Job summary
Are you an experienced, dynamic nurse looking for
your next leadership role within a fast-paced and exciting specialist
service? If so, Portsmouth Hospitals University
NHS Trust (PHUT) wants to hear from you!
A very exciting opportunity has arisen for a Clinical Nurse Specialist
and Transitional Care Lead within the Paediatric Diabetes Service. This is one of the busiest paediatric diabetes
services in the country with over 300 children and young people with type 1 and
type 2 diabetes currently receiving active input from the team. The number of patients has increased steadily
over the last few years, alongside this the technology used to manage this condition
has become more advanced and complex. This
role has been specifically created to lead our team of highly committed and experienced
Paediatric Diabetes Specialist Nurses and join them in delivering our vision
for CYP with diabetes at PHUT. In addition, you will be key in coordinating
the transition of CYP from paediatric to adult care.
This really is a unique opportunity to be part of an
incredibly special service and to shape the future of paediatric diabetes care. If you are a highly driven and energetic
nurse, we would love to hear from you.
Due to the nature of the specialism, candidates with
a prescribing qualification, or studying for, are highly desirable.
Main duties of the job
To be the Lead Paediatric Diabetes Clinical Nurse
Specialist and Transitional Care Lead at Portsmouth Hospitals University NHS Trust.
In order to act as an effective leader for this
specialist service, you will need the skills to act as a coach, mentor,
supervisor and role model.
You will be pivotal in driving transformation of
care and improving outcomes for children and young people with diabetes within Portsmouth
and the surrounding area.
You will require excellent management, communication
and interpersonal skills to enable you to build strong working relations with
the Adult Diabetes team to align polices and ensure smooth transition for our
young people.
You will need to have an interest in contributing
and participating in audits and research, enabling local, regional and national
improvements, providing and learning from exemplars of best practice across the
region.
You will work collaboratively with the services
clinical lead to ensure that the services vision reflects the current paediatric
diabetes landscape, and to support the team in delivering this vision.
You will be a role model for the other clinical nurse
specialists within your team, ensuring that they are supported to develop
professionally.
To work with Children &
Young People with diabetes to ensure that their voices are heard and that the
service is designed with CYP at the heart.
About us
The Trust is committed to driving excellence in care for our patients and communities and was rated good by the Care Quality Commission report published 2020 and became a University Hospital. We are ranked as the third in the country for research; embedding education and training across the organisation and we continuously strive to achieve our core values which are at the heart of everything we do. The Trusts main hub is the Queen Alexandra Hospital, starting life as a military hospital over a century ago and now one of the largest hospitals on the south coast and you may have seen us on the TV series Nurses on the Ward. The Trust provides comprehensive secondary care and specialist services to a local population of 675,000 people across South East Hampshire. The Trust employs over 8,000 staff and are #ProudtobePHU; our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds, not just because its the right thing to do, but because it makes our hospital stronger. If you share our values and our enthusiasm for providing outstanding care and support for patients, colleagues and our community you will find a home at PHU. In recruiting for our team, we welcome the unique contributions that you can bring in
terms of your education, opinions, culture, ethnicity, race, sex, gender
identity and expression, nation of origin, age, languages spoken, veterans
status, colour, religion, disability, sexual orientation and beliefs.
Job description
Job responsibilities
- To lead and be accountable for the operational
management of the Paediatric Diabetes Service along with the Lead Consultant
- To develop and implement strategic plans,
providing clinical, managerial, and professional leadership
- To manage service change and development and
facilitate continual quality improvement of the Paediatric Diabetes Service.
- An expert autonomous practitioner, responsible
for the assessment, primary and/or secondary diagnosis, management and
evaluation of treatment and care for a caseload of children and young people
aged 0-18 years with diabetes.
- Through
effective leadership ensure the clinical multidisciplinary team deliver a safe,
effective, responsive, caring and well-led service where compassion is embedded,
and a positive patient experience is achieved.
- Works across organisational and professional
boundaries, including working collaboratively with health care professionals in
the community.
