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Working together to achieve the healthiest
life possible for everyone in Ayrshire and Arran
Candidate
information pack
Visit our website: www.nhsaaa.net
All our publications are available in other formats
Find us on Facebook at www.facebook.com/nhsaaa
Follow us on Twitter @NHSaaa
Post Title:
Pharmacy / Healthcare Assistant
Job Reference Number:
N/817/15
Informal Enquiries:
Informal enquiries are welcomed by:
Alison Chandler, Primary Care Manager on 01563 548901/2
Closing Date:
12 April 2016
Process for Submitting Application Form:
You can apply using the online application form on the SHOW website –
www.jobs.scot.nhs.uk Alternatively your completed application form can be
returned to [email protected] or to the Department of O&HRD,
63A Lister Street, University Hospital Crosshouse, Kilmarnock, KA2 0BE
Please note: if applying using the online application facility on the SHOW
website, the text in the supporting statement section is limited and overlong
statements may be cut off. Please try to limit this section to the length of two
A4 pages.
All correspondence will be sent by email. We have experienced some issues
with personal email addresses and there is no guarantee correspondence will
be sent to your inbox. It is therefore your responsibility to check all email
folders, including your junk folder, as we have no control over which folder the
correspondence will be sent to.
Section one: Why work in Ayrshire?
Ayrshire is situated in the south-west of Scotland on the Firth of Clyde, and is
characterised by 80 miles of varied coastline, picturesque beaches, rolling green hills
and islands.
Just a 30-minute drive from Glasgow city centre, Ayrshire is an ideal location for
those who want to enjoy city life, with all the benefits of living in a semi-rural area.
Ayr, Irvine and Kilmarnock are the largest towns. However, there are many rural
towns, villages and communities throughout the area should you wish to relocate to
Ayrshire. Whether you decide to locate to Ayrshire or a neighbouring area, you will
find that property prices are more affordable than in other parts of the UK.
Alternatively, working in Ayrshire provides an easy commute from both Glasgow and
the wider central belt. There is an excellent network of both rail and bus links
throughout Ayrshire to Glasgow and beyond. There are UK and international flights
available from Glasgow Airport, as well as a range of services from Glasgow
Prestwick Airport.
Ayrshire provides a wide range of excellent recreational activities: whether you are
interested in history and heritage, outdoor pursuits, events and festivals, or simply
food and drink, there is something for everyone.
Ayrshire boasts more than 40 quality golf courses, including two Open
Championship courses at Turnberry and Royal Troon.
For more information on the range of recreational activities in Ayrshire, visit
www.visitscotland.com/ayrshire-arran
Local educational standards are very high at primary and secondary level. However,
private education is also available in the area. See below for more information on
local authority services:
East Ayrshire Council – www.east-ayrshire.gov.uk
North Ayrshire Council – www.north-ayrshire.gov.uk
South Ayrshire Council – www.south-ayrshire.gov.uk
Section two: NHS Ayrshire & Arran as an employer
NHS Ayrshire & Arran recognises that our staff are vital to delivering our purpose,
values and commitments and to achieving our strategic objectives.
Our purpose
Working together to achieve the healthiest life
possible for everyone in Ayrshire and Arran
Our values
Caring
Safe
Respectful
Our aim is to create an organisation where people want to work and strive to deliver
excellence each day; where staff wellbeing and personal resilience is supported;
where careers are interesting and developed; where staff are encouraged to reach
their full potential; and where staff feel their contribution is recognised and valued.
To do this, we need to attract, develop, support and retain our staff and enhance
their work experience. This will directly contribute to our aspiration to deliver
excellent high quality services to every person every time.
We believe the unique factors that help to define us as an employer are:
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our friendly and supportive environment;
our commitment to staff engagement and effective team working;
our track record in creativity and innovation and our ability to successfully
implement change and redesign;
our track record in supporting our staff’s learning, development and career
aspirations, from an initial comprehensive three-day corporate induction
programme to the availability of a wide range of internal training programmes;
our commitment to supporting flexible working through a wide range of family
friendly policies; and
our commitment to support and improve our staff’s health, safety, wellbeing
and resilience. We do this by implementing our Staff Health, Safety and
Wellbeing Strategy, and in our work towards achieving and maintaining the
Health Working Lives Gold Award. In addition, our Staff Care and
Occupational Health Service provide a range of support and interventions to
our staff.
