INFORMATION FOR CANDIDATES POST OF: BASE: REF NO: Care of the Elderly Pharmacist – Care Homes Ayrshire Central Hospital, Irvine P/748/12R Thank you for applying for the above post with NHS Ayrshire & Arran. This information sheet summarises the terms and conditions related to the post. A job description and person specification for the post are attached. This post is a Fixed Term/Secondment Opportunity for a period of 2 years. The salary for the post is based on the Band 7 salary scale which is currently £30,460 to £40,157 per annum (pro rata for part time posts) The hours for the post are 37.5 per week, consideration will also be given to part time hours. DISCLOSURE SCOTLAND PROTECTION OF VULNERABLE GROUPS (PVG) SCHEME The following provides information relevant to the post you have applied for and requires your attention and completion. PVG MEMBERSHIP The post you have applied for is considered to be in the category of “Regulated Work” as defined by the above scheme and successful candidate(s) will be required to be a member of the scheme prior to commencing employment. Membership currently costs £59.00. The cost of membership, if you are successful in your application, will be initially paid by NHS Ayrshire and Arran, but will require to be repaid by you through an agreed schedule of payroll deduction(s) once you start work. It will not be possible to progress a PVG membership application without your agreement to repay membership costs. EXISTING PVG MEMBER Applicants who are already a PVG member will require to confirm their membership and the regulated workforce this covers, eg, Adults, Children or both. Prior to employment, NHS Ayrshire and Arran will determine whether the current level of membership is appropriate for the post offered. If further membership to cover another regulated workforce is required, the conditions of membership as stated above will be applied. If however the level of current membership is appropriate, NHS Ayrshire and Arran will seek a Scheme Record Update (SRU) and will both pay and incur the costs associated with obtaining the update. Further information on the scheme can be found on the Disclosure Scotland website at www.disclosurescotland.co.uk PVG SCHEME MEMBERSHIP MANDATE (Please complete Sections 1-3 and return with your application) Section 1. Personal details (* circle as applicable) Name ____________________________ Post Reference Number: Post Applied for: ___________________ ___________ Are you currently a member of the PVG Scheme *YES/NO If YES, please provide Membership Number _________________ Date of Membership _______________ Date of last Scheme Record Update (if applicable) Member of which Regulated Workforce: *Adult __________________________ *Children *Both Section 2. Declaration I understand if my application for this position is successful, I will require to become a member of the scheme covering the appropriate regulated workforce and agree to repay to NHS Ayrshire and Arran costs associated with membership. I understand that this agreement is only binding if I am subsequently offered and commence employment with NHS Ayrshire and Arran. In signing the undernoted, I hereby give my permission, on commencement of employment with NHS Ayrshire and Arran, to deduct from my salary, in accordance with the undernoted, membership costs initially paid on my behalf by the Board. I, __________________________, agree to repay the sum of £59.00 to NHS Ayrshire and Arran as reimbursement of fees paid to Disclosure Scotland for my membership to the PVG Scheme. Section 3 Mandate Reimbursement to be made as follows (please tick): 1. Single deduction of £59.00 from 1st month’s salary 2. Deduction of £20.00 from 1ST and 2nd months’ salary followed by further deduction of £19 from my third month’s salary Should my employment with NHS Ayrshire and Arran terminate within the repayment period, I agree to pay the full amount due at the time of termination either by way of final pay or production of a cheque/cash payment if there are insufficient funds available in final pay. Signed: Name: ______________________________ ______________________________ Section 4 - For office use only Full membership required Yes/No Update only: Yes/No For Payroll Use Only SPN……………………….. Period Actioned………….. Actioned by SPN: Date: _______________________ Post Ref no: _________________ Regulated workforce: Adult / Children / Both _____________________________ GENERAL CONDITIONS: Conditions of Service - The conditions of service are those laid down and amended from time to time by the appropriate negotiating bodies e.g. NHS Staff Council/NHS Pay Negotiating Council. Annual Leave – The leave year runs from 1 April to 31 March. Annual leave entitlement for full time staff on appointment is 202.5 hours (27 days), with 217.5 hours (29 days) upon completion of 5 years NHS service and 247.50 hours (33 days) after 10 years NHS service. Entitlements for part time will be pro rata. Public Holidays – Public holiday entitlement for full time staff is 60 hours based on the 8 designated Public