Job Profile Job Title: Department: Main Location: Hospice Palliative Care Pharmacist 7 NHS (8SRC) Less than full time(0.8) Full time equivalent around 36,300 Head of Clinical Services 1. Main Purpose of Job Accountable for the development and provision of pharmaceutical services to Manorlands Hospice. 2. Position in Organisation The post holder is responsible to the Head of Clinical Services and the Centre Director of the They will have clinical responsibility to the Medical Director of the Appraisals will be led by another pharmacist. The post holder will work closely with the lead nurse for pharmacy and the medical director at the The post holder is one of the clinical specialists, working closely with the medical and nursing teams at Sue Ryder Manorlands Hospice. The post holder will liaise with the community pharmacy providing drugs for the The post holder will be part of the hospice Pharmacy Group which meets regularly to discuss pharmacy issues across the The post holder will work in collaboration with palliative care pharmacists within the acute trusts other local and Sue Ryder Hospices and meet regularly to ensure provision of a co-ordinated service across the district. 3. Scope of Job Responsible for leading and delivering a highly specialist palliative care pharmacy service, including relevant risk management, and ensuring compliance with medicines legislation applicable to hospices. Provide expert pharmaceutical advice to Sue Ryder Manorlands Hospice in-patient, day therapy and community teams. Day to day supervision of technical services provided to the hospice by our local pharmacist. 4. Dimensions and limits of Authority This post will hold no budgetary responsibility but will be expected to contribute to the control of cost and expenditure within the scope of the role. Pharmacist (Palliative Care) December 2014 Page 1
5. Qualifications Masters qualification in Pharmacy (four years), or equivalent qualification, plus one year pre-registration training. Member of the General Pharmaceutical Council(GPHC) Postgraduate Diploma in Clinical Pharmacy, or equivalent experience or qualification. Minimum of five years post registration experience as a practising clinical pharmacist, including two years as a specialist pharmacist, preferably in areas relevant to the post. Non-medical prescriber status would be useful 6. Experience and Skills Professional attitude. Committed to CPD. Deal with service users and colleagues with honesty and integrity. Highly motivated to ensure that service is continually assessed to ensure improved patient outcomes / experience. Empathetic and sensitive to customer needs (these include both patients and members of NHS staff). Strict adherence to patient confidentiality. 7. Duties and Key Responsibilities Clinical Pharmacy Role Provide expert opinion and advice, both within and outside the hospice, to ensure the safe and effective delivery of drug therapy to palliative care patients across the Manorlands catchment area. This will include prescription review, advising on dosage and side effects, and on safe administration of medicines. The post holder will also perform the role of a lead clinical pharmacist to the hospice, community and day therapy palliative care teams. In this role, the post holder will ensure medicines are used appropriately, safely and cost effectively, in accordance with hospice policy as appropriate, standard operating procedures and medicines legislation. Be responsible and accountable for ensuring that the legal and statutory requirements in relation to medicines are met, and ensure that the delivery of pharmaceutical care to patients in the defined clinical area meets both national and local standards. Identify and interpret relevant national and regional strategies and guidelines related to palliative care and keep appraised of current pharmaceutical issues so that local policies are developed and implemented in a timely manner. Initiate, develop and maintain robust policies and procedures to effectively manage medicines within the hospice environment. Co-ordinate the feedback to the hospice on compliance with CHAI standards, NSF and NICE appraisals, and ensure necessary pharmacy evidence is in place to Pharmacist (Palliative Care) December 2014 Page 2
ensure pharmaceutical compliance with regional and national peer reviews. Where appropriate, be an expert member of MCN, Trust, and specific committees relating to the use of medicines with the aim of providing expert advice and representing Manorlands Manage the introduction of new drugs including unlicensed medications and offlabel use of medication, and providing information / advice to clinicians outside the Be responsible for maintaining medicines information system regarding pharmaceutical issues. Have a sound understanding of drug compatibility issues in order to provide highly specialist advice in the light of limited stability data. To meet weekly with the medical team to review prescriptions of in-patients, and to give advice on treatment with medicines. To investigate and then possibly help implement and support the potential for individual patient dispensing and self-medication schemes at the To develop policies for the managed introduction of new medicines. Review