Job summary
We are looking to recruit a Band 7 DSN to join our dynamic team - however we would consider recruiting into Band 6 position with development into a Band 7 for the right candidate.
We are a multidisciplinary team consisting of Consultants, Dietitians, Podiatrist as well as Specialist Nurses. The team receives referrals from many primary care and community services as well as local acute hospitals.
We are a unique community provider as we manage people with both Type 1 and Type 2 diabetes and are an initiating centre for Freestyle Libre. We also deliver DAFNE & DESMOND structured education.
We are based in Morden (at the end of the Northern line) and work within the London Borough of Merton. Morden Underground station is just around the corner and Wimbledon Station 1.5 miles away. We are also on many bus routes, with a tram station very nearby.
Main duties of the job
- To work as a pro-active clinical nurse specialist to patients, carers and health professionals across the accepted domains of clinician, educator, service delivery and leadership across the Merton area.
- To work closely with the Service Lead to provide a Tier 3 Diabetes Specialist Nursing Service, that contributes to the strategic planning and delivery of the multidisciplinary Community Diabetes Service and is in line with the Trust objectives
- To be a key member of the multidisciplinary Community Diabetes Service to plan and deliver high quality integrated diabetes care in the community across Tiers 1 - 3
- To provide specialist assessment and treatment of patients with diabetes, liaise with other agencies and health professionals and maintain accurate clinical records
- To be responsible for project managing the planning, establishment and continued support of specialist nursing interventions
About us
Central London Community Healthcare (CLCH) is one of the largest community healthcare organisations in London and Hertfordshire, providing our services to diverse communities/boroughs in 11 London Boroughs - Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster - and Hertfordshire.
Job description
Job responsibilities
- To be responsible for providing a specialist clinical diabetes service to clients with diabetes on oral hypoglycaemic agents, insulin or insulin conversion and other new therapies, including appropriate counselling and lifestyle advice in various community settings such as GP practices, health centers and clients homes
- To work both autonomously and as part of a diabetes multi-disciplinary team (MDT) to provide expert advice to clients, carers and clinicians. This will involve assessment and the development of treatment plans using evidence based outcomes and involving patients throughout the process
- To use professional judgement and clinical expertise to independently interpret and analyse complex situations and information to formulate treatment plans according to evidence based practice and modify according to changes in clinical condition
- To be clinically competent to give specialist diabetes advice, treatment and counselling to support behavioural change, in adults with complex and diverse healthcare needs across health and social care. Resulting in personalized care planning, empowering service users to self manage their own diabetes
- To provide a nurse prescribing facility and/or expert advice to medical practitioners of all oral hypoglycaemic agents used in Type 2 Diabetes, as well as Insulins and injectable therapies
- To respond to urgent referrals and undertake a triage function in partnership with GPs and secondary care services
- To initiate and participate in multi-disciplinary/multi-agency collaborative working to promote continuity of care at the multi-disciplinary Community Diabetes team meetings and case conferences
- To use clinical judgment to refer clients to other services, professionals and Social Services when appropriate
- To provide timely and informative client reports and discharge summaries for GPs, consultants, allied Health Professionals and other staff
- To communicate highly complex and sensitive information in an understandable form to clients, carers and families from a wide range of backgrounds to gain consent, ensure understanding of condition, treatment options, risks, acceptance and compliance with dietary treatment, which may include unwelcome or difficult to accept information e.g. long term adherence to a medication, conversion to insulin
- To use highly developed negotiation, persuasion, motivation and counselling skills to facilitate acceptance, behaviour change and ongoing compliance with treatment programmes taking into account emotional, physical, social and psychological barriers as well as strong influences on change e.g. depression, language difficulties, impaired cognitive function, resistant attitudes and religion
- To be ultimately responsible for managing a specialist clinical caseload
- To provide clinical expertise to GP Practices in their delivery of high quality diabetes care, in line with the Healthcare for London
- To be a source of clinical expertise to GPs and other health professionals via a number of mechanisms including telephone and emails
- To be professionally and legally accountable for all aspects of own work and to ensure that own work is within professional standards and clinical guidelines
- To be responsible for complying with legal and professional confidentiality guidelines at all time.
