• To deliver a comprehensive medicines optimisation service to wards and when necessary to provide this service to other wards. This is to be in line with the clinical pharmacy standards.
• To provide pharmaceutical support to the clozapine clinic(s), screening prescriptions and liaising with the MDT as necessary.
• Ensure safe and appropriate use of medicines in order to maximise benefit and minimise risk to patients. This includes regular review of prescriptions, identification of significant drug interactions, advice for clinical monitoring, compliance with legal aspects (Medicines Act, Mental Health Act) of medicine supply and compliance with the Trust formulary.
• Be responsible for providing clinical pharmacy input at ward level.
• To undertake medicines reconciliation and to support Medicines Management technicians in medicines reconciliation
• To undertake patient 1:1s during the admission.
• To be responsible to the multidisciplinary team caring for outpatients (e.g. as part of the Community Recovery Teams).
• Be responsible for providing a clinical pharmacy service to groups of patients.
• 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.
• Ensure the effective outcomes of treatment with medicines.
• Monitor patients for potential and actual adverse effects of their medicines.
• Take steps to ensure 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 medication, including the transcription of requests for dispensing and discharge counselling.
• Demonstrate professional accountability to patients.
• Provide advice to clinicians on unlicensed medicines use and areas of practice where the evidence base is lacking.
• Work across traditional boundaries as part of a fully integrated multidisciplinary team.
• Manage and make appropriate referrals to other members of the multidisciplinary team and within the pharmacy department.
• Be able to critically appraise the literature and give accurate interpretation in order improve use of medicines.
• Reduce risk associated with medicines use by contributing to the safe medication practice agenda. This will include identification and reporting of medicines related errors.
• Develop and demonstrate expert clinical knowledge in appropriate areas.
• Act as a clinical role model and demonstrate the ability to provide safe, clinically effective and cost efficient use of medicines for junior pharmacists.
• Provides an enquiry answering service, giving advice of a truly specialist nature, to health care professionals or patients who have been so far unable to access either information/advice, or require help where information is conflicting or difficult to interpret in the management of either individual patients, or groups of patients.
• Advice provided is accurate, evaluated, impartial and up-to-date to ensure the safe, clinically effective and cost efficient use of medicines in patients.
• Assess medicine regimes both during enquiry answering and/or routine ward visits providing highly specific advice to other clinical teams members on the management of often complex medicine related issues, such as complex drug interactions, medicine use in pregnancy, unlicensed use of medicines etc.
• To provide dispensary cover.