Clinical Pharmacist: Anticoagulation Service/Bromleag Care Practice
| Posting date: | 05 June 2025 |
|---|---|
| Salary: | £46,148.00 to £53,755.00 per year |
| Additional salary information: | £46148.00 - £53755.00 a year |
| Hours: | Full time |
| Closing date: | 18 June 2025 |
| Location: | Beckenham, BR3 3QL |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | B0166-25-0034 |
Summary
Anticoagulation Service: Manage and support patient receiving anticoagulant therapy in the community, according to national standards of practice. Support multi-disciplinary team of staff within the community involved in supporting patients on anticoagulation therapies including DOACs, enoxaparin and VKAs. Help to promote standardisation in initiation and maintenance of anticoagulant therapy. Regularly review patients on warfarin (including at the outset) with regard to indication, duration, compliance, target INR, and clinical safety and liaise/refer to appropriate clinicians and/or Consultant Haematologists for medical opinion. Assess and identify the correct regime for patients outside the therapeutic range and refer to an appropriate health professional when necessary. Screen patients referral for DOAC initiations Provide support in a clinic, or by telephone, for prescribing, dose adjustment and close monitoring of patients on anticoagulant treatment following agreed protocols and patient group directions Provide specialist advice to individual patients and to other healthcare professionals on the dose of anticoagulants in accordance with agreed protocols Assess patients condition according to INR and counsel accordingly, taking into account the relevant clinical details. Identify and follow up patients who fail to attend for INR checks. Support in the management of patients requiring vitamin K. Provide anticoagulant services in line with SELICB, NICE, NPSA and other relevant guidelines. Support the management of patients on LMWH Participate in the domiciliary visiting service for patients on anticoagulant therapy, either in person, or by supporting ancillary staff by telephone when they are visiting the patient at home Bromleag Care Practice: Rationalise repeat prescriptions lists to avoid waste and duplication Provide care-home based reviews to those residents with LTCs or complex health needs, including drug monitoring and risk versus benefit. Provide on-call pharmacist cover for the practice as per duty rota Contribute to the management of the prescribing budget through the promotion of safe, cost effective rational prescribing for all residents in care homes Contribute to minimising the harms associated with the use of medicines, for example by de-prescribing Link to local and national care home forums to support embedding best practice. Support the education of care home staff and other relevant bodies regarding medicines management. We are looking to recruit a motivated and experienced Pharmacist to work four days a week across our Bromleag Care Practice (2 days) and Anticoagulation Service (2 days). This is an excellent opportunity to be part of a dynamic, patient-focused environment, supporting our multi-disciplinary team (MDT) approach to deliver high-quality, safe, and effective care to a diverse patient population. Anticoagulation Service: This position has become available due to the expansion of our existing team to support the growth of the Anticoagulation Service and the significant positive impact on the stroke prevention scheme within Bromley and Lewisham. The role of an Anticoagulation Pharmacist is to work within the BGPA Community Anticoagulation Service and manage patients on warfarin, as well as clinically screen incoming referrals, practise as a Pharmacist Independent Prescriber, conduct DOAC Initiation appointments and prescribe suitable Anticoagulants. This is a part time role, for two days a week, to cover clinics across Bromley and Lewisham borough and work as a hub pharmacist supporting clinical queries. Bromleag Care Practice: Additionally, Bromleag Care Practice are looking to recruit a dedicated and proactive Pharmacist to join our team two days a week. This role is integral to our multi-disciplinary team (MDT) approach, enhancing the quality of care for our residents through collaborative, patient-centred medication management and clinical support. This role offers a high level of autonomy, direct face-to-face patient interaction, and the opportunity to lead on medicines optimisation. Youll use your clinical and communication skills to carry out medication reviews, support prescribing decisions, and collaborate with GPs, patients, families, and ICB colleagues to drive safe, effective, and person-centred care. The BGPA Anticoagulation Service is led by Clinical Pharmacists. Their responsibilities include: Assist in the running of the Community anticoagulation clinics across Bromley and Lewisham Work in close liaison with the service team to assist in the achievement of short and long term objective Facilitate anticoagulant prescriptions and ensure patients receive the correct anticoagulation medication Promote the safe, effective and economic use of anticoagulant drugs within the community and to train other healthcare staff in anticoagulant management. Main duties of the Bromleag Care Practice Pharmacist include: Provide professional advice and support to care homes on the safe prescribing, handling and administration of medicines. This includes support regarding development and implementation of medicines management processes and policies. Lead on the medicines aspects relating to the care of patients in care homes to optimise medicines, reduce medicines-related risks and improve adherence to taking medicines by carrying out medication assessments and reviews in identified patients. Medicines management with face to face dealings with patients, care home staff and relatives Undertake prescribing for patients within own competency according to the needs of the service. Resolve day-to-day medicines and prescription issues with healthcare professionals Help patients and care home staff to manage the patients conditions Lead practice repeat prescription services and deal with queries from reception staff and patients Present to Patients and relatives any changes to prescribing in line with NICE, best practice or in response to prescribing alerts Advising patients and carers of the adverse side effect of medication and potential interaction with other medication/treatments