Jemma Dunstan, Information Governance Team

V1

Review Date: 2021 Page 1 of 1

FREEDOM OF INFORMATION ACT 2000

THE ROYAL CORNWALL HOSPITALS NHS TRUST RESPONSE TO INFORMATION REQUEST

Date Request Received: 16 July 2018 FOI Ref: 3718

Requested Information

1) Copy of pharmacy management structure

2) Total WTE of pharmacists and pharmacy technicians

3) Chief Pharmacist/Director of Pharmacy name

4) Copy of Job Description for Chief Pharmacist / Director of Pharmacy

Response

1) Please see Appendix 1 – (Pharmacy management and staffing) for the Pharmacy Department Management Structure at the Royal Cornwall Hospitals Trust

2) Please be advised the Royal Cornwall Hospitals Trust employs 40 Whole time equivalent Pharmacists and 35 whole time equivalent technicians within the Pharmacy Department

3) Please be advised the Chief Pharmacist for the Royal Cornwall Hospitals Trust is Mr I Davidson

4) Please see Appendix 2 – Pharmacy Management Role for the Job description for the Chief Pharmacist at the Royal Cornwall Hospitals Trust

Attachment(s)

Appendix 1 – Pharmacy Management Structure

Appendix 2 – Pharmacy Management Role

Date Response Sent:

July 2018

Pharmacy Structure

June 2017

Senior Pharmacy Team

Chief Pharmacist

Principal Pharmacist

Supply Services

Principal Pharmacist-

Clinical Services

(Deputy chief)

Principal Pharmacist- Prescribing

Support

Principal Pharmacist-

PTSU

Principal Pharmacist

E&T

Principal Clinical

Scientist QA

Pharmacy Lead Admin and PA to chief pharmacist

Band 2 Pharmacy Office Admin Support

Clinical Services

Pharmacy Clinical Services

Principal Pharmacist- Clinical

Pharmacy

Lead Directorate Pharmacist

Paediatrics

Lead Directorate Pharmacist

Cancer Lead Directorate Pharmacist

Acute Medicine

(renal, resp, gastro, endo)

Lead Directorate Pharmacist

Elderly Care

Lead Directorate Pharmacist

Critical Care & Theatres

Lead Directorate Pharmacist

Trauma & Ortho, Head & Neck

Lead Directorate Pharmacist-

rheumatology (Rhuem funded)

Antimicrobial & HIV Lead Pharmacist

Lead Directorate Pharmacist Admissions

Lead Pharmacist- Medication safety

Paediatrics

Lead Directorate Pharmacist Paeds

Band 7 Pharmacist Paeds/ clinical trials

Rotational Band 6 pharmacist (+ trials)

