Job summary
Worcestershire has an
integrated Diabetes Specialist Nursing team who support wide ranging diabetes
services. We provide outpatient and inpatient care in 3 hospitals as well as supporting
primary care. We have a well-established insulin pump service and are improving
access to glucose monitoring with isCGM and rtCGM. The team support diabetes in
pregnancy and the multidisciplinary foot service so there always an opportunity
to develop an interest in specialist area.
Much of the diabetes care in
Worcestershire, including insulin initiation, is provided in primary, care
allowing care closer to home. The specialist service supports education and
training for healthcare professionals in all roles. Diabetes Structured Education
including XPERT programmes and DAFNE are delivered locally by the specialist
team and much of this work is delivered virtually.
We are looking to recruit an experienced Diabetes Specialist Nurse to
lead the team locally within Kidderminster Treatment Centre. This Team Leader
role will be supported by the countywide Lead Nurse for Diabetes and the
existing team members. As there is no diabetes consultant presence on site
every day, you will need to be a skilled practitioner who is able to work
autonomously and have experience in all aspects of diabetes care. With such a variety
of aspects of diabetes care on offer, each day will bring a refreshing change.
Main duties of the job
The postholder will deliver diabetes clinical expertise to patients, carers and health care professionals. You will assess and prioritise referrals, managing your case load and supervising the case loads of team members. You will be a facilitator so that more patients have access to and use technology to help them manage their diabetes more effectively. You will be a non-medical prescriber or be actively working towards this qualification.
Participation in multi-disciplinary support sessions at Primary Care Network level and provide support to individual practices with complex diabetes cases is an essential part of the role. As an experienced Diabetes Specialist Practitioner, you will educate and mentor junior members of the team and participate in healthcare professional education across the integrated care system, using a variety of forums to do this.
Whole system working is important, and you will collaborate with other team leaders in order to shape service delivery. You will have a role to play in scoping and delivering quality improvements within the service to enhance the care offered to patients.
About us
Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.
Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.
The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester
Our workforce is nearly 6,800 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.
We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.
Our objectives are simple:
- Best services for local people
- Best experience of care and best outcomes for our patients
- Best use of resources
- Best people
Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.
We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.
Job description
Job responsibilities
WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST
JOB DESCRIPTION
Job Title: Diabetes Specialist Nurse Countywide
Grade: Band 7
Managerially Reports To: Lead Nurse for Diabetes
Accountable to: Consultant Diabetologist / Lead Nurse
Job summary:
To work as a clinical nurse specialist across the accepted domains of clinician, educator, researcher and manager/leader as part of the integrated community and inpatient specialist diabetes care service. The post holder with other key personnel will review, develop and facilitate diabetes care services within Worcestershire. Supporting patients within a variety of care settings as appropriate ensuring a cohesive, holistic and evidence-based approach to the management of diabetes care patients. The role will provide highly specialist diabetes nursing leadership in line with local/national guidelines.
A key function of this post will be to support hospital teams to deliver high quality diabetes care by utilising individual patient review, care planning and staff education.
Key Relationships
Liaises with:
All appropriate members of the multidisciplinary health professional teams within the community, hospital, social, nursing, residential homes and voluntary sectors.
Principle responsibilities:
Clinical
- Work both autonomously and as part of the team to provide a resource of highly specialist advice, information and support to all members of the primary health care team in the delivery of effective diabetes care.
- Receive referrals from other health professional disciplines and self-referrals from patients and relatives, assess and effectively prioritise these in order to autonomously manage a caseload of patients.
- Undertake specialist assessments of diabetes care needs and work with primary and secondary care givers to improve the quality of life of patients, relatives and carers living with a chronic long-term conditions.
- Following specialist assessment, initiates, plans of care for patients with highly complex care needs and responsible for reviewing, evaluating and initiating action within broad policies. Deliver care across all health care settings including patients homes.
- Frequently uses advanced communication skills to communicate highly sensitive information to patients and carers. E.g., breaking bad news such as foetal abnormalities, loss of sight.
- Provide a nurse prescribing facility to diabetes care patients in line with the agreed guidelines for Worcestershire Acute Hospitals NHS Trust, following completion of the accredited university training and registration with the NMC.
