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Contents

Section

Section 1: Introduction to Appointment

Section 2: Person Specification

Section 3: Job Description

Section 4: NHS Lothian Values

Section 5: General Information for Candidates

Section 6: Working in Edinburgh and the Lothians

Section 7: Workplace Equality Monitoring

Section 8: Equal Opportunities Policy Statement

Section 9: Code of Conduct for Healthcare Support Workers

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Section 1: Introduction to Appointment

Reference Number: PHA/REH/2017/18/124

Job Title: Integrated Care Pharmacist

Grade: Band 7

Location: Royal Edinburgh Hospital, Edinburgh

Contract Duration: Permanent

Hours: 37.5 per week

Closing Date: 23rd April 2018

Salary Scale: £32,013 - £42,205 per annum

Apply on-line www.jobs.scot.nhs.uk

***Please note – the e-mail address you provide on the application form will be used to

communicate any further correspondence relating to this vacancy therefore please check your TRASH and SPAM folders***

**Please note: we anticipate a high level of interest in this position and may close the vacancy early once a sufficient amount of applications are received. Therefore, please make sure you

complete and submit your application at an early stage.**

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CRITERIA ESSENTIAL DESIRABLE

TRAINING

MPharm degree or equivalent Member of the General

Pharmaceutical Council Relevant postgraduate

qualification in clinical pharmacy or significant equivalent clinical pharmacy experience

Annotated as a supplementary and/or independent prescriber on the General Pharmaceutical Council register or working towards

PREVIOUS EXPERIENCE

Relevant post registration experience, within a clinical area

Sound practitioner with proven track record that includes provision of pharmaceutical care

Medicine resource management experience

Involvement in education of others

Management of others

SKILLS AND ABILITIES Excellent communication skills Computer literate, keyboard skills Medicine Information/ Internet

resource knowledge Interpersonal skills Leadership skills Planning and project supervision Team player

Presentation skills Knowledge of Primary Care

OTHER REQUIREMENTS Outside interests Enthusiastic Demonstrate commitment to CPD Evidence of practice research Communicator Mobile around Lothian Innovative

Section 2: Person Specification

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1. JOB IDENTIFICATION

Job Title: Specialist Clinical Pharmacist – Integrated Care Responsible to (insert job title): Advanced Clinical Pharmacist – Integrated Care Department(s): Pharmacy NHS Lothian Directorate: Pharmacy Operating Division: Corporate Job Reference: PHA/REH/2017/18/124 No of Job Holders: 8 Last Update: October 2014

2. JOB PURPOSE

To deliver a specialist clinical pharmacy service within the agreed standard of pharmaceutical care for the identified patient population, safely, effectively and within the defined limits of responsibility, resources and activity.

To provide prescribing and professional advice to medical, nursing and other healthcare staff and contribute to good clinical governance in the use of medicines.

The post-holder will be or be working towards a Non Medical Independent Prescribing qualification, and use this skill to develop and implement case holding, prescribing clinics within community and secondary care settings (as defined in the boards planning processes). The post-holder is expected to support the local delivery of the ‘Prescription for Excellence – A vision and action plan for the right pharmaceutical care through integrated partnerships and innovation’.

3. DIMENSIONS

Day to day supervision of Clinical Pharmacists and Pharmacy Technical staff within the specialist area. This role will include specified human resource functions e.g. participation in recruitment and selection, PDP review. To contribute to the strategic development and operational planning of integrated pharmaceutical services and pharmaceutical input to medication review in conjunction with General Practitioners, including the provision of patient facing non medical independent prescribing clinics for defined patient groups as agreed with the Lead Pharmacist. To provide integrated pharmaceutical care to people with long term conditions and resulting polypharmacy throughout Lothian, with responsibility for strengthening multidisciplinary links with pharmacists and other health and social care personnel in primary and secondary care

Section 3: Job Description

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4. ORGANISATIONAL POSITION

Lead Pharmacist REAS

Specialist Clinical Pharmacist

THIS POST

Advanced Clinical Pharmacist

Primary Care and Community Pharmacy Co-ordinator

5. ROLE OF DEPARTMENT

The aim of the Pharmacy Service is to assure quality of patient care in the provision of treatment with medicines. To this end the objectives are:

(i) to provide pharmaceutical care to individual patients by meeting their particular needs while maximising efficiency in the use of resources.

