JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title: Macmillan Cancer and Palliative Care Pharmacist (Specialist Clinical Pharmacist B7 ) Responsible to: Senior Clinical and Development Pharmacist Department & Base: BGH Pharmacy Date this JD written/updated: 10.08, 8/13, 4/15 Job Reference Number: PHAR169 2. JOB PURPOSE To deliver specialist high quality pharmaceutical care input to patients in specialist area. Specialist area; Patients with cancer receiving chemotherapy and /or other supportive therapies at Borders Macmillan Centre or as inpatients within NHS Borders. Patients requiring specialist palliative care within NHS Borders. To deliver specialist high quality pharmaceutical care input to BGH patients by contributing to the pharmaceutical care of individual patients within the hospital through the dispensary and ward based clinical pharmaceutical service To assist in the delivery of high quality pharmaceutical services to patients across other areas of secondary care within NHS Borders. To assist in ensuring the safe, effective and cost efficient use of medicines throughout the organisation. To provide & develop clinical pharmacy & pharmaceutical care services to a specialist service area. To undertake risk management & ensure compliance with medicines legislation within area of specialty. To provide expert advice on pharmaceutical matters to specialist clinical areas. To provide education & training to pharmacy & other professional staff within the organisation & within the specialist area. To assist in ensuring the safe, effective & cost efficient use of medicines throughout the organisation. To support other specialist pharmacists within specialist clinical areas and provide absence cover.
3. ORGANISATIONAL POSITION Formulary Pharmacist BGH Lead Clinical Pharmacist Senior Clinical and Development Pharmacist This Post Specialist Clinical Pharmacists - peers Clinical Pharmacists
4. SCOPE AND RANGE Responsible for leading the hospital pharmaceutical service for patients within the specialty area. Responsible for pharmacy contribution to service planning for this group of patients, including monitoring of introduction & subsequent usage of new treatments. Responsible for pharmaceutical input to the management of the drugs budget for specialist area, out of total hospital drug budget of 3.0m. Responsible for clinical pharmaceutical service to the specialist area & other wards and clinical areas within Borders General Hospital (BGH), as necessary for inpatients and outpatients. Responsible for monitoring medicines use & formulary management, including adherence to local prescribing policies & protocols. Liases with other clinical pharmacists within the pharmacy & throughout national networks within specialist area. Oversees the dispensary as part of the working day, including professional checking & query resolution. Pre-checking & final checking of aseptic & cytotoxic dispensing. Directs pharmacy staff including pharmacists and technicians (MTOs & ATOs) while involved in provision of service to specialist area. 5. MAIN DUTIES/RESPONSIBILITIES Lead, co-ordinate and develop patient-focused pharmaceutical input to patients in the specialist area to maximise benefit, and minimise risk, in the use of their medicines. To provide specialist advice to clinical areas on pharmaceutical standards, legal requirements, medicines management and other issues involving medicines. To ensure that current, safe, policies and procedures for medicines are in place, are followed and are reviewed regularly. To maintain and develop a system of re-use of patients own drugs and one stop dispensing service. To contribute to accurate medication history taking and medicine reconciliation through discussion with patients, clinical staff, GPs and Community Pharmacists, as appropriate, to ensure seamless pharmaceutical care provision. To provide discharge planning (including medicine reconciliation) for medication-related issues, such as the assessment and provision of compliance aids, through liaison with Community Pharmacists and GPs, as appropriate. To counsel, and provide advice to, patients and carers on medication-related issues. To support the dispensary team by supervising and checking work in the main dispensary and aseptic preparation area. To provide professional advice for over the counter sales to staff and members of the public. To provide education and training to other healthcare professionals as required Participation in pharmacy weekend / holiday / late night rotas as required and pharmacy out-of-hours emergency duty service for NHS Borders hospital units To comply with NHS Borders and Pharmacy Department strategies and policies. To provide specialised advice to medical and other staff as well as to patients, their relatives and carers
