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Hospital Pharmacist

Hospital pharmacists work in a hospital pharmacy service, primarily within the public sector. They are responsible for ensuring the safe, appropriate and cost-effective use of medicines. Hospital pharmacists use their specialist knowledge to dispense drugs and advise patients about the medicines they have been prescribed. They work collaboratively with other health care professionals to devise the most appropriate drug treatment for patients. Some pharmacists are also involved in manufacturing required drug treatments.

The role of the hospital pharmacist sometimes extends outside the hospital, with responsibility for medicines in health centres, nursing homes, hospices and general practitioners' (GP) surgeries.

Conditions

  • Pre-registration graduates start on £19,683 (Band 5).
  • Typical starting salaries for qualified hospital pharmacists range from £23,458 to £31,779 (Band 6). Pharmacists with ten or more years' experience may earn up to £75,114 as a pharmacy consultant or pharmacy team manager (Bands 8C-D).
  • The recently introduced national pay scales brought in under the Agenda for Change consist of nine salary bands. The changes are designed to offer fairer pay, harmonised terms and conditions and a more transparent reward system for staff who work outside normal hours.
  • Some trusts in The National Health Service (NHS) may offer an additional payment of between £867 and £5,779 to compensate for the higher costs associated with working in inner and outer London and fringe areas (all salary data collected April 08).
  • NHS staff also benefit from the NHS pension scheme and a generous holiday entitlement. Many hospitals offer accommodation. Rates are usually reasonable and are sometimes subsidised.
  • NHS hospital pharmacists typically work a 37.5 hour week. Working hours are mainly nine to five with some extra hours, and normally involve some weekend and evening cover, usually on a rota basis.
  • Pharmacists work in the dispensary and on the wards, with regular patient contact, on a daily basis. They may also work in laboratories and small, sterile rooms called 'clean rooms'. Much of the work involves dealing directly with chemicals and medicines. Working conditions may be cramped and hot. A uniform of sterile clothing, including gloves and a gown, is required.
  • Jobs are available in most towns and cities, but seldom in rural areas.
  • There are more women than men at present in this profession.
  • Travel within a working day within the UK and overseas is uncommon.

Progression

After becoming a registered pharmacist with the Royal Pharmaceutical Society of Great Britain (RPSGB) and obtaining a job, the majority of hospital pharmacists develop their careers by taking a certificate or diploma in clinical pharmacy, which is often followed by an MSc. This is usually necessary to be able to progress to more senior grades. All pharmacists take a wide range of training to support them in their chosen specialty or career path. Training opportunities include in-house training provided by the pharmacy department or hospital, regionally or nationally organised study days or courses, initial specialty training and training in management.

Pharmacists need to keep abreast of developments in drug research, including the new drugs that are developed and come on the market; the new methods of treating conditions with drugs; and government and hospital policies for drug treatment.

Further training also forms part of a pharmacist's continuing professional development (CPD). An appraisal of the Royal Pharmaceutical Society's whole CPD recording and review process is in progress to help prepare the pharmacy profession for mandatory CPD in autumn 2008.

Upon successfully completing the pre-registration (pre-reg) year, pharmacists normally enter the hospital pharmacy service at basic Band 6. At this stage, pharmacists must be registered as members of the Royal Pharmaceutical Society of Great Britain (RPSGB) (MRPharmS).

Like pre-reg trainees, newly qualified Band 6 pharmacists usually rotate between different pharmacy services offered by their hospital. These may include:

  • clinical pharmacy;
  • medicines information;
  • medicines management;
  • aseptic/technical services;
  • dispensary services;
  • community pharmacy services;
  • primary care;
  • radiopharmacy (the use of radioactive materials);
  • clinical trials.

Although this is still considered a training grade, responsibilities are likely to include the servicing of a ward, or group of wards, as part of clinical pharmacy duties.

Following several years of experience, pharmacists may apply for a Band 7 pharmacist job. This is usually a rotational role but with more emphasis on specialising in a chosen area of pharmacy practice, for example:

  • paediatric care;
  • haematology;
  • quality control;
  • procurement and distribution;
  • radiopharmacy.

A recognised career pathway exists within the NHS, providing the opportunity to progress to the role of supplementary or independent prescriber, working within a Primary Care Trust as a Prescribing Adviser or becoming a Hospital Pharmacy Consultant at salary Band 9.

Pharmacists may also take on a role as a tutor by lecturing pre-reg trainees, delivering presentations to other medical staff or providing tutorial support to undergraduate pharmacy students.

Opportunities also exist for pharmacists to undertake locum work.

Typical employers

Around 6,000 pharmacists work in UK hospitals. The majority of hospital pharmacists work for hospitals in The National Health Service (NHS).

In times of staff shortage, NHS trusts may employ locum pharmacists to work in their hospital pharmacy departments. Some locum pharmacists work for an agency but others may work for an individual hospital or NHS trust on a casual basis.

Apart from the NHS, some hospital pharmacists work in the private sector. The independent and voluntary healthcare sector has been growing for several years. Three of the largest operators in the UK are BMI Healthcare, BUPA and Nuffield Hospitals. They, and other providers, run care homes for older people, adults and children with mental health, learning, or physical disabilities, as well as around 300 hospitals and clinics.

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