Fozia Mushtaq

• Ensured accurate prescription processing, reducing incidence of medication errors.
• Communicated complex medical information effectively to patients, promoting improved adherence to therapy protocols.
• Collaborated with other healthcare professionals on discharge planning; ensured smooth transition of care.
• Improved medication safety for patients through comprehensive drug reviews and interventions.
• Educated patients and families about potential side effects of drugs, aiding informed decision-making.
• Reviewed patient records to compare current and past medicine intake and history.
• Recorded medication plans and patient progress to maintain accurate information.
• Collaborated with hospital staff to maintain patient care continuity and minimise risks.
• Advised patients on drug incompatibility and contraindications, minimising likelihood of ill effects.
• Engaged in continuous professional development activities, staying updated on latest advancements in pharmacology.

• Leading and developing the pharmacy service to the Ophthalmology, Max Fax & Ears, Nose and Throat (ENT) specialties (30 bed ward and daycase).
• Clinically screening/reviewing and prescribing prescriptions relating for in-patients and for dishcarge. This involves using multiple sources for drug history (including SystmOne),medicines reconciliation, reviewing/requesting blood investigations, documenting in patient notes, and reviewing current and new prescriptions daily. With current shortages, and increasingly complex patients, my role as a prescriber has developed further especially with the implementation of EPMA (electronic prescribing and medicines administration).
• Providing highly complex advice and guidance requiring analysis, interpretation and comparison of options on all issues relating to prescribing and therapeutics in the relevant specialty, where possible in line with national and local guidelines.
• Optimise medicines within the specialty including cost effectiveness
• Ensure safe rational and effective prescribing by undertaking medication reconciliation, consultations with patients, assessing suitability of prescribed medication, enabling use of patient's own medicines and patient self-administration, counselling (to optimise medicines use), and ensuring continuity of patient care into the community.
• Interpreting and requesting clinical tests to monitor and make recommendations to improve effectiveness of drug therapy.
• Pro-actively liaising with other members of the multidisciplinary team (medical staff, nurses, microbiologists, physiotherapists, dietitians) in order to ensure safe use of medicines.
• Making recommendations about medicines to improve patient outcomes and to encourage adherence to hospital formulary and national guidelines
• Creating new SOPs and documents for formulary submissions for medicines for addition/amendment to the trust formulary.
• Committed to governance within the Head and Neck directorate as a governance committee member and committee member for ophthalmology governance and ENT).
• Undertake and document continuing professional development.
• Teaching and training of undergraduate, postgraduate students and other healthcare professionals within pharmacy and wider clinical team.

• Providing advice and information for a variety of minor ailments and OTC medicines
• Optimising pharmaceutical care through clinical screening of prescriptions and counselling patients
• Providing a range of services such as NMS, DMS, EHC, and CPCS
• Offering advice (face to face and phone) to patients on a variety of acute complaints and where needed directing them to appropriate services
• Supporting pharmacy team with queries and providing leadership with problems/complaints
• Managing out of hour referrals via NHS111 and complex patient concerns
• Managing repeat requests as appropriate

A voluntary (unpaid) role that I am committed to in my own time on a 4-6 weekly basis:

-Reviewing new clinical and non-clinical research studies (includes qualitative research) proposed for investigation within the NHS to provide an opinion for ethical approval.

-Reviewing study material as submitted via the IRAS portal - includes assessing complex trial protocols, investigational brochures (IBs), patient information and consent forms as well as the likely risks and benefits to potential participants during and after the study and highlighting issues to the committee.

-Working as an expert member, offer advice and pharmaceutical expertise in trials involving investigational medicinal products (IMPs) to the committee members.

-Act as as lead reviewer for studies on a rota basis as well as reviewing submissions for approval for trial amendments and proportionate reviews.

-Listen, consider and respond to the views and opinions of other committee members.

-Converse with and listen to research investigators/trial managers and co-ordinators to provide clarification on study matters and to conclude and opinion of approved, not approved or provisionally approved.

