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Specialist Pharmacist in Mental Health
3 months ago
Job summary
hours per week. LivewellSouthwest (LSW) in partnership with University Hospital Plymouth NHS Trust (UHP)provides Community, Rehabilitation, Child and Family, and Mental Health andLearning Disability Services to the population of Plymouth andcommunity/rehabilitation services to Plymouth and the South Hams and WestDevon.
As a member of the clinical pharmacyteam specialising in mental health you will have an integral role in thedelivery of a consistently high standard clinical pharmacy service to mentalhealth areas across the Organisation.This includes inpatient units and community-based teams under thesupervision and with the support of the Lead Clinical Pharmacist for MentalHealth. You will identify and support innovative practice to improve patientexperience and outcomes whilst developing personal skills to enhance yourprofessional career.
The post-holder will attend ward rounds/ MDTs and be responsible for medicines reconciliation on admission, medicinesoptimisation and provision of clinical services during inpatient stay, andpharmacy authorisation of discharge summaries.
The service is located at several sitesso the post holder must be able and willing to travel between sites.
This is a training post and thepharmacist will be supported to achieve further qualifications.
"please notethat this role may not be eligible for sponsorship under the Skilled Workerroute, please refer to the Direct Gov website for more information with regardsto eligibility"
Main duties of the job
The Specialist pharmacist in mental health will deliver a high-quality clinical pharmacy service. They willensure the safe and effective use of medicines for patients and compliance with the local formulary.They will use pharmacy expertise to support better access to medicinesincluding facilitation of medicines optimisation in the context of the wider medicinesagenda ensuring best value, reduced harm and improved outcomes.
The role includes the provision of services to; acute adult and olderpeoples mental health wards, the dementia unit, 3 rehabilitation units including forensics, and the young persons (CAMHS) unit, and community based services including the HomeTreatment team and Specialist Outreach Recovery Service.
The pharmacist will attend ward rounds / MDTs and be responsiblefor medicines reconciliation on admission and screening of discharge summaries and medicines information enquiries.
The team also provide dispensing services so the pharmacist will be expected to provide supervision to technical staffand a limited amount of final checking.The post-holder will also be involved in supporting trainee anddevelopmental pharmacists and other members of the team in theirdevelopment.
The service is located at several sites so the post holder must beable and willing to travel between sites.
This is a training post, and the pharmacist will be supported toachieve a specialist qualification in mental health.
About us
Livewell Southwest is an independent, award-winning social enterprise providing integrated health & social care services for people across Plymouth, South Hams & West Devon, as well as some specialist services for people living in parts of Devon & Cornwall. With teams in community hospitals, GP practices, sports centres, health & wellbeing hubs.
As an organisation with a strong social conscience, we always value being kind, respectful, inclusive, ambitious, responsible and collaborative. Transforming services to make them sustainable, ensuring that we value, support & empower each other.
We are committed to involving the people we care for, families & carers in everything that we do, working towards co-production where we can. Helping us to deliver the right care for people, in the right place & at the right time. By putting people at the centre of what we do, we ensure to support people to lead, healthy independent lives & be the very best at helping people to live well.
Valuing our employees making an investment in their development a priority. We offer:
Protected CPD time for registered staff
Various development pathways and ongoing regular training packages for all staff
Leadership & mentoring programmes
Access & funding for training including Care Certificate, Assistant Practitioners Course & Scholarship Into Nurse Training
A Robust Preceptorship
A bespoke induction programme
Existing members of the NHS Pension Scheme can continue their membership when they join the organisation.
Job description
Job responsibilities
MAIN DUTIES/RESPONSIBILITIES
Deliver optimum clinical pharmacy services to mental health patients within our care Attend MDTs and consultant ward rounds. Be responsible for the safe and effective transfer of patients across care settings including medicines reconciliation on admission and authorise discharge summaries on discharge Provide clinical pharmacist support and advice to consultants, junior doctors, nurses, members of the MDT, patients/service users and their carers by completion of medicines reconciliation, comprehensive drug histories, pharmacist led medication reviews, monitoring and advising on strategies to optimise response to therapies Be supported in this training post to achieve further qualifications including Independent Prescribing Contribute to the clinical governance agenda(s) of the service and of the organisation Review policies and procedures relevant to pharmacy and monitor and evaluate medicines related protocols and guidelines Propose policy or service changes to improve the delivery of pharmaceutical care to patients which may have multidisciplinary and resource implications Use risk stratification tools/protocols to minimise the risk of harm from medicines Implement changes following local and national drug alerts/information in accordance with local policy Provide pharmacist cover for other areas and settings during annual leave or sickness Attend, deliver and contribute to CPD sessions and peer review for the purposes of revalidation to maintain professional registration Contribution to multidisciplinary team meetings, this will require pharmaceutical advice ensuring optimum treatment is recommended for every patient Undertake medication reviews with patients to support optimum therapy and adherence, making recommendations to prescribers and the MDT and involving the patient in every aspect of their treatment Review and interpret clinical data each day for patients requiring therapeutic drug monitoring. Recommendation of appropriate therapy for individual patients where evidence is not available, controversial, evidence exists, or other professionals may challenge advice Provide advice on the pharmaceutical and pharmacodynamics properties of drugs including alterations of these parameters in special groups of patients, such as the older adult or young person Attendance at Consultant/Doctor/white board/MDT meetings to actively facilitate and provide advice on the treatment of patients Promote compliance by prescribers and other healthcare staff with the South and West Devon Formulary and Referral Application of the evidence base behind drug therapies Identification of adverse drug reactions and reporting them to the MHRA via the Yellow Card system Complete medicines reconciliation within 24hours (72hrs at weekends) as patients enter and leave services, identifying and informing prescribers of any changes Contribute to the organisations wider antimicrobial surveillance programme, implementing local programmes ensuring appropriate antimicrobial prescribing within the organisation Contribute to public health campaigns, including flu vaccinations, and adult immunisation programmes Applying specialist pharmaceutical knowledge to ensure drug, dose, frequency, route etc. are suitable for the individual patient. This may involve calculations and/or analysis of past medication/medical history and laboratory results. To clinically screen drug charts to ensure all aspects are compatible and no pharmaceutical needs are unmet. To clinically screen discharge summaries and ensure they are safe, detailed and complete to enable better transfer of care for patients across care settings. Use knowledge and professional judgement to respond to medicines related issues with the relevant clinician or team in a timely manner. Support the delivery of the NHS Devon ICB medicines optimisation agenda in primary care. Participation in audit and project work with respect to clinical pharmacy services in the organisation as directed by senior staff. Identify areas for service development, interpreting NICE recommendations and developing relevant pathways. Responding to medicines information requests from prescribers and other healthcare professionals and providing advice on medicines. In many cases this is a complex task involving specialist up to date knowledge, effective search strategies, evaluation of the evidence base and formulation of an appropriate response. Contribute to clinical governance and risk management through interventions which optimise the management of medicines in all areas of practice, supporting best practice throughout all areas of responsibility Organise and prioritise ones own workload to respond to urgent and varied requests in a timely manner. Be flexible according to the needs of the service, which are often unpredictable. Ability to work under pressure to ensure that deadlines are achieved Agree therapeutic areas of practice with mental health speciality for development and independent prescribing in accordance with your competency and the requirements of the service. Implement changes aligned to local and national drivers for organisational and system service improvements that are designed to enhance the delivery of care to patients across the system. Actively contribute to the development of the Clinical Pharmacy Service initiatives that improve patient care and access across the system. Contribute to the delivery of initiatives that help with the seamless transfer of patients between different healthcare settings. Integrate research evidence into your practice and identify gaps in the evidence base. Provide education and training to all healthcare professionals. Write and review Medicines Policies, procedures and guidelines under the direction and support of the Lead Clinical Pharmacist for Mental Health and senior management team Review Patient Group Directions (PGDs) and Protocols with training and support from the Lead Clinical Pharmacist for Mental Health Take part in audit work Provide training and mentorship to other pharmacists, trainee pharmacists, pharmacy technicians and Pharmacy assistants, work experience students, volunteers and any other members of staff needing support as required. Assist with training pharmacy technicians in particular the medicines reconciliation and discharge facilitation modules. This is a training post to develop a pharmacist for their future career. Study at clinical pharmacy post-graduate diploma level and / or construction of an Advanced Practice Portfolio for RPS Faculty membership is encouraged. Study to achieve Independent Pharmacist Prescriber status will also be possible Deliver appropriate training and education to healthcare colleagues, carer groups and outside agencies in order to promote the safe use and clinical application of drugs Balance Group, IV Training, Controlled Drug Updates, Syringe driver trainingParticipate in the multidisciplinary CPD programme To work safely in the dispensary or ward environment ensuring any risks identified to health and safety are managed or escalated to line manager. To ensure safety and security of medicines, prescription stationery and other patient identifiable documents according to locally agreed standard operating procedures. To inform line manager of any breaches of safety or security or if agreed procedures are thought to be inadequate to manage the risk Pharmacists are expected to work largely unsupervised and to act on their own professional judgement. Support mechanisms exist within the clinical pharmacy service by contacting other team members on a mutually beneficial basis. If studying for a specific qualification a suitable mentor and/or facilitator will be made available as necessary. Line manager support is available as required. Clinical supervision from another health professional can be arranged and is to be encouraged Clinical roles are supported by policies, SOPs and guidelines within which the registered professional is allowed to exercise professional discretion / interpretationCOMMUNICATIONS AND RELATIONSHIPS
Well-developed verbal and written communications skills are essential to the role. Communicate medicines information ( medicines doses and side effects) in oral or written form to patients and/or carers, who may have difficulties with understanding. Work with the Pharmacy team to manage day to day medicines queries, including face to face consultations with patients identified to have compliance or other problems in medicine administration. Be actively involved in patient counselling. Develop and implement patient/carer health educational groups across the organisation. Refer patients to other community services where appropriate. Discuss and resolve medication problems with prescribers where appropriate, ensuring treatment is appropriate, safe, and effective. Input and maintain clinical and pharmacy records, for example using System-one IT, controlled drugs, unlicensed medication. To provide information for summary care records to other healthcare professional if appropriate to do so. Work collaboratively and effectively with all levels of healthcare staff in every area of work,PHYSICAL DEMANDS OF THE JOB
There is a need to travel between sites in a timely fashion, therefore ability to drive or commitment to attaining a driving license and use of own car is an advantage Good keyboard / computer skills are essential. Dispensing and checking of medication including blister packs as needed Manual handling may include small static loads and some patient handling. Person Specification
Qualifications
Essential
Master of pharmacy degree Registration with the General Pharmaceutical Council (GPhC) as a pharmacist Evidence of commitment to and able to demonstrate CPD.
Desirable
Postgraduate diploma (or working towards) or equivalent evidence of clinical knowledge, competence and achievements in practice. Independent Pharmacist Prescriber accreditation - or willing to work towards Membership with the Royal Pharmaceutical Society of Great Britain
Experience
Essential
Minimum 1 year post graduate experience in hospital, community or primary care pharmacy. Experience/understanding roles of other health care professionals staff working in community/ multidisciplinary teams.
Desirable
2 years experience post registration with some experience working with mental health patients Experience of influencing, negotiating, and implementing change in practice Experience of developing policies, standard operating procedures and guidance Experience of multidisciplinary and multi-organisational working Experience of using and collecting both qualitative and quantitative data, auditing and producing reports Experience in presenting evidence and research
Knowledge
Essential
Evidence of practical application of in depth therapeutic and clinical knowledge. Ability to analyse, interpret and evaluate clinical evidence, data and information from various sources to make judgements, decisions and provide recommendations. Logical and focused approach to problem solving. Awareness of legislation governing equality and diversity. Understanding of confidentiality and data protection act.
Desirable
Knowledge of IT applications including Microsoft programmes, pharmacy dispensing programmes and System-one Demonstrate awareness of interface issues Understand relationships between health and social care
Skills
Essential
Ability to plan and prioritise work with good organisational and time management skills. Ability to have a high level of self-motivation, use own initiative, devise and organise own workload as part of the larger teams work plan for optimum service delivery. Ability to work closely with and as a valued member of the Clinical Pharmacy Service Team. Ability to evaluate quality of own work. Ability to achieve personal and corporate goals. Ability to engage with and learn from peers, other professionals and colleagues. Professional calm and efficient manner. Ability to drive across Plymouth & other geographical areas
Desirable
Ability to influence and negotiate with a range of stakeholders to implement change in practice.