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2 Contents Section Section 1: Section 2: Section 3: Section 4: Section 5: Section 6: Section 7: Section 8: Section 9: Introduction to Appointment Person Specification Job Description NHS Lothian Values General Information for Candidates Working in Edinburgh and the Lothians Workplace Equality Monitoring Equal Opportunities Policy Statement Code of Conduct for Healthcare Support Workers

3 Section 1: Introduction to Appointment Reference Number: PHA/WGH/2016/17/129 Job Title: Lead Pharmacist Rheumatology Grade: Band 8A Location: The Western General Hospital Contract Duration: Permanent Hours: 37.5 per week Closing Date: 3 March 2017 Salary Scale: 40,428-48,514 per annum Apply on-line **Please note the address you provide on the application form will be used to communicate any further correspondence relating to this vacancy so please check your TRASH and SPAM folders** This post requires the post holder to have a PVG Scheme membership/ record. If the post holder is not a current PVG member for the required regulatory group (i.e. child and/or adult) then an application will need to be made to Disclosure Scotland and deemed satisfactory before they can begin in post.

4 NHS Lothian University Hospitals Division Department of Pharmacy Western General Hospital Lead Pharmacist, Rheumatology Out Patients Band 8a 1.0WTE 40,428-48,514 per annum This is an exciting opportunity for a pharmacist to work in rheumatology. This is a well established post within rheumatology with pharmacist-led rheumatology out-patient clinics to promote and deliver the best clinical practice in line with local and national guidelines. This includes as an independent pharmacist being responsible for decisions about the clinical management of patients. Candidates should have a Master of Pharmacy Degree or equivalent, be a member of the General Pharmaceutical Council (GPhC) and have a clinical pharmacy diploma / MSc or equivalent. For further information contact Sheena Kerr Lead Pharmacist on Please quote ref. PHA/WGH/ 2016/17/129

5 Section 2: Person Specification NHS LOTHIAN Post: Lead Pharmacist Rheumatology In order to be shortlisted you must demonstrate you meet all the essential criteria and as much of the desirable as possible. When a large volume of applications are received for a vacancy and most applicants meet the essential criteria then the desirable criteria is used to produce the shortlist. Criteria Essential Desirable How assessed Personal Traits Enthusiastic, motivated Innovative A & I Flexible Empathic A Qualifications and Training Team player Masters degree in pharmacy or equivalent Supplementary/ Independent prescribing qualification A & I A & C Membership of the General Pharmaceutical Council of Great Britain A & C Post graduate qualification in clinical pharmacy or equivalent competency A & C Experience and Knowledge Post registration hospital clinical pharmacy practice experience within clinical specialty (rheumatology) A & I Experience of service development and staff management A, I & C Experience of planning, delivering and reporting audit and research projects A & I Experience of planning, delivering and assessing teaching A & I & P Committed to continuing professional development A & I Knowledge of Microsoft Office

6 Criteria Essential Desirable How assessed packages A & P Skills and/or Abilitie Good ability to communicate (verbally, A, I & P written and formal presentations) Specific Job Requirements Good interpersonal skills Good numeracy skills Standard keyboard skills Personal organisational abilities Able to work to deadlines Ability to be flexible to work out with core normal working hours A, I & R R A & P A,I & R A, I & R I A = Application form C = Copies of certificates P = Presentation Key how assessed I = Interview T= Test or exercise R = References

7 Section 3: Job Description 1. JOB IDENTIFICATION Job Title: Responsible to (insert job title): Department(s): Directorate: Operating Division: Lead Pharmacist Rheumatology WGH Lead Pharmacist Pharmacy NHS Lothian Pharmacy Corporate No of Job Holders: 1 Last Update 2. JOB PURPOSE To lead, plan, organise and deliver a specialist clinical pharmacy service within the agreed standard of pharmaceutical care for the identified patient population, safely, effectively and within the defined limits of responsibility, resources and activity. To lead the development of the specialist clinical pharmacy service across the service area in line with established guidelines and standards. To provide prescribing and professional advice to clinical management team (clinical director, directorate manager, lead nurse and lead financial officer) to aid in the planning of clinical services and contribute to good clinical governance in the use of medicines. To support the Site Lead Pharmacist in the strategic and operational development of the pharmacy service to NHS Lothian. 3. DIMENSIONS The Department of Pharmacy provides services to primary and secondary centres throughout Lothian. Services include dispensing, aseptic, clinical, radiopharmacy, procurement and distribution, medicines information, medicines management and quality assurance. These services are currently delivered from 7 sites: the Western General Hospital (WGH), the Royal Infirmary of Edinburgh (RIE), the Royal Hospital for Sick Children (RHSC), St John s Hospital (SJH), Royal Edinburgh Hospital (REH), Roodlands General Hospital (RGH) and Liberton Hospital (LIB). The Department of Pharmacy dispenses over 543,000 prescription items, 686,000 pre-packs, 9300 total parenteral nutrition bags, 34,000 intravenous additives, 38,000 cytotoxic products, 900 intrathecal

