Diabetes Specialist NurseNHS

Job summary

This role is for 37.5 hours per week and will be based across Health & Beyond sites. 3 days in Birmingham and 2 days in Wolverhampton

The post holder is responsible for ensuring the delivery of safe and effective care to Health and Beyonds Diabetic/Pre-Diabetic patients across the organisation.

You will work closely with the Senior Diabetes Specialist Nurse and the Diabetes Specialist Nurse along with the Diabetes team to manage our patients living with Diabetes across all sites, in their own homes and also patients living with Diabetes in our Care Homes, working alongside our management, clinical and admin teams with a view to improving our patients health outcomes.

You will be able to work autonomously providing assessment, screening and education to Diabetic patients running specific clinic sessions and maintaining robust call and recall systems.

Main duties of the job

Job Responsibilities:

Clinical Nursing Practice

• Work as part of a multi-disciplinary team to deliver safe and high-quality care.
• Carry out annual review of patients with Diabetes including medication review and improve access for this cohort to physical health interventions.
• Work with the MDT to support and advise the practice team in triage, assessment and treatment of patients needing support with their Diabetes
• Carries out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

Delivery of care in line with NSF, NICE guidelines and evidence-based care

• Perform specialist assessment of Diabetic patient needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.

• Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
• Manage Diabetic patients care, including drug and non-drug-based treatment methods, and formulate this into a management plan.

Job description

Job Responsibilities:

Clinical Nursing Practice

• Work as part of a multi-disciplinary team to deliver safe and high-quality care.
• Carry out annual review of patients with Diabetes including medication review and improve access for this cohort to physical health interventions.
• Work with the MDT to support and advise the practice team in triage, assessment and treatment of patients needing support with their Diabetes
• Carries out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

Delivery of care in line with NSF, NICE guidelines and evidence-based care

• Perform specialist assessment of Diabetic patient needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.

• Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
• Participate in regular review of prescribing practice with prescribing mentor.
• Manage Diabetic patients care, including drug and non-drug-based treatment methods, and formulate this into a management plan.

Request diagnostic investigations and interpret within agreed protocols e.g., blood tests.

• Review and treat patients in practice premises or their own home who require medical attention/review and/or refer to appropriate agency.
• Refers patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

Care Management

Communicate confidential and sensitive information to patients, relatives and carers in relation to their condition.

Work closely with colleagues in specialist community Diabetes services to ensure smooth transitions between teams and services and facilitate an improved access to evidence-based interventions

Work closely with, and provide day to day support and guidance to, the Care Co-ordinators and Health Coaches to connect patients to appropriate community and voluntary sector support.

Facilitate Diabetic assessments in practice and support the practice team in accessing appropriate level of services.

Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).

Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.

To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.

Health Improvement

Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.

Innovation in practice to meet ongoing demands on the practices delivery of care.

Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.

Supports practitioners in reporting the practice population to promote health improvement and disease prevention.

Makes referrals to appropriate agencies (statutory and voluntary) where necessary

Providing assessment, screening services, health education advice:

These may include (but not restricted to);

• Diabetic Reviews
• Blood pressure check/reviews
• Medication Reviews

Administration and professional responsibilities

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

• Participate in the administrative and professional responsibilities of the practice team
• Accurate and legible notes of all consultations and treatments are recorded in the patients notes
• Ensure clinical systems kept up to date, recording and/or amending accurate details
• Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
• Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
• Attend and participate in practice, diabetes and nurse meetings as required
• Restocking and maintenance of clinical areas and consulting rooms as required.

Training and personal development

• Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.
• Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.

Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.

Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.

• Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.
• Act as a mentor for junior staff, assessing competence against set standards.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.
• Develop and maintain a Personal Learning Plan.
• Regularly participate in clinical supervision.

Leadership personal and people development

• Act as a clinical leader in the delivery of practice nursing services ensuring that the needs of the patient are a priority
• Support staff development in order to maximise potential
• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
• Critically evaluate and review innovations and developments that are relevant to the area of work
• Work with practice management/Lead Nurse to ensure sufficient staffing to provide a safe service, and that staff have the appropriate ability, quality and skill-mix to meet current and future service delivery
• Take part in recruitment processes where appropriate.
• Maintain effective communication and active involvement in the planning and processes of practice-based commissioning or similar initiatives
• Promote the role of the Diabetes Specialist Nurse in General practice.

Management Duties

• Develop and maintain practice policies and protocols for Diabetes with Senior Specialist Nurse.
• Ensure agreed practice audits are carried out.
• Ensure the Lead Nurse/Hub/Zone managers are aware of any matters arising or problems / potential problems
• Ensure all surgery-produced nursing leaflets are kept up to date

About us

Our vision is to develop a partnership between patients and our clinicians that allow us together to deliver high quality health and social care services, and meet the needs of the population of Wolverhampton and beyond.

As Health and Beyond we are committed to working together to ensure our communities receive the best evidence based care possible, and will strive to ensure that patients views are heard and that their journey through Health and Beyond health system is seamless through integration and strong partnership working with our stakeholders.

Delivering excellence in innovation that benefits patients, employees and commissioners with strong inter-professional programs and bespoke care.

Including South East Primary Care Network which is within our geographical area.