Specialist Pharmacist - Anticoagulation

Employer King's College Hospital NHS Foundation Trust Employer type NHS Site Princess Royal University Hospital Town Farnborough Salary £59,490 - £66,239 per annum including HCA Salary period Yearly Closing 20/08/:59

King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c£1.8 billion, 1.5 million patient contacts a year and more than 15,000 staff based across 5 main sites in South East London. The Trust provides a full range of local hospital services across its different sites, and specialist services from King's College Hospital (KCH) sites at Denmark Hill in Camberwell and at the Princess Royal University Hospital (PRUH) site in the London Borough of Bromley.

We encourage all our staff to have a healthy work/life balance. In doing so, you can apply for flexible working from the beginning of your employment. We offer a range of options which are designed to suit different circumstances and priorities in line with service requirements.

An exciting opportunity has arisen for an enthusiastic and motivated pharmacist to join the well respected and progressive Anticoagulation Clinical Pharmacy Team at King's College Hospital.

King's College Hospital NHS Foundation Trust is one of London's largest and busiest teaching hospitals, with a unique profile of strong local services and a focused set of specialist services. This includes providing specialist services to patients across a wide catchment area. We are recognised nationally and internationally for our work in thrombosis and haemostasis, haemato-oncology, liver disease and transplantation, neurosciences and cardiology.

We are an exemplar centre for venous thromboembolism and have a strong research element to our pharmacy team. This post and provides an excellent opportunity for a pharmacist to develop their clinical pharmacy and managerial skills in the highly integrated, multidisciplinary thrombosis team at King's College Hospital NHS Foundation Trust.

Main duties of the job Reporting to the Principal Pharmacist Anticoagulation, your responsibilities will include the following key roles:

Deputise for the Principal Pharmacist Anticoagulation

Lead and manage clinical pharmacy services in Anticoagulation in conjunction with the Principal Pharmacist

Participate in multidisciplinary ward rounds delivering and promoting high quality, cost-effective, patient-focused pharmaceutical care

Consult with primary care colleagues to ensure the safe initiation and management of anticoagulation

Act as a specialist role model and an expert in the prevention and treatment of thrombosis and the management of anticoagulated patients

Supervise and train rotational pharmacy staff

Ensure a high level of clinical pharmacy input to out-patients in the anticoagulation clinics and in-patients on the multidisciplinary ward round

Promote safe drug use for anticoagulated patients across all specialities

Develop, implement and audit local guidelines

Education and training of healthcare professionals within and outside the Trust relating to the safe use of anticoagulants

Patient/carer education as part of discharge planning and close liaison across the interface

Participate in practice and clinical research and audit

Work with the Principal Pharmacist Anticoagulation to extend the boundaries of professional practice within the anticoagulation team

Working for our organisation King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of £1.8 billion, 1.5 million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.

We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.

King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.

Detailed job description and main responsibilities Policy/Service Development

To deputise for the Principal Pharmacist for anticoagulation as necessary.

To lead clinical pharmacy services for patients treated within the Care Group in conjunction with the Principal Pharmacist.

To propose and implement policies and procedures designed to improve the pharmacy service to patients in the Trust in conjunction with the Principal Pharmacist in line with national and international consensus guidelines.

To lead and comment on policy and service changes and plans within the clinical pharmacy service and to contribute to, and participate in, pharmacy service developments in line with departmental and Trust policy

To develop, implement, monitor and evaluate evidence-based prescribing guidelines and protocols for use both Trust wide and within anticoagulation.

To ensure services provided are in line with local and national policies, guidelines and frameworks

To contribute and adhere to clinical pharmacy service standards

To proactively support the development of ward and clinical pharmacy services to anticoagulation in order to advance the safe, clinically effective and cost effective use of drugs to patients

To attend relevant meetings, including inpatient and outpatient MDTs.

To attend Care Group meetings attended by senior management and clinical staff, participating, and representing pharmacy views at such meetings

To manage specific service initiatives and changes affecting the clinical pharmacy service in the department and across the Trust

To act as a specialist practitioner within the field and as an expert pharmacist inanticoagulation.

• To promote and deliver pharmaceutical care for anticoagulated patients and more generally for all patients.
• To provide highly specialised and complex evidence-based clinical advice and information using expert knowledge and experience to pharmacy, nursing, medical and other healthcare professionals on the care and treatment of patients, inside and outside of the Trust.
• To participate in and contribute to the clinical/ward pharmacy service.
• To actively participate in consultant ward rounds as appropriate.
• To participate in outpatient clinics, and assist in the further development of the pharmacist's role in this area.
• To undertake patient medication review sessions and patient reviews in outpatient clinics as necessary.
• To actively participate regularly in multidisciplinary ward rounds, antibiotic ward rounds and other multidisciplinary meetings as appropriate, delivering and promoting high quality, cost-effective, patient-focused pharmaceutical care.
• To practice as an independent prescriber, in area of own expertise, as appropriate and provide direct high quality of care to inpatients and outpatients within scope of practice
• To participate in patient education and counselling schemes for all anticoagulation patients/carers.
• To ensure appropriate and timely supply of medication to patients in conjunction with dispensary staff, including the POD scheme and discharge facilitation for patients.
• To liaise with other Pharmacists, Doctors and GPs to ensure efficient transfer of clinical and medicines management issues.
• To develop shared care guidelines to support GP prescribing as necessary.
• To support the set up and provision of Hackett compliant homecare services as necessary.
• Maintain and further develop specialist information on the use of drugs in clinical conditions relevant to anticoagulation, ensuring accurate and up to date clinical information is available to all pharmacists performing out of hours duties in a format relevant to those pharmacists needs.
• To participate in Trust adverse incident reporting scheme.

To support the Principal Pharmacist in monitoring drug expenditure within the Care Group and provide accurate expenditure information, with appropriate analysis, to the Clinical Director and General manager.

To identify areas of potential cost-savings within anticoagulation, and to implement systems to realise savings and contain prescribing costs.

Using horizon scanning techniques identify future high cost medications.

To support the development and implementation of policies to control drug expenditure and ensure cost-effective prescribing.

To educate other healthcare professionals on the costs associated with drug therapy and promote the use of evidence-based, cost-effective prescribing within the care group.

To attend Care Group or Specialty financial meetings when required.

To work across traditional boundaries e.g. primary and secondary care.

Staff Management, Performance & Training

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