Job responsibilities

Diabetic Care Management

To ensure that the Practice's diabetes care is delivered in a timely, professional manner whilst maintaining equity of access to a coordinated and seamless service.

To identify patient's diabetes care needs using a holistic approach and to assess and offer highly specialist advice in all aspects of complex diabetes management to all members of the multidisciplinary team.

Chronic disease management - assess, plan, implement and evaluate individual treatment plans for patients, including insulin initiation.

Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols.

To demonstrate a positive supportive approach to patients at diagnosis and/or patients with the development of diabetes related complications.

Work with patients in order to support adherence to prescribed treatments

Establish and maintain highly effective communication skills with patients, carers/relatives, and professionals across health and social services. This may involve the giving of sensitive and complex information.

On occasion the post holder may be required to visit patients in their own home e.g. to conduct Diabetic chronic disease reviews.

Perform advanced clinical skills in assessment, diagnosis and treatment.

Assess, plan, implement and evaluate care delivery according to changing health care needs. Collect, collate, evaluate and report information, maintaining accurate patient records.

Involve patients and carers/relatives in the planning and delivery of care and development of services.

Work collaboratively with the multidisciplinary team and outside agencies to ensure patient needs are met, especially in relation to ongoing care needs

Act as a resource for specialist advice and expert clinical knowledge across the Practice, giving advice to colleagues on the clinical management of patients.

Provide expert specialist advice and education to patients and carers/relatives to enable the safe and independent management of their diabetes.

Undertake clinical supervision and education of nursing colleagues on an individual or group basis.

Assist with providing a triage service, including telephone advice and assessing patients in the surgery, and liaising with nurses, doctors and outside agencies as appropriate

Maintain clinical areas and equipment, sterilisation of instruments and stock control and drugs and sundry items

Keep accurate, contemporaneous records, both written and electronic

Qualifications

Essential

• Registered nurse
• Post graduate diploma or degree (Primary Care)
• Advanced Diabetes qualification

Experience

Essential

• Diabetes
• Experience of working in a primary care environment
• Experience of working as a practice nurse or community nurse
• Experience of infection prevention and control measures
• Experience of chronic disease management
• Experience managing patients with Type 1 and Type 2 diabetes in a primary care, community, or specialist setting.
• Experience initiating, monitoring, and adjusting diabetes treatments, including insulin therapy.
• Experience undertaking comprehensive clinical assessments and developing personalised care plans.
• Requesting pathology tests and processing the results, advising patients accordingly
• Evidence of continuing professional development relevant to diabetes care.
• Chaperone procedure
• Understanding the importance of evidence based practice
• Broad knowledge of clinical governance
• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understand when to refer to GPs
• Understanding of infection prevention and control measures
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• Knowledge of health promotion strategies
• Understand the requirement for PGDs and associated policy

Desirable

• Travel medicine
• Immunisations (routine, childhood and travel)
• Womens health (cervical cytology, contraception, etc.)
• COPD
• Hypertension
• Asthma
• Spirometry
• CHD
• Wound care/removal of sutures and staples
• ECGs
• Venepuncture
• New patient medicals

Skills

Essential

• Excellent communication skills (written and oral)
• Strong IT skills
• Clear, polite telephone manner
• Competent in the use of Office and Outlook
• EMIS user skills
• Effective time management (planning and organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem solving and analytical skills
• Ability to follow clinical policy and procedure

Desirable

• Experience with audit and able to lead audit programmes
• Experience with clinical risk management

Personal Qualities / Other requirements

Essential

• Polite and confident
• Flexible and co-operative
• Motivated, forward thinker
• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Ability to work under pressure/in stressful situations
• Effectively able to communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Effectively utilises resources
• Punctual and committed to supporting the team effort
• Flexibility to work outside of core office hours
• Disclosure Barring Service (DBS) check
• Occupational health clearance
• NMC registration

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).