Deputy Clinical Director - Medicines Optimisation and Digital Services

The post holder will operate at Network, Trust and system level to lead the development and delivery of high-quality, safe, clinically effective and cost-efficient medicines use, ensuring alignment with national policy, commissioning priorities and organisational strategy.

They will act as a senior clinical leader and subject matter expert in medicines optimisation and governance, driving transformation, innovation, and measurable improvements in population health outcomes.

• To support the Clinical Director to contribute to the strategy of the Trust taking into account national and local initiatives.
• To support the Clinical Director and Network leaders to the Network strategy and to ensure that this takes into account Care Group and Trust strategy.
• To lead the development and delivery of a Network wide medicines optimisation and prescribing strategy, aligned to Trust priorities and national frameworks.
• Operate as a senior clinical leader across organisational boundaries, influencing prescribing policy, pathway redesign and service models, whilst ensuring robust medicines governance and oversight.
• Advise Network, Care Unit and Care Group leaders on medicines-related risk, governance, innovation, and service development opportunities.
• To support the Clinical Director to implement of plan within transgender health and be aware of the impact of these plans on the wider network, the Care Group and other Trust services.
• To support the Clinical Director to ensure clinical, stakeholder and frontline staff engagement in the Service and Care Units strategic priorities, visions, and values.
• Where relevant to the Network, and in conjunction with the Senior Leadership Team, support the Clinical Director, to create strong strategic partnerships and collaborative relationships with Commissioners, Specialist Commissioners, other Trusts, local authorities, voluntary, private and academic sector agencies, locally, regionally and nationally which support performance, delivery and business development.
• To support, develop and coach employees that want to develop as part of the ongoing succession planning.

• To build effective multi-functional prescribing services.
• Provide expert clinical leadership for medicines optimisation and governance across all prescribing pathways. Where relevant embedding evidence based prescribing standards or other relevant clinical guidelines to ensure prescribing is safe and effective.
• To empower and motivate across the Network to effect change in order to achieve efficient working. To innovate in digital aspects to support the Network become efficient in the delivery of service
• Lead therapeutics decision making, formulary development and prescribing policies across the Network
• Support complex clinical decision making and act as a senior escalation point for prescribing issues
• To develop effective communication mechanisms within the Network
• To ensure an understanding of the Networks business and its strategic objectives
• To lead change management processes across Medicines Optimisation, digital and service development within the Network.

• Working with the other Deputy Clinical Directors, Clinical Director and Operational Leadership to ensure all resources within the Network are utilised as effectively and efficiently as possible.
• Hold senior responsibility for medicines-related financial stewardship, ensuring value for money and delivery of efficiency targets
• Lead CIP programme related to prescribing and medicines use.
• Contribute to business cases, commissioning decisions and service investment planning.

• To ensure a safe, effective, and efficient patient service that is equally accessible to all patients within the resources available
• Provide Network leadership for medicines governance, safety and quality improvement
• Lead the delivery of clinical audit, prescribing quality indicators and patient safety programmes
• Ensure compliance with medicines legislation, regulatory frameworks and best practice standards
• Oversee management of high-risk medicines, incidents, and variation in prescribing practice.
• The post holder will ensure that the services within their area of responsibility meet quality indicators both those determined internally by the Trust and those set externally by the NHSE/I, Commissioners of the Service and CQC

• Establish systems for monitoring prescribing KPIs, clinical outcomes and performance.
• Drive improvement through data led insight, benchmarking and variation analysis
• Ensure regular review and monitoring against key performance indicators.
• To establish and maintain effective communication with all Staff on all policy and clinical/nonclinical issues.

• To plan and provide support and medicines related interventions in the community as described in the patient care section below:
• To lead and be responsible for the induction, training plans and supervision to new pharmacy professional team members and other professionals joining the service whose roles involve medicines/prescribing.
• To ensure that new team members meet the competency requirements for their role through their training plan, supervision, and education to meet the needs of patients and the service.
• To accept responsibility for maintaining a safe working environment for all staff and patients.
• To provide specialist advice and consultation to other professionals contributing directly to patients treatment plan.
• To carry out other tasks as requested by the Clinical Director
• To participate as required within the Trust pharmacy leadership team
• To provide leadership and clinical supervision for the MDT in providing professional support on a national basis as part of the NCTHnet Adult Services.
• To ensure agreed data and outcome measures are instituted with agreement with commissioners and support from the academic arm of NCTHnet

#TeamNottsHC comprises over 11,000 dedicated colleagues who #MakeADifference every day. We deliver intellectual disability, mental health, community health, forensic, and offender healthcare services across Nottinghamshire, Leicestershire, Lincolnshire, and South Yorkshire. Our care is provided from over 200 sites, spanning community locations, acute settings, and secure environments, including prisons.

We are one of the largest mental health and community Trusts in the East Midlands and one of Nottinghamshire's biggest employers. We also host national and regional services, such as the National High Secure Deaf Service and the Nottingham Centre for Transgender Health.

We offer a variety of employee-led staff networks, including Equality, Diversity, and Inclusion (EDI) groups, the Green Champions network, the Freedom to Speak Up network, the Health and Wellbeing Champions network, and the Menopause Champions network. These networks play a vital role in supporting our diverse workforce and promoting a culture of inclusivity.

The health and wellbeing of our colleagues is a top priority. We invest significantly in this through our in-house occupational health and staff counselling services, supported by a dedicated Health and Wellbeing team.

The Trust is committed to reducing its carbon emissions, with a specialised Energy and Environmental team working to ensure compliance with environmental legislation, enhance our environmental performance, and achieve our net-zero commitment

Essential: - GPhC registered Pharmacist; - Member of RCPharm; - Relevant CPD and personal development; - PRINCE2 or equivalent

Desirable: - Formal Leadership Qualification; - Proven track record as a pharmacist independent prescriber

Essential: - Willingness to undertake new clinical practices, education and training that will enhance service delivery

Desirable: - Formal coaching training; - QI training

Essential: - Relevant clinical experience, including specialist skills and training; - Proven track record of senior level including staff and change management; - To have evidence of working in a leadership role at senior level for a significant period; - Demonstrable ability to lead and influence; - Experience of providing teaching, training, and supervision to GPs and other professionals

Desirable: - Working in a range of management roles and environments; - Service planning and development; - Political skills; - Experience of working at regional and national level; - Experience of leading a new initiative; design or delivery that improves patient experience/outcome

Essential: - Knowledge of the principal models of care in transgender healthcare; - Sound Clinical Pharmacy knowledge associated with a degree course and from aspects of career to date; - Awareness of NHS changes and understanding of pharmacy issues within the NHS

Desirable: - To utilise theory, evidence-based literature, and research to support evidence-based practice in individual work and with other team members; - Critical awareness of current themes in transgender healthcare policy and research

Essential: - Excellent interpersonal skills; - Ability to work as part of a team; - Clinical supervision skills; - IT Skills; - Critical decision-making skills/ Advanced problem-solving skills; - Experience of non-medical prescribing; - Advanced level written and verbal communication skills; - Experience of appraisals; - Clinical Audit and interest in research; - Evidence of multi-disciplinary team working; - Self-motivated towards own practice and development; - Confident and competent in approach to practice

Desirable: - A high level of emotional intelligence