(ii) to provide medicines through systems of quality control which ensure safe, effective

and economic use.

Clinical Pharmacy Services supports the achievement of the above objectives.

The Pharmacy Department has a major role in the teaching and professional development of pharmacists and pharmacy technicians and other healthcare staff. The Pharmacy Department participates in and supports the division’s clinical effectiveness programme To actively contribute to strategic development and operational planning in accordance with ‘The Right Medicine - a strategy for pharmaceutical care in Scotland (2002)’ to develop and deliver pharmaceutical care initiatives for the frail population in care homes and living in the community.

6. KEY RESULT AREAS

Clinical

1. To undertake clinical pharmacy activities when delivering a specialist pharmacy service, including, establishing and resolving individual patient pharmaceutical care issues and providing specialist pharmacy advice with the aim of ensuring safe and effective use of medicines e.g.

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Systematic approach to individual patient care: - Take account of patient and medication risk factors when assessing the patient to confirm pharmaceutical needs, and to identify, assess and prioritise pharmaceutical care issues. Medication history taking, medicines reconciliation, prescription monitoring, consulting case notes and liaising with patients, carers and other healthcare professionals will all contribute to the process of assessment.

Therapeutic drug monitoring (TDM): - For patients prescribed medicines with a narrow therapeutic index assess their individual dosage needs and monitor treatment. Advise on dosage adjustment when required.

Adverse drug reactions (ADR): -Monitor patients for adverse reactions or unexpected events related to their medication. Investigate and report suspected adverse effects to the MHRA. Ensure that details of any ADR and hypersensitivity reactions are documented under the hypersensitivity section of the case notes, the prescription and administration record and immediate discharge letter. Discuss the findings of the investigation and any necessary future avoidance with the patient.

2. To participate in discharge planning by reviewing patients prior to discharge for pharmaceutical care related issues. Promoting efficient patient flow within the specialist area. Factors to be considered include patient education, adherence to medication regimen; seamless care; discharge prescription checking; review of patients own medicines for return to patient or destruction; named patient medication.

3. Through participation in multidisciplinary working groups develop and implement protocols, guidelines,

patient group directions and train relevant staff in their use.

Resource Management

1. To be responsible for the provision of specialist advice on medicine use and formulary management within the specialist area, including adherence to local prescribing policies and medicines governance framework and provides written financial reports to the relevant members of the multidisciplinary team every month, contributing to the control of the medicine budget and promote economic use of medicines.

2. To lead on the introduction of new medicines into NHS Lothian in the specialist area by participating in

the agreed medicines governance processes (e.g. Unlicensed Medicine policy, Non-Formulary policy).

3. Contribute to the identification and delivery of LRP schemes on prescribing efficiencies with medicines.

4. To undertake effective medicines management, conducting regular ward stock list reviews, 3 monthly

controlled drug checks and promoting the use of patients’ own drugs, where appropriate. 5. As part of the multi-disciplinary team be aware of and report on any changes/developments to

strategic and operational plans within specialist areas and their impact on the pharmacy service and escalate issues as appropriate to senior management.

6. Supervise staff on a day to day basis, including workload allocation to ensure delivery of the clinical pharmacy service within the specialist area in line with national standards and the service specification.

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Education and Research

1. To undertake and support research and audit within clinical speciality and report on findings both at a local and national level.

2. To educate medical and nursing staff at ward level through the provision of specialist pharmacy advice.

3. To contribute to the education and training of healthcare staff and students in a formal setting, including workshops / teaching sessions.

4. To undertake continuing professional development to identify and address learning needs.

7a. EQUIPMENT AND MACHINERY

The following are examples of equipment which will be used when undertaking the role. PC, telephone, fax, pager, isolators, laminar airflow cabinets, syringes and transfer devices.