- Act as an expert resource in Paediatric Diabetes
with extensive specialist knowledge and clinical expertise to be an effective
educator for health care professionals.
- Lead on developing a structured and efficient
Transition service for all young people within the specialist services.
- To lead on the implementation of relevant
research into practice contributing to the further development of evidence
based research and audit.
Key Responsibilities:
Clinical/Professional
- Promote
and set high standards of professional nursing care and maintain the delivery
of quality care within the trust policies, protocols, and guidelines. Implement the trust values and beliefs
ensuring they are embedded into everyday practice and evaluate their impact on
the patients experience.
- Provide
professional nursing leadership to the MDT. Managing and reviewing nurse-led diabetes
clinics, as well as being an accessible and visible resource across child
health.
- Act as
an expert clinical practitioner demonstrating developed clinical skills and
knowledge.
- Work
with the Practice Education team to review Diabetes knowledge and skills of
other nurses and health care professionals within Child Health, and across the
wider trust (i.e. Paediatric Emergency Department and young persons
transitional care).
- Ensure
that any patient quality and safety issues are addressed in a timely manner.
This includes monitoring and evaluating standards of care by the clinical team
and providing regular feedback to the specialty team on the standards of care.
- Communicating,
influencing, and working with the multidisciplinary team in different ways to
improve quality of care, and informed clinical decisions. Promote innovation
and participate in bench-marking and quality audits to measure effectiveness of
current practices.
- In
collaboration with members of the multidisciplinary team, ensure that the users
of the service and their families have a positive experience and using feedback
(Envoy, PREMS, concerns and complaints) evaluate patient processes and pathways
of care are redesigned as required.
- Ensure
concerns raised by patients and their families are dealt with in an open, honest,
and transparent way, quickly and effectively, in line with trust policies, procedures
and Duty of Candour legislation.
- Ensure
the MDT are competent in the use of any medical devices/equipment and have
access to training and monitoring compliance (if applicable).
- Reduce
emergency admissions by providing timely telephone advice and education to
patients and their families. In addition, provide education to health care
professional both in hospital and in the community.
- Accept
referrals and refer patients to other health care professionals as required in
the hospital and/or in the community.
- Actively
Develop and maintain strong, collaborative links with the community teams,
primary care trusts and tertiary/specialist centres. This includes networking with services such
as Adult Diabetes teams, Community Diabetes teams, Community Childrens Nurses.
- Work
closely with adult service to build on the current transitional service to make
it more streamlined and robust.
Management/Leadership
- Lead
the organisation and management of the Paediatric Diabetes service alongside
the lead consultant/s.
- Provide
Leadership and management for all staff within the Paediatric Diabetes Service.
This includes Professional development
reviews, management of sickness absence, resolution issues, recruitment as well
as management of department workload.
- Being visible and
providing an authoritative presence.
- Provide
clinical expertise and leadership to relevant staff within and outside PHT, to
inform service provision and development.
- Demonstrate
knowledge and application of national and local guidelines relating to
specialty (e.g. NICE guidelines) and influence care developments in accordance
with these.
- Identify,
contribute to, or lead on aspects in the development and dissemination of
evidence-based guidelines, standards and protocols as required and implement
change to improve the quality of nursing care.
- Lead on
Local and National Peer Review programme and any focused CQC style reviews.
- Ensure the
diabetes team and service are achieving the clinical governance goals/targets
set by the trust and department and comply with reporting schedules for
monitoring and reporting on clinical outcomes. Includes auditing of services.
- Be
proactive in the prevention and management of complaints (formal and those via
Patient Advice and Liaison Service) and when they occur investigate and respond
in a timely manner. Use any learning to share widely with the multidisciplinary
team and to improve care delivery.
- Promote
effective communication with staff members across organisational boundaries and
provide support to those dealing with patients who are either newly diagnosed or
have been admitted due to deterioration of their diabetes.
- Promote
the health and well-being of MDT, patients and their carers. Making every
contact count.
