Prisons Services Clinical Pharmacist | Oxleas NHS Foundation Trust in Eastchurch

To provide medicines optimisation services and support the GPs and dispensary team at HMP Elmley.

To support patients with their medicine queries and concerns.

To undertake medication review clinics.

To stratify risk with high-risk medicines and work to reduce such risk for patients.

As part of the health and wellbeing team:

• Identify patients at risk of admission to hospital and work to manage medicine-related risk for these patients.
• Implement improvements to patients' medicines for long-term conditions (LTCs), including de-prescribing and run LTC clinics where medicines are a large component of care.
• Develop and manage new services that are built around new medicines or NICE guidance.

To provide leadership to ensure practice within healthcare is compliant with CQC standards where medicines are involved.

Working with the Specialist Prison Services Pharmacist, develop and enforce the formulary.

Support the audit process in line with Oxleas NHSFT audit programme including and disseminate findings appropriately to improve prescribing practice.

Management, Leadership and Training responsibilities:

• To devise and implement SystmOne computer searches to identify cohorts of patients at high risk of harm from medicines.
• To provide leadership to the Healthcare Manager and GPs to ensure that practice is compliant with CQC standards where medicines are involved.
• As part of the Health and Wellbeing model, to contribute to public health campaigns, including flu vaccinations and adult immunisation programmes using specialist knowledge on immunisation.
• Analyse, interpret and present medicines data to highlight issues and risks to support decision making.
• Identify and provide leadership on areas of prescribing requiring improvement.

Clinical:

• Work with the dispensary and Primary Care teams to identify patients at risk from high-risk medicines to minimise such risks through medicines optimisation.
• Provide scheduled clinics for offenders across Sheppey Island Prisons (HMP Elmley, HMP Swaleside and HMP Standford Hill) to give advice and support on their prescribed medicines, OTC medicines and other medical issues they may raise.
• Promote healthy lifestyles for offenders in line with local and national guidelines or promotions.
• To be an active member of the Kent prisons clinical governance/medicines management committee(s).
• To hold clinics for patients requiring face-to-face Structured Medication Reviews (SMRs).
• To undertake clinical medication reviews with patients with multi-morbidity and polypharmacy and implement own prescribing changes (as an independent prescriber).

Research:

• To ensure systems are in place that support the implementation of evidence-based guidelines into practice within the Sheppey Prisons.
• To undertake own audit of prescribing practices, analyse complex data, feedback results and make suggestions for change.

Communication:

• To make clinical judgments within your clinical ability where information is highly complex or lacking or ambiguity exists.
• To provide newsletters on important prescribing messages to improve prescribers’ knowledge.

Other:

• Post holders will be subjected to an advanced DBS check and a prison security check (level 2).
• All applicants must be willing to undertake National Security Vetting in order to work in a Prison Setting.