Note: New equipment may be introduced as the organisation and technology develops, however training will be provided.

7b. SYSTEMS

The following are examples of systems which will be used when undertaking the role:

Software systems: Pharmacy stock control and dispensing system

Pharmacy management information reporting system

Microsoft Office for word processing, spreadsheets, e-mail, internet access

Medicines Information database

Patient administration system

Incident management system

eKSF personal development and review system

Paper based systems: patient medical records, pharmaceutical care plans, workload collection data, medicine information records.

Pharmacy Quality System (BS EN ISO 9001:2008)

Note: New systems may be introduced as the organisation and technology develops, however training will be provided.

8. ASSIGNMENT AND REVIEW OF WORK

Responsible for the provision of the specialist clinical pharmacy service and accountable for own professional actions guided by local policies and procedures, and professional code of practice. Workload is generated by the needs of the patient/service area and the postholder is responsible for planning and organising own workload to meet agreed objectives. Agrees objectives with relevant advanced or lead clinical pharmacist in line with NHS Lothian and departmental objectives on an annual basis.

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9. DECISIONS AND JUDGEMENTS

Interprets and analyses information about medicines and individual patients to advise on and promote the safe and effective use of medicines. Interprets and analyses clinical evidence about medicines to advise on and promote the safe and effective use of medicines within the specialist area. Manage and reconcile conflicting opinions of professionals to optimise use of medicines. Uses financial data and critical appraisal skills to promote the use of evidence-based therapies. Identify possible service developments, assessing impact and determine when to escalate to the relevant advanced or lead pharmacist.

10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

Developing and delivery of the specialist service within limited resources, and to effectively prioritise the workload to meet the needs of the customers (patients/other multi-disciplinary professionals/managers).

Ensuring that the delivery of individualised patient care is safe, effective and efficient.

Continually updating knowledge in a complex and varied patient group.

11. COMMUNICATIONS AND RELATIONSHIPS

Liaises and communicates with other senior pharmacy and non-pharmacy staff to ensure that an effective service is provided. Communication is either on a one-to-one basis or in a group setting, with identified patients, relatives/carers and associated healthcare staff in order to identify and address pharmaceutical issues. Communication, either verbal or written, takes place between community pharmacists, GPs, Consultants and other healthcare professionals as appropriate to ensure continuity of care and resolution of identified pharmaceutical care issues. Communicates with other members of the profession to facilitate both service and professional development, to ensure best possible pharmaceutical care for their patients. Educate patients on any aspect of their medication that requires explanation, or discussion of the relative risks and benefits of treatment options. Written information may be required to supplement verbal instructions and empathy, re-assurance, persuasion and motivational skills may be needed to optimise patient concordance. Present research and audit both informally and formally to other pharmacists, multidisciplinary team and at relevant conferences.

12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB

Physical

Standard keyboard skills.

Validated aseptic manipulation skills e.g. manipulate needles syringes and transfer devices to reconstitute

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and measure doses of aseptically prepared medicines.

Light physical effort when undertaking pharmacy duties.

Mental

Requires a high level of concentration to check, dispense and prepare medicines accurately, to meet deadlines, and subject to interruptions.

Clinical work requires a high level of concentration, characterised by assessment of information, sometimes conflicting, from a variety of sources and forming a clinical opinion. Such work is often conducted under time pressure and subject to frequent interruptions.

Emotional

Provides advice and guidance to patients on medication regimens that require explanation and reassurance.

Frequent daily contact with patients and relative which can be emotionally demanding.

Performance appraisal for staff within managerial responsibility

Environmental

Risk of occasional exposure to violence and aggression.

Occasional exposure to cytotoxic agents and ionising radiation within a controlled aseptic environment.

13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

Qualifications and Knowledge Masters degree in pharmacy or equivalent Membership of the General Pharmaceutical Council of Great Britain Post-registration hospital clinical pharmacy practice experience Completion of the Scottish Hospital Pharmacists Vocational Training (stage II) or documented evidence of equivalent competency Skills and Experience Good interpersonal skills Good ability to communicate (verbally, written and formal presentations) Good numeracy skills General computer skills Staff management Ability to plan, deliver and report audit and research projects Experience of planning delivering and assessing teaching.