- Comply
and promote compliance with Trust policies and guidelines e.g. Health and
Safety, Clinical Risk and Infection Control.
- Participate
in the delivery of the quality and safety agenda and risk management agenda of
the department and Trust.
- Take
appropriate action to address unexpected changes and situations, informing the Divisional
Nurse Director/Lead Nurse for Children or paediatrician if unable to resolve.
- Utilise
user feedback to inform Paediatric Diabetes team and to facilitate service
development via the national PREMS
surveys and Envoy Friends and Family Feedback
- Attend
relevant departmental and senior nurse/specialist nurse meetings. Work closely
with ward link diabetes nurses to ensure ward training needs are met to ensure
high quality evidence based care delivery; there is good communication and
dissemination of information. Ensure delivery and planning of unit staff
education on all aspects of diabetes alongside the Practice Development Sister
and Ward sisters.
- Network
with other specialty teams to share good practice and bring back new ideas to
improve the local service.
- Ensure
100% attendance of the MDT at Wessex Paediatric Diabetes Network meetings and
feedback to the team.
- Organise
and lead weekly MDT meetings/Annual Away Day/safeguarding meetings ensuring
action points are shared and acted upon.
- Ensure
100% attendance by lead Doctor, nurse, and dietitian at PHUT CYP Standards and
Quality Committee quarterly meetings and ensure Paediatric Diabetes is part of
the agenda.
- Oversee
and manage any new members of staff through the Probation process using the
Diabetes Nurse Competencies
- Facilitate,
oversee, and monitor the continuing professional development of the Paediatric
Diabetes team by seeking and encouraging and enabling staff to attend relevant
training.
- Contribute
to and be involved in national and local audits eg NPDA, spotlight audits.
Review audit data to compare our service with others locally and nationally.
With the lead Consultant identify areas of shortfall and formulate and
implement strategies to address these.
- Present
at seminars/conferences/meetings to raise profile of team and department. Submit articles for publication in peer
review or other appropriate journals.
Research
- Develop
a research culture within the MDT team to identify current knowledge and
deliver evidence based care.
- Liaise
with the relevant research nurse to ensure patients are identified to take part
in appropriate and relevant clinical research studies.
- Report
research activity as standard practice and as part of the monthly paediatric
respiratory meetings.
- Appoint
a Research champion in the Team.
Education
- Develop and deliver
specific and relevant specialist teaching programmes for all disciplines and grades
of staff, client group and carers within the Trust in relation to their area of
expertise.
- Review and evaluate
all teaching programmes and lead on the development of new programmes when a
need is identified
- Identify own
development needs in line with service requirements within personal development
plan.
- Liaise
with matron regarding development opportunities within the department for
practitioners (nurses, etc) with an interest in paediatric diabetes care. Ensure
there is a fair and equitable approach to post registration nurse education
that is aligned to service delivery and succession planning.
- Succession
plan with the Child Health Matron for replacement of CNS posts and use Talent
Management skills to identify key staff for further development.
- Embed
in the team culture the concept of recruitment to clinical trials which is a
national performance indicator.
- Contribute
to the multidisciplinary education and training provision for health care
professionals involved in relevant specialty area across organisational
boundaries by developing and coordinating education and training programmes and
evaluating their effectiveness.
Job description
Job responsibilities
- To lead and be accountable for the operational
management of the Paediatric Diabetes Service along with the Lead Consultant
- To develop and implement strategic plans,
providing clinical, managerial, and professional leadership
- To manage service change and development and
facilitate continual quality improvement of the Paediatric Diabetes Service.
- An expert autonomous practitioner, responsible
for the assessment, primary and/or secondary diagnosis, management and
evaluation of treatment and care for a caseload of children and young people
aged 0-18 years with diabetes.
- Through
effective leadership ensure the clinical multidisciplinary team deliver a safe,
effective, responsive, caring and well-led service where compassion is embedded,
and a positive patient experience is achieved.
- Works across organisational and professional
boundaries, including working collaboratively with health care professionals in
the community.