Pharmacy Department Based services o Professional clinical check of prescriptions. o Dispensing of prescriptions as required o Final Checking of dispensary and aseptic/cytotoxic dispensing as required o Clinical query handling and resolution o Supervision of OTC medicine sales Ward Based Services Provision of clinical pharmacy services to designated patient groups: o Verification of in-patient and discharge medication orders o Medication history taking and medicine reconciliation o Documentation of care and risk management issues including: o o o o o Patient allergy Patient self administration (including assessing patient suitability) Adverse drug reactions and interactions Individualising pharmaceutical care plans and documenting / resolving pharmaceutical care issues Verification of paediatric and neonatal doses Counselling patients on the use of their medicines Acting as primary contact point for ward staff in relation to pharmacy issues when providing ward pharmacy service Liasing with ward staff and the pharmacy technicians to maintain and update ward stock lists Provision of medicines information to clinical staff and patients Provision of clinical pharmacy to other clinical areas as required CPD/Training commitment Update current skills and knowledge in relevant practice areas as required. Undertake at least the minimum CDP commitment recommended by the General Pharmaceutical Council. Participation in departmental continuing personal development programme including PDP as appropriate Participation in internal or external courses/meeting as appropriate. Assisting in the training of other pharmacy staff in particular: o Student Pharmacy Technicians o Pre-registration Pharmacy Graduates o Band 6 pharmacists
6. SYSTEMS AND EQUIPMENT Use of ASCribe pharmacy stock control, dispensary and ward based computer systems Stock control of pharmaceuticals Dispensing of medicines for patients Medicinal charts for patients Use and creation of management reports Create/updating of patient records Use of Microsoft Office suite Email (internal and external) Internet enquiries use of specialist medical/pharmaceutical databases etc Word processing, policies, notices, forms etc Spreadsheets; Management information, statistics etc PowerPoint Presentations - Presentation of management information, CPD Use of medicines information software & CD-ROM databases. - internet databases - e-library Use of other IT systems such as Trakcare, Chemocare CEPAS and C-PORT, clinical portal Responsibility for the security of pharmaceuticals, includes security of keys and use of alarm system Use of telephone Use of Pharmacy aseptic equipment: Isolators, clean room clothing, syringes, needles, QC monitoring equipment etc 7. DECISIONS AND JUDGEMENTS The postholder is a member of the professional staff of the pharmacy department and will work within strategic and policy guidelines established by the NHS Borders. The postholder is a senior independent practitioner who contributes to pharmacy strategies relating to their specialist area, in cancer and palliative care. The postholder has responsibility for managing their allocated workload within their specialist area without supervision but will liase closely with the Cancer Care and Palliative Care Pharmacists and have close links with the Senior Clinical and Development Pharmacist and BGH Lead Clinical Pharmacist. Uses knowledge and experience to assimilate, and evaluate, often conflicting information in order to advise on pharmaceutical matters Annual objectives will be agreed jointly with the Senior Clinical and Development Pharmacist and review of performance will be carried out by Senior Clinical and Development Pharmacist
8. COMMUNICATIONS AND RELATIONSHIPS The postholder develops and maintains communications within & without the organisation Communicate directly with: Colleagues from all disciplines & professionals within NHS Borders (medical, nursing, AHPs, GPs, community & senior pharmacists ) Middle and senior managers on pharmaceutical service and policy issues. Pharmacy staff pharmacists, technicians (MTOs & ATO s) and A&C staff Members of clinical professions (medical, nursing, AHPs etc) on individual clinical matters Patients at in- or out-patient situations clinical issues, service issues, queries and complaints Public service issues and queries Pharmaceutical industry at local or national level for information and negotiation. Nationally with pharmacists & other healthcare professionals in the Scottish/UK national networks/special interest groups etc Represent NHS Borders and Pharmacy at meetings of various groups both locally & nationally Communication will include face to face, telephone, written, email, meetings, presentations. 9. PHYSICAL DEMANDS OF THE JOB Combination of walking, standing, sitting, driving with occasional light physical effort General keyboard skills High degree of precision & accuracy for dispensing & checking, often with strict time constraints. Clinical work requires a high level of concentration characterised by assessing different pieces of sometimes conflicting information and forming a clinical opinion. This work is often conducted under time pressures and subject to frequent interruptions. Frequent levels of high concentration, often with interruptions when checking dispensing Near patient contact involving exposure to environmental risks at ward level. Potential exposure to toxic pharmaceutical materials Validated aseptic techniques including working in isolators with restricted movement (complex manipulations with arms in glove parts of isolator fixed working position) Emotional effort - - frequent exposure to distressing or emotional situations, both in case of patients & staff 10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB To provide expert pharmaceutical advice to specialist area To provide high quality pharmaceutical care tailored to meet the needs of individual patients. This requires continual updating of clinical pharmacy knowledge base.