pharmacy service to day therapy, provide regular medicines review for patients, investigate role of supplementary prescribing. To develop and evaluate treatment guidelines and protocols for the use of medicines through discussion with senior medical and nursing staff. Organisation, provision and development of pharmacy service role Provide pharmaceutical professional leadership for the hospice by liaison with providers of technical services and key members of the hospice management teams. Responsible for the provision of information to the hospice management team regarding clinical and financial governance, and issues around service delivery and future developments Be responsible for strategic service planning for clinical pharmacy, by liaison with specialist providers of palliative care, both within the hospice and external to the Be responsible for the continual review of pharmaceutical service provision to Manorlands Hospice. Where necessary, plan and implement changes to ensure that future service development needs are met. Ensure that funding is secured for service developments through business case and negotiation with stakeholders outside pharmacy. Provide drug forecasting information and advise the hospices on options to allow them to plan budgets effectively. Monitor, interpret and analyse expenditure on medicines within the Provide hospice pharmacy group and CCG commissioner with regular reports to assist in the management of the drugs budget. Prepare a six monthly report for the hospice management team which outlines cost saving initiatives, protocol / policy development, teaching commitments, prescribing issues, horizon scanning, clinical work, research / clinical trials involvement, CPD, ongoing work / new initiatives. The hospice pharmacist will liaise with the pharmacy supplying drugs to the hospices and support the pharmacy technician as appropriate. Pharmacist (Palliative Care) December 2014 Page 3
Investigate possible role of the pharmacist in supplementary and independent prescribing. Support the accountable officer in their role. Quality Assurance Role The post holder will lead and develop clinical audit and undertake research in pharmacy related aspects of palliative care. Lead pharmaceutical input into clinical trials, both locally and regionally. To participate in appropriate clinical governance and risk management activity within the hospice, in particular be a member of the Pharmacy Group and Quality Improvement Group. Play a key role in the investigation of medicine related incidents and agreement of action plans. (eg. near miss data and error reports, and to ensure that remedial action is taken to correct areas of weak practice) Identify MHRA and / or government information relevant to the Ensure use of drugs in hospice / medicines risk management. Provide pharmacy advice / input for inspections. Education Role To provide advice, education, induction and training, and continuing professional development to nursing, medical and pharmacy staff. Support staff undertaking the non medical prescribing course and then support them in their practice once they are prescribing Be committed to the concepts of continuing professional development and lifelong learning. Co-ordinate and develop, with other members of the multidisciplinary team, specialist education and training sessions to meet the needs of specialist and nonspecialist providers of palliative care. Will include one to one mentoring, workshops and large group lectures. Education and provision of information to patients and carers in the provision of medicines. Patients and carers will be educated, where appropriate, with regard to concordance and medicine administration, both within the hospice and at discharge. (ensuring patient and carers have full understanding (if possible) of why and how to take their drugs, and monitor for side effects and that they have appropriate written information.) In order to facilitate the safe and smooth running of the Care Centre/Hospice, employees are expected to maintain a safe working environment, maintain service user confidentiality, and occasionally take on reasonable additional tasks. 8. General In addition to the specific duties and responsibilities outlined in this job profile, all Sue Ryder employees should be aware of their specific responsibilities towards the following: Pharmacist (Palliative Care) December 2014 Page 4
To adhere to all health and safety and fire regulations and to co-operate with the Charity in maintaining good standards of health and safety To uphold ethical and professional standards and not behave in a manner that is likely to bring the Charity into disrepute Promote and sustain a responsible attitude towards equal opportunities and diversity within the Charity Demonstrate a commitment to ongoing registration requirements or any national professional or occupational standards associated with the role Demonstrate a commitment to ongoing learning and development and to participate in any training relevant to the role This job description is not exhaustive. It merely acts as a guide and may be amended to meet the changing requirements of the charity at any time after discussion with the post holder Pharmacist (Palliative Care) December 2014 Page 5