8 products, 11,000 radiopharmaceutical products and processes 55,000 Controlled Drug orders per annum. The department has approximately 327 WTE staff. The combined drug budget for NHS Lothian hospital services is 96.6 million per annum. The budget is not held by the pharmacy service but expenditure against this is monitored and reported on to senior management. The average monthly stockholding across the pharmacy services is 7.15 million with monthly stock value issues of 6.2 million. Approximately 152,000 lines are ordered and 995,000 lines are supplied per annum. 492 locations across Lothian are supplied on a weekly basis. The postholder is employed within NHS Lothian and there may be a requirement to work flexibly across Lothian to meet service demands. Staffing Day to day management and the overall allocation of workload for a dedicated team of clinical pharmacy staff Budget Responsible for the provision of expert advice on medicine use and formulary management within the specialist service and provides written financial reports to the relevant Management Team contributing to the control of the medicine budget 4. ORGANISATIONAL POSITION Site Lead Pharmacist Senior Clinical Pharmacist Neurosciences Senior Clinical Pharmacist Critical Care Senior Clinical Pharmacist Infectious Diseases Senior Clinical Pharmacist Rheumatology This job Senior Clinical Pharmacist Medicine of the Elderly Senior Clinical Pharmacist Surgical Services Rheumatology Data Analyst Senior Clinical Pharmacist DCVR Senior Clinical Pharmacist Cardiology/ Respiratory 5. ROLE OF DEPARTMENT The aim of the Pharmacy Service is to assure quality of patient care in the provision of treatment with medicines. To this end the objectives are:

9 (i) (ii) to provide pharmaceutical care to individual patients by meeting their particular needs while maximising efficiency in the use of resources. to provide medicines through systems of quality control which ensure safe, effective and economic use. Clinical Pharmacy Services supports the achievement of the above objectives. The Pharmacy Department has a major role in the teaching and professional development of pharmacists and pharmacy technicians and other healthcare staff. The Pharmacy Department participates in and supports the division s clinical effectiveness programme. 6. KEY RESULT AREAS Clinical 1. To lead and direct the clinical pharmacy activities when delivering a specialist pharmacy service, including, establishing and resolving individual patient pharmaceutical care issues and providing expert pharmacy advice with the aim of ensuring safe and effective use of medicines e.g. Systematic approach to individual patient care: - Take account of patient and medication risk factors when assessing the patient to confirm pharmaceutical needs, and to identify, assess and prioritise pharmaceutical care issues. Medication history taking, medicines reconciliation, prescription monitoring, consulting case notes and liaising with patients, carers and other healthcare professionals will all contribute to the process of assessment. Therapeutic drug monitoring (TDM): - For patients prescribed medicines with a narrow therapeutic index assess their individual dosage needs and monitor treatment. Advise on dosage adjustment when required. Adverse drug reactions (ADR): -Monitor patients for adverse reactions or unexpected events related to their medication. Investigate and report suspected adverse effects to the MHRA. Ensure that details of any ADR and hypersensitivity reactions are documented under the hypersensitivity section of the case notes, the prescription and administration record and immediate discharge letter. Discuss the findings of the investigation and any necessary future avoidance with the patient 2. Responsible for individual and staff participation in discharge planning by reviewing patients prior to discharge for pharmaceutical care related issues. Promoting efficient patient flow within the specialist area. Factors to be considered include patient education, adherence to medication regimen; seamless care; discharge prescription checking; review of patients own medicines for return to patient or destruction; named patient medication. 3. To lead in multidisciplinary working groups to develop and implement protocols, guidelines, patient group directions and to train relevant staff in their use. Also participate in guideline development at a national level when required. 4. May initiate medication prescribing and management in line with independent prescribing competencies if required for the post

