Job responsibilities
Duties Specific to Role
Leadership
PCN diabetes
nurse team leadership and supervision.
Lead, support and manage other members of the PCN diabetes team,
including trainees and HCAs.
Direct Patient
Care
Deliver
a dedicated diabetes specialist Lead Nurse clinic targeting patients
stratified as Red Risk under the PCNs diabetes risk model.
Review
complex cases and provide specialist input into the diagnosis, monitoring,
and treatment of patients with Type 2 diabetes.
Initiate
and optimise pharmacological treatment including insulin, GLP-1 receptor
agonists, SGLT2 inhibitors, and other oral hypoglycaemic agents, in
accordance with NICE and local guidelines.
Manage
follow-up pathways including blood testing, medication titration, and patient
education.
Liaise
with Diabetes Practices Nurses to determine clinic lists and monitor progress
across the cohort.
Actively
participate in monthly MDTs including integrated neighbourhood working and
encourage the PCN to engage in a wider-system approach to Type 2 Diabetes
care.
Complete
the PCN-approved diabetes template on SystmOne for every patient seen. Ensure
all consultations, interventions, and follow-up actions are clearly recorded.
Code
the initiation of medications and all diabetes-related activity accurately
using appropriate clinical codes to support safe prescribing, data quality,
and audit readiness.
Provide diabetes
clinical care to patients registered with PCN practices, within your
specialist skills and competence. Primary care specialist diabetes nurse
duties including (but not limited to) face to face consultations, video
consultations, telephone consultations, e-consultations and queries. Clinical administration, and dealing with
queries, paperwork and correspondence in a timely fashion.
Provision of
care for acute and long-term diabetes conditions and contributing to the
delivery of QOF and enhanced services.
Prescribing in accordance
with locally agreed or national guidelines.
As a qualified non-medical prescriber
(NMP)/independent prescriber (IP), prescribing will be undertaken within the
scope of practice of the prescriber and in accordance with their professional
code of conduct as set out by their own regulatory bodies and organisational
NMP policy
Provision of
preventative care, including health promotion advice, vaccinations and
screening
Support of
patients in the developing self-management strategies and in fostering
patient engagement with the PCN Practices.
Working always
within your professional competencies, you will make yourself available to
undertake a variety of duties including surgery consultations and
emergencies; telephone consultations and queries; triaging; and dealing with
queries, patient test results, patient medical reports and examinations; and
NHS/private paperwork and correspondence.
Training and
promotion
Ensure skills of
PCN diabetes nurse team are
appropriately and effectively used to deliver care. Support the PCN diabetes team in developing
their skills and expertise
To be aware of existing skills within the PCN and highlight
training needs specific to diabetes services, along with an awareness of
training opportunities, locally and nationally.
Provide diabetes
training and support to nurses within Gloucester Inner City PCN Practices.
Work across
their PCN to promote awareness and engagement with the best practices for diabetes
care, ensuring a consistently high standard across the PCN.
Attend all
practice PLTs at least once a year to provide diabetes training and update on
the PCN diabetes service.
Attend PCN Board
Meeting annually to provide update on PCN diabetes service.
Plan, develop,
implement, and evaluate new diabetes health promotion and long-term condition
care.
Advice and
support
To be a
point of contact for practice staff members regarding delivery of diabetes
care.
Provide
professional advice to practices on diabetes developments, recommending
changes to working practices in line with evidence-based knowledge. Lead and
monitor the development and implementation of diabetes policies, standards
and guidelines across the PCN diabetes team and practice nursing teams.
Operational
Ensure an
effective nurse and appointment system, in collaboration with PCN Business Manager
and PCN Project Manager.
In collaboration
with the PCN Business Manager and the Recruitment Team, manage the
recruitment, onboarding, induction and ongoing employment of the PCN diabetes
team including nurses, healthcare assistants and health and wellbeing
coaches.
Monitor and
advise on the effective use of physical and financial resources by the PCN diabetes
team, in partnership with the PCN Business Manager.
Ensure a robust
system for PCN diabetes nurse appraisal and revalidation
Cover for other diabetes
nurses will be provided by reciprocal sharing of correspondence, results and
other administration.
Quality and
Clinical Governance
Working with the
Clinical Directors and Lead Diabetes GP, develop and monitor key quality
markers, thereby promoting clinical effectiveness.
Enable the PCN diabetes
service to apply and improve clinical governance and risk management systems.
Operate in line with national and local diabetes
guidelines and PCN protocols.
Ensure that you are familiar with CQC, NHS
and NICE requirements relevant to the diabetes service and support the team
in understanding them. Areas
of non-compliance must immediately be escalated to the PCN Clinical
Directors.
Ensure that you are familiar with the Health and Social
Care Act 2008 Code of practice on the prevention and control of infections
and related guidance and that the diabetes
team is compliant with them. Areas of non-compliance must immediately be
escalated to the PCN Clinical Directors.
To meet with PCN
Clinical Directors, quarterly as a minimum, to ensure appropriate clinical
governance and oversight of the service.
Making professional, autonomous decisions in relation to presenting
problems, whether self-referred or referred from other health care workers
within the organisation.
Recording
clear and contemporaneous I.T. based consultation notes to agreed standards;
Collecting
data for audit purposes as per Practice protocols.
Contributing
to patient safety by maintaining good infection control thorough monitoring
and maintenance of stock and equipment to include refrigeration, sterilising
equipment and emergency equipment.
Complying
with the Nursing and Midwifery Councils Code and professional standards for
nurses.
Work
in compliance with CQC, statutory and NHS requirements applicable to the PCN
diabetes service
Complying
with the training requirements of G DOC and of the NMC
Complying
with requirements for revalidation
Meetings and collaboration
Participation and representation from Primary Care/PCN at
events/meetings where requested and appropriate.
Participate in pre-clinic meetings and ongoing
project reviews, contributing to the evaluation and improvement of the
enhanced diabetes service.
Additional
projects
Undertake
small projects or audits as agreed on a case-by-case basis
Job Plan
Approximate split:
60% patient facing time (face to face or telephone
consultations)
20% clinical admin
20% mentoring and development
Disclosure
and Barring Service Check
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
Working conditions
Frequent, prolonged VDU use
Time-pressured environment
High levels of accuracy and attention to detail essential at all times
Exposure to distressing situations and written material
Job Description for all G DOC workers
The job description for all G DOC workers also forms part of your job description.