Sutton Primary Care Networks

PCN Diabetes Nurse (Diabetes Project)

This job is now closed

Job summary

The Sutton PCNs are looking to employ 2 Diabetic Nurses to support the Sutton Primary Care Network team in the delivery of nursing services, working as part of the PCN multidisciplinary team, delivering care within their scope of practice to patients in the ward. You'll be joining a great team in a great place, where your commitment will be genuinely valued, your skills respected, and your ambition rewarded.

Sutton PCNs would like an enthusiastic and highly motivated diabetic nurse with GP Practice background experience to work at the PCN Extended Access Hub to provide diabetes clinics. The purpose of the post is to assist the GP practice team in delivering incomplete diabetic annual review and/or complete review for patients that have failed to respond to the practice. The successful candidate will deliver a high standard of patient care as a diabetic nurse in the PCN, using advanced autonomous clinical skills and a broad and in-depth theoretical knowledge base in line with the latest diabetes guidance.

The post holder will work strictly in accordance with PCN protocols, policies and guidelines. Flexible working will be required to meet the needs of the patients group and the service as it continues to develop. You will be joining an enthusiastic and motivated team who are friendly and approachable. We are very patient focused and staff development is high on our agenda, we want to develop all staff to the highest standard.

Working Hours: Saturdays & Sundays 09.15am-1:45pm

Main duties of the job

The diabetic nurse will work within their professional boundaries;

Assist with the organisation and co-ordination of the provision of nursing services for the service.

Provide nursing treatment to patients in participation with general practitioners or independently agreed protocols for diabetes care (NICE Guidance) and relevant SWL guidance.

Be competent and confident in managing people with diabetes (primarily type 2 diabetes).

Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs Proactively identify, diagnose and manage treatment plans for diabetic patients (including those on insulin) to effectively manage the patients risks.

Manage both acute and chronic conditions, integrating both drug- and non drug-based treatment methods into a management plan.

Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.

Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.

Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care.

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

About us

Sutton has a population of approximately 200,000 residents registered to 23 practices and there are currently 4 Primary Care Networks (PCNs); Carshalton, Cheam & South Sutton, Central Sutton and Wallington PCN; each serving a population of approximately 50,000 patients. PCNs form a key building block of the NHS long-term plan. Bringing general practices together to work at scale has been a policy priority for some years for a range of reasons, including improving the ability of practices to recruit and retain staff; to manage financial and estates pressures; to provide a wider range of services to patients and to more easily integrate with the wider health and care system. (The Kings Fund, Primary Care Networks Explained, 1.7.19)

Our Sutton PCNs are forward-looking, friendly and focused on providing a wide range of excellent healthcare services to patients in Sutton and the surrounding area. Our PCNs between them are led 9 PCN Clinical Directors. The PCNs work together as they see the benefits of working together in a larger GP partnership and are delighted to be realising some of those benefits now. Because of our scale, not only are we more resilient and efficient but we are able to invest in continuous quality improvement, enhanced care, new services and training and developing our workforce. We value the diversity of our colleagues and actively champion an inclusive culture and are committed to helping our colleagues achieve a work/life balance.

Date posted

14 April 2023

Pay scheme

Other

Salary

£50 an hour

Contract

Locum

Duration

3 months

Working pattern

Part-time

Reference number

A2700-23-0003

Job locations

The Wrythe Green Surgery

Wrythe Lane

Carshalton

Surrey

SM5 2RE

Robin Hood Lane Health Centre

Robin Hood Lane

Sutton

Surrey

SM1 2RJ

Manor Practice

6 Mollison Square

Wallington

Surrey

SM6 9DW

The James O'riordan Medical Centre

70 Stonecot Hill

Sutton

Surrey

SM3 9HE

Job description

Job responsibilities

1. Clinical Care Delivery

Provide a first point of contact within the practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision making, to establish a diagnosis and management plan.

Make professionally autonomous decisions for which he/she is accountable

Instigate necessary invasive and non-invasive diagnostic tests or investigation and interpret findings/reports

To prescribe safe, effective and appropriate medication as defined by current legislative framework

Provide safe, evidence-based, cost effective, individualised patient care

Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care

Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills

Refer patients directly to other services/agencies as appropriate

Participate in developing and delivering specialist primary care services such as long term disease management (diabetes, asthma, chronic obstructive pulmonary disease, coronary heart disease and hypertension).

Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (e.g. Coronary Heart Disease/Older People/Diabetes/Mental Health) are being delivered

Work with multi-disciplinary teams within the practice and across the wider CIC, to promote integrated and seamless pathways of care

Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery

Participate in identification of community health needs and develop patient/family-centred strategies to address them in liaison with appropriate community health professionals and agencies

Be aware of and contribute to, planning and delivery of practice-based commissioning

This is not an exhaustive list and may be amended dependent on staff competency and service need

2. Professional role

Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research

Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review

Has a diploma in diabetes and a recognised course for insulin management

Maintain their professional registration

Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained

Work within the latest NMC Code of Professional Conduct

Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards

Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation

Participate in audits and inspections as appropriate

Work closely with the doctors and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets

Ensure that all PCN policies are fully implemented

3. Communication:

The post-holder should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with other team members, including the Community team,ARRS staff, PCN Manager and referral services e.g. diabetes specialist nurse team.

Communicate effectively with patients and carers
Recognise peoples needs for alternative methods of communication and respond accordingly

4. Personal/Professional Development:

The post-holder will participate in any training programme implemented by the PCN as part of this employment, such training to include:

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Attending relevant professional courses and study days.

Ensure they are carrying out regular clinical audits of their own and nursing team clinics and consultations

5. Safeguarding Children and Adults

The Sutton PCN is committed to safeguarding and promoting the welfare of children, young people (anyone under the age of 18) and adults. It expects all staff to share this commitment and act in such a way that safeguards and promotes the health and wellbeing of children, young people and adults.

Staff must ensure that they are familiar with the signs and symptoms of abuse and know what to do if any such concerns are raised.

Staff are expected to know about and how to follow safeguarding children and safeguarding adult policies.

All employees working in at Sutton PCNs have a contractual right and a duty to raise genuine concerns they have with their employer about malpractice, patient safety, financial impropriety or any other serious risks they consider to be in the public interest. Sutton PCNs have local policies in place that emphasise that it is safe and acceptable for staff to raise concerns.

6. Confidentiality

The post holder must endorse confidentiality in their role. In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, PCN staff and other healthcare workers. They may also have access to information relating to the PCN as a business organisation. All such information from any source is to be regarded as strictly confidential
Information relating to patients, carers, colleagues, other healthcare workers or the business of the PCN may only be divulged to authorised persons in accordance with the PCN policies and procedures relating to confidentiality and the protection of personal and sensitive data.

7. Health & Safety

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the PCN Health & Safety Policy in line with the Health & Safety at Work act (1974) and Infection Control policy, to include (but not limited to):

Using personal security systems within the workplace according to PCN guidelines
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
Making effective use of training to update knowledge and skills
Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
Reporting potential risks identified
Ensure safe management and disposal of sharps and clinical waste
Follow spillage control procedures and management

8. Infection Prevention & Control

Staff are expected to comply with PCN Infection Prevention & Control policies and conduct themselves in such a manner as to minimise the risk of causing healthcare associated infections.

9. Risk Management

Staff should be aware of the principles of risk management and adopt appropriate best practice to reduce the risk to themselves and others.

10. Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Deliver a high standard of care

Treat people as individuals and uphold their dignity
Treat people with kindness, respect and compassion and avoid making assumptions and recognise diversity and individual choice
Respect and uphold peoples human rights by listening to patients and respond to their preferences and concerns. Also work in partnership with patients to make sure you deliver care effectively by recognising and respecting the contribution that people can make to their own health and wellbeing
Optimise patients experience by communicating effectively with patients and carers by recognising peoples needs for alternative methods of communication such as using an interpreting service, written information, sign language
Maintain accurate contemporaneous record keeping

11. Data Protection:

All staff must ensure that when accessing data relating to patients, the information obtained and used is registered appropriately under the General Data Protection Regulation 2016/679 GDPR) and Data Protection Act (2018).
All information held centrally by the PCN relating to the patients health, medical treatment, personal details and registration details remains confidential to the PCN and patient.
All requests for medical information about a patient from external organisations and patients family members are legitimate, comply with Access to Medical Records and other legislation and have the written consent of the patient and PCN.

12. Quality:

The post-holder will strive to maintain quality within the PCN, and will:

Alert other team members to issues of quality and risk
Assess own performance and take accountability for own actions, either directly or under supervision
Be a valuable team member and contribute to Ward nurse team meetings and the PCN team meetings.
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Work effectively with individuals in other agencies to meet patients needs