10 5. To ensure identification and compliance with national quality standards e.g. HEI, SPSP. 6. To participate in management of incidents involving medications and use analysis of incidents to advise on required actions or changes in practice to avoid recurrence. 7. To provide advice to the directorate on drug related clinical governance and risk management issues and provide support to the Quality Improvement teams. 8. To participate in business continuity planning for Pharmacy Service. Resource Management 1. To be responsible for the provision of expert advice on medicine use and formulary management within the specialist service, including adherence to local prescribing policies and medicines governance framework and provide regular written financial reports to the clinical management team contributing to the control of the medicine budget and promote economic use of medicines. 2. To lead on the identification, evaluation and costing of new medicine developments and provide advice on their place in therapy within the specialist service and other relevant areas e.g. primary care, other services. This will include horizon scanning for new medicines and national guidelines that impact on medicine use within the specialist service. 3. Lead in the identification and delivery of LRP schemes on prescribing efficiencies with medicines. 4. Responsible for individual and staff participation in effective medicines management, conducting regular ward stock list reviews, 3 monthly controlled drug checks and promoting the use of patients own drugs, where appropriate. 5. To identify any changes/developments to strategic and operational plans within specialist service area and liaise with the Site Lead Pharmacist regarding impacts on pharmacy services and management thereof. 6. To develop and maintain a business continuity focus for the organisation which will includes ensuring the ongoing review of plans, training, and exercising and communication requirements. 7. Day to day management of pharmacy staff within specialist services, including recruitment, first level discipline, grievance. Education and Research 1. To lead the clinical pharmacy team in research and audit ensuring on findings are reported both at a local and national level. 2. To liaise with the clinical trials pharmacist on legal, ethical, professional and cost aspects of proposed clinical trials within the specialist service and provide advice on suitability to the clinical director, lead investigator and site lead pharmacist. 3. To educate medical and nursing staff at ward level through the provision of expert pharmacy advice. 4. To contribute to the education and training of healthcare staff and students in a formal setting,

11 including workshops / teaching sessions. 5. To undertake continuing professional development to identify and address learning needs. Values 2. To support NHS Lothian s values of quality, teamwork, care and compassion, dignity and respect, and openness, honesty and responsibility through the application of appropriate behaviours and attitudes. 7a. EQUIPMENT AND MACHINERY The following are examples of equipment which will be used when undertaking the role. PC, telephone, pager, scanner, photocopier, Note: New equipment may be introduced as the organisation and technology develops, however training will be provided. 7b. SYSTEMS The following are examples of systems which will be used when undertaking the role: Software systems: Pharmacy stock control and dispensing system Pharmacy management information reporting system Microsoft Office for word processing, spreadsheets, , internet access Medicines Information database Patient administration system Incident management system eksf personal development and review system Paper based systems: patient medical records, pharmaceutical care plans, workload collection data, medicine information records. Pharmacy Quality System (BS EN ISO 9001:2008) Note: New systems may be introduced as the organisation and technology develops, however training will be provided. 8. ASSIGNMENT AND REVIEW OF WORK Responsible for the development and delivery of clinical pharmacy services and accountable for own professional actions guided by local policies and procedures, and professional code of practice. Workload is generated by the needs of the patient/service and the postholder is responsible for planning and organising own and team workload to meet agreed objectives. Agrees objectives with relevant site lead pharmacist in line with NHS Lothian and departmental objectives on an annual basis.

12 9. DECISIONS AND JUDGEMENTS Interprets and analyses information about medicines and individual patients to advise on and promote the safe and effective use of medicines. Interprets and analyses clinical evidence about medicines to provide expert advice on and promote the safe and effective use of medicines within the specialist service. Interpret clinical evidence and individual patient information and then prescribe medicines as a supplementary and/or independent prescriber against a clinical management plan for identified patients if required for the post. Manage and reconcile conflicting opinions of professionals to optimise use of medicines. Uses financial data and critical appraisal skills to promote the use of safe and cost effective evidencebased therapies Identify service development opportunities, assess impact and develop proposed solutions liaising with the site lead pharmacist to agree way forward. Monitor directorate activity figures and pharmacy performance indicators to identify trends in the workload pattern that could have implications for deployment of pharmacy staff. 10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Working effectively as a senior member of the pharmacy team to lead, promote and develop the service within limited resources, and to effectively prioritise the workload to meet the needs of the customers (patients / other multi-disciplinary professionals / managers). Ensuring that the delivery of individualised patient care is safe, effective and efficient. Continually updating knowledge in a complex and varied patient group. 11. COMMUNICATIONS AND RELATIONSHIPS As advanced pharmacist for a specialist service will liaise and communicate with other senior pharmacy and non-pharmacy staff, and will provide expert advice to ensure that an effective service is provided. Communication is either on a one-to-one basis or in a group setting, with identified patients, relatives / carers and associated healthcare staff in order to identify and address pharmaceutical issues. Communication, either verbal or written, takes place between community pharmacists, GPs, Consultants and other healthcare professionals as appropriate to ensure continuity of care and resolution of identified pharmaceutical care issues. Communicates with other members of the profession to facilitate both service and professional development, to ensure best possible pharmaceutical care for patients within the specialist service. Educate patients on any aspect of their medication that requires explanation, or discussion of the relative risks and benefits of treatment options. Written information may be required to supplement verbal instructions and empathy, re-assurance, persuasion and motivational skills may be needed to optimise patient concordance.

