Woodsley and Holt Park PCN Diabetes Nurse

Job responsibilities

The post holder will be responsible for delivering and leading advanced clinical care to their own caseload and service within their speciality area. In doing so, they will use advanced specialist skills to assess, plan, deliver and evaluate patient centred programmes of care ensuring that they practice within their sphere of competence and knowledge. The post holder will work to professional and regulatory body codes, standards and guidance at all times ensuring that their practice is grounded in evidence based theoretical and practical knowledge. They will be responsible for developing new and innovative clinical practices responding to emerging knowledge and techniques.

Key Responsibilities

1 Clinical

1.1 Utilises advanced specialist knowledge covering a range of procedures and underpinned by relevant broad based knowledge, experience and competence

1.2. Develops and maintains new skills in extended scope practice in response to emerging knowledge and techniques

1.3. Where appropriate to services delivery, demonstrates highly developed physical skills which require specific training or considerable experience to attain the level required e.g. advanced moving and handling techniques, advanced clinical assessment, clinical procedures, diagnostic tests

1.4. Demonstrates independent practice responding to social, scientific, clinical and ethical issues which are encountered

1.5. Makes complex judgements requiring analysis, interpretation and comparison of options by integrating complex knowledge sources in new and/or unfamiliar contexts and determining the appropriate application of clinical guidelines relevant to patient needs

1.6. Responsible for developing new and innovative clinical pathways across the broad health and social care context

1.7. Engages and actively involves the individual and, if appropriate, their family or carer, in the assessment, planning, implementation and evaluation of programmes of treatment and/or care by using person-centred techniques to promote a culture of self care, involvement and empowerment

1.8. Works to standards of advanced proficiency identified by their professional and regulatory bodies performing clinical treatments procedures to a highly specialist standard

1.9. Prioritises their own workload within agreed objectives deciding when to refer to others as appropriate.

1.10. Provides and receives highly complex, highly sensitive or highly contentious information where motivational, persuasive, empathetic, negotiating and reassurance skills are required whilst demonstrating an understanding of barriers to communication

1.11. Approaches each individual with care, compassion and sensitivity ensuring that these values are reflected in all aspects of the role including the management of compliments and complaints

1.12. Acts as a highly specialist source of information and support for other professionals and agencies across the broad health and social care context

1.13. To comply with the organisations Infection Prevention and Control requirements, including bare below the elbows dress code for staff with a direct care delivery role

2. Leadership

2.1. Ensures that a professional service and image is maintained at all time, thereby acting as a role model to all staff

2.2. Provides a leadership style which is underpinned by strongly held values around equality, diversity and openness effectively builds and maintains relationships with direct reportee, management team and other key individuals across the organisation.

2.3. Ensures the effective and efficient use of resources e.g. staff, supplies within their own sphere of responsibility by acting as authorised signatory including working with operational managers to agree service budgets.

2.4. Demonstrates leadership and innovation in contexts which are unfamiliar, complex, and unpredictable that require solving problems involving many complex interacting factors

2.5. Ability to delegate, organise and prioritise to ensure the safe delivery of the service including the management of referrals and discharges utilising locally agreed support mechanisms e.g. on call manager and making judgements in complex situations

2.6. By actively participating or leading multi-discipline or multi-agency work streams, the post holder will propose and develop clinical policies and or service developments which have impact on other disciplines, services or agencies.

2.7. Demonstrates resilience when responding to challenge, change and complex or difficult situations

2.8. Demonstrates clinical leadership, initiative and creativity in developing a broad range of projects or plans and inspiring others to be positive in their contribution to continuous improvement and innovation, including adjusting plans where necessary

2.9. Clearly articulates the expected clinical standards of the service, monitors and identifies where standards are not met and takes action to address these holding people to account where necessary

2.10. Ensures that all objectives, for self and those directly responsible for, are clearly defined within the wider Directorate framework and in line with Trusts objectives, using the appraisal process as a vehicle for this.

2.11. Takes responsibility for their own and others health and safety in the working environment.

2.12. Ability to represent the service at relevant local or regional clinical forum

3. Learning and Development

3.1. Undertakes any training required to develop and maintain their proficiency in response to changes in service delivery or new and emerging techniques within the clinical area and demonstrate competence within professional body requirements

3.2. Reflects on and evaluates own practice and identifies areas of development by setting appropriate objectives via appraisal and clinical supervision

3.3. Contributes to research and development programmes appropriate to clinical practice

3.4. Shares good practice and promotes the organisation through presentation, publication and submission for relevant awards

3.5. Devises and delivers specialist training and development programmes within team and to other services, teams or agencies

3.6. Provides high quality, specialist advice related to clinical specialism to other practitioners, agencies and individuals

3.7. Ensures appraisals for direct reportees are undertaken in accordance with Trust policy; manages performance which falls below standard in accordance with the appropriate HR policies and processes seeking support from senior staff where required.

4. Partnership and Team Working

4.1. Works in partnership with other agencies and disciplines to effectively manage complex cases whilst focusing on individual client need

4.2. Actively develops and maintains effective clinical and corporate working relationships both within and outside the Trust including with other agencies and Higher Education Institutions

4.3. Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships in order to enhance service delivery and make improvements to patient pathways.

