NHS National Waiting Times Centre
Agamemnon Street
Clydebank G81 4DY
Scotland
Chief Executive Jill Young
Telephone 0141 951 5000
Fax 0141 951 5500
Recruitment line: 0800 0283 666
Dear Candidate
POST:
HOURS:
HIGHLY SPECIALIST CLINICAL PHARMACIST
37.5
CLOSING DATE: 3 SEPTEMBER 2015
The National Waiting Times Centre Board welcomes your enquiry in connection with the above post. Please find enclosed an information pack.
Should you wish to submit an application for the above post, please ensure you do so in advance of the closing date. Late applications will not be forwarded for short listing.
Should you contact the recruitment team to discuss any queries regarding your application it is advisable that you retain the job reference number as you will be asked to quote this when you call. Please note that we no longer acknowledge receipt of applications and therefore you will not receive any further communication until after the post has been shortlisted.
In the meantime, I wish you success with your application and should you require any further information or wish to check the progress of your application please do not hesitate to contact the recruitment team on the contact telephone number shown above.
Yours sincerely
Lynn Mitchell
Recruitment Assistant

GENERAL INFORMATION FOR CANDIDATES

This information package has been compiled to provide prospective candidates with details of the post and background information about The National Waiting Times
Centre Board.

The contents of this package are as follows:- o Job Description/person specification o Terms and Conditions of Service o Application Form o Equal Opportunities Monitoring Form o Information on Agenda for Change

The Equal Opportunities Monitoring form is required for monitoring purposes only and will not be made available to the interview panel during any part of the recruitment process.

Please note, to ensure that we adhere to our current policy on Equal Opportunities;
CV’s received with Application Forms will be destroyed prior to Application forms being passed for Short listing.

NWTC operates a NO SMOKING Policy on all Premises and Grounds.

All offers of employment will be subject to the receipt of satisfactory References,
Occupational Health screening and Disclosure Scotland clearance.

Please send your completed application to:-
Recruitment Team,
HR Department
Golden Jubilee National Hospital
Agamemnon Street
Clydebank
G81 4DY

When returning your completed application and any associated enclosures by Royal
Mail you must ensure that the correct postage cost is paid. We have been informed by the Post Office that they are retaining those which have been underpaid. This has resulted in completed applications not being returned until after the closing date, and not being included for short listing.

The short listing process will take place shortly after the closing date.

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 person specification will be guaranteed an interview.


The organisation has introduced a set of shared values. These values will be measured during the Competency Based Interview. The values are: o We will treat everyone with dignity and respect o We will take responsibility to do our jobs well o We will demonstrate our commitment to quality o We will work effectively with others in teams o We will display a “can do” attitude at every opportunity

GOLDEN JUBILEE NATIONAL HOSPITAL
TERMS AND CONDITIONS OF SERVICE
1. Terms and Conditions of Service
The terms and conditions applicable to this post are those of all NHS Employees.
2. Superannuation
You have the option to join the NHS Superannuation Scheme, to participate in the State
Earnings Related Pension Scheme or to take out a Personal Pension.
Employee’s contributions to the NHS Scheme amount to 5% to 13.3% of salary
(depending on rate of Pensionable Pay) and the emplo yers’ contribution equates to
13.5
% of salary. Employees in the NHS Scheme are “Contracted-out” of the State
Earnings Related Pension Scheme and pay a lower rate of National Insurance contributions. Employees who choose to participate in the State Earnings Related
Pension Scheme pay the higher rate of National Insurance contribution. A Stakeholder
Pension is also available.
3. Salary
£40,028 to £48,034
4. Grade
This post is offered on a Band 8a
5. Annual Leave
The annual leave entitlement in a full year commencing 1st April to 31st March is 27 days, rising to 29 days after 5 years’ service and 33 days after 10 years’ service. There are 8 Statutory and Public Holidays in each leave year. (Pro rata where applicable)
6. Hours of Duty
37.5
7. Tenure of Employment
Permanent
8. Asylum and Immigration Act 1996
Under the Asylum and Immigration Act 1996, we are required to carry out checks to ensure that all prospective employees are entitled to live and work in the United
Kingdom. You will therefore be asked to provide appropriate documentation prior to any appointment being made.

