Diabetic Specialist Nurse

Brownlow Group Practice

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Job summary

This is a great opportunity for a Diabetes Specialist Nurse wanting to work within a supportive GP Practice environment. This is a new and exciting role which you will be able to shape and develop.

As Specialist Practitioner you will work across the four pillars of advanced practice. You will lead and deliver Diabetic clinics for patients across our four practices. The focus will primarily be on our Type 1 Diabetics student population (approx.100) and our more complex or poorly managed type 2 Diabetics, however support with routine less complex Diabetic reviews may also be needed. This will include face to face consultations as well as telephone consults. As a Diabetic lead nurse you will work with the practice nursing team in contributing to data gathering as needed to achieve the Practice’s fulfilment of the Diabetes target within the Quality Outcomes Framework. You will provide support and mentorship to our less experienced Practice nurses whilst also offering education to the wider team.

Main duties of the job

As Specialist Practitioner you will work across the four pillars of advanced practice. You will lead and deliver specialist Diabetic clinics for patients across our four practices. The focus will be on our Type 1 Diabetics student population (approx.100) and our more complex or poorly managed type 2 Diabetics. This may include telephone and face to face consultations as well as eConsultations.

Whilst working within your own sphere of competence you will work autonomously managing your own workload to proactively target such patients to provide an assessment of their care needs and an appropriate management plan. The post holder will have a high level of expertise and experience in this field and the ability to manage complex cases. You will provide support and mentorship to our less experienced Practice nurses whilst also providing education to the wider team.

The post holder will also be expected to work with the practice nursing team to contributing to data gathering as needed to achieve the Practice’s fulfilment of the Diabetes target within the Quality Outcomes Framework.

This vacancy will cover our 6 Brownlow central sites (Pembroke place, Ropewalks, Student Health) Kensington health Centre, Princes Park and Marybone.

About us

Brownlow Health is a large training practice committed to supporting our team and developing our services. We have a diverse practice population over 6 sites in the vibrant City of Liverpool and we are very proud to have attained ‘good and outstanding’ in our last CQC inspections.

We offer a wide variety of specialist services such as homelessness, Care home MDTs, Student health, obesity and frailty and have large multi -disciplinary workforce of GPs, pharmacists, care-co-ordinators, 1st contact physio’s, social prescribers, social workers, health coaches, drugs worker.

We have a large supportive nursing team of 40, managed by three Nurse Managers and a Nurse Partner with a combination of Advanced Nurse Practitioners (band 7 and 8a), Practice nurses and Clinical Support workers.

Brownlow prides itself in being an exceptional employer. We have a dedicated ‘staff wellbeing team and offer numerous staff benefits and incentives including paid study leave and generous allowance.

Preference is for this to be a full time position but part time can be considered and after an induction period some remote working can also be considered.

Salary and Annual leave is in line with Agenda for Change.

For more information please contact: Denise Wilson (Nurse Partner) denise.wilson@livgp.nhs.uk

Date posted

28 March 2022

Pay scheme

Other

Salary

£40,057 to £53,218 a year

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A1812-22-8085

Job locations

Brownlow Health @ Pembroke Place

70 Pembroke Place

Liverpool

Merseyside

L69 3GF

Job description

Job responsibilities

Principal Clinical Responsibilities:

· Facilitate weekly clinics (sites determined according to need). The focus will be on our Type 1 Diabetic student population (approx. 100) and our more complex or poorly managed type 2 Diabetics. This may include telephone and face to face consultations as well as eConsultations.

· Screen all newly registered type 1 Students to ensure all relevant information required is recorded and they have appropriate follow up.

· Ensure regular reviews of the Diabetic register to prioritise above target HbA1cs and patients outstanding clinical review to ensure the correct patients are booked into the specialist clinic.

· Provide home visits to ensure our housebound Diabetics receive timely review.

· Use of non- medical prescribing focussing on 3 treatment targets - BP, Cholesterol, HbA1c

· Minimize the risk of, and screen for, long term complications of Diabetes such as cardio vascular disease, PAD, retinopathy, kidney disease neuropathy and psychosocial issues and refer as necessary.

· Review of unplanned admissions of any Diabetic admitted with hypo/hyperglycaemia/poor glycaemic control and where possible develop an emergency support plan

· Use of relevant EMIS clinical templates to ensure assessments are completed and coded to meet QOF requirements.

· Request and interpret relevant blood tests and investigations.

