maintain skills within our aseptic unit.

As a department, we are committed to the development of pharmacists into ACP roles, with this being a development opportunity for the future.

You should possess excellent communication skills and be able to demonstrate ability to work as a member of a multi-disciplinary team. You must have initiative, be forward thinking and be self-motivated.

Both the Trust and the department embrace innovation and will encourage audit and service development.

We are committed to achieving a balance between high quality service delivery and professional development. We can offer you a supportive and training-focused environment.

Main duties of the job

Be responsible for leading and delivering the highly specialist clinical pharmacy services to Haematology patients within the trust.

Function as an independent prescriber.

Lead, develop, evaluate and deliver pharmaceutical care to patients managed by the Haematology teams within the trust.

Use specialist knowledge to advise consultants, medical, nursing and pharmacy staff on all pharmaceutical aspects of care.

Recommend, substantiate and communicate best therapeutic options for patients.

Lead and develop clinical audit of medicine use and pharmacy services within haematology.

Introduce measures to keep the directorate drug expenditure within agreed budgets.

Deliver pharmaceutical teaching to medical and nursing staff within the Haematology teams and wards.

Deliver structured training programmes for Foundation Year Pharmacists and junior pharmacists as assigned; contribute to the development of training and education programmes for pharmacy staff

Ensure that good manufacturing practice, medicines legislation and agreed protocol driven treatment regimens are adhered to on a day to day basis, resulting in highly risk managed services for staff and patients.

Work closely with the Clinical Team Lead/ACP lead for Cancer services in the scoping of an advanced practice role in the management of adult Haematology patients

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is over 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:

  • Best services for local people
  • Best experience of care and best outcomes for our patients
  • Best use of resources
  • Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Date posted

07 January 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£53,755 to £60,504 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

C9365-25-0003

Job locations

Charles Hastings Way

Worcester

Worcestershire

WR5 1DD


Job description

Job responsibilities

Lead and deliver a highly specialist pharmacist role to adult Haematology team patients at WRH.

Function as an Independent Prescriber within an allocated clinical area or to a defined cohort of patients. This will be in line with GPhc registration requirements and be formally agreed with all appropriate and relevant Clinicians, as well as being within the departmental scope and funding for IP practice.

As an IP pharmacist the post holder will, practice within the scope of GPhC registration and own competence, adhere to the Medicines Policy and the Trust NMP policy, in relation to scope and responsibilities of role, comply with the Trust Medicines formulary, be responsible for providing on-going evidence of competency in relation to their prescribing role

Provide a highly specialist clinical pharmacy service to patients and undertake pharmaceutical risk management for any allocated wards/clinics.

Ensure compliance with medicines legislation, the Trust Medicines Policy, and medicines related national and local guidelines within the Haematology directorate.

Produce appropriate technical and professional SOPs and associated policies to ensure that the Haematology directorates medicines management systems are safe, robust, guided by national directives, standards, guidelines, and the post-holders own specialist knowledge, and are quality assured

Evaluate prescribing practices and amend according to evidence-based practice, national/regional directives and clinical governance targets daily, during consultant ward-rounds, and at the weekly multidisciplinary team meeting.

Construct specialist pharmaceutical care plans for patients, assess and monitor clinical progress and outcome regarding their medication and actively intervene to ensure that patients receive optimal care with minimal side effects.

Provide expert advice to health care professionals on all pharmaceutical issues arising within the post holders specialist clinical area. This will include the extrapolation of clinical and complex medicines information and clinical trials where data may be lacking and analysing, interpreting and comparing differing opinion or facts to determine the best prescribing strategy for an individual patient or patient group.

Be responsible for the therapeutic blood monitoring of identified drugs within the post-holders clinical area.

Ensure that information and patient counselling systems are implemented within their specialist area according to patient need to ensure that patients obtain the most benefit from their medicines.

Set standards and manage the counselling of patients on their medicines within the Haematology directorate to improve concordance and knowledge of their therapy.

Ensure all newly admitted patients are interviewed to construct an accurate medication history and assess compliance/concordance issues.

