Key Working Relationships
Key working relationships will include: People who use our services, relatives and carers and their groups; DPT MO team and medicines optimisation link practitioners; DPT multi-disciplinary community teams (CMHT and Rehabilitation) including Consultant psychiatrists, other DPT medical and non-medical prescribers, nursing staff, occupational therapists, social workers and psychologists; PCN GPs, pharmacy staff and other primary care staff; Other specialist Mental Health and Learning Disability pharmacists through specialist interest groups/ clinical supervision network.
Responsibilities
* Provide a highly specialist, clinical pharmacy service to mental health and rehabilitation services to include community mental health/ learning disability and primary care by; identifying and minimising risks associated with the use of medicines.
* Contribute to medication care plans and work as an integral member of the multi-professional team.
* Review medication charts and prescription records to ensure that each prescription is appropriate for that person, legal, legible, safe and effective.
* Identify drug interactions and adverse effects and address issues as appropriate.
* Advise on the monitoring of medication regarding efficacy, safety and side effects and interpret physical health monitoring and blood test results.
* Undertake medication reviews and drug history reports as required.
* Ensure that all interventions are documented in the electronic patient record and communicated according to Trust and/or PCN policy.
* Educate people who use our services and their carers about medication.
* Develop, implement and support schemes which promote medicines adherence.
* Promote seamless care by liaising with GPs, nurses, other specialties and community pharmacists to ensure clear treatment plans, safe and effective prescribing, continued prescribing/ supply arrangements, support with medicines adherence and medicines reconciliation.
* Provide a medicines information service for community staff (CMHT and PCN).
* Support PCNs with safe practice (e.g. through SOPs) for managing mental health medicines (e.g. depots, clozapine).
* Once qualified, practice as an independent pharmacist prescriber to provide timely access to treatment in accordance with Trust non-medical prescribing policies.
Policy and Service Development
* Implementation: Recommend and contribute towards the development, implementation and review of medicines-related policies, clinical protocols, standard operating procedures, prescribing guidelines, practice standards and safety briefings.
* Ensure adherence to the standards of the Medicines Policy and other MO documentation and report deviations to unit managers and Deputy Chief Pharmacists; report via the Trust Risk Management System where appropriate.
* Review all medicines incidents reported via the Trust Risk Management System for your locality each month and contribute to incident reviews and root cause analyses where necessary.
* Exercise vigilance in the timely identification of risks relating to any aspect of medicine usage.
* Attend governance meetings (locality meetings and the MOSG) to ensure that risk areas related to medicines are addressed and implement changes to practice where necessary.
Finance, Equipment and Other Resources
* Ensure medicines are stored and used in accordance with trust medicines policy.
* Assist the Medicines Optimisation Prescribing Analyst with the provision of timely and accessible prescribing reports detailing clinical and financial medicines information for clinicians and Trust managers.
* Advise on measures to improve cost effectiveness within your locality and contribute to Medicines Optimisation cost-improvement initiatives where relevant.
* Provide support to Deputy Chief Pharmacists to present and interpret budgetary information to locality teams to ensure that significant trends and variances are highlighted together with proposals for remedial action.
* Promote cost effective prescribing at an individual level by pointing out cost implications of prescribing decisions at MDTs and ensuring that their own prescribing practice meets these same standards.
Human Resources
* They will be managed by the Deputy Chief Pharmacist Clinical Services, but will also report to the Deputy Chief Pharmacist Medicines Safety and Governance, the accountable officer for controlled drugs and the PCN lead for some of their wider team tasks.
* They will deputise for the Deputy Chief Pharmacist where appropriate and attend locality meetings to ensure pharmaceutical issues are considered.
* They will provide line management for technicians (when delegated by Chief Pharmacy Technician) and pharmacists working within their workstream.
* They will provide clinical supervision for technicians and pharmacists working within their workstream.
* They will be expected to work autonomously with access to support when required and will delegate tasks to pharmacists, MO technicians, link practitioners and ward staff as appropriate, providing assistance to the technicians where required.
* They will assist in the development, delivery and audit of medicines related education and training programmes for healthcare staff, including inductions for new staff.
* They will help supervise technicians, pre-registration and diploma pharmacists from acute trust hospitals who come to DPT for experience of working in mental health.
Information Resources and Administrative Duties
* Contribute to the provision of a DPT central medicines helpline to supply public and staff with answers to their queries during working hours; ensure records comply with the departments medicines information procedures.
* Understand the importance of confidentiality with access to private patient information across primary and secondary care systems.
* Ensure entries in clinical notes are completed in accordance with DPT or PCN standards for record keeping.
* Uphold evidence-based medicine and make recommendations in line with the Joint Formulary, DPT prescribing guidelines and other local/national guidelines (Including NICE) and national evidence bases e.g. Cochrane.
* Provide an advanced level of clinical reasoning and judgment when advising staff on complex clinical situations where data are lacking or interpretation of clinical trials data is required.
* Ensure that decisions made in the absence of available data withstand public scrutiny and legal challenge.
* Ensure accurate minutes are taken and action logs followed up.
Research and Development
* Regularly undertake research or development activities as a major job requirement and ensure all clinical practice is evidence-based.
* Keep up to date with relevant research to evaluate current practice and implement service improvement using quality improvement methodologies.
* Undertake complex audits using research methodology, including collation of results.
Analytical and Judgemental Skills
* Review prescriptions for appropriateness in light of indication, presentation and concomitant conditions, paying particular attention to specialist, complex regimens.
* Provide advice on treatment choices, dosages and legality of prescriptions (e.g. in relation to the Mental Health Act).
* Liaise with community teams and PCN practices to review treatment plans in line with best practice and guidelines, especially complex regimens.
* Ensure complex regimens are evidence-based and challenge prescribers when outside guidelines/best practice; advise on next steps for treatment-resistant presentations.
* Discuss medication regimes with individuals, using language/leaflets appropriate to their understanding.
* Work with data analysts to analyse local prescribing data to identify practices needing investigation and act accordingly.
#J-18808-Ljbffr