Specialist Pharmacist - Anticoagulation

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Policy/Service Development

·         To deputise for the Principal Pharmacist for anticoagulation as necessary.

·         To lead clinical pharmacy services for patients treated within the Care Group in conjunction with the Principal Pharmacist.

·         To propose and implement policies and procedures designed to improve the pharmacy service to patients in the Trust in conjunction with the Principal Pharmacist in line with national and international consensus guidelines.

·         To lead and comment on policy and service changes and plans within the clinical pharmacy service and to contribute to, and participate in, pharmacy service developments in line with departmental and Trust policy

·         To develop, implement, monitor and evaluate evidence-based prescribing guidelines and protocols for use both Trust wide and within anticoagulation.

·         To ensure services provided are in line with local and national policies, guidelines and frameworks

·         To contribute and adhere to clinical pharmacy service standards

·         To proactively support the development of ward and clinical pharmacy services to anticoagulation in order to advance the safe, clinically effective and cost effective use of drugs to patients

·         To attend relevant meetings, including inpatient and outpatient MDTs.

·         To attend Care Group meetings attended by senior management and clinical staff, participating, and representing pharmacy views at such meetings

·         To manage specific service initiatives and changes affecting the clinical pharmacy service in the department and across the Trust

Patient/Client Care 

·         To act as a specialist practitioner within the field and as an expert pharmacist in anticoagulation.

• To promote and deliver pharmaceutical care for anticoagulated patients and more generally for all patients.
• To provide highly specialised and complex evidence-based clinical advice and information using expert knowledge and experience to pharmacy, nursing, medical and other healthcare professionals on the care and treatment of patients, inside and outside of the Trust.
• To participate in and contribute to the clinical/ward pharmacy service.
• To actively participate in consultant ward rounds as appropriate.
• To participate in outpatient clinics, and assist in the further development of the pharmacist’s role in this area.
• To undertake patient medication review sessions and patient reviews in outpatient clinics as necessary.
• To actively participate regularly in multidisciplinary ward rounds, antibiotic ward rounds and other multidisciplinary meetings as appropriate, delivering and promoting high quality, cost-effective, patient-focused pharmaceutical care.
• To practice as an independent prescriber, in area of own expertise, as appropriate and provide direct high quality of care to inpatients and outpatients within scope of practice
• To participate in patient education and counselling schemes for all anticoagulation patients/carers.
• To ensure appropriate and timely supply of medication to patients in conjunction with dispensary staff, including the POD scheme and discharge facilitation for patients.
• To liaise with other Pharmacists, Doctors and GPs to ensure efficient transfer of clinical and medicines management issues.
• To develop shared care guidelines to support GP prescribing as necessary.
• To support the set up and provision of Hackett compliant homecare services as necessary.
• Maintain and further develop specialist information on the use of drugs in clinical conditions relevant to anticoagulation, ensuring accurate and up to date clinical information is available to all pharmacists performing out of hours duties in a format relevant to those pharmacists needs.
• To participate in Trust adverse incident reporting scheme.

Financial/Resource Management 

·       To support the Principal Pharmacist in monitoring drug expenditure within the Care Group and provide accurate expenditure information, with appropriate analysis, to the Clinical Director and General manager.

·       To identify areas of potential cost-savings within anticoagulation, and to implement systems to realise savings and contain prescribing costs.

·   Using horizon scanning techniques identify future high cost medications.

·   To support the development and implementation of policies to control drug expenditure and ensure cost-effective prescribing.

·   To educate other healthcare professionals on the costs associated with drug therapy and promote the use of evidence-based, cost-effective prescribing within the care group.

·   To attend Care Group or Specialty financial meetings when required.

·   To work across traditional boundaries e.g. primary and secondary care.

Staff Management, Performance & Training 

·   To lead, coach and manage the performance of the junior staff in line with good people management practices, ensuring excellence is recognised and underperformance is addressed.

·   To participate in regular performance appraisal meetings and ensure line reports have a clear set of objectives and development plans.

·   To ensure line reports are compliant with all statutory, mandatory training together with any professional training requirements, ensuring they are up to date and fully compliant.

·   To manage line reports absences including sickness in line with Trust policy ensuring the appropriate return to work meetings occur, e-roster is updated and productivity is at keep to the highest possible level.

·   To ensure overall wellbeing of the team is maintained. Continuously support in improving the morale of the team and implementing a culture of zero-tolerance for bullying and harassment.

·   To participate in teaching and supervising students at undergraduate and postgraduate levels.

·   To act as postgraduate tutor for Diploma students.

·   To act as a tutor for trainee pharmacists.

·   To participate in teaching nurses, medical staff, and AHPs.

·   To participate in the recruitment and selection of pharmacy students, trainee pharmacists, and junior pharmacists as needed.

·   To regularly train, supervise and assess at ward level junior pharmacy staff providing a ward/clinical pharmacy service to wards within the Care Group.

·   To plan activities for, supervise, train and assess at ward level, pharmacists, pharmacy technicians, trainee pharmacists and students.

·   To participate in the in-service clinical pharmacy training of all pharmacy staff.

·   To undertake CPD to ensure that knowledge is continually updated.

·   To participate regularly in the induction, training and development of medical, nursing and other healthcare staff.

·   To delegate tasks to junior staff as and when required.

·   To manage, organise and/or support the induction of new pharmacy staff.

Research & Development

·   To regularly lead, participate in and co-ordinate relevant research or audit projects.

·   To participate in audit and practice research to investigate and where appropriate improve the quality of service.

·   To publish and present the results and outcomes of own research and audits locally, nationally or internationally as appropriate.

·   To supervise junior pharmacists, pharmacy technicians and trainee pharmacists undertaking audit projects.

·   To liaise with clinical trial nurses and pharmacy staff with regards to monitoring and continuing supply of trial medicines to patients.

General

The post holder has a general duty of care for their own health, safety and wellbeing and that of work colleagues, visitors and patients within the hospital, in addition to any specific risk management or clinical governance accountabilities associated with this post.

• To observe the rules, policies, procedures and standards of King's College Hospital NHS Foundation Trust together with all relevant statutory and professional obligations.
• We want to be an organisation where everyone shares a commitment to delivering the very best care and feels like their contribution is valuable and valued.
• At King’s we are a kind, respectful team:

Kind. We show compassion and understanding and bring a positive attitude to our work

Respectful. We promote equality, are inclusive and honest, speaking up when needed

Team. We support each other, communicate openly, and are reassuringly professional

• To observe and maintain strict confidentiality of personal information relating to patients and staff.
• To be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues.
• This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holder.
• All employees must hold an 'nhs.net' email account which will be the Trust's formal route for email communication.
• Everyone is responsible for promoting inclusion no matter their role or team. At King’s, we want to create an environment where everyone feels valued, respected and welcomed

Safe Guarding

 The Trust takes the issues of Safeguarding Children, Adults and addressing Domestic Abuse very seriously. All employees have a responsibility to support the organisation in our duties by;​

• attending mandatory training on safeguarding children and adults
• familiarising themselves with the Trust's processes for reporting concerns 
• reporting any safeguarding child or adult concerns appropriately

Infection Control Statement

 The post holder has an important responsibility for and contribution to infection control and must be familiar with the infection control and hygiene procedures and requirements when in clinical areas.

The post holder has an important responsibility for and contribution to make to infection control and must be familiar with the infection control and hygiene requirements of this role.