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Diabetes Specialist Nurse Band 7
4 months ago
Job overview
The post holder will be an expert practitioner in Diabetes Specialist Nursing and will autonomously assess, plan, prioritize and deliver evidence-based care, education and information to people with type 1 and 2 diabetes and their families, referred to the Acute Diabetes Service. They will prescribe or adjust antidiabetic medication and formulate management plans to optimise care for complex and acutely ill patients with type 1 and 2 diabetes.
Main duties of the job
1. To work as an autonomous practitioner and be responsible for a caseload of out- patients
2. To be an expert resource in diabetes to healthcare professionals, people with diabetes and their carers
3. To work in collaboration with all members of the multidisciplinary healthcare team to promote excellent standards of care to people with diabetes in line with evidence-based practice
4. To provide education to people with diabetes and/or their carers and to professionals who care for people with diabetes
5. To practice clinically in a way that supports & facilitates patients self-management
Working for our organisation
Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.
Detailed job description and main responsibilities
CLINICAL RESPONSIBILITIESa. Demonstrate a high level of advanced clinical competence in diabetes management for people with type 1 diabetes and complex type 2 diabetes; based on in depth knowledge, research, and evidence-based findings. Show autonomous clinical practice through direct referral, comprehensive patient centred assessments, initiate therapeutic regimes e.g., insulin, specific interventions and evaluation of practice using approved protocols. Be responsible and accountable as a Named Nurse for a caseload of new and complex patients, working in tandem with other members of the diabetes team. Initiating oral treatments, insulin, and non- insulin injection treatments. To work to promote good practice in diabetes care by offering guidance, education, and mentorship to other health care professionals. Support people with diabetes and their carers to achieve individualised goals and care planning to maintain their physical and psychological wellbeing, encouraging self-management. Support the operational lead diabetes nurse and dietitian with the planning and delivery of structured type 1 education groups. The post holder will be an expert resource in insulin pump therapy including starting patients on insulin pumps and providing advice and support to patients already using an insulin pump. The post holder will be willing to take part in regular insulin pump MDT meetings and to keep records up to date of insulin pump users. The post holder will be willing to take part in insulin pump audits. The post holder will be competent in supporting Type 1 and Type 2 DM patients with their in diabetes in planning and during pregnancy. The post holder will be experienced in starting patients on Libre Flash Glucose Monitoring and in interpretation and upload of Libreview data. The post holder will provide diabetes care and management advice for patients attending the joint diabetes transition clinic, working with the members of the paediatric and adult MDTs. EDUCATIONAL RESPONSIBILITIES Act as an educational resource to support and facilitate heath care professionals and be able to contribute and present to the diabetes academic departmental meetings. Support the planning, delivery, and evaluation of diabetes courses at different levels for trained and untrained staff with particular emphasis on improving the quality of diabetes care. Organise and participate in group education programmes for people with diabetes at different times in their disease process i.e. newly diagnosed type 1, insulin initiation and ongoing care, to ensure that both physical and psychological aspects of diabetes self-management are addressed. Develop appropriate material to facilitate the education programmes for people with diabetes in different languages thereby reaching the maximum amount of people and reducing inequalities and access to diabetes services. To liaise closely with the local diabetes peer support groups and voluntary community groups to facilitate and engage users to become involved with planning services, education and awareness campaigns. Maintain own knowledge and expertise by attending conferences, workshops, and study days. Always act in accordance with the NMC, Codes of Professional Conduct and Scope of Professional Practice.
LEADERSHIP RESPONSIBILITIES Ensure accurate and timely recording of all workload activity via patient information systems to inform analysis of service delivery and continued service development by submitting statistical returns and compiling reports as necessary or when required. Contribute to the compilation of reports and presentations with regard to the service and present to appropriate groups, being able and to represent the trust at diabetes network meetings in London. Promote the quality of the services to our local population and colleagues through leadership, evidence –based practice and clinical governance. Undertake appraisal and performance assessments of junior staff members. Promote a healthy working relationship within the diabetes team. Share responsibilities for the day-to-day running of the Diabetes Service clinics and ensuring adequate service provision To contribute in the development of strategies, protocols and policies that impact on the future service provisions and care in line with national policy. To develop and maintain a network of contacts involved in diabetes care both within and outside the organisation. Establish and facilitate a process of audit to ensure high quality diabetes care is being delivered locally to patients. Participate in the process of audit and evaluation for the Diabetes Service. Identify gaps in service provision and discuss steps to manage any identified problem areas with the Diabetes specialist Nurse team (Diabetes Clinical Lead Nurse).
Person specification
Education / Qualifications
Essential criteria
Registered Nurse – Level 1 Experience working as a diabetes specialist nurse
Desirable criteria
Independent Nurse Prescribing or willingness to undertake course
Skills & Abilities
Essential criteria
Advanced skills in the assessment and treatment of patients diabetes Computer and IT skills – eg Microsoft Word, Power point, Excel, Ability to work autonomously but also as a team member and promote collaborative multi-disciplinary and multi-agency working
Knowledge & Experience
Essential criteria
Advanced knowledge of evidence based practice for the management of diabetes Experience of insulin and non-insulin injection initiation and management
Desirable criteria
Experience with managing patients on insulin pumps Experience with managing patients with diabetes and pregnancySAFEGUARDING CHILDREN AND ADULTS
To comply with the Trust’s Safeguarding Children and Adults policies , procedures and protocols. All individual members of staff (paid or unpaid) have a duty to safeguard and promote the welfare of children, young people and vulnerable adults This will require you to:
Ensure you are familiar with and comply with the London Child Protection Procedures and protocols for promoting and safeguarding the welfare of children and young people. Ensure you are familiar and comply with the London Multi Agency Safeguarding Vulnerable Adults Pan London Procedures. Ensure you are familiar and comply with local protocols and systems for information sharing. Know the appropriate contact numbers and required reporting lines. Participate in required training and supervision. Comply with required professional boundaries and codes of conductWhittington Health is committed to safeguarding all children and vulnerable adults and expects all staff and volunteers to share this commitment.