The organisation has a statutory responsibility to ensure the Staff Governance
Standard is embedded and adhered to as part of the governance framework –
staff, financial, information and clinical governance – in which NHS Boards
operate. The Staff Governance Standard requires all NHS Boards to
demonstrate that staff are:
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well informed;
appropriately trained and developed;
involved in decisions;
treated fairly and consistently, with dignity and respect in an environment
where diversity is valued; and
provided with a continuously improving and safe working environment,
promoting the health and wellbeing of staff, patients and the wider
community.
During 2013, we consulted with our staff to select the key values and behaviours
which they believed were essential to create a safe, effective and person-centred
working environment which benefits patients, staff and carers. This allowed us to
develop our purpose, values and commitments. We passionately believe in creating
a culture which is open, fair and just.
Section three: Delivering our services
Acute Services
Emergency and elective hospital services are provided by our acute services, which
includes inpatient, outpatient and day case care. There are two district general
hospitals within Ayrshire: University Hospital Ayr and University Hospital
Crosshouse. These hospitals provide a wide range of acute services:
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University Hospital Ayr
University Hospital Ayr provides medical and surgical services on an inpatient,
day case and outpatient basis. It is the main Accident and Emergency service
for South Ayrshire. It provides a number of Ayrshire-wide services including
Vascular Surgery, Ophthalmology and Audiology.
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University Hospital Crosshouse
University Hospital Crosshouse provides medical and surgical services on an
inpatient, day case and outpatient basis. It is the main Accident and
Emergency service for East and North Ayrshire. Inpatient paediatrics, the
Ayrshire Maternity Unit and the main Laboratories for Ayrshire are on the
Crosshouse site.
Community, mental health and learning disabilities services
Following the introduction of Health and Social Care Integration, the operational
delivery for the range of community healthcare services and mental health and
learning disabilities services is through the newly created Health and Social Care
Partnerships and the Integrated Joint Boards:
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East Ayrshire Health and Social Care Partnership
North Ayrshire Health and Social Care Partnership
South Ayrshire Health and Social Care Partnership
Community Services
General medical and dental services are provided throughout Ayrshire and Arran by
general practitioners, dentists, community pharmacies and optometry practices.
Community nurses, health visitors and Allied Health Professionals are all involved in
providing care within our local communities.
Out-of-hours general medical services are provided by Ayrshire Doctors On Call
(ADOC) within the community.
Mental health and learning disability services
Inpatient mental health services, including the Intensive Psychiatric Care Unit, are
largely delivered at Ailsa Hospital in Ayr with further mental health inpatient services
provided at University Hospital Crosshouse
Learning disability services are provided from Arrol Park in Ayr. Elderly mental
health inpatient services are provided from Ayrshire Central Hospital in Irvine, and
East Ayrshire Community Hospital in Cumnock. Community based services are
provided throughout Ayrshire for the range of clinical groups: adults, child and
adolescent, elderly and addiction services.
For more information on the full range of clinical services provided by NHS
Ayrshire & Arran, visit our website www.nhsaaa.net
Section four: Investing for the future
There are two major capital developments underway within NHS Ayrshire & Arran to
ensure safe, effective and person centred care:
Building for better care
We are investing £27.5 million to provide fit for purpose front door services for
University Hospitals Ayr and Crosshouse, in order to improve emergency and urgent
care for patients who come to hospital for anything other than a scheduled
appointment.
North Ayrshire Community Hospital – Woodland View
We are investing £47 million to provide a 206 en-suite bedroom integrated mental
health and community facility, including older people’s long term care and
rehabilitation. This development will bring together a full range of outpatient and
inpatient facilities.
Section five: Post Details
1. Job Identification
Job Title: Pharmacy / Healthcare Assistant
Responsible to: Primary Care Manager
Department: Healthcare
2. Job Purpose
The Healthcare provision within HMP Kilmarnock is based around a model of care specifically
aimed at delivering Primary Care, Mental Health and Addiction services.
The role of the Pharmacy Assistant is to assist with the accurate and timely processing and
supply of medicines within the prison, following specified procedures.
The role involves coordinating pharmacy services to the healthcare department. To contribute
to the physical, emotional and spiritual needs of patients by being an active and supporting
member of the team
3. Dimensions
This is a diverse role involving the day to day delivery of a high standard support to the nursing
team to enable health care to be delivered to a population who have a comprehensive range of
physical, psychological, substance misuse and social problems whilst maintaining a high level of
awareness of and compliance with security procedures within the prison setting.
It also involves contributing towards the day to day running of the Health Centre by ensuring an
efficient and accurate medicines supply process. Responding to requests from doctors, nurses,
and prisoner patient for supplies of medicines, dressing, sundries and appliances required to
meet the needs of the prison population.