- Assess those recently diagnosed as part of the continuing care for families and carers, where specialist intervention in required. Acts on the assessment to plan and implement as appropriate care strategy.
- Deliver care within Worcestershire to meet the needs of the service.
- Frequently act as primary resources to health professional in all care settings giving specialist diabetes advice regarding highly complex symptom management and care planning.
- Regularly assess patients within the acute trust and initiating a plan of care to avoid admission if appropriate clinically and facilitate an early discharge.
- Review and develop appropriate patient documentation/information in line with Trust policy and Government recommendations.
- Involved in the development and delivery of a diabetes care advice service in line with NICE guidelines (DOH 2002).
- Attend diabetes care MDT meetings, presenting new and complex patients in line with clinical governance.
- Provide highly skilled practical knowledge in the use of complex specialist equipment e.g.: Continuous glucose monitoring and insulin Pump therapy.
- Deliver structured education for XPERT, XPERT Insulin and DAFNE following accredited training across Worcestershire.
- To participate in a 7 day per week Diabetes service that includes weekends and bank holidays.
Education
- Organise and run diabetes care study days and mandatory training for all disciplines of staff.
- Develop an education strategy in diabetes care countywide, identifying the educational needs of staff in other services with reference to diabetes care. Plan and provide appropriate education/training for these groups.
- Present on related courses, study days and training programmes to disseminate evidence-based diabetes are knowledge and practice.
- Participate in developing and providing education/training programmes in the management of diabetes for patients, carers and healthcare professionals to improve practice.
- Provide education and training for patients, relatives and carers.
- Participate in Countywide diabetes care education initiatives and development.
- Provide placements/mentorship for professionals undertaking diabetes courses at graduate/undergraduate and pre-registration levels.
Research and Audit
- Develop, implement, audit to measure and evaluate standards of practice relating to specialist diabetes care. Ensure the dissemination of best practice.
- Formulate long term strategic plans which impact across the County, in line with local/national initiatives. Propose, develop and implement policy changes on issues such as NSF for Diabetes (DOH 2001).
- Responsible for the development of data for the countywide audit and benchmarking activates of the specialist diabetes care service.
- Adhere to the Trusts complaint procedure with regard to written and verbal complaints. Using appropriate referral mechanisms in order to resolve the situation and/or in conjunction with the PALS officer.
- Individual staff have a role in suggesting and implementing approved improvements to services and exercise professional responsibility for both themselves and their peers within an open just and fair culture.
- Develop an operational policy, review and update annually in line with Worcestershire diabetes care network group.
- Ensure clinical effectiveness by critically appraising current research and applying to practice.
- To co-operate and support clinical practitioners wishing to undertake research in diabetes care and take an active role in developing and participation in further research.
Continuing Professional Development
- Maintain and develop highly specialist clinical knowledge, skills and competence through networking with other specialists and professional organisations.
- Maintain a programme of professional development by attending in-house and external training, education, conferences and seminars in line with PDR/KSF review.
- As part of a joint commitment to lifelong learning, will contribute to the assessment of personal learning needs and opportunities to inform and develop personal development plans.
- Co-ordinate a link nurse practitioner functions within the clinical areas in order to enhance personal, team and patients knowledge in relation to issues concerning diabetes care.
- Undertakes personal clinical supervision and supports others through clinical supervision to improve practice.
Management
- Provides expert leadership and change management skills in developing the diabetes service.
- Manage and leads ones own caseload safely and effectively, prioritising and ensuring appropriate access to the service.
- Function effectively as a clinical nurse specialist in line with the recommendations of the NMC, DOH.
- Uses clinical supervision to maintain and improve practice.
- Work strategically in the context of national policy and local service development.
- Positively utilise and influence political agenda: NSF diabetes (DOH 2002).
- Network locally, regionally, nationally and internationally with regard to specialist diabetes care.
- Acts as a role model to uphold professional standards and high-quality diabetes care.
Professional Responsibility
- Maintains a programme of personal and professional development by attending in-service training and utilising relevant educational opportunities. e.g., courses, conferences, seminars.
- Maintain effective registrations with the NMC, maintain personal, professional portfolio.
