1. JOB DETAILS Job Title: Advanced Clinical Pharmacist Reports to: Clinical Pharmacy Team Leader Accountable to: Clinical Pharmacy Team Leader Band: 8a Unit/Department: Pharmacy Clinical Services Unit: Medicines Management and Pharmacy Services Location Trustwide 2. JOB PURPOSE To deliver and develop specialist clinical pharmacy services to the Leeds Childrens Hospital within the Trust, through provision of. 3. JOB DIMENSIONS There are line management responsibilities attached to this post. Reporting to the Clinical Pharmacy Team Leader the post holder will be responsible for the day today clinical pharmacy service to inpatients ward at LTH. The post holder will communicate across multi-disciplinary teams providing specialist advice on appropriateness of medicines prescribed, across paediatric clinical specialities. Ensure medicines are used appropriately, safely, and cost effectively in accordance with Trust policy, standard operating procedures, and medicines legislation. Monitors use of medicines within inpatient prescribing. This includes recording of significant clinical interventions, risk management and some basic financial aspects. Support other members of the team with specialist advice regarding the development and implementation of treatment protocols and guidelines for use of drugs within the clinical areas. Responsible for training pharmacists, and other health care professionals, on aspects of drug use within the outpatient clinics. Provides service cover in the dispensary, aseptics with ward cover when and if required. Participates in the departments weekend and Bank Holiday rotas and where appropriate, out of hours services. 4. ORGANISATIONAL CHART Clinical Director - Medicines Management and Pharmacy Services Lead Clinician - Clinical Services Associate Lead Clinican - Unplanned Care Clinical Pharmacy Team Leader Advanced Clinical Pharmacist 5. KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED Master of Pharmacy degree (4 years), or equivalent qualification, plus 1 year pre-registration training. Registrant of the General Pharmaceutical Council. Ability to demonstrate competency in all domains of the General Level Framework (GLF) Substantial post-registration experience as practising pharmacist. Experience of dealing with complex clinical issues, that require the analysis of a variety of sources of information, these may not be in agreement when reaching an appropriate response. The pharmacist will have experience in negotiating with and persuading other members of the multidisciplinary clinical team, or patients/clients, to agree on a course of action Experience of dealing with clinical and non-clinical staff, typically at junior grades, but occasionally at higher consultant and managerial levels. Ability to comprehensively counsel patients on use or sales of medication ensuring appropriate advice is supported by written information using patient information leaflets. 6. THE LEEDS WAY VALUES Professional attitude. Deal with patients, colleagues, and other customers in an honest and open manner with integrity. Strict adherence to patient confidentiality. Committed to CPD. Reliable. Support, advise and value others. Honesty. Empathy to patients, carers, and other service users. Commitment to high standards of service delivery. 7. CORE BEHAVIOURS AND SKILLS Work within standard operational procedures, Trust policy, and wider professional guidelines Team player Enthusiastic Lateral thinker Confident Excellent communication oral/written/listening Good problem solver Good time management Adaptable Use initiative Negotiation and influencing skills Attention to detail Self-directed management of own workload Works accurately under pressure IT skills (e.g., Word, Excel) 8. CORE KNOWLEDGE AND UNDERSTANDING Comprehensive knowledge of current government legislation relating to pharmacy and patient care. Thorough understanding of medicine legislation. Specialist theoretical and practical knowledge in clinical pharmacy practice, over a wide range of specialities. Be professionally accountable for action and advice. 9. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY Provide specialist clinical pharmacy service to patients and other members of the multi-disciplinary team over a wide range of specialities. This will include: Individual prescription review to optimise therapy. Utilising patient medication records to support review of medicines suitable for use. Advice on dosage and side effects. Advise on safe administration of medicines of both prescribed and over the counter sales. Responsibility for medicines risk management in a variety of clinical areas, including investigating clinical incidents, recording significant clinical interventions/near misses, and ensuring compliance with medicines legislation, and local policies. Assist in the introduction of new drugs, including unlicensed medicines, into the clinical specialty. Organisation and planning of own workload on an on-going basis e.g. ward cover, training and CPD, audit, project work, attendance of meetings etc. Supervise, teach and assess junior pharmacy staff completing training in outpatient dispensaries. This could involve: - Providing support for student technicians. Being a named tutor for a pre-registration pharmacist. Being a mentor to junior pharmacists. Participate in any medicines related clinical trials relating to outpatient services speciality. Propose and carry out clinical pharmacy practice research within outpatient areas and participate in any larger pharmacy research and audit. Work within standard operational procedures, Trust policy and wider professional guidelines. Involvement in reviewing and implementing clinical policies and procedures relating to outpatient services. Advise on over the counter sales of medicines to customers and patients. Deals with prescription charges and sales from patients. Provide a service commitment within the pharmacy department i.e the dispensary Provide clinical ward cover when and if required. Participate in weekend and bank holiday pharmacy service and contribute to the emergency out of hours service where appropriate. Health and Safety/Risk Management All staff are responsible for working with their colleagues to maintain and improve the quality of services provided to our patients and other service users. This always includes complying with the Leeds Teaching Hospitals NHS Trust Policies, including Health and Safety policies, in particular by following agreed safe working procedures, and reporting incidents using the Trust Incident Reporting system. Infection Control The jobholder must always comply with the Leeds Teaching Hospitals NHS Trust Infection Control policies, in particular by practising Universal Infection Control Precautions. Hand hygiene must be performed before and after contact with patients and their environment. Equality and Diversity The job holder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc. Patient and Public Involvement The Trust has a statutory duty to involve patients and public in evaluating and planning services. All staff have a responsibility to listen to the views of patients and to contribute to service improvements based on patient feedback. Training and Personal Development Continuous Professional Development The job holder must take responsibility in agreement with his/her line manager for his/her own personal development by ensuring that Continuous Professional Development remains a priority. The jobholder will undertake all mandatory training required for the role. Respect for Patient Confidentiality The job holder should always respect patient confidentiality and not divulge patient information unless sanctioned by the requirements of the role. 10. COMMUNICATION & WORKING RELATIONSHIPS Communicate complex information about medicine use to pharmacy staff, consultants and junior doctors, nursing staff, patients, managers, and other members of the multi-disciplinary team. 11. SPECIAL WORKING CONDITIONS i) PHYSICAL EFFORT: The post requires a combination of sitting, standing, and walking with little requirement for physical effort, excepting an occasional need to move pharmacy boxes, fluids, enteral nutrition packs. These typically weigh approximately 10kg per box. . ii) MENTAL EFFORT: The post required frequent amounts of concentration for clinical and accuracy checking, reviewing prescriptions, performing complicated calculations etc. Post holders will frequently be interrupted by urgent or non-urgent clinical enquiries, received verbally, or by telephone or bleep, at any time, including during breaks. Also by members of the public and outpatients requiring additional advice. iii) EMOTIONAL EFFORT: The post holder may be exposed to distressing or emotional circumstances due to their work with very ill patients. More occasionally, they may be exposed to emotional or distressing circumstances when investigating drug misadventures or explaining to relatives or patients an unpleasant drug regime.