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14. JOB DESCRIPTION AGREEMENT

A separate job description will need to be signed off by each jobholder to whom the

job description applies.

Job Holder’s Signature: Head of Department Signature:

Date: Date:

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Section 4: NHS Lothian Values into Action

NHS Lothian is determined to improve the way their staff works so they have developed a set of common values and ways of working which they now need to turn into everyday reality - to the benefit of everyone working in the organisation and, most importantly, to the benefit of their patients. Our Values are:

Quality

Dignity and Respect

Care and Compassion

Openness, Honesty and Responsibility

Teamwork Throughout the recruitment process candidates will need to demonstrate they meet all of Our Values. More information on Our Values can be found by clicking on the link at the bottom of our Careers website front page: www.careers.nhslothian.scot.nhs.uk

Section 5: General Information for Candidates

Data Protection Legislation Please note that any personal information obtained from you throughout the recruitment process will be collected, stored and used in line with Data Protection Legislation. Information will be available to the recruiting manager and to the Human Resource staff. Counter Fraud NHS Lothian is under a duty to protect the public funds it administers, and to this end will use the information you have provided on your application form for the prevention and detection of fraud. It will also share this information with other bodies responsible for auditing or administering public funds for these purposes. More detail on this responsibility is on NHS Lothian’s intranet (Counter-Fraud and Theft page) and further information is available on the Audit Scotland website: www.audit-scotland.gov.uk/ References All jobs are only offered following receipt of two satisfactory written references. At least one reference must be from your current/most recent employer, or your course tutor if you are currently a student. If you have not been employed or have been out of employment for a considerable period of time, you may give the name of someone who knows you well enough to confirm information given and to comment on your ability to do the job. Changes to Disclosure and Rehabilitation Regime In September 2015 the Scottish Government made changes about what conviction information needs to be disclosed. The rules are complicated, so it is important you read the guidance below as part of making your application. NHS Scotland is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order 2003. As part of any offer of employment candidates will be subject to one of the following:

For posts in regulated work – Protection of Vulnerable Groups Scheme membership

For all other posts which are subject to a criminal conviction record check – A Police Act check

For posts not subject to a criminal conviction record check – A self-declaration

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For further information please visit our careers site: http://careers.nhslothian.scot.nhs.uk/HelpAndAdvice/Recruitmentofexoffenders/FAQsdisclosurescotlandandselfassessmentform/Pages/default.aspx

Disclosure Scotland Where a Police Act Disclosure or Protection of Vulnerable Groups Check is deemed necessary for a post, the successful candidate will be required to undergo an appropriate check. Further details on the Recruitment of Ex-Offenders are available on our careers webpage: http://careers.nhslothian.scot.nhs.uk/HelpAndAdvice/Recruitmentofexoffenders/Pages/default.aspx

Work Visa If you require a Work Visa, please seek further guidance on current immigration rules which can be found on the Home Office website: www.gov.uk/government/organisations/uk-visas-and-immigration or visit our Careers website: www.careers.nhslothian.scot.nhs.uk/pathwaysintoemployment/OverseasWorkers/Pages/default.aspx Overseas Registration and Qualifications NHS Lothian will check you have the necessary professional registration, where appropriate. If you require a qualification for this role but are not regulated by a professional body (e.g. NMC, GMC, HCPC etc), you will need to provide an official translation, notarised by a solicitor, of your overseas qualifications to be checked by the recruiting manager. Please ensure that this is available before applying for this post. Job Interview Guarantee Scheme As a Disability Symbol user we recognise the contribution that all individuals can make to the organisation regardless of their abilities. As part of our ongoing commitment to extending employment opportunities, all applicants who are disabled and who meet the minimum criteria expressed in the job description will be guaranteed an interview. Terms and Conditions For an overview of our Agenda for Change terms and conditions please click on this link: www.msg.scot.nhs.uk/pay/agenda-for-change