Holidays per annum, and on a 5 day week working 7.5 hours per day. The 60 hours entitlement is due to all whole time staff irrespective of work pattern. For part time staff, this will be applied on a pro rata basis and also allocated in hours. KSF - The NHS Knowledge and Skills Framework is essentially a development tool but will also contribute to decisions about pay progression. It will promote equality for and diversity of all staff, having the same opportunities for learning, development and review. It will promote effectiveness at work – with managers and staff being clear about what is required within a post. It will support effective learning and development of individuals – with all members of staff being supported to learn throughout their careers. Superannuation - Employees are automatically opted into the NHS (Scotland) Superannuation Scheme. Contributions are at the rate of 6.5%. Employees may opt out by completing Form SB34. Disabled Applicants - A disability or health problem does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Ayrshire & Arran has been approved, by the Employment Services Department, as an Equal Opportunities employer with a positive policy towards employment of disabled people. NHS Ayrshire & Arran guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form we ask for relevant information with regards to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview. Asylum and Immigration Act 1996 and 2004 (Section 8) - The Asylum and Immigration Act 1996 and 2004 requires employment checks to ensure that all employees are legally employed in the United Kingdom. Candidates will be asked to provide relevant original documents prior to an offer of employment being made. Any offer of employment will only be made when the organisation is satisfied that the candidate is the rightful holder of the documents and is legally eligible for employment within the United Kingdom. Medical Examination - Any offer of employment is conditional upon a satisfactory medical report from our Occupational Health Services. You may be offered employment conditional on confirmation that you are medically fit for employment. A commencement date for employment will only be agreed following this confirmation. Policy Relating to Staff with Bloodborne Virus Infection - Candidates for posts which involve exposure prone procedures will not be allowed to commence employment until they have been assessed as fit to perform EPPs by Occupational Health. The preemployment screening must be completed prior to any job offer being made. Where a candidate is not able to perform EPPs, Occupational Health will notify the appropriate manager that the candidate is ‘fit with restrictions’ and is unable to perform EPPs. The health status of the individual will not normally be notified to management. Where the restrictions recommended by Occupational Health are unable to be accommodated due to the clinical duties of any of the posts within the staff groups specified in the policy, an offer of employment to the post will not be made. Candidates who are not offered employment due to being deemed unfit to undertake EPPs as an essential requirement for a post, may be offered the opportunity to apply for another advertised vacant post and be considered with other applicants. The preemployment screening for EPP posts above do not apply to staff undertaking non-EPP posts who could have direct contact with blood, bloodstained body fluids or patients’ tissue in the course of their work activities. These staff will be offered and strongly advised to be immunised against Hepatitis B in line with the Immunisation Policy including recall for boosters and further antibody checks. References - Two satisfactory written references must be obtained prior to any offer of employment being made. These should include current and previous employers as requested in the job application form. This is in line with the Recruitment and Selection Policy. YOUR APPLICATION: Applications - Please note that we no longer acknowledge receipt of applications therefore, unless you are shortlisted to attend for interview, you will not receive any further communication. Informal Enquiries - Informal enquiries are welcomed by Colette Kerr, Lead Pharmacist – Medicines Utilisation & Education who can be contacted on 01292 513837. Closing Date - Your completed application form should be submitted by 22 March 2013 to the address below or can be e-mailed to Leena. Alnaib@aapct.scot.nhs.uk Department of O&HR Development 63A Lister Street Crosshouse Site KILMARNOCK Ayrshire KA2 0BE ADDITIONAL INFORMATION: LOCATION - AYRSHIRE Situated in attractive south-west Scotland on the Firth of Clyde coastline is the glorious countryside of Ayrshire which you’ll soon discover is a very special corner of Scotland. Ayrshire roads are quiet, the countryside peaceful but even so its easy to get here by road, rail, or air. Local attractions include country parks, museums - there’s Robert Burns and 1000’s of years of history and heritage to enjoy, sports - sailing, watersports, swimming, riding, golf to mention but a few. Starting in the North at the family resort of Largs the coastal route runs south through the seaports of Ardrossan and Saltcoats to Irvine - Scotland’s only New Town by the sea. From Irvine you can take in the breathtaking beauty of the Ayrshire countryside - visit Kilmarnock with its famous Dean Castle and Country Park then inland through the lace making towns of Galston, Newmilns and Darvel. Further south and you are in Doon Valley - the heart of Ayrshire’s industrial heritage. Back on the coastal route south of Irvine is Troon, another popular resort and the start of Ayrshire’s famous Golf Coast. On this stretch of Ayrshire Coast Ayr is the premier resort and is also the ideal base for exploring the Burns Heritage Trail and visiting Burn’s birthplace in Alloway. From Ayr the coastal route to Girvan includes the picturesque harbour village of Dunure and the National Trust’s major attraction - Culzean Castle. Inland is the ancient capital of Carrick Maybole with its castle and tollbooth. Here in South Ayrshire the nearby Carrick forests and hills offer superb walking country. The popular seaside town of Girvan would be your last port of call or you could continue southwards to Ballantrae along a spectacular rugged coastline notorious in the past as a haven for smugglers. From North to South the countryside is very varied with something to suit everyone - we like living and working here - and think you will too! WITHIN EASY ACCESS TO GLASGOW Most locations within Ayrshire are also within easy access of Glasgow by rail or road with all the benefits and attractions found in a major city. TOBACCO POLICY We aim to provide a no smoking environment for staff, patients and visitors with smoking only permitted in designated smoking areas. Smoking Cessation Promoters are appointed in key locations and actively encourage staff, patients and visitors through the provision of information and access to support to give up smoking. ALCOHOL AND DRUG POLICY NHS Ayrshire & Arran operates an Alcohol and Drug Policy to protect the safety of all patients, visitors and staff with the aim of promoting well being and reducing harm. STAFF BENEFITS: STAFF LOTTERY The Board has set up a staff lottery and the cost of a chance in each monthly draw is deducted directly from your wage/salary if you decide to enter the scheme. Half the proceeds of the lottery are paid out as prizes and the remaining half is used to provide amenities, facilities and services for both patients and staff. During the year bumper prizes can be won and in the past these have included large cash prizes, luxury holidays and cars. STAFF DISCOUNTS Information on Discounts given to staff by several local businesses will be available on taking up employment. CARE OF THE ELDERLY PHARMACIST CARE HOMES 1. JOB IDENTIFICATION Job Title :Care of the Elderly Pharmacist Care Homes Responsible to: Lead Pharmacist Medicines Utilisation & Education (subject to pharmacy review of care of the elderly service) Day to day line manager: Lead Pharmacist Medicines Utilisation & Education Department(s):Pharmacy Directorate: Pharmacy 2. JOB PURPOSE 3. To provide highly specialised advice in all pharmaceutical matters specific to older patients in the community, as a dedicated resource relating to the care of individual patients within Care Homes To provide a highly specialist clinical pharmacy service to patients within the Community and in particular the Care Homes within NHS A&A. To work closely with care home staff, GPs, community pharmacists and other healthcare staff in supporting the development and application of high quality, cost effective evidence based prescribing To link with other health and care professionals, including the patient’s usual community pharmacist and their GP, and to attend the patient’s Multidisciplinary Team Meetings (MDT) (where possible) and by linking with Hubs and Community/Virtual Wards, Integrated Care and Emergency Service (ICES) and LOTS, and hospital. To contribute to the wider development and improvement of pharmaceutical services To be accountable for the safe and cost effective use of medicines within the areas of practice. DIMENSIONS Responsible for the day to day delivery of clinical pharmacy services to older patients within Care homes. Attends case conferences and MDT meetings where appropriate, providing pharmaceutical advice and training to the MDT members. In addition to the specific responsibilities outlined in this job description, the post holder will be expected to fulfil all of the basic pharmacist competencies required as part of registration with the General Pharmaceutical Council. The post holder will be required to act at all times in accordance with medicines and Health & Safety legislation (e.g. Medicines Act 1968, Misuse of Drugs Act 1971, Poisons Act 1972, Control of Substances Hazardous to Health Regulations 2002) and professional standards as outlined by the General Pharmaceutical Council. 