Review the medication history against the admission details and prescription chart.

Pro-actively identify to medical staff any potential or actual medicines-related hospital admissions or associated issues and outline any required action to resolve identified discrepancies

Assess patients discharge medicines information requirements as early as possible in the admission stay to be able to prepare information on medicines for patients based on individual need.

Counsel patients with highly complex needs such as a physical disability which may affect information requirements (sight or hearing), language difficulties, those with life-threatening or terminal diagnoses and highly distressed patients.

Helping to provide a cost effective and quality assured aseptic service at WRH that is risk managed and meets the clinical and business strategies of the Trust.

Undertake pharmaceutical risk management for the aseptic services provided and ensure medicines legislation is complied with in those areas.

Providing a specialist aseptic pharmacy service to Haematology and Oncology patients and ensuring the chemotherapy regimens prescribed for patients by haematologists and oncologists at WRH are safe and appropriate for administration to individual patients given their diagnosis and health status, are in line with standard protocols or approved clinical trials, and are prepared accurately and safely in a timely manner.

Support in the provision of a specialist aseptic pharmacy service to Paediatric patients and ensuring the chemotherapy regimens prescribed for patients by paediatricians at WRH are safe and appropriate for administration to individual patients given their diagnosis and health status, are in line with standard protocols or approved clinical trials, and are prepared accurately and safely in a timely manner.

Ensuring individual patients entered into clinical trials are treated according to the trial protocol, that their medicines are prepared as specified in the protocol, that any randomisation codes are allocate appropriately, and that all records are maintained correctly and stored suitably.

Substantiating clinical pharmacy recommendations at the highest level and against challenge from Consultants, where necessary, and effectively communicate any required actions to other medical and nursing staff.

Providing specialist clinical advice to other health care professionals on all pharmaceutical issues arising within the specialist area of Aseptics. This will include the extrapolation of clinical and complex medicines information where data may be lacking and analysing, interpreting and comparing differing opinion or facts to determine the best prescribing strategy for an individual patient or patient group.

Managing the accurate and timely dispensing and supply of medicines to haematology, oncology and paediatric patients.

Adherence to NHS England standard operating procedures in relation to drugs supply through the Cancer Drugs Fund (CDF) and other commissioning arrangements.

Supervise and train junior pharmacists, Foundation Year Pharmacists and other pharmacy students in the provision of a safe and risk managed aseptic service.

Assisting in the production of SOPs to support the use of the chemotherapy prescribing and administration system.

Providing support and advice for prescribers and nursing staff when needed in the use of the chemotherapy electronic prescribing and administration system.

Manage pharmacists as allocated including delivery of PDR and management of sickness based around trust policies.

Advise and guide Consultants on proposed new medicines for use within the post-holders clinical area and assist with compiling new product assessments and evidence-based reviews for submission to the Area Prescribing Committee for formulary and funding approval.

Participate in the weekend, Bank Holiday and on call rotas as allocated.

Please refer to the supporting information attachments for full job description.

Improving Diversity and Inclusive Recruitment:

As part of the Trust's aim to improve diversity across the Trust, positive action is being taken and all applications for this post from BAME, Disabled and LGBT+ candidates can request to be considered under an expanded Guaranteed Interview Scheme if they meet the minimum criteria as specified in the person specification for this role.

Applicants will be prompted in the application form to declare if they wish to be considered under this expanded Guaranteed Interview Scheme, and their response would be visible to the Shortlisting Panel.

If you have any queries about expanded Guaranteed Interview Scheme, please contact Rob Saunders (HR Manager - Recruitment) in confidence via email robert.saunders1@nhs.net.

Job description

Job responsibilities

Lead and deliver a highly specialist pharmacist role to adult Haematology team patients at WRH.

Function as an Independent Prescriber within an allocated clinical area or to a defined cohort of patients. This will be in line with GPhc registration requirements and be formally agreed with all appropriate and relevant Clinicians, as well as being within the departmental scope and funding for IP practice.