- Act as an expert resource in Paediatric Diabetes
with extensive specialist knowledge and clinical expertise to be an effective
educator for health care professionals.
- Lead on developing a structured and efficient
Transition service for all young people within the specialist services.
- To lead on the implementation of relevant
research into practice contributing to the further development of evidence
based research and audit.
Key Responsibilities:
Clinical/Professional
- Promote
and set high standards of professional nursing care and maintain the delivery
of quality care within the trust policies, protocols, and guidelines. Implement the trust values and beliefs
ensuring they are embedded into everyday practice and evaluate their impact on
the patients experience.
- Provide
professional nursing leadership to the MDT. Managing and reviewing nurse-led diabetes
clinics, as well as being an accessible and visible resource across child
health.
- Act as
an expert clinical practitioner demonstrating developed clinical skills and
knowledge.
- Work
with the Practice Education team to review Diabetes knowledge and skills of
other nurses and health care professionals within Child Health, and across the
wider trust (i.e. Paediatric Emergency Department and young persons
transitional care).
- Ensure
that any patient quality and safety issues are addressed in a timely manner.
This includes monitoring and evaluating standards of care by the clinical team
and providing regular feedback to the specialty team on the standards of care.
- Communicating,
influencing, and working with the multidisciplinary team in different ways to
improve quality of care, and informed clinical decisions. Promote innovation
and participate in bench-marking and quality audits to measure effectiveness of
current practices.
- In
collaboration with members of the multidisciplinary team, ensure that the users
of the service and their families have a positive experience and using feedback
(Envoy, PREMS, concerns and complaints) evaluate patient processes and pathways
of care are redesigned as required.
- Ensure
concerns raised by patients and their families are dealt with in an open, honest,
and transparent way, quickly and effectively, in line with trust policies, procedures
and Duty of Candour legislation.
- Ensure
the MDT are competent in the use of any medical devices/equipment and have
access to training and monitoring compliance (if applicable).
- Reduce
emergency admissions by providing timely telephone advice and education to
patients and their families. In addition, provide education to health care
professional both in hospital and in the community.
- Accept
referrals and refer patients to other health care professionals as required in
the hospital and/or in the community.
- Actively
Develop and maintain strong, collaborative links with the community teams,
primary care trusts and tertiary/specialist centres. This includes networking with services such
as Adult Diabetes teams, Community Diabetes teams, Community Childrens Nurses.
- Work
closely with adult service to build on the current transitional service to make
it more streamlined and robust.
Management/Leadership
- Lead
the organisation and management of the Paediatric Diabetes service alongside
the lead consultant/s.
- Provide
Leadership and management for all staff within the Paediatric Diabetes Service.
This includes Professional development
reviews, management of sickness absence, resolution issues, recruitment as well
as management of department workload.
- Being visible and
providing an authoritative presence.
- Provide
clinical expertise and leadership to relevant staff within and outside PHT, to
inform service provision and development.
- Demonstrate
knowledge and application of national and local guidelines relating to
specialty (e.g. NICE guidelines) and influence care developments in accordance
with these.
- Identify,
contribute to, or lead on aspects in the development and dissemination of
evidence-based guidelines, standards and protocols as required and implement
change to improve the quality of nursing care.
- Lead on
Local and National Peer Review programme and any focused CQC style reviews.
- Ensure the
diabetes team and service are achieving the clinical governance goals/targets
set by the trust and department and comply with reporting schedules for
monitoring and reporting on clinical outcomes. Includes auditing of services.
- Be
proactive in the prevention and management of complaints (formal and those via
Patient Advice and Liaison Service) and when they occur investigate and respond
in a timely manner. Use any learning to share widely with the multidisciplinary
team and to improve care delivery.
- Promote
effective communication with staff members across organisational boundaries and
provide support to those dealing with patients who are either newly diagnosed or
have been admitted due to deterioration of their diabetes.
- Promote
the health and well-being of MDT, patients and their carers. Making every
contact count.