Cancer

Lead Directorate Pharmacist Cancer

Services

Band 7 Cancer Pharmacist

IVIG/ MMT Pharmacy Technician

Band 7 Cancer/Aria & PTSU pharmacist

Aria support from EPMA pharmacy technician

2x Band 7 Cancer/TPN/PTSU

pharmacist

Rotational Band 6 Cancer/ PTSU

Acute Medicine

Lead Directorate Pharmacist- Acute

Medicine

Band 7 Pharmacist-Cardiology Rotational Band 7

Pharmacist

Band 7 Pharmacist-

Gastroenterology 2x Band 7

Pharmacist- Renal Medicine & AKI

Rotational Clinical/ Dispensary Band 6

Pharmacist

Elder Care

Lead Directorate Pharmacist

Eldercare & WCH

Band 7 Pharm

Eldercare & Surgery

2x Band 7 Pharm

Eldercare

Critical Care & Theatres

Lead Directorate Pharmacist- Critical care

& Theatres

Rotational Band 7 Pharm

Critical & periop care

Trauma & Orthopaedics, Head & Neck

Lead Directorate Pharmacist T&O,

H&N

Band 7 Pharmacist Eldercare/ Surg

Rotational Band 6 Pharmacist Clin/Disp

General Surgery

Lead Pharmacist for Supply Services &

Directorate Pharmacist- General Surgery

Band 7 Rotational Pharmacist

Med/ Surgical Admissions

Band 7 Pharmacist

MI/ Surgery

Admissions

Lead Directorate Pharmacist

Admissions

Rotational band 7 Pharmacist

Medical Admissions

2x Rotational Band 6 Pharmacists

Clinical /Dispensary

Clinical Pharmacy-Other

Principal Pharmacist Clinical Services

Consultant Pharmacist-

Antimicrobial & HIV

Band 7 Pharmacist- HIV/CF and

Antimicrobials

Antimicrobial Pharmacy Technician

Rheumatology specialist pharmacist

(funded through Rheum)

Band 7 Pharmacist 3day Rheum 2 day

Medicine

Other Pharmacists with Clinical

Commitments:

-E&T pharmacist (ED)

-Medication safetypharmacist

- Lead Pharmacist MI

Prescribing Support Services

Prescribing Support

Principal Pharmacist

Prescribing Support

Lead Pharmacist- Medicines

Information

Band 7 pharmacist MI/ surgery

MMT/ MI technician

Rotational band 6 pharmacist MI/

Roskear

Prescribing Support pharmacy technician

Prescribing Support Deputy pharmacist

(CCG funded ‘embedded

pharmacist’)

A&C Procurement. Bluteq/ high cost

drugs (CCG funded)

Education & Training

Education and Training

Lead Pharmacist Education and

Training

E&T Pharmacy Technician

3-4 StudentPharmacy

Technicians

Pharmacy Assistant Apprentices

4 Pre-registration Pharmacists

B2 A&C support/Pharmacy

Office

Governance and EPMA

EPMA

Lead Pharmacist-EPMA

2x Information Analysts

EPMA and Medicines

Optimisation Nurse

Band 6 Lead Technician for Pharmacy IT

EPMA/MMT pharmacy technician

Supply Services

Supply Services

Principal Pharmacist Supply

Services

Lead Pharmacist

Clinical Trials

Clinical trials/ Paed pharmacist

2x Clinical trials technician

Clinical trials pharmacy assistant

Lead Technician- Procurement

Chief technician- Supply Services

Procurement

Lead Technician- Procurement

Band 6 Procurement

Officer

Procurement SATO

3x Procurement assistants

High cost Drug and Homecare

Monitoring Officer

(CCG funded)

Supply Services

Chief Technician

Lead Technician- Supermarket

Band 2 Pharmacy Assistants

Lead Technician-Dispensary and OPD

Liaison

Rotational Band 4 Pharmacy

Technicians

Band 3 Senior Pharmacy Assistants

Band 2 Pharmacy Assistants

Lead Technician- Medicines

Management

Band 5 MMTs

- Trelawny 1

-Trelawny 2

-Tower

-ED

Band 5 Pharmacy Technician WCH

Band 2 Pharmacy Assistant

Cross-cover between supermarket & dispensary

Pharmacy Technical Services

Pharmacy Technical Services

Head of QA services

Band 7 QA scientist

QA Technician

Principal Pharmacist PTSU

Lead Pharmacist PTSU (deputy)

Nutrition Pharmacy Technician

Lead Technician- Operations

Band 5 Pharmacy Technicians

Band 4 Pharmacy Technicians

Band 3 Senior Assistants

Band 2 Pharmacy Assistants

Lead Pharmacist PTSU

Band 6 rotational pharmacists

ROYAL CORNWALL HOSPITALS NHS TRUST DIRECTORATE OF PHARMACY

JOB DESCRIPTION

TITLE: Head Pharmacist Supply Services (secondment)

GRADE: Band 8b

HOURS: 37.5

BASE: Royal Cornwall Hospital

REPORTS TO: Director of Pharmacy

ACCOUNTABLE TO: Director of Pharmacy

JOB SUMMARY:

A 12-month secondment position to act as lead pharmacist for supply service which encompasses the activities provided by the Royal Cornwall Hospital (RCH) dispensary and associated medicine store. To act as the pharmacist responsible for the development by the Royal Cornwall Hospital dispensary and associated medicine store. To act as the pharmacist responsible for the development of one-stop dispensing to RCH wards, to act as directorate pharmacist to the surgical directorate.

