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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: 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: 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: 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. 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: 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 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 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 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 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 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 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 SVQ III in health care Qualifications & Training – Desirable Criteria Dispensing or equivalent level of practical pharmacy and nursing assistant experience. Experience – Essential Criteria Experience in a relevant clinical setting i.e Primary care, A&E, Acute in-patients, pharmacy. Experience – Desirable Criteria Experience in a secure environment Knowledge – Essential Criteria Awareness of prisoner health needs in relation to primary care and emergency care. Knowledge – Desirable Criteria Demonstrate a high level of awareness towards security procedures. Competencies & Skills – Essential Criteria 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 Venepuncture Personal Characteristics and Other – Essential Criteria Shows commitment to the role of Pharmacy / Healthcare assistant role Time keeping and time management skills Reliable Able to interact well with colleague, patients and carers Personal Characteristics and Other – Desirable Criteria