NHS National Waiting Times Centre
NHS Superannuation scheme:
All staff are eligible to join this scheme from date of commencement. Employee contributions vary from 5% to 13.3% depending on annual pensionable pay. Benefits include a lump sum and pension when you retire, life assurance of 2 years’ pay while you are working, pension and allowances for your spouse and children in the event of death, and benefits for ill-health retirement. Members of the scheme receive tax relief on contributions and Lower National Insurance contributions.
Annual leave entitlement (including public holidays): 
35 days annual leave on appointment
37 days annual leave after 5 years
41 days annual leave after 10 years
Free car parking
Continuing professional development opportunities
Discounts at the associated Beardmore Hotel
Leisure Club membership – Get fit and healthy at the Beardmore Leisure Club for only £28 per month.
Childcare vouchers – If you are a working parent with children under the age of 16 you could save up to £1,196 per parent, per annum on the cost of childcare.
For more information about the benefits and discounts available to NHS staff, visit www.nhsdiscounts.com

GOLDEN JUBILEE NATIONAL HOSPITAL
JOB DESCRIPTION –
1. JOB IDENTIFICATION
Job Title: Highly Specialist Clinical Pharmacist Orthopaedic Pre-Admission Clinic
& General Surgery & Ophthalmology
Department(s): Pharmacy
Job Holder Reference:
No of Job Holders: 1
2. JOB PURPOSE
To provide highly specialist pharmaceutical care for orthopaedic patients, ensuring safe and cost effective use of medicines including compliance with medicines regulations. To contribute to the development of the pharmacy service to the Orthopaedic Pre-Admission
Clinic.
To lead and develop the pharmacy service to General Surgery & Ophthalmology
Contribute to efficient medicines management systems and clinical pharmacy services
Monitoring and reporting on drug expenditure to promote the safe and effective management of medicines within the Surgical Services Directorate.
3. ORGANISATIONAL POSITION
See Attached sheet
4. SCOPE AND RANGE
Along with the lead for Orthopaedics, responsible to the Chief Pharmacist for strategic planning and delivery of pharmacy services to the Orthopaedic Pre-Admission Clinic, and
General Surgery & Ophthalmology.
Develop and manage clinical pharmacy services to the Orthopaedic Pre-Admission
Clinic, and as part of the Enhanced Recovery multidisciplinary team for Orthopaedic inpatients
Develop and manage clinical pharmacy services to General Surgery & Ophthalmology .
Approx 60% clinical role in Pre-admission, and 40% clinical role for in-patients.

5. MAIN DUTIES/RESPONSIBILITIES
Management of Pharmacy Service to Orthopaedics

Implementation, development and update of policies, procedures, and SOPs relating to the independent prescribing role at Pre-Admission in line with professional code of ethics, GJNH and NHS Scotland policies and legislation, including: o Patient medication history taking o Promotion of the u se of patients’ own medicines at admission and during inpatient stay o Documentation of out-patient care issues including risk management issues. o Clinical pharmacy policy in conjunction with the Chief Pharmacist

Provision, analysis and reporting of management information on medicines usage including: o Workload o Ward drug expenditure

Co-ordination of the training of pharmacy staff in the Pre-Admission Clinic

Practice research and Audit of clinical pharmacy services o Carrying out regular audit of services o Analysis of results and the preparation and implementation of improvement plans o Use of research data to identify current best practice

Forward planning of pharmacy services to Orthopaedic Pre-Admission: o Manpower planning requirements for services o Future IT requirements o Development of clinical pharmacy policies in relation to the independent prescriber role at Pre-Admission

Act as pharmacy representative on: o Drug and Therapeutics Committee o Surgical Services Clinical Governance Group
Clinical Practice

To act as a role model for pharmacy staff working in orthopaedics

Apply highly specialist clinical knowledge to analyse complex patient information to ensure the optimal clinical outcome.

Apply highly specialist clinical knowledge and judgment to analyse information, at times where evidence may be lacking, in order to negotiate the optimal clinical outcome.

