Specialist Pharmacist - HIV/GUM&Gender Dysphoria

Chelsea and Westminster Hospital NHS Foundation Trust Specialist Pharmacist - HIV, Sexual Health and Gender Health

The HIV, Sexual Health and Gender Health and Dermatology directorate and Pharmacy department services are continually evolving to include increasing development of clinical pharmacy services and the continuing growth of sub-specialities such as hepatitis co-infection.

This post will be part of a specialist pharmacy team consisting of six band 7 pharmacists, one rotational band 6 pharmacist and four band 8 pharmacists. The successful applicant will rotate across different sites to provide:

• A ward pharmacy service to the dedicated HIV ward and day care unit including ward round attendance and Gender Affirmation Surgery service.
• Clinical and dispensary pharmacy services to the HIV clinic at 10 Hammersmith Broadway.
• Clinical pharmacy services to the Dean Street Clinic.
• Clinical pharmacy services to the Kobler Clinic including clinical trials and training band 6 resident pharmacists.
• Clinical pharmacy services to the West Middlesex Hospital HIV clinic.
• Enhanced clinical pharmacy service to the TransPlus Service at Dean Street.

Main duties of the job To provide a specialist clinical pharmacy service to patients within the HIV/GUM Directorate across the clinical sites in accordance with objectives set by senior directorate pharmacists in HIV/GUM. The post holder will rotate through the following sites:

• TransPlus Service at Dean Street
• Inpatient and day care and Gender Affirmation Surgery Service at Chelsea & Westminster Hospital
• 56 Dean Street Clinic
• 10 Hammersmith Broadway clinic
• West Middlesex Hospital HIV clinic

To ensure the safe, effective, legal and accurate use of medicines within the speciality and to support and supervise less experienced pharmacists on rotation.

The post-holder will be involved in providing clinical oversight to the various outsourced dispensaries and to the clinics, including some early morning and evening sessions. The post-holder will also clinically support the senior directorate pharmacists in a variety of projects including directorate work, audit and research. Further training and development is encouraged.

About us Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites Chelsea and Westminster Hospital and West Middlesex University Hospital along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Job responsibilities Roles and responsibilities

• Clinical Practice
• Be responsible and accountable for the day to day clinical pharmacy service provided within the HIV/GUM Directorate, as directed by the Lead Directorate Pharmacist HIV/GUM.
• Review prescriptions for accuracy and legality and identify actual or potential problems.
• Ensure the effective supply of medicines suitable for use as an inpatient and appropriately labelled for discharge if applicable.
• Ensure the effective outcomes of treatment with medicines.
• Monitor patients for potential and actual adverse effects of their medicines.
• Take steps to ensure patients understand the purpose of their medicines and deal with any practical issues that may prevent the optimal use of their medicines.
• Liaise with medicines management technicians to conduct medicines reconciliations and support the seamless planning of patient discharge with respect to medication, including the transcription of requests for dispensing.
• Demonstrate professional accountability to patients.
• Support the Lead Directorate Pharmacist to provide and develop clinical pharmacy services to the Directorate including ward pharmacy, medicines management and independent pharmacist prescriber clinics.
• Aim to provide safe, clinically effective and cost efficient use of drugs in the patients as allocated.
• Make appropriate referrals where necessary; ensure the clear and effective communication of patients pharmaceutical needs to other pharmacists and health care professionals both within the trust and in other health care environments.
• Demonstrate and apply general pharmaceutical knowledge, and where applicable, specialist clinical pharmacy knowledge in core areas in order to plan, manage, monitor and review therapeutic programmes for patients allocated, thereby ensuring the quality of patient care.
• Work across traditional boundaries, including the transcription of discharge medication.
• Participate in the development of Directorate Patient Group Directions where appropriate.
• Participate in multidisciplinary ward rounds within the directorate where appropriate, to integrate into the multidisciplinary team and raise the pharmacy profile via contributions at consultant level.
• Demonstrate appropriate clinical reasoning and judgement.
• Be readily available and keen to answer any general medicine related pharmaceutical queries from patients, pharmacists and other members of staff within pharmacy as well as from other health care professionals including medical staff.
• Proactively provide advice and information on any pharmaceutical issues within the HIV/GUM directorate to pharmacy staff and other healthcare professionals as needed.
• To contribute to the specialist clinics across the Directorate sites as required e.g. Virtual Clinic.
• Participate in pharmacy cover arrangements for directorate clinics across multiple sites i.e. Kobler, 56 Dean Street, 10 Hammersmith Broadway and West Middlesex University Hospital.
• Assist in completion of specific patient information leaflets for drugs used in HIV.
• Demonstrate awareness and commitment to the Trusts Clinical Governance Agenda.
• Support the development of Specialist Role within the directorate.
• Leadership
• Line manage a resident pharmacist (as directed by Lead Pharmacist for Education and Training) and act as their Educational Supervisor, overseeing their progress through the JPB diploma.
• Act as a role model for junior pharmacists and pre-registration pharmacists in the rotation.
• Support, supervise and participate in the training of pharmacists, pre-registration pharmacists, pharmacy undergraduate students and multi-disciplinary staff.
• Promote best practice e.g. evidence-based practice through prescription monitoring.
• Implement and/or follow agreed clinical governance initiatives such as incident/error reporting.
• Develop clinical pharmacy services in line with local and national objectives and contribute to pharmacy modernisation initiatives being undertaken within the department.
• Management of service
• Support delivery of national and local agendas.
• Follow and conform to relevant standards of care, standard operating procedures and policies.
• Identify and manage risks in relation to medicines use according to policy/protocol including reporting of incidents where appropriate in line with Trust processes.
• Delegate duties/responsibilities appropriately to junior staff.
• Evaluate the performance of junior staff against identified criteria using departmental/Trust APR tools and General Level Competence Framework.
• Provide evaluated pharmaceutical and financial information in accordance with the needs of the directorate, as directed by the Lead Directorate Pharmacist HIV/GUM.
• Identify changes in prescribing practices that may impact on the drugs budget, thereby providing information on drug usage and expenditure to the Directorate as directed by the Lead Directorate Pharmacist HIV/GUM.
• Assist in the set-up and implementation of clinical trials and named patient drug programmes in HIV/GUM.
• Deputise for the Lead and Highly Specialist Directorate Pharmacists HIV/GUM as required and represent pharmacy at directorate management meetings when considered appropriate, for example at clinic-level head of department operational management meetings.
• Evaluation of Service
• Monitor clinical pharmacy in order to ensure safe, clinically effective and cost efficient use of drugs in these patients.
• Document the workload and quality of pharmacy services in line with departmental and corporate objectives.
• Perform audits of drug usage within the Directorate as part of the multi-disciplinary audit process.
• Undertake assessments/evaluations as required e.g. of new products within the allocated speciality click apply for full job details