13 Presents research and audit both informally and formally to other pharmacists, multidisciplinary team and at relevant conferences. Liaise with pharmacy peers nationally to exchange ideas and develop clinical practice nationally. 12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB Physical Standard keyboard skills. Validated aseptic manipulation skills e.g. manipulate needles syringes and transfer devices to reconstitute and measure doses of aseptically prepared medicines. Light physical effort when undertaking pharmacy duties. Mental Requires a high level of concentration to check, dispense and prepare medicines accurately, to meet deadlines, and subject to interruptions. Clinical work requires a high level of concentration, characterised by assessment of information, sometimes conflicting, from a variety of sources and forming a clinical opinion. Such work is often conducted under time pressure and subject to frequent interruptions. Concentration required when undertaking managerial aspects of role including financial reporting, investigating complaints, policy development. Emotional Provides advice and guidance to patients on medication regimens that require explanation and reassurance. Frequent daily contact with patients and relative which can be emotionally demanding. Performance appraisal for staff within managerial responsibility, including disciplinary procedures, as required. Investigate and deal with medication incidents that may have had serious consequences. Deal with complaints from directorate based staff in relation to the pharmacy service. Environmental Risk of occasional exposure to violence and aggression. Occasional exposure to cytotoxic agents and ionising radiation within a controlled aseptic environment. 13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB Qualifications and Knowledge Masters degree in pharmacy or equivalent Membership of the General Pharmaceutical Council of Great Britain Postgraduate clinical pharmacy qualification or equivalent Post-registration hospital pharmacy practice experience within clinical specialty Annotated as a supplementary and/or independent prescriber on the General Pharmaceutical Council register if required for the post.

14 Skills and Experience Good interpersonal skills Good ability to communicate (verbally, written and formal presentations) Good numeracy skills Standard keyboard skills and knowledge of Microsoft office packages Experience of planning, delivering and reporting audit and research projects Experience of planning delivering and assessing teaching. Experience of service development and staff management 14. JOB DESCRIPTION AGREEMENT A separate job description will need to be signed off by each jobholder to whom the job description applies. Job Holder s Signature: Head of Department Signature: Date: Date:

15 Section 4: NHS Lothian Values into Action NHS Lothian is determined to improve the way their staff works so they have developed a set of common values and ways of working which they now need to turn into everyday reality - to the benefit of everyone working in the organisation and, most importantly, to the benefit of their patients. Our Values are: Quality Dignity and Respect Care and Compassion Openness, Honesty and Responsibility Teamwork Throughout the recruitment process candidates will need to demonstrate they meet all of Our Values. More information on Our Values can be found by clicking on the link at the bottom of our Careers website front page: Section 5: General Information for Candidates Data Protection Act 1998 Please note that any personal information obtained from you throughout the recruitment process will be collected, stored and used in line with the Data Protection Act Information will be available to the recruiting manager and to the Human Resource staff. Counter Fraud NHS Lothian is under a duty to protect the public funds it administers, and to this end will use the information you have provided on your application form for the prevention and detection of fraud. It will also share this information with other bodies responsible for auditing or administering public funds for these purposes. More detail on this responsibility is on NHS Lothian s intranet (Counter-Fraud and Theft page) and further information is available on the Audit Scotland website:

