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• •    Responsible to the Lead Pharmacist Cardiology and Medicine and Associate Chief Pharmacist Clinical Services for strategic planning and delivery of clinical pharmacy services to renal patients, particularly transplant, chronic kidney disease and dialysis. 
• Support the Chief Pharmacist / Deputy Chief Pharmacist / Associate Chief Pharmacist and Lead Pharmacist Cardiology and Medicine in developing, monitoring, and reporting on drug expenditure and medicines budget and the delivery of financial savings as part of the pharmacy CIP.
• Development, implementation, and update of clinical pharmacy policy in conjunction with senior pharmacists.
• Work as a member of the renal, clinical, and wider UHP pharmacy team.
• Monitor, review, and report on medicines related incidents within renal service line.
• Provide highly specialist clinical pharmacy care to patients with renal disease, transplant and related conditions.
• To manage, lead and co-ordinate the renal pharmacy team including junior pharmacists and 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.
• 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.
• To practice as an independent prescriber.
• To work towards advanced clinical practice.
• To engage with Quality Improvement and practice research.
• To write and review policies and procedures relevant to pharmacy practice in renal care.
• Monitor and evaluate medicines related protocols and guidelines in renal medicine.
• Ensure an appropriate level of clinical pharmacy service is provided to the renal care areas.
• Propose policy or service changes which improve services and may have multidisciplinary and resource implications
• Configure and implement inductions for pharmacists in renal medicine and the pharmacy department with support from the Associate Chief Pharmacist Clinical Services and Lead Pharmacist Cardiology and Medicine
• Assist in the development and implementation of PGD’s and non-medical prescribing initiatives, when appropriate.
• Ensure that expertise within your area is seen as a resource within and outside the Trust and form working partnerships with other health and social care service providers.
• Recommendation of appropriate therapy for individual patients where evidence is not available, controversial evidence exists or other professionals may challenge advice
• Contribute to the organisations wider antimicrobial surveillance programme, implementing local programmes ensuring appropriate antimicrobial prescribing
• Attendance at Consultant/GP white board/MDT meetings/ward rounds to actively facilitate and provide advice on treatment, including highly complex patients.
• Promote compliance by prescribers and other healthcare staff with local/national policies and the South and West Devon Formulary.
• Application of highly complex knowledge of the evidence base behind drug therapies used.
• Manage day to day medicines queries, including face to face consultations with patients identified to have compliance or other problems in medicine administration.
• Refer patients to other community services where appropriate.
• Liaise with all levels of healthcare staff, patients and carers in all areas of work.
• Analysis, interpretation and monitoring of clinical data including but not limited to: drug levels, U&E’s, blood counts and microbiological sensitivities to guide diagnosis and drug therapy.
• Assess clinical requirements of patients as a clinical pharmacist and an independent prescriber through interpretation of clinical data and examination. If required request appropriate tests and examinations for patients directly under your care.
• Contribute to pharmaceutical initiatives that help with the seamless transfer of patients between different healthcare settings.
• Provide education and training to all healthcare professionals including medical students.
• Pharmacists are expected to work largely unsupervised and to act on their own professional judgement.
• Clinical supervision from another health professional can be arranged and is to be encouraged.
• Clinical roles are supported by policies and guidelines within which the pharmacist is allowed to exercise professional discretion / interpretation.
• Participate in any wider departmental rotas where needed.