Job summary
This role is located in a British Overseas Territory, therefore UK legislation such as the Data Protection Act (2018) and the Equality Act (2010), or similar, may not apply.
- To strategically develop and implement diabetes services across the Gibraltar Health Authority, in line with Public Health initiatives, working as a member of the diabetes team, to improve the quality of diabetes care.
- To assess, plan, implement and evaluate care for diabetic patients.
- To provide clinical supervision for other nurses and members of the MDT and specialist advice on diabetic care.
- To contribute to the education and training of other staff and patients.
Main duties of the job
- Support the triage of diabetes patient referrals to the diabetes team, assessing need and urgency of the referral, deciding when the patient needs to be seen and by whom.
- Educating others using an advanced expert knowledge base derived from Diabetic clinical experience, on-going reflection, clinical supervision, and engagement in continuous professional development.
- Monitor service provision, activity and training undertaken. Manage and implement change relating to the diabetes team, monitoring and evaluating the change to improve quality of service provision.
- Develop and disseminate, in collaboration with key stakeholders, policies, guidelines and care pathways for diabetes management to promote evidence-based practice and integrated services.
- Undertake regular quality control of blood glucose meter used in clinics and home visits.
- Maintain accurate records of Hba1c results.
- Maintain accurate records, submitting statistical returns and compiling reports as required.
About us
Gibraltar is a British Overseas Territory at the southernmost tip of the Iberian Peninsula, easily reached in just over 2 hours (flying time) from London, Bristol or Manchester airports.
Gibraltar has a rich history, shaped by its position as a gateway between the Atlantic Ocean and the Mediterranean. It is a thriving modern city with a mix of British and Mediterranean influences. English is the official language, but Spanish is also widely spoken.
The Gibraltar Health Authority (GHA) is the public healthcare provider for the people of Gibraltar offering physical and mental health services. The GHA aims to provide high quality, accessible healthcare for all residents, and it operates a range of services from primary care to more specialised treatments.
The GHAs responsibilities include: services through clinics, outpatient services, and hospital care. Managing emergency medical services and accident and emergency (A&E) services. Conducting health campaigns and initiatives aimed at disease prevention and health promotion. Offering mental health care and community-based health services.
Services are mainly provided from St. Bernards Hospital. The hospital also collaborates with international medical institutions for specialised treatment and support.
Job description
Job responsibilities
- Support the triage of diabetes patient referrals to the diabetes team, assessing need and urgency of the referral, deciding when the patient needs to be seen and by whom.
- Educating others using an advanced expert knowledge base derived from Diabetic clinical experience, on-going reflection, clinical supervision, and engagement in continuous professional development.
- Monitor service provision, activity and training undertaken.
- Manage and implement change relating to the diabetes team, monitoring and evaluating the change to improve quality of service provision.
- Develop and disseminate, in collaboration with key stakeholders, policies, guidelines and care pathways for diabetes management to promote evidence-based practice and integrated services.
- Undertake regular quality control of blood glucose meter used in clinics and home visits.
- Maintain accurate records of Hba1c results.
- Maintain accurate records, submitting statistical returns and compiling reports as required.
- To undertake any other reasonable duties and responsibilities as requested by GHA Senior Management Clinical Conducting a comprehensive holistic health assessment for Diabetic patients, using evidenced based frameworks to determine diagnoses and inform autonomous advanced nursing care.
- Synthesising and interpreting assessment information particularly history including prior treatment outcomes, physical findings, and diagnostic data to identify Diabetes and to determine at risk and subnormal states of health.
- Demonstrating timely use of diagnostic investigations to inform clinical decision making.
- Exhibiting comprehensive knowledge of therapeutic interventions including pharmacological and non-pharmacological advanced nursing interventions for patients with Diabetes.
- Manage and deliver nurse led and multi-disciplinary outpatient clinics for a complex caseload of people with diabetes, particularly insulin initiation and maintenance clinics.
- Support use of insulin pumps and glucose monitors as part of integrated and holistic care of Type 1 Diabetes.
- Provide on-going follow up care and support (home visits/telephone support/nurse led clinics/outreach clinics) for people with diabetes.
- Provide leadership and direction for the primary care team, offering consultative advice on alteration of diabetes treatment to physicians, community nurses and allied health professionals involved in the delivery of diabetes services.
- Provide clinical expertise, psychological and social support to people with diabetes, their relatives and carers at all stages of the disease, in hospital and primary care.
- Carry out diagnostic/therapeutic interventions as an independent practitioner, interpreting results, writing reports, and commencing further possible treatment on the basis of the findings.
- Work effectively within a multi-professional team providing care, education and support to adults with diabetes, their families and carers.
- Act as an expert resource for multi-professional team on the action, time profile, dose adjustment of insulin and oral anti diabetic therapies, under agreed guidelines and protocols.
