Specialist Clinical Pharmacist - Clinical Haematology

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.

The specialist pharmacist will work across the clinical haematology outpatient service at Leighton Hospital alongside a team of clinical haematology consultants, advanced nurse practitioner and clinical nurse specialists.

Pharmacist independent prescribing responsibilities support this practice. The specialist clinical pharmacist is expected to contribute to planning, education, research, and participate in clinical audit within own area of practice.To deliver and evaluate clinical pharmacy services to both malignant and non-malignant haematology patients in conjunction with the Lead Haematology Pharmacist and Clinical Haematology service manager.To support the multidisciplinary team in the safe, efficient and cost-effective use of medicine resources to the designated cancer disease group by the provision of education and training, procedures, policies and guidelines, and medicine usage information.Although the outpatient service is based at Mid Cheshire Hospitals NHS Foundation Trust site , postholders may be required to work at any location across the Greater Manchester and Cheshire Cancer Network.

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.

The Christie is one of Europe's leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist around 15% patients are referred to us from other parts of the country. We provide radiotherapy through one of the largest radiotherapy departments in the world; chemotherapy on site and through 14 other hospitals; highly specialist surgery for complex and rare cancer; and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years. We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK.This is a unique opportunity to work with us and contribute to the challenging and rewarding specialty of haemato-oncology pharmacy.

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