· Build links with and liaise with secondary care and community services

· Work within national guidelines, policies and procedures as well as local protocols supporting the development of these in house as needed to ensure the patient received the highest quality evidence based care.

· Maintain effective communication with patients, carers, relatives and members of the multidisciplinary team ensuring information is shared appropriately.

Facilitation of Learning:

· Share updates in the latest Diabetes guidelines, working with staff to ensure evidence based practice.

· Use of education tools from Liverpool Diabetes Partnership to upskill and support new staff and develop existing skills.

· Participate in clinical meetings, quality meetings and clinical effectiveness meeting

· To provide mentorship/supervision to junior staff and student nurses

· To contribute in the quarterly group/1:1 Clinical Supervision sessions

Leadership & Management:

· Support teams to ensure Diabetes QOF targets are being met.

· Develop the diabetes specialist nurse role and changing practice to encompass the challenges of different cohorts of patients eg students, homeless, frailty, housebound, pregnancy etc.

· Networking with secondary care and the community team.

· Work with the Liverpool Diabetes Service (LDP) to co-ordinate additional support in the upskilling of the nursing team and develop innovative ways of best utilising the service to support our practices (currently 5 sessions per month)

· Actively participate in the development of Brownlow strategies and ensure collaborative working with others to translate this into practice development to improve the quality of care.

· Ensure others in general practice nursing recognise the importance of data collection and quality assurance and ensure that findings and other results are disseminated in meaningful ways to staff.

· Where required undertake significant event auditing (or equivalent)

· Able to work effectively with a wide range of professionals and agencies and participate in multi- professional/agency strategies.

Evidence, Research & Development:

· All practice must be evidence based

· Lead and participate in relevant audits.

· Involvement with the Liverpool Diabetes Partnership if there are any local initiatives that will enhance the care for pts.

· Involvement with review and monitoring of clinical policies to ensure they are based on contemporary evidence.

· A willingness to share examples of clinical case findings in monthly Clinical meetings, clinical effectiveness group and/or other communication channels.

Confidentiality:

Working within the Practice you may gain knowledge of confidential matters which may include personal and medical information about patients and staff. Such information must be considered strictly confidential and must not be discussed or disclosed. Failure to observe this confidentiality could lead to disciplinary action being taken against you.

Codes of Conduct and Accountability:

You are expected to comply with relevant codes of conduct and accountability.

Health and Safety:

In accordance with the Health and Safety at Work Act 1974 and other supplementary legislation, you are required to take reasonable care to avoid injury during the course of work and co-operate with the Practice and others in meeting statutory regulations. You are also required to attend statutory training as required to fulfil your duties.

You are expected to comply with safety instructions and Practice policies and procedures.

To use in a proper safe manner the equipment and facilities provided.

To refrain from wilful misuse of, or interference with, anything provided in the interest of health and safety and any action, which might endanger yourself and others.

You are expected to report, as soon as practical, any hazards and defects to your senior manager.

To report as soon as practical accidents and untoward incidents and to ensure that accident forms are completed.

Safeguarding Children and Adults

The organisation has a zero tolerance approach to the abuse of children, young people and vulnerable adults. All employees are required to promote and safeguard the welfare of children and young people and comply with the Local Safeguarding Children Board Procedures and the Children Act (1989, 2004). In accordance with the Safeguarding Adult Policy all staff must ensure the health and wellbeing of vulnerable adults is appropriately safeguarded.

All staff members are required to attend training appropriate to their role in safeguarding children and adults, which includes understanding and recognising the signs of abuse and knowing how to raise concerns when those signs of abuse are noticed in a person.

Postscript:

The post holder may be required to undertake other related duties not specifically mentioned above. Any changes to this role specification will be made in consultation with the post holder.

The Practice operates a No Smoking Policy and is an equal opportunities employer.

Brownlow is an organisation that is committed to equality and diversity, and we strive for our workforce to be representative and inclusive of the complex and diverse community, which we are proud to serve.

With this commitment in mind, we actively encourage individuals who self-identify as having protected characteristics to apply for this role. We are particularly keen to encourage applications from: individuals with linguistic diversity, members of the LGBTQ+ community; members of black, minority ethnic, and minority faith groups; and from those who are disabled and / or neurodiverse.

We are mindful that we may not always be aware of structural and systemic factors, which might discourage or prevent certain minority groups and marginalised populations from applying to join our team. If you are aware that any such barriers do exist, please let us know so that we can work to overcome and dismantle these