Apply highly specialist knowledge on the use of medicines to deliver pharmaceutical care to patients within a specified patient population or directorate/clinical speciality and improve patient care by:

interpreting individual patient drug charts, prescriptions and medical information to provide advice on medication treatments. This includes o checking dosing, drug/drug or drug/disease contraindications, side-effects, precautions, and inappropriate or omitted treatment. o ensuring medicines and doses prescribed during hospital stay are appropriate for the patient and their medical conditions

o considering various options and deciding the best risk benefit choice for the individual patient

documenting care and risk management issues including o Individualising pharmaceutical care plans and documenting / resolving pharmaceutical care issues o Clarifying ambiguous prescriptions to avoid medication errors o Patient allergy o Adverse drug reactions and interactions o Medication errors inc. prescribing and administration errors o Identification of other risks associated with the use of medicines
and implement strategies to reduce risks, where possible

recommending alternative medications or forms of medication where these are more clinically or cost effective

taking medication histories on admission and reviewing/verifying inpatient and discharge prescriptions-ensuring patients are prescribed the correct medicines on admission to and discharge from hospital.

provision of a therapeutic drug monitoring system

ensuring patients/carers understand complicated therapies e.g. warfarin

ensuring patients can use medical devices, e.g. inhalers, correctly and know when to use them

developing and implementing systems to facilitate the discharge process discussing medicines with patients / carers and persuading / motivating them to comply with them on discharge

assessing what aids would assist patients to take their medicines correctly at home
 liaising with the patient’s community pharmacy and/or GP where appropriate and developing systems to ensure continuity of pharmaceutical care across different healthcare settings.

integrating research evidence into clinical practice

Assist the multi-disciplinary team in the care of each patient by e.g.
 Suggesting alterations to patients’ complicated medication regimes to simplify and aid therapy compliance.

Participating in consultant ward rounds and multidisciplinary team meetings providing clinical and financial advice if appropriate.

Practising as a supplementary or independent prescriber, where appropriate

Promoting rational, safe and economic use of medicines

Advising doctors of problems with medicines

Advising on doses / course lengths of drugs / route of administration

Advising on preparation of medicines inc. infusions and injections

Advising on drug interactions
 Advising other healthcare professionals on how a patient’s medication may affect their practice e.g. infection control personnel

Research and provision of answers to queries raised on any aspect of

patients’ medicines

Providing information and negotiating with clinical staff to ensure compliance with Scottish Medicines Consortium guidance, formulary, guidelines, drug and therapeutic committee decisions, and other pharmacy related strategies

Generation and interpretation of medicines utilisation reports from the

pharmacy stock control system

Provide advice to other specialist and clinical pharmacists within the defined clinical speciality

Dispensing services o Professionally checking prescriptions and liasing with clinical staff to confirm ambiguous prescriptions and correct where appropriate. o Dispensing of out-patient, TTO and clinical trial prescriptions as required o Checking of out-patient, TTO and clinical trial prescriptions as required o Contributing to the collection of dispensary statistics
Prescribing

To work as an independent non-medical prescriber within areas of work as required, taking responsibility for the clinical assessment of the patient, establishing a diagnosis and the clinical management required, as well as responsibility for prescribing where necessary and the appropriateness of any prescription issued. Independent prescribers will be responsible for prescribing a range of drugs within their competence in accordance with local protocols and British National Formulary.

To write prescriptions in accordance with local policy, taking full responsibility for thepatient as well as for the medicines prescribed
 Ensure the appropriate records are made in the patient’s case notes where appropriate which identify you as the independent prescriber.

To ensure that contemporaneous records which are unambiguous and legible are maintained and kept in accordance with local policy and professional codes of conduct

To communicate fully with those patients who are unable to communicate or give consent ensuring that the benefits of non-medical prescribing are documented fully, and to provide reassurance to both the patient and the carer
 Where it is recognised that a patient’s needs are outside your clinical and professional experience, to take responsibility make to make referrals to a specialist doctor, the multidisciplinary team or other agency.

Assist with the development of policies and inform development of non-medical prescribing across the organisation

Take the lead on policy, procedural development and patient information relating tononmedical prescribing in designated areas of practice.

To be responsible for ensuring the security and safe handling of inpatient, and outpatient prescription forms and to report any loss or theft accordingly.