4. ORGANISATIONAL POSITION Professionally accountable to: Director of Pharmacy Managed by: Lead Pharmacist medicines Utilisation & Education Day to day line manager Lead Pharmacist medicines Utilisation & Education Peers: Senior Pharmacists – Clinical Services. Community Pharmacy Advisers. 5. ROLE OF THE PHARMACY SERVICE The function of the pharmacy service is to develop and deliver integrated patient focused pharmaceutical care, which meets the present and anticipated needs of the population of NHS Ayrshire & Arran in accordance with the Local Health Plan and national strategies. The intention of the service is to link all branches of the profession in order to better co-ordinate pharmaceutical care for patients and members of the public. The focus is on active participation in and contribution to multi disciplinary, multi professional and multi agency teams in a fully integrated manner. The main responsibilities are : The development and operational delivery (managed services) of pharmaceutical care across NHS Ayrshire & Arran The provision of expert advice on pharmaceutical matters to the NHS Board, Healthcare Directorates, senior managers and prescribers The provision of support regarding the development of Community Pharmacy The implementation of robust clinical, corporate and staff governance systems to minimise risk and assure patient and staff safety and well being The promotion of safe and cost effective prescribing taking into account the clinical needs of individual patients The integration of services based on patients and integrated care pathways not boundaries The provision of support for the work of the Drug & Therapeutics Committees including the provision of educational support to a wide audience Ensuring that all aspects of the managed service comply with all statutory and quality standards . 6. KEY RESULT AREAS Main Duties and Responsibilities Planning and Organisation To deliver, develop and evaluate a clinical pharmacy service to older patients within Care homes in line with local strategies, policies and procedures to ensure optimum patient care. To provide highly specialised advice regarding the clinical use of medicines for patients within the Care homes. To prioritise service delivery on a day to day basis, taking into account the relative clinical risks associated with patients and within the resources allocated. To provide training to care home staff on medicine management within the Care homes. To establish links with Care of the Elderly pharmacists working within the Hubs, Virtual/Community Wards, ICES and LOTS to ensure consistency of service provision across the Health Board To liaise with other healthcare professionals including community pharmacists, care homes staff, GPs, dietician, nurses and other hospital colleagues across the single system to promote and implement seamless care. To, implement and monitor Care of the Elderly policies and procedures in conjunction with senior medical staff, senior nursing staff and other health care professionals to ensure evidence based and safe working practice, complying with all standards and legislation relating to care of the elderly in accordance with agreed objectives. To, participate, monitor, collate and provide to the agreed measures for the provision of specialist clinical pharmaceutical input, and to provide reports as requested, so that the service is able to be monitored. Resource Management To implement policies and procedures for monitoring the use of medicines, identifying areas for cost improvement, promoting formulary management and good prescribing practice. To ensure the security of medicinal products in all settings within the care homes. To contribute to the implementation of the managed entry of new medicines according to agreed policy Clinical Practice To undertake a daily clinical commitment by providing highly specialised clinical pharmacy input to the Care homes. Participating in multidisciplinary team meetings to ensure that the medicines prescribed are as clinically and cost effective and safe as possible for the individual patient i.e. reviewing medication, identifying, resolving and preventing medicine related problems, devising, recording and monitoring care plans and maintaining multidisciplinary notes for each patient, assessing safety / ability to self-administer and comply with medication, interpreting blood serum results of individual drugs/patients that require specific monitoring, advising patients, carers and other social and healthcare staff on all aspects of medicines. To report medication errors and participate in investigations as appropriate, to ensure that the risks associated with medicines are minimised. To improve pharmaceutical public health by identifying and preventing adverse drug reactions. Reporting suspected adverse reactions on medicines to the Medicines and Healthcare Devices Regulatory Authority Education and Training To identify and address any training needs to improve medicines management within the service to support the wider education of health and social care staff. within the care Homes. To facilitate peer review meetings, sharing good practice by utilising professional and educational skills. To counsel individual patients, groups of patients or carers regarding their medicines to improve understanding and optimise concordance. To contribute to local bulletins on prescribing and pharmaceutical matters General To initiate, undertake, or guide others, in audit within their specified clinical speciality in line with the national standards and frameworks in order to maintain standards and develop the service within their own area. To implement all local policies and procedures in accordance with corporate, clinical and staff governance To document and report on work in Care homes via a standard reporting template to demonstrate effective pharmaceutical support. 