Practice Nurse Specialising in Diabetes Care Managment

1 week ago

Tonbridge, Kent, United Kingdom Tonbridge Medical Group Full time

Job summary

Tonbridge Medical Group

We are currently seeking a committed Practice Nurse specialising in diabetes care managment to join our team at Tonbridge Medical Group (TMG).

Job Summary

To be responsible for providing comprehensive diabeticmanagement and support for the whole practice population. With a focus oneducating and empowering individuals to better manage their condition andoffering high quality care to our patients. Additionally to be responsible forthe implementation of processes for the effective management of patients withlong-term conditions using evidence-based practice including care for elderlyand housebound patients.

Working as a member of the practice multidisciplinary team, thepost holder will ensure nursing services are delivered effectively to theentitled patient population.

Main duties of the job

Duties include but not limited to:

Summary of core responsibilities:

Deliver timely and professional diabetes care

Identify and assess patient's diabetes care needs

Provide specialist advice in diabetes management

Develop and implement health promotion programs

Implement and evaluate individual treatment plans for chronic disease patients

Perform cervical smears

Manage and support patients at risk of long-term conditions

Provide routine nursing care in accordance with clinical evidence

Manage acute and chronic conditions

Suggest medications for patients within scope of practice

Co-ordinate travel medicine services

Request and process pathology services

Maintain accurate clinical records

Oversee chronic disease clinics and referrals

Ensure compliance with practice policies

Prioritise health issues and intervene appropriately

Support team in clinical emergencies

Recognise and refer patients with mental health needs

Implement vaccination programs

Support patients with prescribed medications

Liaise with external services for patient support

Delegate clinical responsibilities safely

Support team with safeguarding matters

Refer patients with substance abuse/addictive behavior

Deliver health promotion initiatives

About us

Tonbridge Medical Group has a list of 17,600 patients. We are a dedicated & passionate team working in a state-of-the-art facility in the centre of TMG, we prioritise forward-thinking healthcare delivery and strive to provide the highest level of care to our patient community.

As a training practice, we have 7 partners, 7 salaried GPs, 4 GP registrars, a physician associate, clinical pharmacists, nurses, healthcare assistants, a phlebotomist, and exceptional admin and care navigation teams.

In addition, TMG is part of the Tonbridge Primary Care Network (PCN) and is supported by a fantastic PCN team.

Job description

Job responsibilities

The following are the core responsibilities of the Practice Nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

a. 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.

b. To identify patient's diabetes care needs using a holistic approach and to assess and offer specialist advice in in diabetes management patients.

c. To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice

d. To develop, implement and embed health promotion and wellbeing programmes

e. To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing

f. Performing cervical smears

g. To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health

h. As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF

i. As required, to manage acute and chronic conditions

j. To suggest medication for patients in accordance with PGDs and own scope of practice

k. To review patient medications to enhance compliance

l. To provide guidance to patients in the use of prescribed and over-the-counter medications regarding side effects and dosages

m. To co-ordinate the provision of travel medicine services

n. To request pathology services and process pathology results as required

o. To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required

p. To maintain accurate clinical records in conjunction with extant legislation

q. To ensure read codes are used effectively by all members of the nursing team

r. To ensure the appropriate maintenance and use of chronic disease registers

s. To ensure compliance with the practice chaperone policy

t. To assist GPs with minor surgery when an HCA is not available

u. To prioritise health issues and intervene appropriately

v. To support the team in dealing with clinical emergencies

w. To recognise, assess and refer patients presenting with mental health needs

x. To implement vaccination programmes for adults and children

y. To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)

z. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

aa. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)

bb. To support the clinical team with all safeguarding matters, in accordance with local and national policies

cc. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

dd. To deliver opportunistic health promotion where appropriate

Secondary responsibilities

In addition to the primary responsibilities, the Practice Nurse may be requested to:

a. Develop and review audit protocols and process for the practice, effectively utilising the audit cycle

b. Participate in local initiatives to enhance service delivery and patient care

c. Support and participate in shared learning within the practice in order to improve patient care

d. Participate in the review of significant and near-miss events applying a structured approach, , root cause analysis (RCA)

Person Specification

Qualifications

Essential

Qualifications Registered Nurse (Nursing and Midwifery Council) Advanced Diabetes PITstop or equivalent qualification

Desirable

Mentor or teaching qualification Post graduate diploma or degree (Chronic Disease Management) Nurse prescriber Family planning qualification

Experience

Essential

Experience of working in a primary care environment Experience of chronic disease management Experience of working autonomously Experience of infection prevention and control measures Experience in diabetes care managment

Desirable

Experience of working as a practice nurse or community nurse Experience of managing elderly and housebound patients Experience of quality initiatives, , benchmarking

Clinical Knowledge and skills

Essential

Wound care/removal of sutures and staples ECGs Venepuncture New patient medicals Requesting pathology tests and processing the results, advising patients accordingly Understanding the importance of evidence-based practice Understand the requirement for PGDs and associated policy Ability to record accurate clinical notes Ability to work within own scope of practice and understanding when to refer to GPs Chaperone procedure Womens health (cervical cytology, contraception, etc.) Immunisations (routine, childhood and travel) Chronic disease management Excellent communication skills (written and oral) 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 Strong IT skills Clear, polite telephone manner

Desirable

Knowledge of public health issues in the local area Awareness of issues within the wider health arena Travel medicine

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