Detailed job description and main responsibilities

Main Duties and Responsibilities

Duties will be shared with job share partner except for line management responsibilities (where allocated) which are specific to the post holder.

 Clinical Responsibilities:-

•    To manage, provide, co-ordinate and evaluate clinical pharmacy services to the SKU. This role includes provision of ward-based and outpatient pharmacy services to renal patients as a highly specialist clinical pharmacist encompassing:
•       Participation in consultant led renal ward rounds.
•         Medication reconciliation and review.
•        Identification of patients who need additional help with their medication.
•         Prompt identification, preparation of patients for early discharge and where possible complete the discharge process at ward level. Accurately document information relating to medications initiated or discontinued following admission and the follow up required.
•            Counselling on changes to medication regimens and high-risk drugs e.g. warfarin, transplant medication.
•             Liaising with colleagues in community/ care homes to align support for medicines adherence.
•            Contribute to multi-morbidity reviews and multi-disciplinary reviews.
•            Review pathology results for patients on high-risk medicines and take action as necessary.
•           To practise as a pharmacist independent prescriber for renal patients in the in-patient and out-patient setting in line with Trust policy, agreed scope of practice and the needs of the SKU. To lead on the evaluation and development of the renal pharmacist prescribing service.
•          To clinically screen prescriptions and where required prescribe specialist treatments for renal patients. This includes immunosuppressant medications, erythropoietin stimulating agents and bone therapies.
•           To evaluate the clinical appropriateness, safety and legality of prescriptions based on the patients’ disease, co-morbidities and other medication and treatment taken, contacting the prescriber to make agreed changes as appropriate and clearly documenting rationale, and agreed actions in the medical notes.
•           To be responsible for the development, implementation, delivery, and day to day running of specialist clinical pharmacy services to the Renal Satellite Haemodialysis Units.
•           To lead on the development and evaluation of pharmacist-led medication review clinics within the SKU and satellite units in accordance with the Renal National Service Framework.
•         Provide expert medicine information, and act as a resource on pharmaceutical care issues to other healthcare colleagues in both primary and secondary care and patients within the care of the SKU.
•           To be responsible for the evaluation of new drugs within renal medicine for presentation to the Trust Medicines Governance Group / Area Prescribing Committee. The post holder will monitor use of drug following approval and challenge instances where the drug is not prescribed in accordance with the terms set by the Formulary Committee.
•         To highly provide specialist clinical pharmacy expertise to senior clinical staff of the multi-disciplinary team within the SKU to enable implementation of local and national standards including national service frameworks, NICE guidance, and Healthcare Commission recommendations. In addition to, maintain, develop, and implement prescribing guidelines for the Trust and the local health economy in line with evidence-based medicine and MHRA alerts.
•            To lead on the development and review of shared care guidelines for renal patients.
•          To oversee the delivery, development, and review of clinical pharmacy services to the SKU in line with the divisional and departmental objectives.
•            To take the lead in the provision of clinical pharmacy expertise for the identification and management of risk issues within the SKU, with particular reference to risks and clinical incidents associated with medication. To act as a resource for the division in investigation of clinical incidents and complaints regarding medication. To contribute to the clinical governance agenda in both the renal and pharmacy departments.
•           Ensure PGD processes within the trust are legal and robust where appropriate.
•           To maintain contact with appropriate specialists and groups both nationally and locally to enable best practice to be identified and incorporated into UHSx practice.
•            To resolve ambiguities relating to care of the renal patients’ medicines across the primary / secondary care interface. To optimise the ‘transfer of care’ of SKU patients across the interface with the view to reducing medication related readmissions.
•            To use risk stratification tools to identify renal patients requiring medication reviews and carry out the dialysis medication reviews.
•            To manage repeat prescribing systems to ensure all staff are adequately trained, procedures are safe and robust, and are understood and followed by all staff.
•         To manage the repeat prescribing reauthorisation process for specific renal medications by reviewing requests for repeat prescriptions and medicines reaching review dates both on outpatient and homecare prescriptions.
•        To liaise with Homecare and ICB Medicines Management teams regarding local polices/ guidelines and Prescribing Schemes.

Please see attached job description and personal specifications for full list of duties associated with this post 

This role is eligible for visa sponsorship under the UK Visas & Immigration (UKVI) Skilled Worker route however sponsorship can only be provided where applicants meet the specific requirements set by UKVI, including the relevant skill and salary thresholds (£25000), and any role-specific criteria.