As an IP pharmacist the post holder will, practice within the scope of GPhC registration and own competence, adhere to the Medicines Policy and the Trust NMP policy, in relation to scope and responsibilities of role, comply with the Trust Medicines formulary, be responsible for providing on-going evidence of competency in relation to their prescribing role

Provide a highly specialist clinical pharmacy service to patients and undertake pharmaceutical risk management for any allocated wards/clinics.

Ensure compliance with medicines legislation, the Trust Medicines Policy, and medicines related national and local guidelines within the Haematology directorate.

Produce appropriate technical and professional SOPs and associated policies to ensure that the Haematology directorates medicines management systems are safe, robust, guided by national directives, standards, guidelines, and the post-holders own specialist knowledge, and are quality assured

Evaluate prescribing practices and amend according to evidence-based practice, national/regional directives and clinical governance targets daily, during consultant ward-rounds, and at the weekly multidisciplinary team meeting.

Construct specialist pharmaceutical care plans for patients, assess and monitor clinical progress and outcome regarding their medication and actively intervene to ensure that patients receive optimal care with minimal side effects.

Provide expert advice to health care professionals on all pharmaceutical issues arising within the post holders specialist clinical area. This will include the extrapolation of clinical and complex medicines information and clinical trials where data may be lacking and analysing, interpreting and comparing differing opinion or facts to determine the best prescribing strategy for an individual patient or patient group.

Be responsible for the therapeutic blood monitoring of identified drugs within the post-holders clinical area.

Ensure that information and patient counselling systems are implemented within their specialist area according to patient need to ensure that patients obtain the most benefit from their medicines.

Set standards and manage the counselling of patients on their medicines within the Haematology directorate to improve concordance and knowledge of their therapy.

Ensure all newly admitted patients are interviewed to construct an accurate medication history and assess compliance/concordance issues.

Review the medication history against the admission details and prescription chart.

Pro-actively identify to medical staff any potential or actual medicines-related hospital admissions or associated issues and outline any required action to resolve identified discrepancies

Assess patients discharge medicines information requirements as early as possible in the admission stay to be able to prepare information on medicines for patients based on individual need.

Counsel patients with highly complex needs such as a physical disability which may affect information requirements (sight or hearing), language difficulties, those with life-threatening or terminal diagnoses and highly distressed patients.

Helping to provide a cost effective and quality assured aseptic service at WRH that is risk managed and meets the clinical and business strategies of the Trust.

Undertake pharmaceutical risk management for the aseptic services provided and ensure medicines legislation is complied with in those areas.

Providing a specialist aseptic pharmacy service to Haematology and Oncology patients and ensuring the chemotherapy regimens prescribed for patients by haematologists and oncologists at WRH are safe and appropriate for administration to individual patients given their diagnosis and health status, are in line with standard protocols or approved clinical trials, and are prepared accurately and safely in a timely manner.

Support in the provision of a specialist aseptic pharmacy service to Paediatric patients and ensuring the chemotherapy regimens prescribed for patients by paediatricians at WRH are safe and appropriate for administration to individual patients given their diagnosis and health status, are in line with standard protocols or approved clinical trials, and are prepared accurately and safely in a timely manner.

Ensuring individual patients entered into clinical trials are treated according to the trial protocol, that their medicines are prepared as specified in the protocol, that any randomisation codes are allocate appropriately, and that all records are maintained correctly and stored suitably.

Substantiating clinical pharmacy recommendations at the highest level and against challenge from Consultants, where necessary, and effectively communicate any required actions to other medical and nursing staff.

Providing specialist clinical advice to other health care professionals on all pharmaceutical issues arising within the specialist area of Aseptics. This will include the extrapolation of clinical and complex medicines information where data may be lacking and analysing, interpreting and comparing differing opinion or facts to determine the best prescribing strategy for an individual patient or patient group.

Managing the accurate and timely dispensing and supply of medicines to haematology, oncology and paediatric patients.

Adherence to NHS England standard operating procedures in relation to drugs supply through the Cancer Drugs Fund (CDF) and other commissioning arrangements.

Supervise and train junior pharmacists, Foundation Year Pharmacists and other pharmacy students in the provision of a safe and risk managed aseptic service.

