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Livewell Southwest is a community-based health and social care provider delivering integrated services across Plymouth. We are seeking a Lead Pharmacist for Antipsychotics to lead expert clinical practice, drive safe prescribing and implement a comprehensive annual review programme for oral antipsychotics within shared care pathways.
The role combines advanced clinical practice, leadership, and collaboration with GPs, neighbourhood teams and mental health services to shape medicines optimisation
Internal applicants only LWSW employees only
37.5 hours per week.
Are you passionate about improving outcomes for people taking antipsychotic medication and shaping innovative, integrated models of care? This is an exciting opportunity to lead a high-profile service that sits at the heart of mental health, primary care, and neighbourhood healthcare delivery across Plymouth.
As our Lead Pharmacist for Antipsychotics, you will provide expert clinical leadership, driving the safe, effective, and person-centred use of antipsychotic medicines across shared care pathways. You will establish and lead a specialist advice and guidance service, work collaboratively with GPs, neighbourhood teams, and mental health services, and play a key role in ensuring every person prescribed an oral antipsychotic receives high-quality annual review and monitoring. Alongside direct clinical impact, you will influence policy, lead quality improvement and audit programmes, develop the workforce, and shape the future of medicines optimisation across the system.
This role offers the opportunity to make a tangible difference to patient care at scale, develop innovative services, and work within a forward-thinking organisation committed to integrated, neighbourhood-based care. If you are an ambitious clinical pharmacist looking to combine advanced practice, leadership, and system-wide influence, we would love to hear from you.
The Lead Pharmacist for Antipsychotics will provide expert clinical, professional, and strategic leadership for the safe and effective use of oral antipsychotic medicines across Livewell Southwest, primary care, and neighbourhood teams. The post holder will lead the development and delivery of an advice and guidance service, supporting clinicians with complex prescribing, monitoring, shared care, and medicines optimisation queries.
They will oversee the annual review programme for people prescribed oral antipsychotics under shared care arrangements, ensuring high-quality, person-centred care, appropriate monitoring, and safe prescribing practices. The role will work closely with multidisciplinary teams across organisational boundaries to improve outcomes, reduce unwarranted variation, and support integrated neighbourhood-based care.
The post holder will also lead audit, quality improvement, and service evaluation initiatives; contribute to the development of policies, pathways, and shared care agreements; provide education and support to healthcare professionals; and act as a senior clinical advisor on antipsychotic medicines optimisation across the local health and care system.
This role may not be eligible for sponsorship under the Skilled Worker route.
Please note that Livewell may close the job advertisement earlier than the specified deadline.
All staff are expected to be able and willing to work across a 7 day service.
Livewell Southwest is an independent, award-winning social enterprise delivering integrated health and social care services across Plymouth, South Hams, and West Devon, with specialist services in parts of Devon and Cornwall. Our teams work in community hospitals, GP practices, sports centres, and health hubs.
As an organisation with a strong social conscience we are guided by our values, kindness, respect, inclusivity, ambition, responsibility, and collaboration. We focus on transforming services to ensure sustainability, while empowering staff and those we serve.
We involve the people we care for, along with their families and carers, in shaping the care they receive, striving to deliver the right care at the right time and place. Centering our work on individual needs helps people lead healthy, independent lives.
We prioritise employees' development, offering protected CPD time, training pathways, leadership programs, and funding for qualifications like the Care Certificate and Nurse Training Scholarships. Our induction and preceptorship programs ensure a smooth transition into our organisation.
Livewell Southwest values diversity and encourages applications from all sections of the community, including those with armed forces experience, lived experience of mental health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the application process, contact the Recruiting Manager listed in the job advert.
The post holder will be managed by the Principal Clinical Pharmacist and work closely with Consultant Psychiatrists and Speciality Doctors within Mental Health, the MSO, Lead Digital Pharmacist and Mental Health Pharmacists
Have line management responsibility to staff contributing to the antipsychotic service, including responsibility for workforce planning, appraisals, performance reviews and service delivery outcomes.
To be accountable for workforce capacity, capability, and development within the antipsychotic shared care service across the organisation and system partners
To provide clinical supervision for pharmacy technicians and pharmacists working within the shared care antipsychotic workstream.
To provide mentorship and training of persons within the antipsychotic shared care team and other members of the pharmacy team, including students or wider MDT as appropriate.
The post holder will be required to delegate tasks to pharmacists, pharmacy technicians, support workers and administration staff aiding where required.
To assist in the development, delivery and audit of medicines related education and training programmes for healthcare staff.
Lead on the development and implementation of workforce models to support service sustainability and expansion across neighbourhood teams and primary care.
As an expert, to act as a role model and mentor for all staff, supporting the personal and professional development of pharmacy team members
To supervise pharmacy technicians, students, trainee and diploma pharmacists from acute trust hospitals and PCNs who come to LSW for experience of working in mental health.
Provide formal training for pharmacy staff, other healthcare professionals, service users and carers.
Participate in the service planning, workload allocation and management of the clinical pharmacy and medicines optimisation services.
To work autonomously with access to support when required.
Provide mentorship, training, and clinical supervision to pharmacists and clinicians working within neighbourhood MDTs involved in mental health care and shared care antipsychotic pathways.
Support neighbourhood teams in upskilling and building confidence in safe prescribing, deprescribing, and monitoring of antipsychotics.