As lead pharmacist responsible for the leadership, management and co-ordination of all staff who work in the above sections. The main purpose of the secondment is to integrate one stop dispensing within the supply service and to maximize the operational performance of the supply service.

COMMUNICATIONS AND WORKING RELATIONSHIPS:

The role requires regular and direct contact with medical, nursing and managerial staff at all levels of seniority. The nature of the relationship is to provide a high level of professional and operational advice and to formulate policy. Also to communicate directly with patients and relatives and to provide both routine and highly complex information concerning their medicines, specifically:

Internal : Medical, nursing, laboratory, management, pharmacy, IT staff. Direct discussion with patients and relatives to advise them on treatments and medicines.

External: Primary Care Trust (PCT) pharmacy and prescribing leads. Cornwall health community clinical staff, suppliers, professional networking.

Dispensary Pharmacists Clinical Trials Pharmacist Chief Technician Supply Services

Head Pharmacist Supply Services

Director of Pharmacy

DUTIES AND RESPONSIBILITIES

1. To act as the lead pharmacist for the development of one-stop dispensing (dispensing fordischarge) within the Royal Cornwall Hospitals Trust and advise on developments incommunity hospitals.

2. To work closely with key stakeholders in the planning and implementation of one-stopdispensing.

3. To lead and manage supply services and maintain required operational legal standards.4. To deploy appropriate skill-mix so that the skills of pharmacy assistants and technicians

are used to optimum effect and pharmacist skills are appropriately focussed.5. Responsible for the management of all staff within the supply section.6. To maximise the operational performance of supply services so that ward stock and

prescription medicines are supplied in a timely way.7. To develop a capacity plan for supply service and determine the staff resource needed to

meet that capacity.8. To communicate with key medical and nursing staff to determine that the service is

meeting user needs9. To work closely with PCT prescribing and pharmacy leads to help maximise the seamless

provision of medicines between hospital and home and acute hospital to communityhospital

10. To work closely with the Quality Assurance manager in assessing risks and planningactions to reduce identified risks.

11. To develop robust methods for monitoring service performance and report these to theDirector of Pharmacy at agreed intervals

12. To develop robust methods for recording and reporting all dispensing errors and nearmisses. Also to foster an open supportive culture so that reporting is encouraged andlearning from errors is shared

13. To co-ordinate operations through close liaison with the Head of Clinical Services andhead of Medicine Purchasing.

14. To act as the senior pharmacist for managing pharmacy services to the surgicaldirectorate.

15. To provide clinical pharmacy services to designated wards16. To undertake the role of a Pharmacist Independent Prescriber within the clinical area /

setting of Surgery and in line with Trust policy, professional regulatory and nationalguidance.

17. To maintain competence in prescribing according to level of prescribing qualification andparticipate in regular continuing professional development in relation to the role.

18. To prescribe in accordance with the Trust’s Medicine Policy; it’s Non-medical PrescribingPolicy; The Cornwall & Isles of Scilly Formulary and other local and national prescribingguidance.

19. To prescribe within the limits of their individual competence.20. To manage and supervise any pharmacist providing support to the surgical directorate.21. To act as a postgraduate work-based tutor for the University of Bath Clinical Diploma

Programme.22. To attend and contribute to clinical team meetings23. To maintain all necessary records and standards of service24. To take part in the department’s staff appraisal programme and also appraise designated

staff25. To train staff and ensure that all staff with the supply section are trained to undertake

responsibilities and that competence is assessed26. To undertake continuing professional development27. To take part in practice research and audit28. To deputise as the Responsible Person for wholesaler activities in the absence of the

Responsible Person (the Chief Pharmacist) and carry out duties delegated by theResponsible Person to ensure compliance with the quality management system and EUguideline 94/C 63/03 and subsequent updates.

