Job responsibilities

DUTIES AND RESPONSIBILITIES

To provide a highly specialist clinical pharmacy services to outpatients within the Christie Haematology @ Leighton Service and develop a good working partnership with internal and external stakeholders to ensure a high quality SACT service is provided to patients.. To provide specialist clinical pharmacy services to haematology patients with both malignant and non-malignant conditions in accordance with all departmental, Trust national and international standards, procedures and policies. To be responsible for the delivery and development of an out-patient clinical practice,

Provides expert professional advice to patients/clients, carers, and staff, working in partnerships with patients, families, and other professionals to formulate robust care pathways that are ethically sound and in the interest of the patients.

To be an independent prescriber and prescribe to appropriate patients in agreement with the relevant consultants.

Maintain and develop expertise and competence within the field of clinical haematology to enable collaboration with other practitioners and medical staff, and to facilitate the management of patients.

To consent patients for treatment and procedures as per hospital policy if deemed appropriate within scope of competency and practice.

Communicate complex, sensitive, or contentious information to patients and carers. This may include results of scans; management options and discusses details of prognosis including palliative care if deemed appropriate within scope of competency and practice.

Educate patients and their carers on issues surrounding health promotion and illness prevention. Promote and facilitate changes to lifestyle where appropriate.

To work closely with and provide pharmaceutical advice to medical staff, other members of the multi-disciplinary team and patients.

To contribute to the development, of and maintenance of the peripheral site pharmacy provision on the Christie Haematology @ Leighton Service unit in conjunction with The Mid Cheshire NHS trust pharmacy services and the Christie Trust NHS and third-party providers responsible for supplying supportive care medication and SACT including clinical trial medications, where appropriate.

To work with the peripheral site clinical trials pharmacist, where appropriate on development of site initiation on existing trials and other trial related activities, as required To provide a highly specialised clinical pharmacy service. Ensure patient centered care and that the use of medicines is optimised. This will include:

Taking drug histories on admission/ completion of medicines reconciliation Review of medication to ensure its safe and effective use Review of medication in line with interpretation of appropriate results of investigations Therapeutic drug monitoring as appropriate Patient education about their medicines Participation in Multidisciplinary team meetings Development of evidence-based treatment protocols for use within individual departments or Trust wide Facilitate the implementation of local and national guidelines Influencing prescribers, encourage formulary compliance where appropriate. Demonstrating professional accountability to patients

To conduct appropriate drug use reviews within oncology as determined by the Medicines Management Group or individual departments.

To assist consultants within the Christie Haematology @ Leighton Service in the preparation of new drug requests/ unlicensed drug applications for submission to the drug and therapeutics committee

To monitor the Christie Haeamtology @ Leighton drug expenditure regarding haematology services assessing any financial pressures. Identify changes in prescribing practice that may impact on the setting of the drugs budget, including new prescribing practice (horizon scanning) and report to Director of pharmacy, Lead Haematology pharmacists and Clinical Haematology Service Manager

To attend relevant MDT meetings, relevant specialist pharmacy groups and contribute to meetings relevant to the designated disease group as appropriate.

To communicate with general practitioners and community pharmacists regarding the supply of unusual or non-standard medicines.

To participate in service evaluation and future initiatives, audit, record clinical interventions and activity data.

Contributes to the education program to all health care professionals in informal and formal settings relating to haematology practice. This will be training and education locally, nationally, and internationally (e.g., presenting at meetings, study days, conferences).

Acts as a role model, educator, supervisor, coach, and mentor, seeking to instil and develop the confidence of others To undertake clinical audit and practice research as part of the multi-disciplinary audit process within the designated disease group and clinical pharmacy service.

To support, develop and maintain drug protocols, treatment guidelines and standard operating procedures both within the clinical pharmacy service and the haematology unit. Reviewing evidence-based guidelines and protocols in conjunction with fellow healthcare professionals, in order to advance the safe, clinical effective and cost-efficient use of medicines for patients.

To be aware of the processes surrounding the maintenance of local and national databases surrounding medication use related to the haematology service including immunoglobulins.

To ensure compliance with the Trust patient safety schemes.

To ensure appropriate use of antibiotics and antifungal agents and contribute to relevant audits as required.. Represent the haematology service at appropriate clinical unit and divisional meetings including peripheral site MDT group meetings on request.

To monitor and interpret published evidence and computer reports of drug usage, to use this data to report to the lead clinicians and Director of Pharmacy, implementing agreed policies aimed at improving patient outcomes and containing drug expenditure.

To support the Electronic Prescribing process across the Trust.

To support the designated cancer disease group through the development and implementation of electronic prescribing for outpatients.

To support prescribing at the individual patient level, contributing to the optimisation of patients drug therapy with due consideration to risk/benefit issues.

Facilitate effective communication about relevant pharmacy issues to clinicians and senior managers and the identification of opportunities for development of pharmacy services to match identified services and care needs.

To demonstrate awareness and commitment to the Trusts Clinical Governance Plan.

In conjunction with the Lead Haematology Pharmacist and Principal Pharmacist in Clinical Services, to establish processes for the setting of standards of care, identifying the risks involved and implement changes that need to occur to achieve these.

To identify and report any systemic or preventable errors associated with medicines within the Cancer Centre Services Division and facilitate learning.

General Duties

To assist and participate in the development, implementation and management of training initiatives and competency frameworks

Together with colleagues to be involved in the maintenance of cost-effective and efficient pharmacy services and to participate in their regular review and development.