7. EQUIPMENT AND MACHINERY AND SYSTEMS Regular use of the NHS Ayrshire and Arran Intranet to access laboratory reports for individual patients. Regular use of Microsoft Office computer software for email and internet enquiries, Word processing of reports and policies, producing spreadsheets of management information and statistics and PowerPoint for presentations to staff. Use of social work information system to obtain information on a patient’s current health and social care involvement where access granted. Use of electronic record sharing as appropriate eg. EMIS-web Ability to interrogate and extract accurate information from the national prescription database (PRISMS) 8. ASSIGNMENT AND REVIEW OF WORK The post-holder is line managed by the Lead Pharmacist Medicines Utilsation & Education and managed by the Lead Pharmacist Medicines Utilsation & Education with support from the Primary Care Pharmacy team. This is an interim situation while the Care of the Elderly Service within pharmacy is under review. Works autonomously against objectives agreed with the Lead Pharmacist Medicines Utilsation & Education Workload will be self-generated and via referrals, influenced by patient needs, service needs, the local clinical pharmacy strategy and the development of the Reshaping care of the Elderly Strategy. The post holder will plan and prioritise own workload to meet patient needs. The postholder is accountable for their own professional actions and outcomes – guided by legislation, local protocols, procedures and the local formulary. The postholder is accountable for personal decisions taken regarding individuals patients in the course of managing their care. The Lead Pharmacist Medicines Utilisation & Education carries out formal performance review meetings for this post. The job description is subject to review by mutual agreement between management and the postholder. 9. DECISIONS AND JUDGEMENTS The post holder will be expected to exercise their own discretion on how to provide and develop the clinical pharmacy service to their specified area taking account of local and national policies. The post holder is expected to anticipate problems/needs and resolve these in a proactive independent manner Decisions made may be complex, e.g. the calculation of doses based on surface area, the use of unlicensed medicines for individual patients, where there may be limited or only anecdotal information on which to base a decision to treat. The post holder is professionally accountable for his/her own actions in advising and influencing nurses, medical staff and other healthcare professionals regarding the treatment of individual patients on a daily basis e.g. monitoring and adjusting doses for drugs with a narrow therapeutic index or in patients with renal impairment; recommending discontinuation of inappropriate medication or initiation of new therapies. 10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Dealing with unpredictable patterns of work, often working to tight timescales, with frequent interruptions to ensure that each patient’s medication regimen is safe and appropriate for its intended purpose, where there is sometimes limited information to guide decisions. Working within a new project environment and shaping the direction of pharmaceutical input within the care homes Challenging the decisions of consultant, GP and other medical staff and practitioners from other professions to ensure that each patient’s medication regimen is evidence-based. Balancing the demands of the specified clinical speciality to ensure continuity of service and the maintenance of patient safety. Developing partnerships between primary and secondary care and health and social care professionals. Keeping up to date with a rapidly changing knowledge base. 11. COMMUNICATIONS AND RELATIONSHIPS The post holder is expected to communicate on a daily basis with medical staff, nursing staff and other healthcare staff using evaluated information to enable informed decisions about patient’s therapies Negotiating and influencing skills are required when dealing with multi-professional teams where agreement and co-operation are required in order to achieve a satisfactory outcome Training, presentation and mentoring skills at local level, are necessary to fulfil the role of developing