Prisons Services Clinical Pharmacist

1 week ago

Newton Abbot, United Kingdom Oxleas NHS Foundation Trust Full time

Job summary

Are you ready to unlock your potential within a challenging, creative and fast paced work environment? Do you want to escape your current job role and work with people to build positive and productive lives, whatever their past? Now is the time to break into offender healthcare and develop your career.

As part of the South West Prison Healthcare contract awarded to Oxleas NHS trust in 2022, we are able to expand recruitment and are looking for a compassionate, knowledgeable and motivated Prison Services Clinical Pharmacist to join our friendly team at HMP Channing Woods on Bank.

Our healthcare team have a real impact on promoting health and well-being to those in prison and we pride ourselves on using skills and strategies that instil hope for patients future resettlement back into the community. We directly deliver Mental Health, Physical Health, Pharmacy and Clinical Substance Misuse in an integrated healthcare delivery model to provide effective and responsive care to improve wellbeing and support better outcomes in the future.

Main duties of the job

As a Prison Services Clinical Pharmacist on Bank, you will be acting as the GP Pharmacist for HMP Channings Wood . You will be providing medicines optimisations services and support the GP's and dispensary teams on site at the prison(s). You will be working closely with patients to support them with any medicine queries and concerns, run medication review clinics, and provide your clinical expertise when required. Using SystemOne, you will devise and implement searches to identify cohorts of patients who may be at high risk of harm from medicines and/or more likely to be at risk of unplanned admission to hospital from medicines. You will then be required to work with these patients to manage medicine-related risk. You will be implementing improvements to patients' medicines for LTC's, such as de-prescribing, running LTC clinics, etc..

You will be providing leadership to the wider healthcare team to ensure practice is compliant, developing and managing new services that are built around new medicines or NICE guidelines, and working with the Specialist Prison Services Pharmacist to develop and enforce the formulary. You will be co-ordinating and managing the workload within the prison(s) and providing your clinical proficiency to more junior team members as and when required. You will analyse, interpret and present medicines data, provide leadership on areas of prescribing requiring improvements and present results of audits/suggest changes.

About us

Working for your organisation

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.

We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.

Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

We're Kind We're We Listen We Care Job description

Job responsibilities

Key Task and Responsibilities

To support patients with their medicine queries and concerns. To undertake medication review clinics. To stratify risk with high-risk medicines and work to reduce such risk for patients. As part of the health and wellbeing team: Identify patients at risk of admission to hospital and work to manage medicine-related risk for these patients. Implement improvements to patients medicines for LTCs, including de-prescribing and run LTC clinics where medicines are a large component of care Develop and manage new services that are built around new medicines or NICE guidance. To provide leadership to ensure practice within healthcare is compliant with CQC standards where medicines are involved. Working with the Specialist Prison Services Pharmacist, develop and enforce the formulary Support the audit process in line with Oxleas NHSFT audit programme including and disseminate findings appropriately to improve prescribing practice

Leadership, Management and Training

To devise and implement SystmOne computer searches to identify cohorts of patients at high risk of harm from medicines. To devise and implement SystmOne searches to identify cohorts of patients most likely to be at risk of unplanned admission/readmission to hospital from medicines. To provide leadership to the Healthcare Manager and GPs to ensure that practice is compliant with CQC standards where medicines are involved. As part of the Health and Wellbeing model, to contribute to public health campaigns, including flu vaccinations and adult immunisation programmes using specialist knowledge on immunisation. To ensure all relevant PGDs for immunisation are in place and staff authorised to administer using a PGD have receive the relevant training. Analyse, interpret and present medicines data to highlight issues and risks to support decision making. Identify and provide leadership on areas of prescribing requiring improvement. Present results of audits and provide leadership on suggested changes. To develop and manage new services that are built around new medicines or NICE guidance, where a new medicine/recommendations allow the development of a new care pathway. Provide education and training to the primary healthcare team on therapeutics and medicines optimisation. Support the Specialist Prison Service Pharmacist in providing education and training to the pharmacy team members as required. Identify from SystmOne patients prescribed medication that should be prescribed or initiated by Specialists/hospital doctors or subject to shared care and liaise directly with hospital colleagues to ensure prescribing and dispensing of such medicines is appropriately undertaken and adheres to the requirements of the secure environment. Develop, implement and maintain the prison formulary, in liaison with other OPS colleagues, and ensure this is updated onto SystmOne locally when changes are made. Manage the process if implementing changes to medicines resulting from MHRA alerts and product withdrawals and provide guidance for practitioners.

