Central and North West London NHS Foundation Trust
Advanced Specialist Pharmacist, Hospital @ Home/ Rapid Access Service

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Job Overview
An exciting opportunity has arisen for an experienced and motivated pharmacist to join our innovative Hospital at Home and Rapid Access Service. Working within a multidisciplinary team, you will provide expert medicines optimisation support for patients with complex healthcare needs being managed at home, helping to avoid hospital admissions and support timely discharge.
Main duties of the job
You will be an experienced clinical pharmacist with:
- Significant experience in acute, community, intermediate care, virtual ward or Hospital at Home settings.
- Clinical expertise in frailty, polypharmacy and complex multimorbidity.
- Strong leadership, communication and service development skills.
- A passion for delivering high-quality care and improving patient outcomes.
This is an opportunity to shape and develop pharmacy services within an expanding Hospital at Home model, working across organisational boundaries to deliver safe, effective and person-centred care where patients want it most, in their own homes.
Working for our organisation
Main duties
- Lead medicines optimisation for Hospital at Home patients and support the wider Rapid Access Service pathways.
- Deliver complex medication reviews, domiciliary assessments and prescribing support.
- Improve medicines safety, governance and transfer of care across acute, community and primary care services.
- Provide expert medicines advice and education to multidisciplinary teams.
- Lead medicines related audit, quality improvement and service development initiatives.
- Support the development of innovative, patient-centred pharmacy services closer to home.
Detailed Job Description And Main Responsibilities
- Be the source of expert clinical advice for medicines information related queries & provide professional advice and support on the safe prescribing, handling and administration of medicines.
- Provision of information about medicines where evidence base is lacking.
- Promote safe, high quality, cost effective, evidence based prescribing.
- Lead on medicines governance within delegated services, including reviewing medicines related incidents, formulating learning lessons & robust actions to reduce risks, conducting medicines related audits & key performance indicators.
- Manage complex medicines optimisation problems within the team and across the interface.
- Collaborate with internal and external agencies to improve and develop robust medicines optimisation pathways. This will include developing links with local ICBs, Local Authorities, primary and secondary healthcare providers to facilitate collaborative work on pharmaceutical issues.
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Person specification
Qualifications
Essential criteria
- Vocational Masters’ Degree in Pharmacy.
- Post graduate Diploma/MSc in Clinical Pharmacy.
- Registered with the General Pharmaceutical Council.
- Evidence of recent CPD.
Desirable criteria
- Registered as an Independent Prescriber with GPhC.
- Advanced qualification in specialist area.
- Additional Leadership training.
Experience
Essential criteria
- Considerable experience working as a specialist clinical pharmacist on acute and/or intermediate care wards, or Hospital at Home.
- Clinical experience relevant to frailty and complex multimorbidity.
- Experience of managing complex medicines-related problems and providing specialist medicines advice and individualised treatment recommendations.
- Experience of working collaboratively with multidisciplinary teams to optimise Medicines Optimisation, patient care and outcomes.
- Experience of developing, writing and implementing clinical guidelines, standard operating procedures (SOPs) and policies.
- Evidence of clinical audit/drug evaluation/practice research.
- Experience of teaching, training and mentoring pharmacy and multidisciplinary staff.
- Experience of clinical supervision, staff management and leadership responsibilities.
- Experience of clinical risk and clinical governance.


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Desirable criteria
- Experience of leading service development, quality improvement, or transformation initiatives.
Knowledge & Skills
Essential criteria
- Advanced clinical skills including evidence-based practice & demonstratable ability to communicate highly complex medicines reviews, identify clinical issues and devise treatment plans.
- Evidence of applying sound professional judgment to legal and ethical issues.
- Can demonstrate experience of applying evidence-based practice in relation to the pharmacological treatment of Long-Term Conditions & reducing avoidable medicines related admissions.
- Ability to manage complexity and develop and sustain partnership working with both individuals and across organisations.
- Ability to carry out day to day responsibilities and deal effectively with unpredictable/acute demands.
- Ability to challenge practices and systems that may lead to suboptimal use of medicines.
- Ability to work accurately under pressure.
- Ability to identify and manage risk and understands clinical risk and clinical governance.
- Computer literate (including word processing, email & use of internet & preferably knowledge of spreadsheet).
Personal Disposition
Essential criteria
- Identifies own training needs and maintains portfolio of practice.
- Ability to work under pressure and meet deadlines.
- Self-motivator, innovative and ‘can-do’ approach.
- Flexibility in approach to meet service needs.
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