and supporting staff in an often stressful and changing environment. Information received and communicated will often be complex, including the need to interpret and analyse drugs charts, patient information and clinical trial data in a rapidly changing research environment. Regular contact with General Practitioners, community pharmacists, practice, district and dementia care nurses and other health and social care workers in the community for the seamless pharmaceutical care of patients. There will be daily contact with patients as individuals or in groups, regarding information about their medication, to be delivered in a manner that is easily comprehensible to those who may have a limited knowledge of the subject matter. Regular contact with peers, including the Pharmacy Primary Care Team, the Care of the elderly Integrated Care Pharmacists and the acute hospital teams. 12. PYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB PHYSICAL EFFORT / SKILLS: Computer keyboard skills used daily. Driving required. . Standing for periods of time on a daily basis while participating in the multidisciplinary ward rounds. Walking between meetings of the MDT, travelling between care homes on a daily basis. Standing or sitting in awkward positions on a daily basis for periods of time in the Care homes to input and retrieve clinical data at a patient’s bedside, notes trolley and computer terminals. MENTAL EFFORT / SKILLS: Frequent periods of prolonged concentration required every day when reviewing prescribed medicines, counselling patients, writing reports Required to concentrate continuously and apply mental attention at all times. A high degree of speed, accuracy and attention to detail is expected in all duties. Tasks are frequently interrupted to deal with queries or requests for advice that have to be dealt with immediately. Requires confidence to contribute and lead in clinical and managerial settings. High levels of concentration required when carrying out complex calculations, analysing/interpreting highly complex data and interpreting or appraising reports or documents. EMOTIONAL EFFORT / SKILLS: Frequent direct contact with patients, some of whom may be physically or emotionally distressed, aggressive or suffering from serious or terminal disease. Conflicting demands and pressures from individuals. WORKING CONDITIONS: Potential exposure to toxic pharmaceutical materials. Occasional risk of verbal or physical abuse from patients or their relatives. Frequent use of visual display units. Frequent direct patient contact involving occasional exposure to environmental risk/ communicable diseases. Lone working- post holder is expected to comply with Board Lone Working arrangements 13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB Qualifications Essential Masters of Pharmacy Degree or equivalent Scottish Hospital Pharmacy Vocational Training Scheme (or demonstrable evidence of equivalent clinical knowledge) Member of the GPhC (including evidence of CPD) Desirable Postgraduate Diploma in Clinical Pharmacy Experience Relevant pharmacy experience Good interpersonal skills Computer literate with knowledge of information technology Full Driving Licence Ability to work autonomously Ability to work effectively as part of a team, in a pharmacy and multi-disciplinary environment Desirable Approved tutor for pre-registration pharmacists or pharmacists /technicians undertaking further qualifications. Knowledge Required to demonstrate an highly specialised level of clinical pharmacy knowledge skills, clinical reasoning and judgement Requires advanced arithmetic skills Good knowledge and understanding of relevant standards and guidelines Knowledge of community healthcare provision including GP and Community Pharmacy NHS Ayrshire and Arran Person Specification Post Title Care of the Elderly Pharmacist care Homes Post Reference Number: P/748/12R Selection Factors (Person Specification) QUALIFICATIONS & TRAINING Criteria Essential Masters of Pharmacy Degree or equivalent Scottish Hospital Pharmacy vocational training scheme (or demonstrable evidence of equivalent clinical knowledge) Member of the GPhC (including evidence of CPD) Desirable Postgraduate diploma in clinical pharmacy EXPERIENCE KNOWLEDGE Essential Relevant pharmacy experience Ability to work autonomously Ability to work effectively as part of a team, in a pharmacy and multi-disciplinary environment Desirable Approved tutor for pre-registration pharmacists or pharmacists /technicians undertaking further qualifications. Essential Required to demonstrate an highly specialised level of clinical pharmacy knowledge skills, clinical reasoning and judgement Good knowledge and understanding of relevant standards and guidelines Knowledge of community healthcare provision including GP and Community Pharmacy Desirable COMPETENCIES & SKILLS Essential Full Driving Licence Computer literate with knowledge of information technology Requires advanced arithmetic skills Desirable PERSONAL CHARACTERISTICS AND Essential Good interpersonal skills OTHER Desirable