The dimension of this role is influenced by the Prison environment
4 ORGANISATIONAL POSITION
Director of North Ayrshire Health
& Social Partnership
Healthcare Manager Mental
Health and Offender Services
Clinical Services Manager, Adult
Community Mental Health
Services & Prison Health Care
Clinical Operations
Manager
GP/Medical
Officer
Deputy Clinical
Operations Manager
Senior Practitioner
Nurse
Primary Care
Manager/Offender
Services
13 RGN’s
7 RMN’s
Addictions
Workers
4 Pharmacy /
Healthcare
Assistants
Health Care
Administration
team .
5. Role of Department
The role of the Prison Healthcare Service is to provide a range of cost effective and efficient
clinical services and interventions that meet prisoner healthcare needs during their stay in
Prison, which complement and integrate with other services and agencies within the
establishment.
The overall aim of the service is to improve the physical and mental health and wellbeing of
prisoners, to support rehabilitation and to contribute to a reduction in re-offending.
6. Key Result Areas
1. To carry out assigned tasks in delivery and supporting direct patient care, under the
direction of a registered nurse to ensure delivery of high quality prisoner care.
2. To co-operate with and maintain good working relationships with other members of the
multidisciplinary team who are attending to and treating prisoners so patient care is
maximised.
3. To maintain good relationships and an empathic approach to prisoners and refer them to
a registered nurse for any questions, concerns or complaints they may have on the
prisoners’ condition or care so they feel involved in the care process and queries are
dealt with by an appropriate person. Chaperone, support and reassure prisoners
undergoing examination
4. To report any observed changes in the prisoner’s physical/psychological needs or
condition and participate in the maintenance of accurate and up-to-date written and
verbal communications to ensure prisoner needs are met and appropriate information is
shared and documented.
5. Have an understanding of infection control standards procedures. Dispose of department
clinical waste within the guidelines
6. Assist the nursing staff by undertaking and recording clinical observations such as
urinalysis, temperature, pulse and blood pressure and administer BM tests when
requested. Collect urine, faecal, sputum and vomit specimens
7. Help to run nurse clinics, GP surgeries and nurse triage clinics under supervision. Set up
trolleys for simple procedures e.g suturing.
8. Provide competent witness to assist nursing staff with the administration of methadone
9. To function in a healthcare department as an integral part of a multi-disciplinary team in
order to facilitate smooth running, providing cover to healthcare colleagues.
10. Complete drug analysis and medication spot checks
11. To assist with the receipt, storage and issue of pharmaceutical products in line with
prison procedures.
12. On receipt of supplies the post holder reconciles these with the delivery note and
prescription kardex to ensure accurate supply.
13. The post holder has responsibility for the maintenance of stock levels, including
restocking, stock rotation, stock balancing, expiry date checks and maintaining a suitable
environment for the storage and distribution of pharmaceuticals, dressings, sundries and
appliances.
14. The post holder will participate in delivering Health and Safety procedures, infection
control standards, standard operating procedures and any other policies or protocols
required by the management team.
15. The post holder will act as a competent witness in the administration of controlled drugs,
or other drugs which require to be supervised.
16. The post holder will work in partnership with the visiting pharmacist to answer queries
regarding clinical pharmacy issues.
17. The post holder will plan on a daily and weekly basis those tasks which are to prioritised,
taking into account the Health Centre routine, pharmacy and prison regime to ensure that
all medicines are available are the correct time and place.
18. The post holder will also be responsible for ensuring that prisoners who are being
transferred, released or attending court have their medications.
19. The post holder will be expected to undertake continuing training and development to
meet the requirements of the post.
20. The post holder will undertake the production, filing and archiving of requisitions and
prescriptions, medical records and other associated documentation.
21. To assist in audit and assurance activities undertaken in relation to the provision of
pharmaceutical services within the prison.
22. To perform environmental monitoring, including recording of refrigerator temperatures on
a daily basis.
23. Participate in the ordering and receiving of medical gases.
24. Raise invoice queries in relation to anomalies with charges and costs for medicines.
25. To liaise with the pharmacy provider to ensure an efficient and effective service for the
prison.
26. Adhere to risk management policies to ensure information is appropriately shared without
compromising medical confidentiality.
27. Assist the clinical manager in budgetary control aspects of the pharmacy contract by
cross checking and processing invoices for payment.
28. Attend, and participate in, healthcare staff meetings.
29. To deal with the disposal of pharmaceutical waste following the standard operating
procedure.