16 References All jobs are only offered following receipt of two satisfactory written references. At least one reference must be from your current/most recent employer, or your course tutor if you are currently a student. If you have not been employed or have been out of employment for a considerable period of time, you may give the name of someone who knows you well enough to confirm information given and to comment on your ability to do the job. Disclosure Scotland Where a Disclosure or Protection of Vulnerable Groups Check is deemed necessary for a post, the successful candidate will be required to undergo an appropriate check. Further details on the Recruitment of Ex-Offenders are available from the recruitment centre. Work Visa If you require a Work Visa, please seek further guidance on current immigration rules which can be found on the Home Office website: or visit our Careers website: Overseas Registration and Qualifications NHS Lothian will check you have the necessary professional registration, where appropriate. If you require a qualification for this role but are not regulated by a professional body (e.g. NMC, GMC, HCPC etc), you will need to provide an official translation, notarised by a solicitor, of your overseas qualifications to be checked by the recruiting manager. Please ensure that this is available before applying for this post. Job Interview Guarantee Scheme As a Disability Symbol user we recognise the contribution that all individuals can make to the organisation regardless of their abilities. As part of our ongoing commitment to extending employment opportunities, all applicants who are disabled and who meet the minimum criteria expressed in the job description will be guaranteed an interview. Terms and Conditions For an overview of our Agenda for Change terms and conditions please click on this link: Travel Expenses Travel expenses are not normally reimbursed for interviews, if you are selected for interview and wish to enquire about the possibility of being reimbursed then the request should be directed to the recruiting manager or interview panel chair.

17 Application Form Completion The purpose of an application form is to help evidence that the applicant has all the requirements applicable to carry out the job applied for. Once in receipt of the application pack it is essential to read both the job description and person specification to gain a full understanding of what the job entails and the minimum criteria required. Please note for equal opportunity purposes NHS Lothian do not accept CV s as a form of application. For general help and advice on how to complete an application form please visit our careers website: Section 6: Working in Edinburgh and the Lothians NHS Lothian offers excellent career prospects and a wide range of job opportunities for potential employees. It employs approximately 24,000 staff and offers training and development opportunities as well as excellent staff benefits. The information provided below aims to help support and guide both prospective applicants and new employees unfamiliar with Edinburgh and the Lothians. Edinburgh and the Lothians Edinburgh and the Lothians are on the eastern side of Scotland s central belt in the heart of the country. Four main areas make up Edinburgh and the Lothians Edinburgh, East, Mid and West Lothian. NHS Lothian serves a population of approximately 850,000 people living in and around Edinburgh, Scotland s historic capital city. The geographical area known as Lothian region covers 700 square miles, comprising the City of Edinburgh, Midlothian, East Lothian and West Lothian. It is a region of exceptional beauty and contrast, from the splendour of Edinburgh to the beauty and variety of the hills, countryside and coastline. The nearest major town outside of Edinburgh is Livingston, a thriving location in the heart of West Lothian. As well as many sites of historic interest, the region boasts a host of recreational activities for all ages.

18 For further information on relocating Edinburgh please visit our careers website: /default.aspx Section 7: Workplace Equality Monitoring NHS Lothian is committed to supporting and promoting dignity at work by creating an inclusive working environment. We believe that all staff should be able to fulfil their potential in a workplace free from discrimination and harassment where diverse skills, perspectives and backgrounds are valued. In order to measure and monitor our performance as an equal opportunities employer, it is important that we collect, store and analyse data about staff. Personal, confidential information will be collected and used to help us to understand the make-up of our workforce which will enable us to make comparisons locally, regionally and nationally. Section 8: Equal Opportunities Policy Statement NHS Lothian considers that it has an important role to play as a major employer and provider of services in Lothian and accepts its obligations both legal and moral by stating commitment to the promotion of equal opportunities and elimination of discrimination. The objectives of its policy are that no person or employee receives less favourable treatment on the grounds of sex, disability, marital status, age, race (including colour, nationality, ethnic or national origin), creed, sexuality, responsibility for dependants, political party or trade union membership or activity, HIV/AIDS status or is disadvantaged by conditions or requirements which cannot be shown to be justifiable. Our Equal Opportunities in Employment policy can be viewed on our careers website: px Section 9: Code of Conduct for Healthcare Support Workers If this post is a healthcare support worker position the post holder will need to follow the Code of Conduct for Healthcare Support Workers.

19 A Healthcare Support Worker is defined as any healthcare worker working within NHS Scotland who is not currently statutorily regulated or in a role that has been recommended for statutory regulation by the Government. The Code of Conduct sets the standard of conduct expected of healthcare support workers and adult social care workers. It outlines the behaviour and attitudes that you should expect to experience from those workers signed up to the code. It helps them to provide safe, compassionate care and support. For more information on the Code of Conduct for Healthcare Support Workers please read the guidance: