Clinical Pharmacist Rheumatology

Job summary

Rheumatology and Acute Medicine Specialist Pharmacist - Band 7

Are you keen to start a career in rheumatology whilst developing your pharmaceutical skills in acute medicine?

Our pharmacy and rheumatology departments are diverse, supportive and ambitious with a vision to strive for excellence. We have an exciting opportunity to join our dynamic and innovative rheumatology and pharmacy teams.

We want to recruit an enthusiastic and proactive clinical pharmacist who is looking to progress their career in rheumatology and acute medicine.

You will work collaboratively with the Rheumatology Consultant Pharmacist and Rheumatology Highly Specialist Pharmacist (B8a) to provide a robust and effective Pharmacy service to the rheumatology specialty. You will also work with our Acute Medicine Pharmacy Team to ensure best patient care to recently admitted patients in our dynamic admissions out this video and meet our Pharmacy team

Main duties of the job

Work with the Rheumatology and Acute medicine teams to further develop the service within North Bristol NHS Trust.

Be a qualified independent prescriber (or willing to be trained) for the Rheumatology service in an outpatient setting and Acute medicine for inpatients.

Manage on-going pharmaceutical care of patients being maintained on drug treatment for Rheumatological and related musculoskeletal conditions.

Provide an outpatient service to patients with autoimmune and inflammatory conditions, within own competence, referring when necessary.

Advise on strategies to ensure cost-effective use of resources.

Provide pharmaceutical expertise to any multidisciplinary working groups considering protocols, policies and guidelines in the specialist area and attend weekly multidisciplinary team meetings.

Provide risk management support to the management of Rheumatology patients treated at NBT - including correct drug selection and managing supply shortages.

About us

North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and majorspecialities. Our vision is that by enabling our teams to be the best that they can be, we will provide exceptional healthcare, personally delivered.

We commit to treating each patient as an individual with respect and dignity, aiming to deliver excellent clinical outcomes and a first-class experience for everyone who uses our services.

North Bristol NHS Trust values all people as individuals. We aim to be an antidiscriminatory organisation and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We welcome applicants from all underrepresented groups.

Job description

Job responsibilities

1. Work with the Rheumatology and Acute medicine teams to further develop the service within North Bristol NHS Trust.

2. Be a qualified independent prescriber (or willing to be trained) for the Rheumatology service in an outpatient setting and Acute medicine for inpatients.

3. Manage on-going pharmaceutical care of patients being maintained on drug treatment for Rheumatological and related musculoskeletal conditions.

4. Provide an outpatient service to patients with autoimmune and inflammatory conditions, within own competence, referring when necessary.

5. Advise on strategies to ensure cost-effective use of resources.

6. Provide pharmaceutical expertise to any multidisciplinary working groups considering protocols, policies and guidelines in the specialist area and attend weekly multidisciplinary team meetings.

7. Provide risk management support to the management of Rheumatology patients treated at NBT including correct drug selection and managing supply shortages.

8. Produce protocols, policies, and guidelines in conjunction with the speciality teams on designated pharmaceutical practice relating to both Rheumatology and Acute medicine.

9. Work with the specialities to comply with existing NPSA drug alerts and help with the implementation and recommendation of actions for future alerts and patient safety initiatives related to rheumatology and Acute medicine.

10. Provide a clinical ward pharmacy service and if necessary other clinical areas or provides support to the pharmacy patient services team, which includes dispensary duties.

11. Deal with pharmaceutical queries and provides advice to medical and nursing staff from both specialist areas including senior medical staff.

12. Clinically screen prescriptions to ensure the safe, efficient, evidence-based, and rational use of medicines in line with the Trust Formulary and departmental policies so that risks to patients are minimised.

13. Challenge inappropriate prescribing and escalate as appropriate.

14. Support and promote antimicrobial stewardship.

15. Collect clinical and cost outcome data and support both specialist teams medicines optimisation initiatives.

16. Ensure that an accurate medication history is obtained for each patient, where appropriate, using the relevant sources (GP, community pharmacist, patient/carer, clinic notes, nursing home).

17. Provide advice and information to patients/carers to improve adherence andencourage self-management regarding treatment.

18. Work closely with GPs, Community Pharmacists, GP Practice Pharmacists, and other healthcare professionals across the Integrated Care System, to answer outpatient prescribing and clinical queries.

19. Record all major interventions in line with departmental policy. Investigate and support the recording of Adverse Drug Reactions.

20. Audit and risk manage selected areas of practice to promote continuous quality improvement.

21. Develop and maintain medicines management systems in conjunction with patients/carers, ward staff and pharmacy staff.

22. Mentor junior pharmacists and contribute to the appraisal process.

23. Supervise medicines management technicians and/or other dedicated pharmacy staff as required.

24. Contribute to the training of pharmacy undergraduates, medical students, pre-registration pharmacists, qualified pharmacists, pharmacy technicians and medical and nursing staff as appropriate. Train and mentor clinical pharmacy diploma students on aspects of Rheumatology and Acute medicine.

25. Provide patient education and clinical advice to patients in both specialities.

26. Ensure that all procedures are adhered to, reviewed regularly and that all necessary records are completed.

27. Assist with establishing, implementing and monitoring service levels of appropriate Rheumatological high-cost drug therapies to be administered via homecare services or the Medical Day Care Unit.

28. Respond to prescription requests and queries from home delivery companies and medical team.

29. Provide intelligence and evidence of compliance requirements for PbR excluded commissioned Rheumatology medication.

30. Support medical team with Individual Funding Request (IFR) submissions.

31. Support medical team with MHRA Yellow Card reporting for adverse effects related to biologics and targeted synthetic therapies.

32. Provide assurance that resources are being used in line with commissioner guidance to the commissioning groups.

33. Triage Rheumatology non-medical prescriber (NMP) referrals from other team members.

34. Undertake any other relevant work outlined by the Rheumatology Clinical Lead, Rheumatology Consultant Pharmacist or Rheumatology Highly Specialist Pharmacist and equivalent Acute medicine staffing.

35. Deputise for the Rheumatology and Acute medicine Highly Specialist Pharmacists if required.

36. Keep up to date with developments in Pharmacy, Rheumatology and Acute medicine to maintain a high level of professional knowledge and competence. Attend study days and courses as necessary for the development of the service and the individual, if approved by Rheumatology and Acute Medicine. Maintain a record of CPD.

37. Participate in weekend, bank holiday and late rota.

38. Participate in the pharmacy emergency duty (on-call) rota, as required.

Person Specification

Personal Specification

Essential

Pharmacy degree UK registered Pharmacist Previous hospital pharmacist experience Completed Post Graduate certificate or equivalent in Clinical Pharmacy Practice or Rheumatology Experience of audit, quality systems, medicines guideline or policy development Proactive approach to the application of specialist pharmaceutical knowledge in order to enhance patient care Able to manage time and prioritise effectively Adaptable and flexible approach to work Able to work under own initiative and as part of a team Computer literate

Desirable

Qualified Pharmacist Independent prescriber Experience of teaching Experience relevant to the specialist area Evidence of CPD Pharmacoeconomics experience

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