Consultant Pharmacist – Antimicrobial Stewardship

Job description

Job responsibilities

Responsible to the Deputy Chief Pharmacist and Consultant Microbiologist lead for AMS for the delivery of a high-quality antimicrobial stewardship (AMS) programme in line with the agreed priorities for the Trust.

Lead on pharmaceutical matters relating to antimicrobial prescribing, ensuring adherence to national/local guidelines and medicines legislation e.g. Medicines Safety Executive and National initiatives.

To Interpret, deliver and monitor strategies to comply with national/local targets or statements, for example contributing to national point prevalence audits, anti-infective CQUINS.

In collaboration with the multi-disciplinary team critically evaluate and interpret published data on new drugs to make recommendations about treatment pathways and cost implications.

To lead on the implementation of NHSE commissioning decisions relating to the treatment of anti-infectives, ensuring safe prescribing by the production of protocols and guidelines.

Prepare and feedback regular reports on antimicrobial usage with appropriate interpretation to relevant clinical and managerial staff and committees.

Monitor and report on patient outcomes in relation to antimicrobials and infection management.

Clinical Practice To oversee and/or lead regular AMS and antifungal stewardship (AFS) ward rounds with or without a consultant microbiologist and speciality clinician.

Participate in antimicrobial stewardship ward rounds and relevant MDTs, review prescriptions, challenge treatment choices and communicate highly complex drug and therapeutic information to senior clinicians, senior manager, other professionals, patients, and their carers in order to influence treatment options.

Responsible for supporting the Chief Pharmacist / Deputy Chief Pharmacist / Associate Chief Pharmacist in developing, monitoring, and reporting on drug expenditure and medicines budget and the delivery of financial savings on anti-infective agents and antifungal as part of the pharmacy CIP.

Work as a consultant pharmacist and member of the AMS team and wider UHP pharmacy team, highly providing specialist clinical pharmacy care to patients across the Trust.

Practice as a Pharmacist Prescriber / advanced practitioner in infection management working within professional competence and an agreed scope of practice at all times.

Able to develop a personalised pharmaceutical care plan for complex and specialist infection conditions and take responsibility for that plan.

Able to develop and be accountable for an appropriate monitoring plan for patients with complex infective pharmaceutical care needs.

Uses expert clinical practice to interpret complex laboratory tests and/or disease markers in the management of patients with infections.

Accept referrals from medical, nursing and pharmacy staff to resolve complex, challenging or sensitive issues.

To provide highly specialised pharmaceutical advice and support relating to anti-infectives, to pharmacy staff and other healthcare professionals to encourage and ensure good prescribing practices, optimise outcomes and reduce individual patient and organisational risk.

To manage, lead and co-ordinate the AMS team including advanced specialist AMS pharmacists, MS data analyst and the AMS surveillance assistant) to provide effective audit and feedback, data collection, data visualisation and report preparation to support the trust AMS programme.

To manage, lead and co-ordinate the AMS pharmacy team including advanced specialist AMS pharmacists (OPAT and AMS & HIV) and pharmacy technicians in the provision of a safe, effective and efficient clinical pharmacy service in accordance with local and national standards and strategy and to ensure all members of the pharmacy team are trained and competent for their roles.

Accountable for oversight of the Trust Outpatient Antimicrobial Therapy (OPAT) service to ensure it is delivered in line with BSAC best practice.

Lead on the monitoring, review, and reporting on medicines related incidents or complaints specifically related to antimicrobials or infection advising on pharmaceutical risk management strategies.

Work closely with infection prevention and control teams to support healthcare-associated infection (HCAI) root cause analysis and implementing strategies to reduce HCAIs.

Configure and implement inductions for all pharmacy staff involved in antimicrobial stewardship and to provide education and training to all healthcare professionals as required.

Development, implementation, and update of clinical pharmacy and medicines related protocols and guidelines related to antimicrobial prescribing across the Trust.

Propose policy or service changes which improve services and may have multidisciplinary and resource implications.