Accountable for contributing to and influencing significant areas of medicines expenditure related to antipsychotics across the system
Responsible for identifying, planning, and delivering cost improvement programmes and value-based prescribing initiatives within the service
Provide strategic financial advice influencing commissioning decisions and investment in medicines optimisation initiatives
Contribute to business case development and service investment proposals
Ensuring clinical and financially optimal use of antipsychotic medications within shared-care pathways, supporting cost-effective prescribing and reduction of unwarranted variation
Provide expert pharmaceutical recommendations that contribute to budget management, cost-saving initiatives, and ICS-wide medicines optimisation priorities
Support monitoring of oral antipsychotic prescribing spend and contribute to forecasting, demand planning, and financial reporting where required
Prepare reports, monitor and control formulary and non-formulary prescribing of oral antipsychotics to ensure compliance against local, regional, and national formularies, and lead on the application for any new oral antipsychotics both internally and externally
Contribute to decisions on investment in new therapies, monitoring technologies, or optimisation initiatives through specialist clinical and financial advice.
Ensure accurate, timely and comprehensive documentation of all clinical activities, including own prescribing, shared-care reviews, advice and guidance responses, monitoring records, and optimisation recommendations
Oversee the administrative processes required for the delivery of the antipsychotic shared care service, including scheduling and tracking annual reviews, managing recall systems, and ensuring follow-up actions are completed
Contribute to the development, maintenance and review of administrative systems and digital tools that support monitoring, reporting, and clinical workflow
To develop reports, and audit outcomes of agreed content for the pharmacy PQMG, MGG and MSF as agreed
Understand the importance of confidentiality as the post holder will have access to private patient information and ensure entries in clinical notes are completed in accordance with the LSWs standards for record keeping
Ensure accurate entry, maintenance and verification of prescribing and monitoring data, supporting organisational performance dashboards and safety audits
Uphold the principles of evidence-based medicine and make recommendations in line with the formulary, LSW prescribing guidelines and other local/ national guidelines and national evidence base
Provide an advanced, expert level of clinical reasoning and judgment when advising staff on complex clinical situations where there are conflicting opinions, where data are lacking or interpretation of clinical trials data is required. Ensure that in the absence of available data, decisions made will withstand public scrutiny and legal challenge
Develop and refine SOPs and administrative pathways to ensure efficient and consistent service delivery
Ensure clinical documentation, monitoring data, and shared-care information is communicated effectively across neighbourhood teams and primary care to support continuity of care
Promote a person-centred, recovery-focused approach to antipsychotic treatment and shared care
Ensure individuals are supported to make informed decisions, with clear explanations of treatment options, monitoring requirements and risks
Ensure shared care pathways prioritise safety, autonomy, shared decision-making and clear communication between LSW, primary care and the person receiving treatment
Develop accessible information resources for service users, carers and primary care clinicians
Provide timely responses to complex medication enquiries and concerns raised by service users and primary care teams
Champion equitable access to safe and effective antipsychotic care and reduction of health inequalities
Ensure that annual antipsychotic reviews incorporate patient goals, preferences and personalised care planning
Work collaboratively with neighbourhood teams to ensure that annual antipsychotic reviews incorporate personalised care planning, proactive follow-up, and holistic support delivered within a neighbourhood model
Strengthen neighbourhood-based approaches to reducing health inequalities in antipsychotic prescribing and monitoring
Lead and be accountable for the development, implementation and evaluation of policies, clinical pathways, and service models relating to antipsychotic use across the organisation and system
To translate national strategy, guidance, regulatory requirements, and emerging evidence into clear, operationally deliverable local policy and practice ensuring full system implementation and compliance
Lead large-scale service redesign and transformation programmes impacting multiple teams and organisations
To work autonomously as a clinical specialist for antipsychotic therapy, the post holder will lead the review, and updating of shared care protocols for LSW, clinical governance frameworks, and monitoring requirements
To ensure policies remain up to date, person centred, and aligned with best practice, supporting safe prescribing, effective deprescribing, and prevention of medicine related harm
Responsibility for planning and delivering service developments that enhance accessibility, safety, and responsiveness across the shared care pathway. This includes leading the design and implementation of an advice and guidance service for primary care, ensuring timely expert support for complex clinical queries and optimisation challenges
Drive standardisation and reduction of variation across the system through service leadership and performance management
Ensure continuous improvement of the annual 12-month shared care review process, ensuring reliable and equitable delivery across the system
To work collaboratively with MDTs, commissioners, digital and data leads, and primary care partners to embed new ways of working, identify system-level improvement opportunities, and support workforce development
To evaluate the impact of policy and service changes through audit, quality improvement, and outcome measurement, providing strategic recommendations to strengthen safety, governance, and person centred outcomes in the management of antipsychotic therapy
Ensure adherence to the standards of the Medicines Policy and other medicines optimisation documents and report any deviations to the wider team and Medicines Safety Officer, reporting via the organisation risk management system where appropriate
Publish completed audits and research in peer review journals where appropriate
Ensure the implementation of all LSW policies and procedures that impact on oral antipsychotic shared care, including adhering to the organisations clinical and management policies are met
Review all medicines incidents reported via the organisations risk management system for oral antipsychotic shared care each month and contribute to patient safety incident reviews where necessary
Attend governance meetings when appropriate to ensure that risk areas related to oral antipsychotic shared care are addressed and implement changes to practice where necessary
Lead the integration of antipsychotic shared-care pathways with neighbourhood-based service models, ensuring alignment with the Community Mental Health Framework and local transformation plans
Embed medicines-optimisation processes within neighbourhood MDT working, supporting shared clinical responsibility and collaborative risk management.
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).