Paediatric Diabetes Clinical Nurse Specialist & Transitional Care Lead

Job 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 benchmarking 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.

Communication and Working Relations

Communicate highly sensitive and complex information with empathy ensuring that information is understood.

Ensure patients, their parents/carers and the MDT have access to specialist information and provide care that that meets individual patients needs at all stages of the care pathway. This includes the provision of telephone and video support/ advice.

Provide patients and their families with care plans as appropriate, ensuring that these are understood and reviewed at each appointment/contact. Consider other platforms for ensuring that patients and families understand how to treat their condition if written word is not appropriate (i.e. pictorial charts, electronic, etc). Utilise the resources on the Wessex Healthier Together website wherever appropriate.

Communicate and co-operate with other specialist areas, promoting and maintaining good working relationships within own clinical area and across the organisation, giving accurate information as required.

An active member of the clinical nursing team contributing to Trust wide nursing groups and meetings (as appropriate, will be guided by matron).

Working Conditions

Working within a team that may at times be caring for very sick paediatric patients that require complex interventions and liaison with partner agencies (i.e. tertiary centre).

Working within an environment that requires rapid response to unpredictable events (i.e. community visits, reviewing patients on the Childrens Assessment Unit and within the Paediatric Emergency Department).

Skills & Knowledge

Essential

• Direct care skills (i.e. Insulin dose adjustment, able to run pump and CGM starts, nurse led clinics, manage acutely sick children e.g. DKA)
• Ability to make autonomous clinical decisions and judgments
• 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

Qualifications

Essential

• Registered Child branch or Registered Sick Childrens Nurse (RSCN), 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

Desirable

• Community experience e.g. health visitor, school nurse or children's community nurse with relevant qualification
• Post Reg. qualifications for specialist area
• Teaching qualification or equivalent

Experience

Essential

• Relevant experience as a Paediatric Diabetes Nurse Specialist
• Significant demonstrable experience within paediatric diabetes care with evidence of professional development within this specialism.
• Prior experience in working with CYP 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 paediatric diabetes.
• 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

• Previous experience in line managing staff
• Evidence of change management with relevant management/leadership course
• 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

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.

Certificate of Sponsorship

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).