To ensure the safe, efficient & economical use of medicines including the delivery of individualised patient care. To effectively prioritise the workload to meet the needs of users (patients, colleagues, managers) within the resources available To maintain & improve working relationships within the specialist area To provide high quality, timely, responses to challenging Medicines Information queries, within currently available resources Band 7 (Mac)Post CMS 8.13
Essential Desirable 1 Qualifications 2 Experience Masters Degree in Pharmacy Registered with General Pharmaceutical Council (GPhC) Evidence of commitment to Continuing Professional Development Post qualification experience working as a clinical pharmacist, or equivalent experience. Member of the Royal Pharmaceutical Society of Great Britain Experience in a hospital pharmacy department at Band 6 pharmacist level. Experience of verification of chemotherapy regimens and doses. Experience in Palliative Care. Experience of data interpretation and clinical audit of prescribing. Able to effectively interpret medical case notes when performing audits in relation to patients condition and the medication prescribed. 3 Skills Therapeutic knowledge and practical skills for dealing with a complex range of pharmaceutical interventions. Expertise in pharmaceutical standards & guidelines pertaining to hospital pharmacy Clinical pharmacy and care planning skills Ability to prioritise own workload Working knowledge of standard computer programmes (including Word) and of clinical and pharmacy systems. Knowledge of NHS Borders policies and procedures and a detailed knowledge of pharmacy policies and procedures. Special interest in and knowledge of chemotherapy. Awareness of policies governing chemotherapy use, and their application in clinical practice. Special interest in and knowledge of chemotherapy. Experience of the Scottish Patient Safety Program (SPSP) model for improvement and associated improvement tools and methods. Knowledge of the SPSP Medicines Management workstream.
4 Personal qualities 5 Research and training 6 Other Excellent interpersonal communication skills both written and verbal Ability to form working relationships with wide variety of people Participation in local, regional and national educational opportunities and other sources of continuing professional development to develop and maintain currency of knowledge. Completed (or completing) the Scottish Hospital Pharmacy Vocational Training Scheme Stage 2, (or demonstrable evidence of clinical knowledge and it s application equivalent to that level) Participate in rotas for late night duty and Saturday service, and emergency duty commitment as required. Ability to work as part of a team
TERMS AND CONDITIONS Grade and salary: Hours of work: Annual leave: Band 7: 31,383-41,373 pro rata per annum 37.5 hours per week, Fixed Term for 4 years 27 days pro rata per annum Details of other types of leave entitlement (such as sick leave) are set out in the Agenda for Change handbooks. Public Holidays: 8 days pro rata per annum on dates designated by NHS Borders Details of other types of leave entitlement (such as sick leave) are set out in the Agenda for Change handbook. Superannuation: The post-holder is entitled to join the NHS superannuation pension scheme. If Unsuccessful: If you have NOT heard from us within 4 WEEKS of the closing date, then we regret that your application has not been successful on this occasion. However, we appreciate your interest in working with NHS Borders and your time and effort in completing the application form. We would welcome your application for future posts. Equal Opportunities: In NHS Borders, we believe that all staff should be treated equally in employment. We will not discriminate against any member of staff, or job applicant, on grounds of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion and belief, sex and sexual orientation. Trade Union membership. Disclosure checks: We carry out criminal record checks on new staff who fall within certain staff groups within NHS Borders, through Disclosure Scotland. We send out Disclosure Forms to all shortlisted candidates for these staff groups, and ask for these to be completed and returned at interview. If a successful-at-interview candidate forgets to bring their completed form to interview, then they will be required to return the form (and proofs of identity) within 7 days, otherwise the provisional job offer will be withdrawn. Unsuccessful candidates forms will be shredded. The Rehabilitation of Offenders Act does not apply to this post. Tobacco policy: We have a Tobacco policy in place. When selecting staff, we do not discriminate against applicants who smoke, but staff must observe our policy on smoking. Hepatitis B: We offer Hepatitis B immunisation through our Occupational Health Service (OHS). If you think you may be at risk of contracting Hepatitis B through your job, you should ask for this immunisation at OHS. If your work involves exposure-prone procedures, you must keep to the document Protecting Health Care Workers and Patients from Hepatitis B, and the NHSiS Management Executive Directive on this issue. You must be immune to Hepatitis B, and if you cannot prove that you are immune, OHS will investigate to find out whether you are Hepatitis B positive or not.
Health and Safety at Work: You must look after the health and safety of yourself and anyone else who may be affected by what you do at work. You must also co-operate with us to make sure that we keep to legal and organisational safety regulations. You can get more information from the NHS Borders Health & Safety Adviser. The closing date for completed application forms is: 5pm on Monday 22 June 2015