Assisting in the production of SOPs to support the use of the chemotherapy prescribing and administration system.

Providing support and advice for prescribers and nursing staff when needed in the use of the chemotherapy electronic prescribing and administration system.

Manage pharmacists as allocated including delivery of PDR and management of sickness based around trust policies.

Advise and guide Consultants on proposed new medicines for use within the post-holders clinical area and assist with compiling new product assessments and evidence-based reviews for submission to the Area Prescribing Committee for formulary and funding approval.

Participate in the weekend, Bank Holiday and on call rotas as allocated.

Please refer to the supporting information attachments for full job description.

Improving Diversity and Inclusive Recruitment:

As part of the Trust's aim to improve diversity across the Trust, positive action is being taken and all applications for this post from BAME, Disabled and LGBT+ candidates can request to be considered under an expanded Guaranteed Interview Scheme if they meet the minimum criteria as specified in the person specification for this role.

Applicants will be prompted in the application form to declare if they wish to be considered under this expanded Guaranteed Interview Scheme, and their response would be visible to the Shortlisting Panel.

If you have any queries about expanded Guaranteed Interview Scheme, please contact Rob Saunders (HR Manager - Recruitment) in confidence via email robert.saunders1@nhs.net.

Person Specification

Qualifications

Essential

  • Professional knowledge acquired through a vocational degree in pharmacy
  • Currently Registered as a pharmacist in UK: Member of the
  • General Pharmaceutical Council
  • Significant Postgraduate clinical specialist knowledge acquired through diploma level training i.e. Hold a Diploma in Clinical Pharmacy or equivalent.
  • Currently meeting the GPhC standard for continuing professional development.
  • Have qualified and be registered with the GPhC as an Independent Prescriber

Desirable

  • Undertaken a Masters or equivalent in Advanced Clinical Practice (ACP)
  • Undertaken the RPS core advanced portfolio

Experience

Essential

  • Current post diploma experience in delivering specialist clinical services to a medical speciality or directorate
  • Experience of delivering a clinical pharmacy service to adult haematology patients
  • Experience of working in a licensed or un-licensed aseptic unit.
  • Experience of working with an electronic prescribing system
  • Experience of delivering chemotherapy services (inpatient and outpatient)
  • Experience of successfully supervising and contributing to the training of pharmacists, technicians, nurses and doctors

Desirable

  • Experience as a practicing Independent prescriber in haematology or oncology.

knowledge and skills

Essential

  • Skilled at preparing and implementing pharmaceutical care plans to best meet patient needs within the ward multidisciplinary team.
  • Skilled at using reference sources, journals, the internet and on-line information sources to prepare evaluated medicines information for consultants and other health-care professionals.
  • Skills for providing relevant specialist pharmacy services (e.g. clinical pharmacy, medicines information, sterile dispensing).
  • Able to interpret national guidelines within specialist area(s), and Trust policies, procedures and guidelines related to specialist area(s) including clinical governance and risk management.
  • Skills for teaching and supervising junior pharmacists and technical staff
  • Skills for utilising resources cost-effectively and highlighting where improvements could be made.
  • Up to date knowledge of specialist field and general knowledge of other medicines actions and usage.
  • Understanding of both the current and longer term issues facing pharmacy services within the NHS.
  • Knowledge and understanding of Medicines Management, Optimisation and Governance issues in pharmacy services.
  • Knowledge about chemotherapy drugs and regimens in current use.
  • Knowledge about the technical aspects underpinning the working of an aseptic unit.
  • Knowledge on the clinical issues relating to the treatment of Haematology and oncology in-patients
  • Up to date knowledge of Medicines Legislation including the Medicines Act, and Misuse of Drugs Act as they apply to pharmacy service SOPs and the legal requirements for dispensing and supplying medicines.
  • Able to supervise a team of pharmacists and technical staff
  • Capable of analysing highly complex facts or situations, which require the analysis, interpretation and comparison of a range of options
  • Able to work with initiative and innovation.
  • Able to set priorities, meet deadlines and manage time effectively.
  • A good team worker and a role model for junior pharmacists and technicians.
  • Able to communicate information about medicines when there are barriers to understanding.