In the event of adverse drug reaction, to be accountable for ensuring that the
Consultant is advised accordingly and that the local and national incident reporting process is followed.

Clinical Pharmacy Leadership

Implementation, development and update of clinical pharmacy services in relation to the General Surgery & Ophthalmology units

Support Lead Clinical Pharmacists in developing a pharmacy team of specialist clinical pharmacists and technicians in the development, implementation and monitoring of pharmaceutical care within general surgery & ophthalmology units, providing clinical supervision.

Regularly supervise (at least once per week) more junior clinical pharmacists, preregistration pharmacists, MSc students and pharmacy undergraduates in the provision of pharmaceutical care for patients.

Provide highly specialist advice to the multidisciplinary team in general surgery & ophthalmology on the legal, ethical, safe, clinical and cost-effective use of medicines, ensuring compliance with medicine legislation and guidelines.

Identify clinical pharmacy service needs within specialty and, working with the Chief
Pharmacist and other senior healthcare professionals, support the development of appropriate business cases.

Review adverse clinical incidents and use highly specialist clinical knowledge to advise the Chief Pharmacist general surgery & ophthalmology on strategies to minimise risks during the use of medicines.

Provide Medicines Governance leadership within the multidisciplinary team responsible for the care of general surgery & ophthalmology patients.

Interpret financial reports and use highly specialist clinical knowledge to advise general surgery & ophthalmology on the cost effective use of medicines.

Identify and prioritise patient groups for pharmaceutical care including supplementary/independent prescribing by pharmacists in line with national and local legislation and as agreed with the Lead Clinical Pharmacist.
CPD/Training commitment

Contribute to the development of strategies to meet the training needs of staff providing pharmaceutical care within a specified patient population or directorate/clinical speciality.

Develop, implement and evaluate training in pharmaceutical care for undergraduates, pre-registration and all grades of pharmacists including those studying for a
Diploma/MSc in Clinical Pharmacy

Plan, deliver and evaluate education and training to pharmacy and other staff, including medical and nursing staff, in relation to safe, clinical and cost-effective use of medicines.

Provide education and training for patients and their carers on the safe and effective use of their medicines

Organise and participate in the regular clinical training and supervision of junior grade pharmacists and pharmacy technicians.

To personally fulfil the General Pharmaceutical Council continuing professional development requirements.

Maintain a broad level of pharmacy practice and highly specialist knowledge within defined specialty clinical area.

Plan and undertake pharmacy research into appropriate areas of practice

Other Duties

Deputise for Chief Pharmacist or for other pharmacy staff as required

Compliance with health and safety policies.

Assist in departmental and multidisciplinary audit.

Participation in pharmacy out-of-hours rota

Participation in 5 over 7 day working

Carry out eKSF appraisals for designated members of staff as allocated by the Chief
Pharmacist
6. SYSTEMS AND EQUIPMENT
Use of the clinical management system
Patient management and profiling
Laboratory reports
Use of emis pharmacy stock control and dispensary system
Stock control of pharmaceuticals
Dispensing of medicines for patients
Use of management reports
Use of Microsoft Office suite
Email
Internet enquiries
Word processing, policies, notices, forms etc
Spreadsheets; Management information, statistics etc
PowerPoint: Presentation of management information, CPD
Jointly responsible with other pharmacy staff for the security of pharmaceuticals, includes security of keys and use of alarm system
7. DECISIONS AND JUDGEMENTS
Manages, interprets, analyses and advises on medicine treatment protocols, reviewing the clinical and cost effective aspects to promote safe and rational prescribing and use of medicines.
Uses financial data and critical appraisal skills to promote the use of the most effective and evidence based therapies.
Routinely manages and reconciles conflicting opinions of professionals to optimise use of medicines in individual patients
As part of the senior pharmacy team contributes to the overall pharmacy strategy within the organisation. Will be involved in staff selection for appropriate posts
Prioritising departmental workload in conjunction with other supervisory staff
Contributing to evidence based clinical policies throughout the organisation
Drawing up and implementing medicines management policy and contributing to general pharmacy policies
Uses knowledge and experience to assimilate and evaluate, often conflicting, information in order to advise on pharmaceutical care issues.
8. COMMUNICATIONS AND RELATIONSHIPS
Makes proposals for service changes that contribute to the Medicines management