Travel Expenses Travel expenses are not normally reimbursed for interviews, if you are selected for interview and wish to enquire about the possibility of being reimbursed then the request should be directed to the recruiting manager or interview panel chair. Application Form Completion The purpose of an application form is to help evidence that the applicant has all the requirements applicable to carry out the job applied for. (7500 is the character limit for statement in support of application.) Once in receipt of the application pack it is essential to read both the job description and person specification to gain a full understanding of what the job entails and the minimum criteria required. Please note for equal opportunity purposes NHS Lothian do not accept CV’s as a form of application.

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For general help and advice on how to complete an application form please visit our careers website: www.careers.nhslothian.scot.nhs.uk/HelpAndAdvice/ApplyingForPosts/Pages/default.aspx

NHS Lothian offers excellent career prospects and a wide range of job opportunities for potential employees. It employs approximately 24,000 staff and offers training and development opportunities as well as excellent staff benefits. The information provided below aims to help support and guide both prospective applicants and new employees unfamiliar with Edinburgh and the Lothians. Edinburgh and the Lothians Edinburgh and the Lothians are on the eastern side of Scotland’s central belt in the heart of the country. Four main areas make up Edinburgh and the Lothians – Edinburgh, East, Mid and West Lothian. NHS Lothian serves a population of approximately 850,000 people living in and around Edinburgh, Scotland’s historic capital city. The geographical area known as Lothian region covers 700 square miles, comprising the City of Edinburgh, Midlothian, East Lothian and West Lothian. It is a region of exceptional beauty and contrast, from the splendour of Edinburgh to the beauty and variety of the hills, countryside and coastline. The nearest major town outside of Edinburgh is Livingston, a thriving location in the heart of West Lothian. As well as many sites of historic interest, the region boasts a host of recreational activities for all ages. For further information on relocating to Edinburgh please visit our careers website: www.careers.nhslothian.scot.nhs.uk/AboutNHSLothian/Location/RelocatingToLothian/Pages/default.aspx

Section 7: Workplace Equality Monitoring

NHS Lothian is committed to supporting and promoting dignity at work by creating an inclusive working environment. We believe that all staff should be able to fulfil their potential in a workplace free from discrimination and harassment where diverse skills, perspectives and backgrounds are valued. In order to measure and monitor our performance as an equal opportunities employer, it is important that we collect, store and analyse data about staff. Personal, confidential information will be collected and used to help us to understand the make-up of our workforce which will enable us to make comparisons locally, regionally and nationally.

NHS Lothian considers that it has an important role to play as a major employer and provider of services in Lothian and accepts its obligations both legal and moral by stating commitment to the promotion of equal opportunities and elimination of discrimination.

Section 6: Working in Edinburgh and the Lothians

Section 8: Equal Opportunities Policy Statement

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The objectives of its policy are that no person or employee receives less favourable treatment on the grounds of sex, disability, marital status, age, race (including colour, nationality, ethnic or national origin), creed, sexuality, responsibility for dependants, political party or trade union membership or activity, HIV/AIDS status or is disadvantaged by conditions or requirements which cannot be shown to be justifiable. Our Equal Opportunities in Employment policy can be viewed on our careers website: www.careers.nhslothian.scot.nhs.uk/AboutNHSLothian/EqualOpportunities/Pages/default.aspx

If this post is a healthcare support worker position the post holder will need to follow the Code of Conduct for Healthcare Support Workers. A Healthcare Support Worker is defined as any healthcare worker working within NHS Scotland who is not currently statutorily regulated or in a role that has been recommended for statutory regulation by the Government. The Code of Conduct sets the standard of conduct expected of healthcare support workers and adult social care workers. It outlines the behaviour and attitudes that you should expect to experience from those workers signed up to the code. It helps them to provide safe, compassionate care and support. For more information on the Code of Conduct for Healthcare Support Workers please read the guidance: www.gov.scot/resource/doc/288853/0088360.pdf

Section 9: Code of Conduct for Healthcare Support Workers