- Take personal responsibility for continuous professional development in line with PDR/KSF review.
- Adhere to the policies, procedures and guidelines of Worcestershire Acute Hospitals NHS Trust relating to employment and professional practise.
Job description
Job responsibilities
WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST
JOB DESCRIPTION
Job Title: Diabetes Specialist Nurse Countywide
Grade: Band 7
Managerially Reports To: Lead Nurse for Diabetes
Accountable to: Consultant Diabetologist / Lead Nurse
Job summary:
To work as a clinical nurse specialist across the accepted domains of clinician, educator, researcher and manager/leader as part of the integrated community and inpatient specialist diabetes care service. The post holder with other key personnel will review, develop and facilitate diabetes care services within Worcestershire. Supporting patients within a variety of care settings as appropriate ensuring a cohesive, holistic and evidence-based approach to the management of diabetes care patients. The role will provide highly specialist diabetes nursing leadership in line with local/national guidelines.
A key function of this post will be to support hospital teams to deliver high quality diabetes care by utilising individual patient review, care planning and staff education.
Key Relationships
Liaises with:
All appropriate members of the multidisciplinary health professional teams within the community, hospital, social, nursing, residential homes and voluntary sectors.
Principle responsibilities:
Clinical
- Work both autonomously and as part of the team to provide a resource of highly specialist advice, information and support to all members of the primary health care team in the delivery of effective diabetes care.
- Receive referrals from other health professional disciplines and self-referrals from patients and relatives, assess and effectively prioritise these in order to autonomously manage a caseload of patients.
- Undertake specialist assessments of diabetes care needs and work with primary and secondary care givers to improve the quality of life of patients, relatives and carers living with a chronic long-term conditions.
- Following specialist assessment, initiates, plans of care for patients with highly complex care needs and responsible for reviewing, evaluating and initiating action within broad policies. Deliver care across all health care settings including patients homes.
- Frequently uses advanced communication skills to communicate highly sensitive information to patients and carers. E.g., breaking bad news such as foetal abnormalities, loss of sight.
- Provide a nurse prescribing facility to diabetes care patients in line with the agreed guidelines for Worcestershire Acute Hospitals NHS Trust, following completion of the accredited university training and registration with the NMC.
- Assess those recently diagnosed as part of the continuing care for families and carers, where specialist intervention in required. Acts on the assessment to plan and implement as appropriate care strategy.
- Deliver care within Worcestershire to meet the needs of the service.
- Frequently act as primary resources to health professional in all care settings giving specialist diabetes advice regarding highly complex symptom management and care planning.
- Regularly assess patients within the acute trust and initiating a plan of care to avoid admission if appropriate clinically and facilitate an early discharge.
- Review and develop appropriate patient documentation/information in line with Trust policy and Government recommendations.
- Involved in the development and delivery of a diabetes care advice service in line with NICE guidelines (DOH 2002).
- Attend diabetes care MDT meetings, presenting new and complex patients in line with clinical governance.
- Provide highly skilled practical knowledge in the use of complex specialist equipment e.g.: Continuous glucose monitoring and insulin Pump therapy.
- Deliver structured education for XPERT, XPERT Insulin and DAFNE following accredited training across Worcestershire.
- To participate in a 7 day per week Diabetes service that includes weekends and bank holidays.
Education
- Organise and run diabetes care study days and mandatory training for all disciplines of staff.
- Develop an education strategy in diabetes care countywide, identifying the educational needs of staff in other services with reference to diabetes care. Plan and provide appropriate education/training for these groups.
- Present on related courses, study days and training programmes to disseminate evidence-based diabetes are knowledge and practice.
- Participate in developing and providing education/training programmes in the management of diabetes for patients, carers and healthcare professionals to improve practice.
- Provide education and training for patients, relatives and carers.
- Participate in Countywide diabetes care education initiatives and development.
- Provide placements/mentorship for professionals undertaking diabetes courses at graduate/undergraduate and pre-registration levels.
Research and Audit
- Develop, implement, audit to measure and evaluate standards of practice relating to specialist diabetes care. Ensure the dissemination of best practice.
- Formulate long term strategic plans which impact across the County, in line with local/national initiatives. Propose, develop and implement policy changes on issues such as NSF for Diabetes (DOH 2001).