- Undertake initiation and management of insulin sitting in clinic with the practice nurse and/or GP to support with improving glycaemic control, to reduce risk of diabetes-related complications and improve quality of life for people with diabetes.
- Facilitate effective communication between primary and secondary service sectors to ensure quality of care and reduce duplication of service delivery.
- Provide education, advice and support for nursing and residential care homes and mental health, ensuring unmet needs of people with diabetes and staff are identified and addressed.
- Provide cover for other diabetes specialist nurses in the community diabetes team, as appropriate.
Job description
Job responsibilities
- Support the triage of diabetes patient referrals to the diabetes team, assessing need and urgency of the referral, deciding when the patient needs to be seen and by whom.
- Educating others using an advanced expert knowledge base derived from Diabetic clinical experience, on-going reflection, clinical supervision, and engagement in continuous professional development.
- Monitor service provision, activity and training undertaken.
- Manage and implement change relating to the diabetes team, monitoring and evaluating the change to improve quality of service provision.
- Develop and disseminate, in collaboration with key stakeholders, policies, guidelines and care pathways for diabetes management to promote evidence-based practice and integrated services.
- Undertake regular quality control of blood glucose meter used in clinics and home visits.
- Maintain accurate records of Hba1c results.
- Maintain accurate records, submitting statistical returns and compiling reports as required.
- To undertake any other reasonable duties and responsibilities as requested by GHA Senior Management Clinical Conducting a comprehensive holistic health assessment for Diabetic patients, using evidenced based frameworks to determine diagnoses and inform autonomous advanced nursing care.
- Synthesising and interpreting assessment information particularly history including prior treatment outcomes, physical findings, and diagnostic data to identify Diabetes and to determine at risk and subnormal states of health.
- Demonstrating timely use of diagnostic investigations to inform clinical decision making.
- Exhibiting comprehensive knowledge of therapeutic interventions including pharmacological and non-pharmacological advanced nursing interventions for patients with Diabetes.
- Manage and deliver nurse led and multi-disciplinary outpatient clinics for a complex caseload of people with diabetes, particularly insulin initiation and maintenance clinics.
- Support use of insulin pumps and glucose monitors as part of integrated and holistic care of Type 1 Diabetes.
- Provide on-going follow up care and support (home visits/telephone support/nurse led clinics/outreach clinics) for people with diabetes.
- Provide leadership and direction for the primary care team, offering consultative advice on alteration of diabetes treatment to physicians, community nurses and allied health professionals involved in the delivery of diabetes services.
- Provide clinical expertise, psychological and social support to people with diabetes, their relatives and carers at all stages of the disease, in hospital and primary care.
- Carry out diagnostic/therapeutic interventions as an independent practitioner, interpreting results, writing reports, and commencing further possible treatment on the basis of the findings.
- Work effectively within a multi-professional team providing care, education and support to adults with diabetes, their families and carers.
- Act as an expert resource for multi-professional team on the action, time profile, dose adjustment of insulin and oral anti diabetic therapies, under agreed guidelines and protocols.
- Undertake initiation and management of insulin sitting in clinic with the practice nurse and/or GP to support with improving glycaemic control, to reduce risk of diabetes-related complications and improve quality of life for people with diabetes.
- Facilitate effective communication between primary and secondary service sectors to ensure quality of care and reduce duplication of service delivery.
- Provide education, advice and support for nursing and residential care homes and mental health, ensuring unmet needs of people with diabetes and staff are identified and addressed.
- Provide cover for other diabetes specialist nurses in the community diabetes team, as appropriate.
Person Specification
Qualifications
Essential
- Registered Nurse (RN) Qualification NMC/GNRB:
- Education: Bachelor's degree in Nursing.
- Non-Medical Prescribing Qualification.
Desirable
- Public Speaking: Ability to deliver educational seminars and workshops to patients, healthcare professionals, and community groups.
- Masters Degree (or higher) to the advanced field of practice in Diabetes
Experience
Essential
- Minimum 5 years of experience in Diabetic nursing including primary and secondary care.
- Experience in patient education, chronic disease management, and developing individualised care plans, with the ability to work autonomously in the treatment & management of complex patients
Person Specification
Qualifications
Essential
- Registered Nurse (RN) Qualification NMC/GNRB:
- Education: Bachelor's degree in Nursing.
- Non-Medical Prescribing Qualification.
Desirable
- Public Speaking: Ability to deliver educational seminars and workshops to patients, healthcare professionals, and community groups.
- Masters Degree (or higher) to the advanced field of practice in Diabetes
Experience
Essential
- Minimum 5 years of experience in Diabetic nursing including primary and secondary care.
- Experience in patient education, chronic disease management, and developing individualised care plans, with the ability to work autonomously in the treatment & management of complex patients
