Hospital at Home Pharmacist

Job responsibilities

Conduct clinical medication reviews with patients in their own homesEnsure proactive liaison with relevant healthcare professionals regarding changes to medication regimes. e.g. regular GP, nursing/ care home, community pharmacist ensuring they have the information they need and that follow-up appointments are clear where necessaryYour healthcare closer to home Page 2 of 6www.clch.nhs.uk @CLCHNHSTrustMake prescribing recommendations as per local and national guidance to the frailty Hospital @ Home teamWhere the pharmacist is an Independent Prescriber the pharmacist may prescribe within their competence for patients to improve patient careCase manage patients who are frequently admitted to acute trusts as a result of medicines related problemsTo support the identification of high-risk patients discharged from hospital and ensure appropriate follow-upTo provide professional support and compose patient-agreed medication care plans and communicate these with other health and social care professionals e.g. CommunityPharmacists, hospital teams, carers etc.Work with the frailty Hospital @ Home MDT to ensure patients are supported to get the best out of their medicines. Ensure liaison with the regular GP, hospital clinicians, community nurses,carers, family, community pharmacists and care coordinators to ensure an integrated approach to medicines management, with a view to ensuring continuity of pharmaceutical care for patients in different healthcare settingsDevelop a range of practical solutions to enable patients to maintain their independence to selfadminister their medication where possible and improve adherence and concordanceLiaise with the North Central London ICB Pharmacists to ensure consistency across local prescribing strategiesWork collaboratively with system partners to improve medicine pathways for people on Virtual WardsEnsure that developments are linked in with organisational priorities and Local Delivery Plans including cost-effective prescribingContribute to agreed meetings within and outside the organisation and represent pharmacy as appropriateRespond to unpredictable work patterns and urgent requests for help by phone or email within a reasonable time frameTo deliver training sessions to relevant staff groups and/or patientsIdentify areas of risk in case management patients relating to medicines in primary care and ensure compliance with medicines legislationTo collect appropriate quantifiable data to evaluate the service and identify areas for improvement and developmentTo provide information and advice on the preparation and administration of parenteral drugsCoordinate and participate in antibiotic stewardshipRespond to medicines information queries from the greater Community Adult Health Service team, including therapists, community nurses, healthcare assistants, social workers etc.To support the Lead Pharmacist for the Hospital @ Home service in workstreams relating to overall Virtual Hospitals as deemed necessaryTrust Wide Medicines Management Service ProvisionTo support the Chief Pharmacist in the implementation of the Medicines Management Strategy in line with national and local policy. Examples of work streams include Non-MedicalPrescribing, Patient Group Directions (PGDs), policy development, incident monitoring,implementing relevant medicines-related NHS guidance including DH, NICE, NHS England and Drug Alerts, across CLCHTo provide an independent source of specialist advice and support to community health services teams on the clinical effectiveness of medicines and cost-effective medicines management

To support medicines management projects within CLCHYour healthcare closer to home Page 3 of 6www.clch.nhs.uk @CLCHNHSTrustTo support the Chief Pharmacist to manage strategies for clinical and financial risk management, clinical governance and controls assurance for medicines management in collaboration with other DirectoratesTo Investigate any medicine-related incidents or complaints within the area of work and explore ways of minimising the risk of future re-occurrenceTo devise, undertake and evaluate audits as agreed with managersTo conduct face-to-face or remote structured medication reviews for patients in the clinic, practice setting, patients homes, care homes, bedded units as applicable to the roleTo provide cover to the medication optimisation services across CLCH for directly managed care homes and rehabilitation units, domiciliary medicines optimisation services in the absence of Community Hospital Pharmacist

To participate in the on-call rota and provide clinical advice out of hours to CLCH community hospitals if required as part of the roleManagement/LeadershipTo support the evaluation of the effectiveness of the clinical pharmacy service within the Hospital @ Home service.To ensure that communication with other health care professionals around medication-related issues is dispatched in accordance with local policy. The pharmacist will support theimplementation of relevant policies and safety alerts covering community sitesTo review systems of work, developing programs to improve efficiency where required, and monitor these changes by applying Quality Improvement methodologyTo monitor prescribing and drug expenditure within the frailty Hospital @ Home serviceTo be responsible for the management of direct reports to ensure personal objectives are set and monitored via Personal Development & ReviewTo deputise in the absence of your line manager as appropriateTo at all times maintain the complete confidentiality of the material and information handled.To support the successful achievement of all CLCH targets and objectives.To support the Head of Medicines Management to manage service-level agreementsTo attend and contribute to regular team meetings.ProfessionalTo support the delivery of a high-quality medicines management service across the Barnet frailtyHospital @ Home service and CLCH.Use experience and judgment at all times, in acting on ones own initiative when required.Contribute and implement ideas to enhance medication prescribing procedures, to improve thesafety of patientsTo work within the professional standards established by the General Pharmaceutical Council(GPhC).To undertake mandatory continuing professional development and registration requirementsThe above indicates the main duties of the post which may be reviewed in the light of experience anddevelopment within the service. Any review will be undertaken in conjunction with the post holder