- Responsible for the development of data for the countywide audit and benchmarking activates of the specialist diabetes care service.
- Adhere to the Trusts complaint procedure with regard to written and verbal complaints. Using appropriate referral mechanisms in order to resolve the situation and/or in conjunction with the PALS officer.
- Individual staff have a role in suggesting and implementing approved improvements to services and exercise professional responsibility for both themselves and their peers within an open just and fair culture.
- Develop an operational policy, review and update annually in line with Worcestershire diabetes care network group.
- Ensure clinical effectiveness by critically appraising current research and applying to practice.
- To co-operate and support clinical practitioners wishing to undertake research in diabetes care and take an active role in developing and participation in further research.
Continuing Professional Development
- Maintain and develop highly specialist clinical knowledge, skills and competence through networking with other specialists and professional organisations.
- Maintain a programme of professional development by attending in-house and external training, education, conferences and seminars in line with PDR/KSF review.
- As part of a joint commitment to lifelong learning, will contribute to the assessment of personal learning needs and opportunities to inform and develop personal development plans.
- Co-ordinate a link nurse practitioner functions within the clinical areas in order to enhance personal, team and patients knowledge in relation to issues concerning diabetes care.
- Undertakes personal clinical supervision and supports others through clinical supervision to improve practice.
Management
- Provides expert leadership and change management skills in developing the diabetes service.
- Manage and leads ones own caseload safely and effectively, prioritising and ensuring appropriate access to the service.
- Function effectively as a clinical nurse specialist in line with the recommendations of the NMC, DOH.
- Uses clinical supervision to maintain and improve practice.
- Work strategically in the context of national policy and local service development.
- Positively utilise and influence political agenda: NSF diabetes (DOH 2002).
- Network locally, regionally, nationally and internationally with regard to specialist diabetes care.
- Acts as a role model to uphold professional standards and high-quality diabetes care.
Professional Responsibility
- Maintains a programme of personal and professional development by attending in-service training and utilising relevant educational opportunities. e.g., courses, conferences, seminars.
- Maintain effective registrations with the NMC, maintain personal, professional portfolio.
- Take personal responsibility for continuous professional development in line with PDR/KSF review.
- Adhere to the policies, procedures and guidelines of Worcestershire Acute Hospitals NHS Trust relating to employment and professional practise.
Person Specification
Experience
Essential
- Significant post registration experience at Band 6.
- Recent experience of working with diabetes within a variety of settings
- Awareness of current professional issues particularly as they relate to diabetes care.
- Able to work autonomously and as part of a team.
- Teaching experience.
- Caseload management.
Desirable
- Experience of running out-patient or practice clinic.
- Experience of working within community settings.
- Experience of local/strategic influencing.
- Participation in service development and implementation of change.
Qualifications
Essential
- Registered Nurse-Part 1.
- Recognised NMC teaching and assessing qualification or significant teaching experience.
- 1st Level Degree or working towards.
- Post registration qualification in diabetes or significant experience in diabetes care.
Desirable
- Participate or working towards Masters Level study in Diabetes.
- Non-medical prescribing qualification or working towards.
- Diabetes Educator or a QISMET Diabetes course.
- Adult health assessment qualification.
- Participation in primary research.
Person Specification
Experience
Essential
- Significant post registration experience at Band 6.
- Recent experience of working with diabetes within a variety of settings
- Awareness of current professional issues particularly as they relate to diabetes care.
- Able to work autonomously and as part of a team.
- Teaching experience.
- Caseload management.
Desirable
- Experience of running out-patient or practice clinic.
- Experience of working within community settings.
- Experience of local/strategic influencing.
- Participation in service development and implementation of change.
Qualifications
Essential
- Registered Nurse-Part 1.
- Recognised NMC teaching and assessing qualification or significant teaching experience.
- 1st Level Degree or working towards.
- Post registration qualification in diabetes or significant experience in diabetes care.
Desirable
- Participate or working towards Masters Level study in Diabetes.
- Non-medical prescribing qualification or working towards.
- Diabetes Educator or a QISMET Diabetes course.
- Adult health assessment qualification.
- Participation in primary research.
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).
