Rotational Pharmacist | Chelsea and Westminster Hospital NHS Foundation Trust

The post holder effectively participates in the provision of clinical and operational pharmaceutical services to Chelsea and Westminster NHS Foundation Trust (West Middlesex site) under appropriate supervision for grade and experience, rotating through various specialist areas on a 4-month basis. They also provide an out-of-hours weekend and on call service on a rostered basis Participate in 4-month rotations as per the rotas and complete competencies in each rotation as defined. For each rotation there will be a designated supervisor and structured package of training. Rotations include:

• Patient Services
• Technical Services
• Clinical Services including Acute Medical Unit
• Medicine/ Care of Elderly
• Surgery
• Women and Children (Paediatrics, maternity and Special Care Baby Unit), Participation in 4-month rotations as per rota and complete competencies in each rotation as defined. For each rotation there will be a designated supervisor and structured package of training.
Patient Services
• Provision of legally required supervision and validation aspects of the dispensing process
• Dispensing of medicines for inpatients and outpatients (including clinical trials and controlled drugs) including accurate documentation
• Accuracy checking of pharmacy technician/ assistant/ trainee pharmacist/ trainee pharmacy technician dispensing
• Counselling outpatients to defined local, national and legal standards
• Supporting management of stock control, dispensing workload, and dispensary staff and contributing to the maintenance of a quality service that relates to clinical governance issues including reporting near misses and errors
• Contribute to the training of new and junior pharmacy staff in the relevant area including trainee staff and students on placement
• Maintain high quality of data input of patient information into the pharmacy computer system in order to ensure excellent labelling standards for dispensed medicines
• Contribution to the update and production of Standard Operating Procedures in the appropriate section
• Undertake specific projects in accordance with objectives set
Clinical Pharmacy Services
• Rotation through specific clinical areas within the hospital as outlined above
• Provision of ward / clinical pharmacy services to the wards of the Trust to defined local and regional standards. identification of pharmaceutical problems for patients and application of therapeutic knowledge gained from clinical training programmes and experience as a practising pharmacist to resolve these problems. This includes: Clinical pharmacy responsibility for all patients on the assigned ward
• Ensuring that an accurate medication history has been taken and documented within the appropriate timeframe, and assessing and reconciling these medications against the inpatient prescription according to local guidelines
• Ensuring that discharge prescriptions are safe, accurate, legal and clinically appropriate for the individual patient; cost-effective and compliant with local prescribing policies. Recommending changes in medication to the prescriber to ensure the above.
• Advising other professional staff on medicines management and optimisation issues
• Participating in clinical intervention systems and other quality monitoring initiatives as required
• Implementing local formulary recommendations / therapeutic guidelines and other related support to Divisional and Specialist pharmacists
• Implement risk management systems including reporting of incidents and other Trust medicines related policies
• Participation in clinical training schemes including timely attendance and completion of course work and assessments
• Review of all medications prescribed on the electronic prescribing system for each patient on the assigned ward
• Prioritisation and resolution of pharmaceutical problems, liaising with other healthcare professionals as necessary
• Responsibility for the supply of prescribed medication to patients on allocated wards in a timely manner
• Responsibility for review of the stock holding of medication on that ward with the nursing staff on the ward in order to ensure that there is an adequate amount and range of medication available on the ward
• Review prescriptions for accuracy and legality and identify actual or potential problems
• Ensure the effective supply of medicines suitable for use as an inpatient and appropriately labelled for discharge if applicable
• Monitor patients for potential adverse effects from their medicines
• Ensure the effective outcomes of treatment with medicines
• Take steps to ensure that patients understand the purpose of their medicines and deal with any practical issues that may prevent the optimal use of their medicines
• Support the planning of patient discharge with respect to medications, including the transcription of requests for dispensing and the timely discharge of patients in line with Trust requirements
• Demonstrate professional accountability to patients
• Participation in developing medicines management systems and auditing the outcomes of these developments
• Responsibility for ensuring that all medicines (including controlled drugs) are stored according to requirements (including three monthly stock checks)
• Undertake training in specialist areas as service and development needs arise
Independent Prescribing (where applicable) Work within your scope of practice as a generalist prescriber and utilise the principles of prescribing in accordance with the Trust non-medical prescriber policy (NMP) policy. Technical and Cancer Services
• Participation and accreditation in all aspects of technical and cancer services including: Final checking and releasing of aseptically prepared systemic anticancer therapy
• Clinical screening accreditation for oral and parenteral chemotherapy
• Awareness of, and compliance with, Good Manufacturing Practice and other procedures, policies, guidelines and risk management principles
• Support the provision of clinical pharmacy services to haematology and oncology
Additional/ Other
• Deputising for relevant senior staff
• Participation in weekend/ public (Bank) rota
• Participation in on call rota
• Participation in late duty rota
• Participation in performance review and appraisal and identification of own learning and development needs
• Participation in audit and project work in line with service development
• Assisting in training and supervision of pharmacy technicians/ trainee pharmacy technicians/ assistants/ trainee pharmacists and pharmacy students on placement
• Promotion of safe, economic and effective use of medicines
• Maintenance of a written Continuing Professional Development record
• Attendance at and participation in departmental meetings and participation in departmental quality initiatives
• Follow legal, ethical, professional and employers' codes of conduct
• Demonstrate awareness of and commitment to the Trust's Clinical Governance Agenda
• Any other duties as requested by the Chief Pharmacist or their Deputy
  
  Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites-Chelsea and Westminster Hospital and West Middlesex University Hospital-along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children's services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use. We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid. We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.