- Comply
and promote compliance with Trust policies and guidelines e.g. Health and
Safety, Clinical Risk and Infection Control.
- Participate
in the delivery of the quality and safety agenda and risk management agenda of
the department and Trust.
- Take
appropriate action to address unexpected changes and situations, informing the Divisional
Nurse Director/Lead Nurse for Children or paediatrician if unable to resolve.
- Utilise
user feedback to inform Paediatric Diabetes team and to facilitate service
development via the national PREMS
surveys and Envoy Friends and Family Feedback
- Attend
relevant departmental and senior nurse/specialist nurse meetings. Work closely
with ward link diabetes nurses to ensure ward training needs are met to ensure
high quality evidence based care delivery; there is good communication and
dissemination of information. Ensure delivery and planning of unit staff
education on all aspects of diabetes alongside the Practice Development Sister
and Ward sisters.
- Network
with other specialty teams to share good practice and bring back new ideas to
improve the local service.
- Ensure
100% attendance of the MDT at Wessex Paediatric Diabetes Network meetings and
feedback to the team.
- Organise
and lead weekly MDT meetings/Annual Away Day/safeguarding meetings ensuring
action points are shared and acted upon.
- Ensure
100% attendance by lead Doctor, nurse, and dietitian at PHUT CYP Standards and
Quality Committee quarterly meetings and ensure Paediatric Diabetes is part of
the agenda.
- Oversee
and manage any new members of staff through the Probation process using the
Diabetes Nurse Competencies
- Facilitate,
oversee, and monitor the continuing professional development of the Paediatric
Diabetes team by seeking and encouraging and enabling staff to attend relevant
training.
- Contribute
to and be involved in national and local audits eg NPDA, spotlight audits.
Review audit data to compare our service with others locally and nationally.
With the lead Consultant identify areas of shortfall and formulate and
implement strategies to address these.
- Present
at seminars/conferences/meetings to raise profile of team and department. Submit articles for publication in peer
review or other appropriate journals.
Research
- Develop
a research culture within the MDT team to identify current knowledge and
deliver evidence based care.
- Liaise
with the relevant research nurse to ensure patients are identified to take part
in appropriate and relevant clinical research studies.
- Report
research activity as standard practice and as part of the monthly paediatric
respiratory meetings.
- Appoint
a Research champion in the Team.
Education
- Develop and deliver
specific and relevant specialist teaching programmes for all disciplines and grades
of staff, client group and carers within the Trust in relation to their area of
expertise.
- Review and evaluate
all teaching programmes and lead on the development of new programmes when a
need is identified
- Identify own
development needs in line with service requirements within personal development
plan.
- Liaise
with matron regarding development opportunities within the department for
practitioners (nurses, etc) with an interest in paediatric diabetes care. Ensure
there is a fair and equitable approach to post registration nurse education
that is aligned to service delivery and succession planning.
- Succession
plan with the Child Health Matron for replacement of CNS posts and use Talent
Management skills to identify key staff for further development.
- Embed
in the team culture the concept of recruitment to clinical trials which is a
national performance indicator.
- Contribute
to the multidisciplinary education and training provision for health care
professionals involved in relevant specialty area across organisational
boundaries by developing and coordinating education and training programmes and
evaluating their effectiveness.
Person Specification
Qualifications
Essential
- Registered Child branch, Registered Sick Childrens Nurse (RSCN) or RN adult with specialist diabetes experience, current active registration with NMC.
- Educated to Masters Degree level in relevant field (i.e. child nursing/ long term conditions) or equivalent.
- Non-Medical prescriber.
- Leadership development Programme.
- Evidence of developing policy, guidelines and managing resources.
- Willingness to undertake and attend relevant training, workshops and conferences as required.
- Car owner with valid driving license.
Desirable
- Post Reg. qualifications for specialist area.
- Teaching qualification or equivalent.
Experience
Essential
- Relevant experience as a Diabetes Nurse Specialist.
- Significant demonstrable experience within diabetes care with evidence of professional development within this specialism.
