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).

Job responsibilities

• Ensure that patients and visitors enquiries are handled courteously, efficiently and confidentially
• Answer incoming calls in a friendly, polite and professional manner. Consider the request, taking appropriate action or redirecting to other personnel as appropriate.
• Take telephone messages, appointments details and home visit requests accurately and efficiently and enter details on to computer system as appropriate
• Signpost patients to the most appropriate service, seeking advice if this is not clear.
• Assist patients with completion of their digital triage requests.
• Action Digital Triage requests as per the triaging clinician.
• Alert doctors to urgent concerns or outstanding telephone calls or visits, as appropriate
• Relay test results to patients
• Ensure that outstanding matters and information are handed over to colleagues at shift change
• Check prescription requests and ensure they are directed to the requested collection point
• Print off repeat prescriptions from computer as necessary
• Handle patients positive and negative feedback initially, seeking advice from or referring to Patient Services Supervisor or Assistant Practice Manager as appropriate
• Check own nhs.net email account frequently during shift and ensure that all messages are responded to and actioned promptly and as appropriate
• Check practice generic and reception nhs.net email accounts frequently during shift and ensure that all messages are responded to and actioned promptly and as appropriate
• Send, receive and record facsimile messages
• Be conversant and deal with procedure for new patients wishing to register with the practice
• Be conversant with online Patient Services and Care Navigation and record outcomes as appropriate
• Be responsible for security of the building if last person leaving
• Be conversant with Panic Alarm system and act upon this if necessary
• Attend and participate in team, staff meetings and other meetings as required
• Be fully conversant with patient services procedures and developments
• Ensure that filing, record keeping and distribution of documents and mail are undertaken efficiently and promptly.
• Assist with sending out of patient recall letters and other similar correspondence
• Ensure that patient services area, waiting room, consulting rooms, meeting rooms and outside areas in the immediate vicinity of the practice are clean and tidy, and that there is an adequate supply of stationery and other routine items available.
• Ensure that noticeboards are kept up to date and that appropriate literature is displayed.
• Arrange refreshments for doctors meetings and ensure that adequate supplies are available.
• Ensure that kitchen areas are kept clean and tidy.
• Arrange for photocopier and other equipment repairs to be carried out as soon as possible
• Contribute to a safe working environment
• Assist with mentoring/training new staff, as directed by Patient Services Supervisor or Assistant Practice Manager
• Any other ad hoc duties as required

Skills and Personal Qualities

Essential

• Excellent communication skills (written and oral), Strong IT skills, Clear and polite telephone manner, Competent in the use of Office and Outlook, Effective time management (planning & organising), Ability to work as a team member and autonomously. Good interpersonal skills. Problem solving & analytical skills, Ability to follow policy and procedure
• Personal Qualities - Polite and confident, flexible and cooperative. Motivated, forward thinker, High levels of integrity and loyalty. Sensitive and empathetic in distressing situations, Ability to work under pressure.

Desirable

• EMIS / Systmone user skills

Qualifications

Essential

• Educated to GCSE level or equivalent

Desirable

• GCSE Mathematics & English (C or above) AMSPAR Receptionists Qualification NVQ Level 2 in Health and Social Care

Experience

Essential

• Experience of working with the general public.
• Experience of administrative duties.

Desirable

• Experience of working in a health care setting.