30. To undertake cleaning duties as required by pharmacy and healthcare standard
operating procedures.
31. To deal with verbal, written and telephone enquiries as appropriate in relation to the
delivery of pharmacy services.
32. To comply with the current legislation, code of ethics, conduct and practice relevant to
pharmacy.
33. To work within defined policies, procedures for ordering, maintaining and using supplies
and equipment so equipment is safe to use and resources are used economically.
34. To participate in personal career development to maintain skills and develop personal
growth through training and education.
35. To respect prisoner’s privacy and maintain patient confidentiality at all times so prisoners
are treated sensitively and personal information is restricted to the multidisciplinary team
involved in the prisoner’s care.
36. Collect prisoner liberation information and distribute to appropriate external community
agencies to ensure the healthcare department are meeting through care needs.
37. Extract information from clinical notes regarding prisoner’s previously prescribed
medication and liaise with community GP/addiction services.
38. Liaise with prison staff providing relevant information regarding failed compliance of
medication. Using this information the post holder must use own judgement on what
action to take.
39. Ensure the safe disposal of all unused medication which includes controlled drugs
completing relevant documentation
40. Liaise with visiting specialists to ensure all medication required by them is in stock
41. Ensure all work areas are clean and tidy
42. Ensure that prisoners have appropriate review appointments for continuity of medication.
43. Facilitate external GP appointment if requested.
44. Conduct weekly medication checks to ensure that prisoners are complying with
prescribed medication.
45. File all correspondence/documentation generated by the pharmacy department
46. Extract, collate and summarise data to enable preparation of standard verbal, written or
statistical reports or returns. Set up and maintain prisoner information databases as
requested by the healthcare department to assist in statistical reporting
47. To function in a healthcare department as an integral part of a multi-disciplinary team in
order to facilitate smooth running, providing cover to healthcare colleagues.
7a. Equipment and Machinery
The pharmacy / healthcare assistant is expected to have knowledge of equipment required to
carry out a role however may not use all of them on a daily basis. Examples of equipment and
machinery used:
 Blood collection systems
 Weighing scales
 BM equipment
 Urinalysis
 Methameasure
 Personal Computer/Printer
 Telephone/Fax
 Photocopier
 Shredder
 Fridge
7b. Systems
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Manual - filing system.
Manual and electronic – Prisoner Medical Record Files.
Electronic data storage e.g. Word, Excel
Local Pharmacy Administration System: COMPASS
Scottish Prison Service Record System: PR2
Microsoft Outlook, Internet & Intranet
Methadone Dispensing System: METHAMEASURE
SAMS database
8. Assignment and Review of Work
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The postholder reports directly to the Business Manager
Workload is generated by the needs of the service
Senior Practitioner Nurse or a registered nurse will assign workload; however, the post
holder will have responsibility for organising a defined workload as determined by the
healthcare department activity.
The post holder is unsupervised and at times works alone. There is a need therefore for
the post holder to be able to anticipate problems or needs and to take steps to resolve
them without being asked.
Performance Reviews and Personal Development Planning is undertaken by the Line
Manager in line with the organisations systems.
9. Decisions and Judgements
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The postholder will operate within defined standard operating procedures and work patterns
The post holder works as part of the team and uses own initiative with regards to day to day
decision making i.e. prioritising workload. The post holder will be expected to prioritise
medication orders. They must organise and divide duties and prioritise tasks in order to
meet the demands of the service.
The post holder is expected to assist in the coordination of medicines reviews by the doctor
by arranging an appointment, liaising with nursing staff to determine if the prisoner requires
to be present
The post holder will be expected to inform clinical staff if a prisoner patient is over ordering
or abusing their repeat medicine supply system.
Due to the nature of the work, the post holder must exercise discretion and be fully aware
of the need for confidentiality
There is a need for the postholder to be able to anticipate problems or needs and to take
steps to resolve them without being asked.
The Management Team can usually be contacted for advice on more complex matters.
The ability to risk assess your personal environment efficiently
Use tact, reassurance, and sensitivity when necessary to overcome barriers to
understanding
10. Most Challenging/Difficult Parts of the Job
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Meeting the demands of the Healthcare Department’s role.
Managing time effectively, prioritising work to meet competing demands by different
services who are unaware of the overall service demands/workload of the postholder,
which often result in frequent requirement to change mid-task to commence another.
Ensuring information is distributed timeously to various members of the healthcare team.
Providing primary healthcare to demanding, vulnerable prisoners within a high risk secure
environment.