Please refer to the attached Job Description for full list of responsibilities.
Job description
Job responsibilities
- To be responsible for providing a specialist clinical diabetes service to clients with diabetes on oral hypoglycaemic agents, insulin or insulin conversion and other new therapies, including appropriate counselling and lifestyle advice in various community settings such as GP practices, health centers and clients homes
- To work both autonomously and as part of a diabetes multi-disciplinary team (MDT) to provide expert advice to clients, carers and clinicians. This will involve assessment and the development of treatment plans using evidence based outcomes and involving patients throughout the process
- To use professional judgement and clinical expertise to independently interpret and analyse complex situations and information to formulate treatment plans according to evidence based practice and modify according to changes in clinical condition
- To be clinically competent to give specialist diabetes advice, treatment and counselling to support behavioural change, in adults with complex and diverse healthcare needs across health and social care. Resulting in personalized care planning, empowering service users to self manage their own diabetes
- To provide a nurse prescribing facility and/or expert advice to medical practitioners of all oral hypoglycaemic agents used in Type 2 Diabetes, as well as Insulins and injectable therapies
- To respond to urgent referrals and undertake a triage function in partnership with GPs and secondary care services
- To initiate and participate in multi-disciplinary/multi-agency collaborative working to promote continuity of care at the multi-disciplinary Community Diabetes team meetings and case conferences
- To use clinical judgment to refer clients to other services, professionals and Social Services when appropriate
- To provide timely and informative client reports and discharge summaries for GPs, consultants, allied Health Professionals and other staff
- To communicate highly complex and sensitive information in an understandable form to clients, carers and families from a wide range of backgrounds to gain consent, ensure understanding of condition, treatment options, risks, acceptance and compliance with dietary treatment, which may include unwelcome or difficult to accept information e.g. long term adherence to a medication, conversion to insulin
- To use highly developed negotiation, persuasion, motivation and counselling skills to facilitate acceptance, behaviour change and ongoing compliance with treatment programmes taking into account emotional, physical, social and psychological barriers as well as strong influences on change e.g. depression, language difficulties, impaired cognitive function, resistant attitudes and religion
- To be ultimately responsible for managing a specialist clinical caseload
- To provide clinical expertise to GP Practices in their delivery of high quality diabetes care, in line with the Healthcare for London
- To be a source of clinical expertise to GPs and other health professionals via a number of mechanisms including telephone and emails
- To be professionally and legally accountable for all aspects of own work and to ensure that own work is within professional standards and clinical guidelines
- To be responsible for complying with legal and professional confidentiality guidelines at all time.
Please refer to the attached Job Description for full list of responsibilities.
Person Specification
Education/Qualification
Essential
- Degree in Nursing or equivalent
- Current registration with the NMC, Showing a registered General Nurse.
- Relevant post registration training in Diabetes e.g.: Masters or diploma in diabetes management oIndependent Nurse Prescriber or be able to demonstrate an ability that will enable attendance of a prescribing course within 6 months of starting postoIndependent Nurse Prescriber or be able to demonstrate an ability that will enable attendance of a prescribing course within 6 months of starting post
- Independent Nurse Prescriber or be able to demonstrate an ability that will enable attendance of a prescribing course within 6 months of starting post
Desirable
- oTeacher/Training qualification
- oAccredited trainer in DESMOND/DAFNE
- oSupervisory skills training
- oPost registration training in Cognitive Behavioural Therapy
PHYSICAL
Essential
- oAble to carry out the duties of the post with or without adaptations
- oAble to carry out moderate physical effort throughout the day
Experience
Essential
- oExtensive experience working in Diabetes either in primary or secondary care
- oHighly Experienced in managing a clinical case load
- oExperience in the training of students
- oExperience in organising and implementing training/teaching programmes for healthcare professionals and clients
- oExcellent group education and presentation skills
- oExperience of conducting audits and/or research
- oExperience in contributing to Service Development, including policy and guideline development
- oExperience in supervising others
- oExperience working in a multi-disciplinary team
Desirable
- oExperience working in Community settings
- oExperience with working with change behaviour techniques
SKILLS & KNOWLEDGE
Essential
- oAbility to undertake leadership role in clinical specialty
- oAdvanced skills in the assessment and treatment of clients with diabetes
- oAbility to work autonomously
- oAbility to work as a team member and promote collaborative multi-disciplinary and multi-agency working
- oAdvanced knowledge of evidence based practice associated with diabetes
- oAbility to interpret health and social policies and guidelines and to translate into practice
- oAbility to problem solve, prioritise and demonstrate clinical reasoning based on experience and knowledge
- oHighly developed communication and report writing skills, in verbal and written format
- oHighly developed presentation skills and ability to present to professionals at all levels.