4.4. Actively contributes to the multi-disciplinary team supporting the patient; acting as a credible source of information for other agencies professionals involved in the care as required acting as a resource of highly specialist knowledge for others

5. Innovation and Quality

5.1. Works with operational managers and corporate services to continually improve the quality of service delivery within the overall organisational governance frameworks and corporate objectives e.g. agreeing service standards and ensuring evidence is available to provide assurance on activity and quality

5.2. Implements, monitors and maintains agreed standards of care using a range of evidence and data sources to identify where improvements are needed

5.3. Develops and implements policies and guidelines relevant to service area and ensures team members are aware of policy requirements

5.4. Initiates and leads clinical audit ensuring that action plans are implemented

5.5. Identifies, manages and minimises risks within the overall organisational risk management frameworks supporting other staff to contribute to the process. This includes understanding and applying knowledge of clinical role in safeguarding and incident management

5.6. Acts as an advocate for patients and their families/carers recognising the boundaries of their clinical knowledge; liaising and referring on to other services agencies as required

5.7. Ensures that patient experience is core to all clinical and service development gaining support from the appropriate corporate teams as required

5.8. Develops and implements innovative clinical practice to contribute to the Quality Framework, outcome measures and best practice standards in order to deliver an effective, high quality service

Health and Safety

Responsibilities of ALL staff in relation to Health and Safety

Take reasonable care of your own health and safety

Take reasonable care not to put other people - fellow employees and members of the public - at risk by what you do or don't do in the course of your work

Co-operate with Trust, making sure you understand and follow the health and safety policies and procedures

Attend all required training on Health and Safety related policies and procedure.

Do not interfere with or misuse anything that has been provided for your health, safety or welfare

Report and record any injuries, strains or illnesses suffered as a result of doing your job

Inform your manager if something happens that might affect your ability to work safely such as suffering an injury or a new medical condition.

Experience

Essential

• Experience in the specialist clinical field
• Experience and an awareness of the breadth of common acute and long-terms conditions that are likely to be seen in general practice
• Experience in the leadership, supervision and management of other staff
• Experience in the teaching and training of others in a variety of settings e.g. clinical, academic

Desirable

• Working in community or primary care based teams
• Experience of leading clinical audit

ATTITUDE & BEHAVIOUR

Essential

• Able to demonstrate clear and inspiring clinical leadership internally and externally behaving as a role model at all times
• Displays care, compassion, sensitivity and responsiveness to other peoples feelings and needs
• Able to work as part of a team, co-operating to work together and in conjunction with others and willing to help and assist wherever possible and appropriate appreciating the value of diversity in the workplace
• Able to develop, establish and maintain positive relationships with others both internal and external to the organisation and with patients and their carers
• Able to work under pressure, dealing with peaks and troughs in workload managing unpredictable service demands
• Positive and flexible attitude to dealing with change; able to respond to the changing needs of the patient in an appropriate and timely manner;
• willing to change and accept change and to explore new ways of doing things and approaches
• Highly motivated and reliable
• Has a strong degree of personal integrity; able to adhere to standards of conduct based on a culture of equality and fairness
• Demonstrates values consistent with those of the Trust

Desirable

• Evidence of clinical leadership
• Experience of change management theory

Qualifications

Essential

• Professional degree or diploma in relevant field or equivalent
• Extensive knowledge of medicines optimisation, acquired through post graduate diploma or equivalent experience or training. This includes injectable treatments for type 2 diabetes GLP-1/Insulin.
• Post graduate learning diploma or masters degree in diabetes management
• Appropriate statutory professional body registration
• - the Nursing and Midwifery Council.
• Must be willing to participate in any relevant training identified to develop skills required to carry out duties including extended role activities
• Maintains a portfolio of CPD in line with regulatory body standards
• Holds an independent prescribing qualification
• Teaching, training or mentorship qualification or experience to the equivalent level

Desirable

• Specific CPD modules relevant to specialist field
• Leadership and management qualification

KNOWLEDGE & UNDERSTANDING

Essential

• Advanced specialist theoretical and clinical knowledge appropriate to service area and profession
• Advanced knowledge of relevant current issues in health and social care, ethics and innovation and application in practice
• An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
• Demonstrates awareness of limits to knowledge base
• Experience of leading the development and implementation of clinical governance, service development and quality measures in practice
• Knowledge of current research and/or clinical audit methodology
• Knowledge of clinical patient record systems

Desirable

• Experience of practical application of innovation techniques
• Knowledge experience of highly specialised treatment modalities within the clinical area

PRACTICAL & INTELLECTUAL SKILLS

Essential

• Advanced assessment, planning, treatment and evaluation skills appropriate to clinical area
• Performs highly specialised tests / procedures / diagnostics relevant to clinical role to an advanced level
• Highly complex analytical and creative problem solving skills in unpredictable situations, synthesising a variety of evidence and presenting this in a relevant format e.g. report; presentation
• Workload management including delegation of tasks and day-to-day team leadership
• Competent IT skills in order to collect and interpret data, present reports and compile presentations in a range of contexts
• Advanced verbal, non-verbal and written communication skills including communicating complex or potentially distressing information to patients / carers and managing conflict when appropriate
• Risk assessment skills
• Reflective practice skills able to give clear and effective feedback and support others to develop
• Develop and lead complex clinical audit within clinical area
• Lead / contribute to research activities relevant to clinical area locally and nationally

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).