Highly Specialist Pharmacist-HIV, Sexual

Job summary

An exciting fixed term opportunity has arisen to join the HIV, Sexual and Reproductive team in the Harrison Wing Department at Guy's and St. Thomas' NHS Foundation Trust from 01 September 2024:

Band 8a Fixed Term Highly Specialist Pharmacist - HIV, Sexual & Reproductive Health (SRH)

We are seeking a dynamic and innovative pharmacist who has continuous specialist HIV pharmacist experience at Band 7 or above level. For current Band 7 pharmacists, ideally, you would have 18+ months of Band 7 (any speciality) experience.

The post will suit individuals who would thrive in working autonomously and collaboratively as a strong team player with every member of the HIV and SRH MDTs and working across the traditional boundaries of the pharmacy profession.

We specifically seek individuals:

with experience, skills and passion for quality improvement and service re-design who are proactive and enthusiastic with supporting and delivering on the Pharmacy, HIV and SRH agendas for clinical and non-clinical innovation and patient care who celebrate, encourage and welcome the extended roles of HIV pharmacists beyond the traditional boundaries of the profession who work well as a team player within a highly skilled team and enhance the skillset and experience who have a passion for education, development and research who naturally demonstrate to a high level the Trust values in everything they do

Main duties of the job

See attached job description and person specification for full details

Summary To lead, deliver, develop and evaluate clinical pharmacy services to HIV, and SRH patients in accordance with the objectives set between the Directorate General Manager, Service Manager, Clinical leads and Principal HIV, Sexual & Reproductive Health Pharmacist (and delegated responsible persons). To be a role model in the field of HIV & SRH and provide a consistently high pharmaceutical service for patients in line with corporate objectives. To deputise for the Principal Pharmacist To supervise the Band 7 pharmacists working in HIV &SRH, which may include line management duties To have a proactive role in the development of HIV Pharmacy service in line with evolving health-related quality of life HIV service development

The focus of the roles is mostly HIV although there will be some SRH involvement as requested by the Principal Pharmacist.

About us

About the Trust

See attached Job Description

About the HIV and SRH departments and teams

Locations and Services

The HIV department (Harrison Wing Department) is based at Guy's hospital in London Bridge opposite the Shard and the train station and provides a service to approximately 4500 patients. The Harrison Wing Department hosts over 18 specialist HIV clinics, in addition to the pharmacist-led clinics, including:

Neuro-cognition and Psychiatric Hepatitis co-morbidity Renal Living Well (for ageing and metabolic conditions) Young Adults VIP (vulnerable patients) Stigmatized patient (off-site clinic) Long-acting Injectables clinic

In addition to the above, the post holder may be involved in delivering the future pharmacist-led clinics such as polypharmacy/co-morbidity/frailty clinics to improve health-related quality of life in PLHIV.

The SRH department provides integrated sexual healthcare from three locations (Burrell Street Sexual Health Centre, Streatham Hill Clinic & Walworth Road Clinic). The post-holder will provide support virtually for the SRH department as necessary. The vacancy role is, in most part, focussed on HIV services.

The Pharmacy department has three hubs onsite with several spoke sites throughout the Trust and the community. The HIV Pharmacy is one of these spokes, integrated into the clinic, and this is where the post-holder will be based.

The Teams

See attached Job Description

Job description

Job responsibilities

See attached job description and person specification for full details

Key Relationships

The post holder will have regular contact with a wide range of clinical and managerial staff, administrative and clerical support staff at many levels and with patients, relatives and external agencies.