- oAbility to manage time effectively, meet deadlines and deal with work pressures and demands
- oBasic IT skills - Microsoft Word, Power point, Excel
- oKnowledge of and commitment to equal opportunities
- oAbility to work with clients from a diverse range of backgrounds
PERSONAL ATTRIBUTES
Essential
- oPersonally and professionally responsible
- oAble to self motivate
- oAbility to be flexible, adaptable and reliable
- oFull driving license
Person Specification
Education/Qualification
Essential
- Degree in Nursing or equivalent
- Current registration with the NMC, Showing a registered General Nurse.
- Relevant post registration training in Diabetes e.g.: Masters or diploma in diabetes management oIndependent Nurse Prescriber or be able to demonstrate an ability that will enable attendance of a prescribing course within 6 months of starting postoIndependent Nurse Prescriber or be able to demonstrate an ability that will enable attendance of a prescribing course within 6 months of starting post
- Independent Nurse Prescriber or be able to demonstrate an ability that will enable attendance of a prescribing course within 6 months of starting post
Desirable
- oTeacher/Training qualification
- oAccredited trainer in DESMOND/DAFNE
- oSupervisory skills training
- oPost registration training in Cognitive Behavioural Therapy
PHYSICAL
Essential
- oAble to carry out the duties of the post with or without adaptations
- oAble to carry out moderate physical effort throughout the day
Experience
Essential
- oExtensive experience working in Diabetes either in primary or secondary care
- oHighly Experienced in managing a clinical case load
- oExperience in the training of students
- oExperience in organising and implementing training/teaching programmes for healthcare professionals and clients
- oExcellent group education and presentation skills
- oExperience of conducting audits and/or research
- oExperience in contributing to Service Development, including policy and guideline development
- oExperience in supervising others
- oExperience working in a multi-disciplinary team
Desirable
- oExperience working in Community settings
- oExperience with working with change behaviour techniques
SKILLS & KNOWLEDGE
Essential
- oAbility to undertake leadership role in clinical specialty
- oAdvanced skills in the assessment and treatment of clients with diabetes
- oAbility to work autonomously
- oAbility to work as a team member and promote collaborative multi-disciplinary and multi-agency working
- oAdvanced knowledge of evidence based practice associated with diabetes
- oAbility to interpret health and social policies and guidelines and to translate into practice
- oAbility to problem solve, prioritise and demonstrate clinical reasoning based on experience and knowledge
- oHighly developed communication and report writing skills, in verbal and written format
- oHighly developed presentation skills and ability to present to professionals at all levels.
- oAbility to manage time effectively, meet deadlines and deal with work pressures and demands
- oBasic IT skills - Microsoft Word, Power point, Excel
- oKnowledge of and commitment to equal opportunities
- oAbility to work with clients from a diverse range of backgrounds
PERSONAL ATTRIBUTES
Essential
- oPersonally and professionally responsible
- oAble to self motivate
- oAbility to be flexible, adaptable and reliable
- oFull driving license
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
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).