Clinical

Work with the dispensary and Primary Care teams to identify patients as at risk from high-risk medicines to minimise such risks through medicines optimisation. Provide scheduled clinics for offenders across the prison(s) and to give advice and support on their prescribed medicines, OTC medicines and other medical issues they may raise. To put in place changes to reduce the prescribing of medicines likely to cause readmission to high-risk patient groups. Promote healthy lifestyles for offenders in line with local and national guidelines or promotions. To be an active member of the prison(s) clinical governance/medicines management committee(s). To provide face to face clinics to help patients with questions, queries and concerns about their medicines. To hold clinics for patients requiring face-to-face Clinical Medication Reviews (CMRs) a review of the ongoing need for each medicine, a review of monitoring needs and an opportunity to support patients with their concordance with prescribed medication. To undertake clinical medication reviews with patients with multi-morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber) and order relevant monitoring tests. To see patients in multi-morbidity clinics and in partnership with the Health and Wellbeing coordinator(s), implement improvements to the patients medicines, including deprescribing. Run own long term conditions clinics where responsible for prescribing as an independent prescriber for conditions where medicines have a large component ( stable angina, warfarin monitoring and dose adjustment). To demonstrate on-going continual professional development (CPD) and be responsible for self-development and learning within the field of pharmacy or other specialty where appropriate

Dispensary

To act as responsible pharmacist in the dispensary Co-ordinate and manage the workload within the prison(s) Pharmacy Dispensary/Healthcare To undertake clinical screening and final accuracy checks when working in the dispensary.

IMPORTANT INFORMATION, PLEASE READ:

All applicants must be willing to undertake National Security Vetting in order to work in a Prison Setting. This will be completed as part of the pre-employment checks through Oxleas and the prison vetting team.

You will need to provide:

Proof of right to work documentation

Proof of ID, needs to include 1 photographicID

Proof of address documentation

Non-UK passport holders will need to have correct documentation (right to work in the UK) and a Home office Share code.

Address History:

5 years address history will be needed.

Applicants that are not UK Passport holders who provide less than 5 years UK address history will need to provide a Police Certificate which must be in English from where they resided previously.

Applicants who are UK Passport holders who have lived abroad for a period of more than six months during the last three years will need to provide a certificate of good conduct or an overseas police check in English from the countries resided in or visited .

In order to assist you in obtaining a Police Certificate, guidance can be sought from:

If the country you have resided in is not listed here, you can obtain the necessary information by contacting the relevant Embassy or High Commission for that Country. Their contact details can be found on the Foreign & Commonwealth Office website ( ).

Person Specification

Education & Qualifications

Essential

Masters Degree of Pharmacy or equivalent Registered with the General Pharmaceutical Council of GB (GPhC) Diploma in General Pharmacy Practice/Clinical Pharmacy/Mental Health or equivalent (or working towards) Registered Independent Pharmacist Prescriber

Desirable

A member of or working towards Faculty Membership of the Royal Pharmaceutical Society

Experience

Essential

Previous prison/hospital/community pharmacy experience in the UK At least 4 years experience of providing clinical pharmacy services At least 2 years experience of providing clinical services within prisons or GP practices

Desirable

Experience of providing clinical services to mental health or substance misuse patients

Skills and Abilities

Essential

Recent clinical pharmacy practice in a GP practice or prison setting Sound clinical skills at diploma level

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