Desirable

  • Experience of contributing to regional or national guidance for managing haematology patients
  • Evidence of publications in oncology or haematology.
Person Specification

Qualifications

Essential

  • Professional knowledge acquired through a vocational degree in pharmacy
  • Currently Registered as a pharmacist in UK: Member of the
  • General Pharmaceutical Council
  • Significant Postgraduate clinical specialist knowledge acquired through diploma level training i.e. Hold a Diploma in Clinical Pharmacy or equivalent.
  • Currently meeting the GPhC standard for continuing professional development.
  • Have qualified and be registered with the GPhC as an Independent Prescriber

Desirable

  • Undertaken a Masters or equivalent in Advanced Clinical Practice (ACP)
  • Undertaken the RPS core advanced portfolio

Experience

Essential

  • Current post diploma experience in delivering specialist clinical services to a medical speciality or directorate
  • Experience of delivering a clinical pharmacy service to adult haematology patients
  • Experience of working in a licensed or un-licensed aseptic unit.
  • Experience of working with an electronic prescribing system
  • Experience of delivering chemotherapy services (inpatient and outpatient)
  • Experience of successfully supervising and contributing to the training of pharmacists, technicians, nurses and doctors

Desirable

  • Experience as a practicing Independent prescriber in haematology or oncology.

knowledge and skills

Essential

  • Skilled at preparing and implementing pharmaceutical care plans to best meet patient needs within the ward multidisciplinary team.
  • Skilled at using reference sources, journals, the internet and on-line information sources to prepare evaluated medicines information for consultants and other health-care professionals.
  • Skills for providing relevant specialist pharmacy services (e.g. clinical pharmacy, medicines information, sterile dispensing).
  • Able to interpret national guidelines within specialist area(s), and Trust policies, procedures and guidelines related to specialist area(s) including clinical governance and risk management.
  • Skills for teaching and supervising junior pharmacists and technical staff
  • Skills for utilising resources cost-effectively and highlighting where improvements could be made.
  • Up to date knowledge of specialist field and general knowledge of other medicines actions and usage.
  • Understanding of both the current and longer term issues facing pharmacy services within the NHS.
  • Knowledge and understanding of Medicines Management, Optimisation and Governance issues in pharmacy services.
  • Knowledge about chemotherapy drugs and regimens in current use.
  • Knowledge about the technical aspects underpinning the working of an aseptic unit.
  • Knowledge on the clinical issues relating to the treatment of Haematology and oncology in-patients
  • Up to date knowledge of Medicines Legislation including the Medicines Act, and Misuse of Drugs Act as they apply to pharmacy service SOPs and the legal requirements for dispensing and supplying medicines.
  • Able to supervise a team of pharmacists and technical staff
  • Capable of analysing highly complex facts or situations, which require the analysis, interpretation and comparison of a range of options
  • Able to work with initiative and innovation.
  • Able to set priorities, meet deadlines and manage time effectively.
  • A good team worker and a role model for junior pharmacists and technicians.
  • Able to communicate information about medicines when there are barriers to understanding.

Desirable

  • Experience of contributing to regional or national guidance for managing haematology patients
  • Evidence of publications in oncology or haematology.

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).

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.

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

Worcestershire Acute Hospitals NHS Trust

Address

Charles Hastings Way

Worcester

Worcestershire

WR5 1DD


Employer's website

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


Employer details

Employer name

Worcestershire Acute Hospitals NHS Trust

Address

Charles Hastings Way

Worcester

Worcestershire

WR5 1DD


Employer's website

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


For questions about the job, contact:

Clinical Team Lead/ ACP lead cancer services

Joanne Parkes

joanne.parkes3@nhs.net

01905763333

Date posted

07 January 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£53,755 to £60,504 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

C9365-25-0003

Job locations

Charles Hastings Way

Worcester

Worcestershire

WR5 1DD


Supporting documents

Privacy notice

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