To represent pharmacy and act as a link person at relevant meetings and conferences.

To provide education and training to pharmacy, medical and nursing staff. To participate in the clinical training of pharmacists and foundation year trainee pharmacists if required.

To be responsible for the clinical screening/review of SACT prescriptions for designated patient groups, including clinical trial prescriptions and to clinically screen/ review in-patient and outpatient prescriptions.

To give advice on the storage, administration and therapeutic use of drugs to patients, medical / nursing staff and other colleagues. To provide written information as necessary.

To follow local, Trust and National guidelines for safe medicines practice.

To identify own training needs and maintain a CPD portfolio. To undertake any other duties consistent with the nature of the post as requested by the Pharmacy Managers and the Trust.

Qualifications

Essential

• Vocational Masters Degree or equivalent in Pharmacy
• Membership of General Pharmaceutical Council
• Post Graduate Diploma in Clinical Pharmacy or equivalent
• Evidence of continuing professional development
• Independent prescribing qualification

Desirable

• Advanced communication skills

Experience

Essential

• Relevant post registration hospital pharmacy experience within oncology and/or haemato-oncology
• Financial awareness and drug budgets
• Providing medicines information and advice
• Screening/ reviewing prescriptions including oral chemotherapy.
• Training or teaching pharmacy/nursing/medical staff
• Experience of multidisciplinary team working

Desirable

• Audit or research work.

Skills

Essential

• Teaching and presentation skills and have excellent interpersonal and communication skills for conveying complex concepts.
• Ability to coach, motivate and inspire
• Networking amongst internal and external professional/organisation
• Able to work efficiently and use own initiative and have good time management
• Work within and always promote the Trusts values and behaviours

Desirable

• Project implementation.

Knowledge

Essential

• Evidence of a sound clinical knowledge base in clinical hematology and haemato oncology.
• Knowledge of clinical governance

Values

Essential

• Ability to demonstrate the organisational values and behaviours

Other

Essential

• Quality clinical governance and risk assessment abilities
• Patient and customer focus
• Continuous Improvement

Desirable

• Demonstrates clinical governance

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Job responsibilities

DUTIES AND RESPONSIBILITIESThe clinical part of the role will involve supporting inpatient, ambulatory and outpatient services in the delivery of supportive treatments using specialist knowledge in acute oncology, symptom control and side effect management. There will also be the option to participate in outpatient clinics to gain experience in the management of pain and common symptoms and support needs throughout the spectrum of cancer care, including late effects.

This fellowship aims to equip the fellow with experience in various aspects of supportive care, providing support for patient with different needs throughout the spectrum of cancer care. It is envisaged that across the year, the fellow will spend allocated time in the following placements:

(1) Acute Oncology, toxicities management, inpatient care (4 Months)

(2) Supportive Care Team, Enhanced Supportive Care Clinics, Palliative & End of Life Care (4 Months)

(3) Psychological medicine, Endocrinology, Senior adult oncology (4 Months)

The appointee will be based at The Christie and will provide senior input into the services outlined above.

Continuing Professional DevelopmentThe Trust supports the requirements for continuing professional development (CPD) as laid down by the GMC and surgical colleges and is committed to providing time and financial support for these activities.

Role PlanningDaily working pattern will cover the hours of 9am 5pm Monday to Friday. However, these are new roles, and the work schedule is based on anticipated timetable requirements. There may be occasions where due to clinical demand, fellows may be asked to stay beyond the 5pm finish and if agreeable, the additional time worked would be given back the following day.

Weekend working will consist of clinical activities that are scheduled in advance and reviewed where required as work schedules are reviewed, taking account of service needs.

On call CommitmentsThis role does not require participation in the on-call rota.

Qualifications

Essential

• Medical Degree
• MRCP, MRCGP or equivalent
• Full Registration and License to practice with the GMC

Desirable

• Additional qualifications in oncology, palliative medicine or GIM

Training

Essential

• Satisfactory progress in previous posts with evidence of competency at CT2/ST2 equivalent or higher.

Desirable

• Previous palliative care, oncology or general practice experience at ST3 level and above or equivalent non-training or evidence of overseas experience

Experience

Essential

• Have sufficient experience working in medical specialities (not including foundation level experience) by the advertised post start date.
• Ability to work as an effective member of an MDT team.
• Awareness of own limitations and consults senior colleagues appropriately.
• Have at least 24 months experience in medical specialities

Desirable

• Previous experience in symptom management either in the form of palliative care, oncology or special interest within general practice
• Teaching experience

Management / Audit

Essential

• Demonstrates understanding of the importance of audit and research
• Evidence of contribution to effective clinical audit

Desirable

• Evidence of active participation in clinical research / audit

Personal skills

Essential

• Good communication skills in verbal and written English
• Good interpersonal skills Working well in a multi- disciplinary team.
• Calm, efficient under pressure.
• Knowing when to ask for help.
• To recognise personal limitations but to work competently within these boundaries.
• Reliable, punctual, hard- working, enthusiastic.

Desirable

• Awareness of specific needs of patients and carers, issues relating to service provision for cancer patients in hospital and the community.
• Empathy with patients and carers involved in tertiary treatments and understanding of their special needs.
• Advanced communication skills.
• Experience of leadership in focused project and ability to disseminate results

Research/ Publications

Desirable

• Research or service evaluation experience

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).