29. To undertake such other duties as may be required by the Director of Pharmacy.

ROYAL CORNWALL HOSPITALS NHS TRUST

PERSON SPECIFICATION FOR THE POST OF - Head Pharmacist Supply Services (secondment)

Post Reference: Full Time

Rate of Pay - All requirements listed in this specification must be (a) essential to the post and (b) assessable within the selection process.

ATTRIBUTES REQUIREMENTS HOW IDENTIFIED

ESSENTIAL DESIRABLE

Experience - Masters Degree inPharmacy (4 years) orequivalent plus one year pre-registration, plus a minimumof 4 years post registrationcovering a range ofspecialities. A minimum ofone of these years should beoperating at the level of aspecialist clinical pharmacistor above.

- Previous experienceinvolving responsibility forproviding a clinical service toa relevant specialist clinicalarea.

- Deputising for adirectoratelevelpharmacist

- Mentoring

- Applicationform

- References- Interview

Qualifications - MRPharm S- Clinical diploma or

equivalent-

- ECDL or equivalent

- Postgraduatecertificate ineducation

- MSc/MPhil- Pharmacist

IndependentPrescriber

- Certificates- Registration

check

Practical and Intellectual skills (including any special knowledge)

- Have a broad and in-depthclinical and pharmaceuticalknowledge.

- Advanced relevant specialistknowledge

- Excellent written and oralcommunication skills andable to communicatecomplex informationeffectively and at all levels

- Coaching skills - Applicationform

- References- Interview

within the healthcare organisation.

- Able to evaluate and makedecisions.

- Able to prioritise work andwork under pressure.

- Able to utilise PCs and workwith common applicationsoftware.

- Audit & research skills.-

Training - Able to demonstratecontinuing education andprofessional development.

- Specialist training in clinicalareas

- Applicationform

- References- Interview

Disposition/ Adjustments/ Attitude

- High level of self motivationand able to work on owninitiative.

- Pleasant & decisivepersonality comfortableworking alone and in a team.

- Flexible and able to work onown initiative

- Applicationform

- References- Interview

Physical make-up - Good general health record(it would be difficult toundertake duties with aphysical handicap whichseverely affected mobility)the work is demanding andinvolves high levels ofconcentration and the abilityto prioritise demands andwork flexibly.

- Occupationalhealth

- Applicationform

Emotional Effort - Able to provide advice topatients and relatives whomay be distressed. Alsoable to provide advice andguidance to distressedpatients and relatives whomay have been subject to amedication error or sideeffect.

- Interview- References

Mental Effort - Able to maintain high levelsof concentration and dealwith frequent disruption dueto competing demands

- Deal with urgent requestsand tight deadlines

- Able to process highlycomplex information relatingto medicines use andmanagement issues.

- Interview- References

Equipment, Premises and Finance

- Able to use personalprotective equipment whenrequired

- Able to interpret and report

- Interview- References- Certificates

complex financial trend information concerning medicines use.

Circumstances - Able to work the hoursdemanded of this post

- Able to work weekends andlate evening and BankHoliday rota and coveremergency service

- Applicationform

- Interview

Appendix 1 – Job Matching Sign-off sheet Ref No.

AGENDA FOR CHANGE

JOB TITLE……………………………… CURRENT GRADE………………….

DIRECTORATE/SPECIALTY………………………………………………………

DEPARTMENT………………………………………………………………………

DECLARATION:

POST-HOLDER:

I confirm my agreement that this job description & person specification accurately reflect my job and I understand that they will now go forward for the Agenda for Change Job Matching Process.

Signed……………………………………… Date……………………….

Full Name (print)……………………………………………………………..

E-mail Address Telephone No.

LINE MANAGER:

I confirm my agreement that this Job Description & Job Specification accurately reflect the job of the post-holder for whom I am responsible and I understand that they will now go forward for the Agenda for Change Job Matching Process.

Signed……………………………………… Date……………………….

Name (print) …………………………… Job Title……………………………..

E-mail Address Telephone No.

Please securely attach the job description and person specification and return to:

Agenda for Change Project Office, PAMW, Royal Cornwall Hospital, Treliske, Truro.

In addition, If you have access to e-mail please e-mail all documents to Annie Wing, Project Co-ordinator.