- Working with children and or young adults and families affected by complex, chronic conditions.
- Minimum 10 years post registration experience including at least 3 years working in a role/area where considerable knowledge and experience of diabetes.
Desirable
- Community experience e.g. health visitor, school nurse or community nurse with relevant qualification.
- Previous experience in line managing staff
- Previous experience in research and application of research in practice.
- Clinical supervision.
- Experience of working collaboratively with a range of other services within primary, secondary and tertiary care, social care and education.
Skills & Knowledge
Essential
- Direct care skills (i.e. Insulin dose adjustment, able to run pump and CGM starts, nurse led clinics, manage acutely unwell patients).
- Ability to make autonomous clinical decisions and judgements.
- Expert communication skills.
- Experience of devising, delivering and evaluating teaching programmes (formal or informal).
- Evidence of continuous professional development.
- Clinical decision-making skills.
- Experience in clinical audit and benchmarking (this will be required locally, nationally and for RDMCC).
- Medicines management.
- Effective leadership skills.
- Organisational skills and forward planning.
- Flexibility.
- Able to support development of others.
- Coaching and mentoring skills.
- Critical appraisal skills.
- IT literate.
- Ability to gather data, compile information and write reports.
- Knowledge and understanding of national epilepsy guidelines.
- Ability to deal with highly emotional and distressing situations/circumstances.
- Ambition to develop within specialism and willingness to undertake further training/development.
Desirable
- Advanced Communication Skills Training.
- Understanding of health policy and the national and local nursing agenda.
- Prior experience of conducting nurse-led clinics independently.
- Nurse prescriber or working towards.
Person Specification
Qualifications
Essential
- Registered Child branch, Registered Sick Childrens Nurse (RSCN) or RN adult with specialist diabetes experience, current active registration with NMC.
- Educated to Masters Degree level in relevant field (i.e. child nursing/ long term conditions) or equivalent.
- Non-Medical prescriber.
- Leadership development Programme.
- Evidence of developing policy, guidelines and managing resources.
- Willingness to undertake and attend relevant training, workshops and conferences as required.
- Car owner with valid driving license.
Desirable
- Post Reg. qualifications for specialist area.
- Teaching qualification or equivalent.
Experience
Essential
- Relevant experience as a Diabetes Nurse Specialist.
- Significant demonstrable experience within diabetes care with evidence of professional development within this specialism.
- Working with children and or young adults and families affected by complex, chronic conditions.
- Minimum 10 years post registration experience including at least 3 years working in a role/area where considerable knowledge and experience of diabetes.
Desirable
- Community experience e.g. health visitor, school nurse or community nurse with relevant qualification.
- Previous experience in line managing staff
- Previous experience in research and application of research in practice.
- Clinical supervision.
- Experience of working collaboratively with a range of other services within primary, secondary and tertiary care, social care and education.
Skills & Knowledge
Essential
- Direct care skills (i.e. Insulin dose adjustment, able to run pump and CGM starts, nurse led clinics, manage acutely unwell patients).
- Ability to make autonomous clinical decisions and judgements.
- Expert communication skills.
- Experience of devising, delivering and evaluating teaching programmes (formal or informal).
- Evidence of continuous professional development.
- Clinical decision-making skills.
- Experience in clinical audit and benchmarking (this will be required locally, nationally and for RDMCC).
- Medicines management.
- Effective leadership skills.
- Organisational skills and forward planning.
- Flexibility.
- Able to support development of others.
- Coaching and mentoring skills.
- Critical appraisal skills.
- IT literate.
- Ability to gather data, compile information and write reports.
- Knowledge and understanding of national epilepsy guidelines.
- Ability to deal with highly emotional and distressing situations/circumstances.
- Ambition to develop within specialism and willingness to undertake further training/development.
Desirable
- Advanced Communication Skills Training.
- Understanding of health policy and the national and local nursing agenda.
- Prior experience of conducting nurse-led clinics independently.
- Nurse prescriber or working towards.
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