• Working independently as part of a team of Contact tracers to provide the first point of contact of cases of COVID-19
• Undertook case interviews and performed public health risk assessment of COVID-19 cases identified for contact tracing in line with guidance.
• Timely and accurate recording of information from phone interviews using systems provided as well as for handovers.
• Provide clinical advice to cases and their contacts as directed by protocols and procedures.
• Receive escalation queries from non-clinical Call Handlers, provide advice and take action as appropriate.
• Escalate and refer challenging or complex cases or incidents and outbreaks of COVID-19 to the Team Leader.
• Recognise, modify and adapt methods of communication to account for the differing needs of contacts especially in stressful and difficult situations and ensure polite, efficient and appropriate communications exist at all times
• Utilise clinical judgment, knowledge & expertise to advise or redirect a caller as appropriate

My role was divided equally in two areas: delivering a specialist clinical service and working on the Medicines Optimisation CQUIN GE3 within the high cost drugs pharmacy team. My role involves:

• Analysing Trust medicines expenditure bill on a monthly to basis to produce accurate savings and spend reports for high cost drugs
• Developing leaflets and letters to communicate complex information simply and concisely
• Liasing with other relevant clinical teams, consultants to prepare and plan for biosimilar switching within agreed timelines as part of the Medicines Optimisation (MO) CQUIN GE3 (cancer team).
• Producing monthly and quarterly reports for NHSE and Trust Steering Committee on progress of targets within the MO CQUIN
• Project management: implementing drug switches to create cost savings and develop outsourced services.
• Providing a high level clinical pharmacy service within surgical speciality
• Performing audits: controlled drugs and others as part of medicines optimisation and patient safety
• Counselling patients appropriately and supervising pre-registration pharmacist
• Working within the wider pharmacy team to ensure effective pharmacy services

• Setting up new clinical studies following detailed review of trial protocol and sponsor documents: producing clear and concise trial specific documents (aseptic and non aseptic dispensing procedures, prescriptions, trial summaries), compiling a trial file with current versions of all relevant documents), ensuring all approvals are in place before study commences in line with trial commencement deadlines.
• Effective liaison with external and internal Sponsors with regards to studies (study initiation meetings, emails and feedback on progress of study set up) and communicating with different research teams (GI/Hepatology, paediatric, ENT, Rheumatology).
• Maintaining up to date trial files for all studies (new and active/closed to recruitment) as per GCP
• Amending pharmacy documents/procedures in light of study changes/amendments and ensuring accurate record of all versions are available for audit purposes.
• Active Studies- managing active studies (stock control, updating documents as necessary, ensuring all documents are filed (e.g. delivery notes).
• Destruction of clinical trial stock- assisting in regular destruction of stock where approved by Sponsor (and completing and filing relevant records).
• Final checking/screening of clinical trial prescriptions and over seeing the day to day management of clinical trial dispensary as the duty pharmacist and managing incidents.
• Assisting clinical trials team (pharmacist/technicians) where necessary (e.g. receiving deliveries/attending initiation meetings for other pharmacists)
• Study close down- following local procedures, closing down studies ensuring all documentation is present, checking costs have been invoiced and paid for commercial studies, archiving correctly.
• Ensuring all local procedures, national and international regulations are followed with regards to all aspects of clinical trials.

• Lead and manage the dispensary; ensured that Trust policies, procedures and SOPs are adhered to at all times
• Led a smooth transition of pharmacy services to Boots the Chemist
• Ensured a robust induction program for staff to ensure they are highly competent in dispensary services
• Recruitment of dispensary staff
• Ensure the safe, clinically and cost effective use of medicines within dispensary in accordance with Trust policy, SOPs and medicine legislation
• Advising and support the pharmacy team and other healthcare professionals as appropriate
• Motivating, training and educate the dispensary team to provide a high quality service to patients and other healthcare professionals
• Reviewing and implement necessary changes to improve the quality of the service
• Clinical management and maintenance of the oral oncology Home Delivery service on day to day basis including managing waste through reconciling supply/deliveries, patient recruitment, liasing with patients (phone and face to face), liasing with the MDT (sarcoma, lung and melanoma) and accurate documentation
• Screening outpatient prescriptions and checking outpatient and inpatient prescriptions accurately and in a timely manner
• Assisting team members with problems and learning

A newly acquired store, I was responsible and successful in re-organising the store, improving and developing the pharmacy service whilst improving profit:

• Providing a safe and accurate pharmacy service - from provision of medication and advise to care homes, medication reviews, repeat prescription service, counselling and advising patients on OTC and minor ailments
• Liasing with GPs, nurses and AHP to enhance patient care and improve service provision
• Communicating with patients effectively to provide advice on prescription and non-prescription medicines (OTC) and minor ailments as well as weight loss and stop smoking services,medicines use reviews (MURS) and New Medicines Service (NMS)
• Store management- writing, reviewing and implementing SOPs, staff training/development and appraisals, audit, managing complaints and incidents, drug purchasing
• Managing store budget to ensure efficient spend and optimal service delivery
• Tutoring pre-registration pharmacists (included weekly reviews, formal appraisals for submission to GPhC and final assessment and review of trainee for sign-off).
• Reviewing services and delivery to improve efficiency and quality to meet pharmaceutical and business needs