Assist in the development and implementation of PGDs and non-medical prescribing initiatives, when appropriate.

To prepare for and participate in Peer Review and other external quality assessments.

To use your expertise as a regional and national expert in AMS within the Trust and externally to form working partnerships with other health and social care service providers from across the wider healthcare system.

To act as a role model as a clinical pharmacist and team leader, to pharmacists, technicians, ATOs and all other members of the multidisciplinary team.

The post holder will be required to represent the clinical pharmacy team, microbiology and infection control at both internal and external committees and forums including the Drug and Therapeutics committee, Medicines Safety Committee, Infection prevention and control Clinical Governance and Care Group operational meetings as appropriate.

As trust AMS lead, to chair the Trust Antimicrobial Stewardship Group

Be an active member of any Antimicrobial Stewardship networks and represent the Trust at any relevant local and national meetings as appropriate.

Aligns where possible AMS delivery to the Devon ICB AMS Strategy, supporting a system wide approach.

Person Specification

Knowledge & Experience

• Substantial demonstrable post registration experience as a clinical pharmacist practitioner in AMS and infection management
• Proven evidence of post-registration clinical pharmacy knowledge and demonstrable experience, sufficient to the levels in the clusters of the RPS Advanced Pharmacy Framework -Expert professional practice mostly at mastery level -Collaborative working relationships - at mastery level -Leadership - mostly at mastery level -Management - mostly at advanced stage II or above -Education, training, and development - mostly at advanced stage II or above -Research and evaluation - mostly at advanced stage II or above
• Maintains a broad proven knowledge of clinical and pharmacy practice across a range of clinical specialties.
• Excellent proven knowledge of general clinical pharmacy and drug use
• Significant demonstrable experience of lecturing and one-to one teaching, including clinical training and/or mentoring of pharmacy staff
• Demonstrable experience of leading and managing others e.g. staff appraisal and objective setting
• Demonstrable experience of change management and implementation of improvement initiatives in service delivery within the NHS
• Demonstrable experience of being accountable for the delivery, management, and strategic overview of a specialist service(s)
• Demonstrable experience of undertaking and publishing research and audit at an advanced level
• Proven skills in effective leadership, successful communication, negotiating, persuasion and influencing
• Proven knowledge of strategic care agendas
• Proven understanding of NHS priorities and how to apply these locally
• Demonstrates awareness of and commitment to the clinical governance agenda
• Excellent oral and written communication skills to address highly complex issues
• Report Writing Skills
• Proven evidence of CPD
• Demonstrable experience of policy and guideline development
• Multidisciplinary working / Participation in consultant -led ward rounds

• Previous demonstrable experience of providing support to the management of a hospital directorate or division
• Demonstrable experience of working across multiple sectors within health systems
• Demonstrable experience of budgetary management
• Financial forecasting and managing drug expenditure to include contribution to delivering cost improvement programmes
• Consultant AMS Pharmacist

Qualifications

• Master's Degree (or equivalent) in Pharmacy.
• Current registration with the General Pharmaceutical Council
• Postgraduate Diploma and/or MSc in Clinical Pharmacy and/or General Pharmacy Practice
• Registered Non-Medical prescriber.
• Further training in infection management or AMS or equivalent

• Postgraduate qualification(s) relating to infection management or AMS.
• Membership of the Royal Pharmaceutical Society, completed (or working towards) consultant pharmacist credentialling.
• Active Member of Active member of the Infection Network within UKCPA or the British Society of Antimicrobial Chemotherapy or equivalent pharmacist specialist interest group
• Postgraduate leadership qualification

Aptitude and Abilities

• oGood communication skills, written and verbal, with ability to demonstrate fluency, clarity and effectiveness at all levels.
• oTime management skills.

• oDemonstrate potential management ability
• oProven knowledge and understanding of financial issues

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details

Employer name

University Hospitals Plymouth NHS Trust

Address

Derriford Hospital

Derriford Road

Plymouth

PL6 8DH

https://www.plymouthhospitals.nhs.uk/