Required to work under pressure in an extremely busy environment, which includes
processing of work and information to tight timescales, which often are out with the
control of the service
Flexibility is an essential part of the post holder’s remit
Providing pharmacy assistance to demanding, vulnerable prisoners within a high risk
secure environment.
Frequent need to concentrate for periods of time
Ability to cope with occasional interruptions to work patterns
Occasionally involved in care under distressing situations e.g people with challenging
behaviour, angry prisoners
Regular aggressive behaviour of prisoners
11. Communications and Relationships
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An essential component of the role of the postholder is the requirement to communicate
effectively, both verbally and in writing with a range of professionals and clients.
The postholder must recognise and acknowledge the confidential and sensitive nature of
the topics discussed and uses many skills such as tact, diplomacy, empathy, persuasion
and reassurance when dealing with staff, prisoners or relatives.
Within the multi-disciplinary environment, dealing sensitively and discreetly with telephone
and face to face enquiries from prisoners, staff of other disciplines and agencies.
The post holder will be expected to communicate and liaise with:
 The prisoner, their house block officer and the multidisciplinary team involved in the
provision of care.
 The healthcare team ensuring that therapeutic relationships with prisoners are developed
and maintained.
 Lead nurse/registered nurse – prisoner care, workload issues
 Other relevant departments within the prison e.g. addictions, prison officers, general
practitioner, external services
 External bodies and to operate as part of a multi-disciplinary team with the aim of
ensuring appropriate continuity of care and treatment prior to imprisonment, during their
stay and after liberation.
 Be aware of how to access other departments within the prison e.g. addictions, social
work, housing etc
 Be aware of prisoner referral system to other professionals, internal and external to
organisation.
 Be aware of the communication systems within the prison.
 Maintain verbal and written communication systems within the healthcare department
and the prison
 Be aware of the diversity culture, religion/individual communication needs
12. Physical, Mental, Emotional and Environmental Demands of the Job
Physical Demands:
 Work in confined spaces on each shift
 Requirement for moderate effort/manual handling i.e. pharmacy deliveries.
Mental Demands:
 Retention and communication of information
 Concentration required when providing care to patients
 There are frequent interruptions to concentration from own staff and other disciplines,
which are unpredictable, for example direct enquiries for information, in person and by
telephone, from health professionals and other disciplines and agencies.
 Concentration required when observing prisoner’s behaviour which may be unpredictable
 Unpredictable workload
Emotional Demands:
 Frequently communicating with distressed/anxious/worried prisoners, who may not be able
to understand rational explanations and dealing with angry staff.
Working Environment:
 Working environment can be very isolated at times and then very busy and noisy
 Working in an office with no natural day light or ventilation.
 Regular exposure to verbal and physical aggression from prisoners
 Regular exposure to tobacco smoke in areas within the prison where prisoners are
permitted to smoke.
13. Knowledge, Training and Experience Required to do the Job
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SVQIII in health care and dispensing or equivalent level of practical pharmacy and
nursing assistant experience.
Ability to work with people and as part of a team
Effective written and verbal communication skills
Ability to carry out assigned tasks to the expected standard in a busy high risk secure
environment.
The ability to conduct oneself safely within a challenging/risky situation
The ability to risk assess your personal environment efficiently
Experience in secure environment (not essential as training will be provided)
Person Specification
Qualifications & Training – Essential Criteria
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SVQ III in health care
Qualifications & Training – Desirable Criteria
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Dispensing or equivalent level of practical pharmacy and nursing assistant experience.
Experience – Essential Criteria
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Experience in a relevant clinical setting i.e Primary care, A&E, Acute in-patients,
pharmacy.
Experience – Desirable Criteria
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Experience in a secure environment
Knowledge – Essential Criteria
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Awareness of prisoner health needs in relation to primary care and emergency care.
Knowledge – Desirable Criteria
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Demonstrate a high level of awareness towards security procedures.
Competencies & Skills – Essential Criteria
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Well developed written and verbal communication skills.
Excellent communication skills
Well developed interpersonal skills
Able to demonstrate good team working skills
Computer skills
Ability to carry out assigned tasks to the expected standard in a busy high risk secure
environment.
Competencies & Skills – Desirable Criteria
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Venepuncture
Personal Characteristics and Other – Essential Criteria
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Shows commitment to the role of Pharmacy / Healthcare assistant role
Time keeping and time management skills
Reliable
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Able to interact well with colleague, patients and carers
Personal Characteristics and Other – Desirable Criteria