Accountable for:

Safe and clinically effective use of medicines in HIV & SRH Efficient use of drugs budget for HIV medicine Project management, quality improvement, education and research Supervision and possible line management of Band 7 pharmacists in HIV &SRH Deputising for the Principal Pharmacist

Liaison:

HIV Management team SRH Management team Directorate Management teams Clinical and non-clinical staff in the HIV department Clinical and non-clinical staff in the SRH department Senior Clinical Pharmacy Practitioners Other pharmacy staff Person Specification

Demonstrable Knowledge/Qualifications

Essential

Appropriately recommends, substantiates and communicates therapeutic options to prescribers in people living with HIV Appropriately recommends, substantiates and communicates therapeutic options to prescribers in a range of MEDICAL patients Can screen HIV inpatient AND outpatient prescriptions for appropriateness, safety, accuracy Demonstrates advanced level of clinical reasoning and judgement Identify own training needs Diploma/MSc in Clinical Pharmacy or equivalent Current GPhC pharmacist registration

Desirable

Independent Prescriber registration with GPhC Completed relevant management courses Current RPS member Current HIVPA member Current BHIVA member Current BASHH member Appointed member with an active role in either BASHH, BHIVA and/or HIVPA Demonstrates a whole body system patient-focussed approach Recognised postgraduate qualification with a teaching component, or equivalent evidence of teaching experience Demonstrates advanced clinical knowledge in health-related quality of life, frailty, co-morbidity and/or polypharmacy management 18+ months' experience at Band 7+ in any other speciality Currently works in HIV speciality, with HIV clinical care as the main function of the role Independent prescribing scope of practice includes HIV

Demonstrable Skills

Essential

The ability to evaluate quality of own work The ability to influence senior staff across the MDT and management The ability to identify and prioritise clinical and operational work Enhances the quality of patient care The ability to develop an idea into a project and see it through to fruition The ability to identify and prioritise managerial work Can work autonomously and take initiative The ability to deliver medicines optimisation Demonstrates expert clinical knowledge and skills Ensures training needs of staff are identified and met in order to undertake the roles required Can delegate authority appropriately Dynamic to individual preferences/personalities in a team

Desirable

Trained in administration of vaccines Trained in phlebotomy (venous acupuncture) Describes a vision for clinical pharmacy services to HIV speciality and how the vision might be delivered The ability to influence practice at a directorate level Tolerates uncertainty and is resilient The ability lead on project management Guides and supports others undertaking research Integrates research evidence into practice The ability to evaluate service provision and quality The ability to reconcile regional/national priorities with local realities Manages difficult and ambiguous problems Actively seeks novel opportunities to meet training needs The ability clinically triage PLHIV presenting to Pharmacy, including eliciting spoken and unspoken needs Identifies gaps in the evidence base and makes considered clinical decisions in the absence of strong evidence

Demonstrable Experience

Essential

Experience in clinical AND operational supervision of others Experience in locally implementing national guidance and other commissioning policies Works well in a team - support, flexibility, shared vision, shared workload Recent experience in quality improvement Undertakes own research (separate to audits and service evaluations) Undertakes clinical audit to improve practice Develop, implement, monitor and evaluate protocols, PGDs and guidelines Demonstrates previous experience in delivering training and education at post graduate level Provides education and training to pharmacy and other staff Maintains a portfolio of practice Works adaptively across traditional boundaries of the pharmacy profession Currently undertakes pharmacist-led consultation clinics (with or without non-medical prescribing element) in any speciality Evaluates the training provided to others Actively seek to improve inpatient and outpatient clinical services provided Can demonstrate innovation in a wide range of quality improvement projects

Desirable

Ability to investigate reported incidents including undertaking root cause analyses Experience in working collaboratively with outsourced pharmacy providers (not including homecare) Experience in finance/commissioning reporting of high cost drugs Active participation in multi-disciplinary research Presented (orally or poster) at national or international conferences Works at the top of their pharmacist license Key opinion leader in HIV at a regional or national capacity Currently utilises non-medical prescriber qualification in an outpatient setting Has experience in the formal line management of others (excluding tutoring for training programmes) Has 6+ months recent experience using Epic (an electronic health record IT system) Leads/chairs formalised MDT HIV-antiretroviral meetings to comply with NHSE policies and MDT complex patient referrals Currently undertakes pharmacist-led HIV consultation clinics (with or without non-medical prescribing element) Identifies bespoke areas for EHR optimisation and implementing the optimisation including influencing, designing, testing, communicating/training the changes to relevant staff and undertaking all relevant impact assessments

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