agenda. Liases with senior medical and nursing personnel to drive forward development of medicines management policies
Provides counselling to patients on medication regimens that may require explanation and re-assurance (when discussing risks and benefits of treatment options) and empathy, understanding and motivational skills to maximise patient concordance.
Provides information and negotiates with clinical staff to ensure the Medicines
Management and other pharmacy related strategies is fully complied with.
Seeks to optimise individual patient care by providing information, advising and negotiating with prescribers and other clinical staff to ensure safe, effective and economical drug therapy.
9. PHYSICAL DEMANDS OF THE JOB
General keyboard skills
High degree of precision and accuracy for dispensing and final checking, often with strict time constraints.
Frequent requirement for high levels of concentration, often with interruptions when checking dispensing.
Clinical work requires a high level of concentration characterised by assessing different pieces of sometimes conflicting information and forming a clinical opinion. This work is often conducted under time pressure and subject to frequent interruptions.
10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
Devising, developing and implementing the delivery of the pharmacy service to
Orthopaedics, general surgery & ophthalmology within a multidisciplinary environment.
This requires high levels of organisational and interpersonal skills
Working to ensure successful patient outcomes with limited information, time constraints and within a stressful environment.
Explaining highly complex medicine regimes to patients / carers where there may be barriers to understanding, whilst managing the patient’s expectations regarding treatment outcomes.
Analysing complex, multi-factorial information in order to provide advice on medicines where published opinions are divided and/or information is sparse.
Using professional judgement and knowledge to negotiate with senior clinicians to ensure best outcomes for patients, within the constraints of prescribing policies.
Prioritising and planning an unpredictable workload to meet patient
’s needs.
Providing accurate advice in emergency situations with the limited resources available out-of-hours.
11. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
Specialist knowledge in own areas of expertise and Clinical Practice and more generalist knowledge for Pharmacy.
Entry qualification MPharm degree and subsequent GPhC registration examination.
Continued registration with the GPhC
Post-graduate qualification (Clinical diploma/MSc/PhD)
Independent Prescriber

Extensive hospital pharmacy experience
Maintenance and update of knowledge through CPD
Highly developed specialist knowledge (therapeutic) and practical skills dealing with a complex range of pharmaceutical interventions.
Working knowledge of standard computer programmes and of clinical and pharmacy systems.
Knowledge of GJNH policies and procedures and a detailed knowledge of pharmacy policies and procedures
12. 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:

Qualifications/Training
Experience
Skills/Knowledge
Additional job requirements
Eg. unsocial hours
Any other additional information
Essential
1.Pharmacist registration
With GPhC.
Post-graduate qualification (Clinical diploma/MSc/PhD)
Completion of Scottish
Hospital Pharmacist stage 2 training or equivalent
Independent Prescriber
2. Extensive hospital pharmacy experience as a specialised pharmacist providing a service to a defined area
3.Evidence of maintenance and update of knowledge through
CPD
Previous supervision of junior pharmacists, technical or support staff.
Working knowledge of standard computer programmes and clinical and pharmacy systems
4.participation in out of hours ( on call ) rota and weekend and public holiday rotas
5.
Desirable
6. NES accredited preregistration tutor
NES accredited
Pharmacist Stage 2 tutor
7.previous provision of clinical pharmacy to orthopaedic and/or preadmission services
8.
9.
10.

Chief Pharmacist
Clinical Trials
Lead Pharmacist
Antimicrobial
Lead Pharmacist
Orthopaedics
Lead Pharmacist
Cardiothoracic
Services Lead
Pharmacist
Senior
Technician
Clinical Trials &
Quality
Specialist
Pharmacist
Thoracic Surgery
Specialist
Pharmacist HDU
Clinical
Pharmacists
Transplant
Services Lead
Pharmacist
Specialist
Pharmacist
Cardiology
Senior
Technician
Procurement
Senior
Technician
Dispensary/Med
Man
Medicines
Management
Technicians
Dispensing
Assistants
Pharmacy
Technicians
Pharmacy
Support Worker
Student
Technician