NHS Fife
Specialist Pharmacists - Polypharmacy
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Company Description
NHS Fife is part of Scotland’s national health service, providing a broad range of acute, primary, and community healthcare services to the people of Fife. As a public sector organization, it is committed to high clinical standards, patient safety, and equitable access to care. Staff work in multidisciplinary teams to deliver evidence-based services and continuous quality improvement. NHS Fife supports professional development and innovation, offering opportunities to contribute to service redesign and population health. The organization values collaboration, inclusion, and person-centered care across all clinical settings.
Role Description
The Specialist Pharmacist – Polypharmacy is a full-time, on-site role based in Dunfermline, working within multidisciplinary teams to optimize medicines use for patients with complex therapy regimens. Day-to-day responsibilities include:
- Conducting structured polypharmacy reviews
- Assessing medication appropriateness
- Deprescribing where clinically indicated in line with national guidelines and local protocols
- Providing expert pharmaceutical advice to prescribers
- Contributing to clinical decision-making
- Supporting safe, effective prescribing across primary and secondary care
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The Specialist Pharmacist will:
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- Educate patients and caregivers about medication regimens
- Promote adherence
- Support shared decision-making
- Contribute to audit and quality improvement projects
- Support formulary and guideline development related to polypharmacy
- Provide training and mentorship to pharmacy and wider clinical staff
Qualifications
- Registered pharmacist with relevant professional registration and eligibility to practice in the UK; postgraduate qualification in clinical pharmacy or medicines optimization is desirable.
- Strong clinical pharmacy skills, including experience in medication review, medicines reconciliation, and therapeutics for long-term conditions and multi-morbidity.
- Expertise in polypharmacy management, including risk–benefit assessment of treatment regimens, deprescribing, and application of evidence-based guidelines.
- Ability to work effectively within multidisciplinary teams, providing clear clinical advice and collaborating with medical, nursing, and allied health professionals.
- Excellent communication skills, including the ability to explain complex medication information to patients and caregivers in an accessible, person-centered way.
- Experience in audit, quality improvement, and use of data to inform service development and measure outcomes related to medicines use.
- Strong organizational and time-management skills, with the ability to manage a clinical caseload, prioritize tasks, and meet service targets.
- Commitment to continuous professional development, openness to new practice models, and engagement with training, supervision, and reflective practice.
- Familiarity with NHS systems, electronic prescribing, and clinical documentation processes; competence with standard office and clinical IT tools.
- Experience in teaching or mentoring pharmacy staff or students, and contributing to the education
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