Central London Community Healthcare NHS Trust are looking to recruit a dynamic and innovative pharmacist to join the Medicines Management Team.Key components of the post include working within the frailty Hospital @ Home service which covers the Barnet borough, ensuring an integrated approach to the management of medicines in high risk patients in order to prevent avoidable hospital admissions and facilitating early discharges. This will involve working as part of the multi-disciplinary team, managing your own caseload and conducting clinical medication reviews in patients' homes.The pharmacist will act as a source of pharmaceutical expertise to various health and social care professionals e.g. GPs, nurses, therapists, hospital clinicians, carers, families, community pharmacists and care coordinators. Continuous evaluation of the service will also be key to demonstrate value and areas for further development.The post holder will predominantly be working in Barnet and the role will involve lone working and travelling between sites.

The medicines Managemnt team isbased at Parsons Green. The post holder may also be required to travel to other sites and services within the organisation so will require flexibility as the organisation continues to grow (please check the CLCH website to see the geography covered by CLCH). A car would be useful for travelling in outer London or outside of London but is not essential.

The postholder must have significant post-registration experience inhospital pharmacy (specifically care of the elderly/frailty) and a postgraduatequalification to at least diploma level. Previous experience in community health services or primary care is desirable. Sound knowledge of prescribing andmedicines management issues faced in both primary and secondary care is essential with excellent decision-making and problem solving skills. Additionally, compassion, flexibility, excellent comunication and time management skills and the ability to build relationships with various health and social care professionalse.g. GPs, hospital clinicians, district nurses, carers, family, community pharmacists and care coordinators.

Job PurposeTo deliver a high-quality Medicines Optimisation Service to high-risk patients on the frailty Hospital @ Home caseload and ensure an integrated approach to the management of medicines and continuity of pharmaceutical care for patients.

To provide professionalexpertise, advice, support and training on policies and practice to health and social care professionals in the community. To contribute to the clinical governance of the Trust through interventions which optimise the management of medicines in all relevant areas of practice.Key Working RelationshipsInternal Unplanned care team Medicines management team Divisional management team Divisional medical director Divisional director of nursing and therapies Named Nurse for Safeguarding Allied Health Professionals (AHP)External (if applicable) Barnet ICB pharmacy team Acute hospital staff (Consultant Geriatrician/ Acute Physician; Case-finder etc.) GPs Local Authority services

Education/Qualification

Essential

• Undergraduate Degree in Pharmacy: MPharm (or equivalent prior to 2002)
• Professional registration with the General Pharmaceutical Council (GPhC)
• Postgraduate clinical pharmacy qualification to at least diploma level
• Takes personal responsibility for Continuing Professional Development as evidenced by portfolio
• Uses reflective practice for personal and professional development
• Independent Prescribing Qualification or working towards this qualification

Desirable

• Leadership qualification

Experience

Essential

• Post-qualification experience of clinical pharmacy, medicines information and prescribing advice
• Experience of working in secondary care and in a multidisciplinary environment
• Experience of training
• Experience of audit techniques

Desirable

• Primary care experience including Community Services
• Experience in care of the elderly/frailty
• Project management experience
• Experience in supervising a team/service and line management

Skills & Knowledge

Essential

• Up to date clinical and pharmaceutical knowledge
• Sound knowledge of prescribing, pharmacy and medicines management issues faced in primary and secondary care
• Excellent communication skills - both verbal and written including presentation skills and report writing
• Team player but able to work independently
• Demonstrates initiative
• Demonstrates excellent decision making skills and is able to understand complex information
• Effective negotiation skills and ability to persuade others
• Ability to assimilate, analyse and interpret clinical and financial data.
• Good problem solving skills
• Good inter-personal skills and ability to build relationships
• Ability to provide succinct and objective advice
• To manage own time, prioritise workload effectively and work to tight deadlines
• Computer literate - working knowledge of office applications, internet, email and electronic diary systems
• Ability to plan, set objectives, priorities and review performance against objectives
• Ability to command and deal sensitively with emotive situations and be seen as credible by professional colleagues
• Can identify and manage risks and evaluate quality of own work and service
• Ability to adapt to different working environments

Desirable

• Understanding of the NHS and political environment

Key Attributes

Essential

• Self-motivator and commitment to supporting high quality medicines management
• Flexibility in approach to meet service needs and ability to support complex changes
• Innovative thinker and 'can do' approach

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).