Diabetic Nurse Specialist

Job summary

The candidate will demonstrate flexibility and have excellent communication skills to include the ability to deal with sensitive information and able to work with staff of all disciplines. Prior experience of working in a GP Practice setting and have the ability to work under pressure. You will also be required to ensure adequate infection control measures are in place and any required audits are completed. An excellent opportunity for the right candidate.

Main duties of the job

The candidate will be expected to provide an exceptional diabetic care service to the patients of the practice.

We are looking for someone who is dynamic and can fit into a small nursing team within the practice.

Able to provide high standards of care Good interpersonal and communication skills Ability to work within a team and independently Time management skills Able to demonstrate flexibility and adaptability Punctuality and reliability Able to work autonomously

About us

We are a small practice of 6500+ patients, The staff are all long standing members.

The practice consists of 2 partners, one GP and one Practice Manager Partner. We have 3 other GPs who work at the surgery. We also have a full time paramedic, a full time nurse, a very experienced HCA and a further HCA who is coming along exceptionally well as part of the nursing team.

The admin team offer excellent support to all clinicians and the wider team.

Anyone who joins this team will see how close everyone works and how supportive we all are of each other.

Job description

Job responsibilities

Nurse job description& person specification

Job Title

Practice Nurse

Line Manager

Partners

Accountable to

Practice Manager - Administratively

GP Clinically

Hours per week

25 - 30 Hours

Job Summary

To be responsible for the delivery of nursing services, working as part of the practice multidisciplinary team, delivering care within their scope of practice to the entitled patient population. The nurse will be responsible for a number of clinical areas such as minor illness, health promotion, chronic disease management, health prevention, well women and well man clinics, as well as supporting the management team in the reviewing of clinical policy and procedure.

All staff at Kingstanding Circle Surgery have a duty to conform to the following:

Equality, Diversity & Inclusion

A good attitude and positive action towards ED&I creates and environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that you treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

This practice is committed to supporting and promoting opportunities to for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

Confidentiality

This practice is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters, pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times. It is essential that if, the legal requirements are to be met and the trust of our patients is to be retained that all staff protect patient information and provide a confidential service.

Quality & Continuous Improvement (CI)

To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.

This practice continually strives to improve work processes which deliver health care with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Induction Training

On arrival at the practice all personnel are to complete a practice induction programme; this is managed by the Practice Manager.

Learning and Development

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake and complete mandatory training as directed by the training coordinator, as well as participating in the practice training programme. Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and ultimately, enable them to improve processes and service delivery.

Collaborative Working

All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

Service Delivery

Staff at Kingstanding Circle Surgery must adhere to the information contained with practice policies and regional directives, ensuring protocols are adhered to at all times. Staff will be given detailed information during the induction process regarding policy and procedure.

Security

The security of the practice is the responsibility of all personnel. Staff must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share the codes for the door locks to anyone and are to ensure that restricted areas remain effectively secured.

Professional Conduct

At Kingstanding Circle Surgery, staff are required to dress appropriately for their role. Administrative staff will be provided with a uniform whilst clinical staff must dress in accordance with their role.

Leave

All personnel are entitled to take leave. Line managers are to ensure all of their staff are afforded the opportunity to take a minimum of 25 days leave each year, and should be encouraged to take all of their leave entitlement.

Primary Responsibilities

The following are the core responsibilities of the nurse practitioner. 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. Develop, implement and embed health promotion and well-being programmes

an independent prescriber, prescribe in a safe an effective manner, in accordance with PGD and extant legislation

c. Support the clinical team in the development of individual treatment plans for chronic disease patients

d. Identify, manage and support patients as risk of developing long-term conditions, preventing adverse effects on the patients health

e. Provide routine nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF

f. Provide wound care (ulcer /Doppler etc.) to patients

g. Provide travel medicine services

h. Request pathology services as necessary, processing and interpreting results as required

i. Refer patients directly to other services as appropriate

j. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required

k. Maintain accurate clinical records in conjunction with extant legislation

l. Ensure read codes are used effectively

m. Maintain chronic disease registers

n. Develop, implement and embed well woman clinics

o. Develop, implement and embed well man clinics

p. Chaperone patients where necessary

q. Assist GPs with minor surgery when required

r. Prioritise health issues and intervene appropriately

s. Support the team in dealing with clinical emergencies

t. Recognise, assess and refer patients presenting with mental health needs

u. Recognise, assess and refer patients with community health needs, developing strategies for effective care pathways

v. Implement vaccination programmes for adults and children

w. Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

x. Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)

y. Support the clinical team with all safeguarding matters, in accordance with local and national policies

z. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

aa. Deliver opportunistic health promotion where appropriate

Secondary Responsibilities

In addition to the primary responsibilities, the nurse practitioner may be requested to:

a. Act as the audit lead, effectively utilising the audit cycle

b. Monitor and ensure the safe storage, rotation and disposal of medicaments

c. Contribute to the implementation of an effective training programme for staff and students within the practice

d. Provide clinical supervision for the nursing team

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

f. Support and participate in shared learning within the practice

g. Continually review clinical practices, responding to national policies and initiatives where appropriate

h. Be aware of and contribute to the planning and implementation of CCG patient pathway initiatives

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

j. Maintain professional registration and adhere to revalidation requirements

Person Specification

Qualifications

Essential

Registered Nurse Other requirements Flexibility to work outside of core office hours Disclosure Barring Service (DBS) check Occupational Health Clearance Meet the requirements and produce evidence for nurse revalidation Evidence of continuing professional development (CPD) commensurate with the role of a NP.

Desirable

Post graduate diploma or degree (Nurse Practitioner) Independent Nurse Prescriber Knowledge of public health issues in the local area Awareness of issues within the wider health arena Experience with audit and able to lead audit programmes Experience with clinical risk management

Experience

Essential

Experience Experience of working in a primary care environment Experience of working as a practice nurse or community nurse Experience of chronic disease management Experience of autonomous working Experience of managing, leading and developing a team Clinical Knowledge & Skills Venepuncture Chaperone procedure Requesting pathology tests and processing the results, advising patients accordingly Diabetes training / qualifications Understands 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 understanding when to refer to GPs Knowledge of health promotion strategies Understands the requirement for PGDs and associated policy Skills Excellent communication skills (written and oral) Strong IT skills Clear, polite telephone manner Competent in the use of Office and Outlook EMIS / Systmone / Vision user skills Effective time management (Planning & Organising) Ability to work as a team member and autonomously Good interpersonal skills Problem solving & analytical skills Ability to follow clinical policy and procedure Personal Qualities Polite and confident Flexible and cooperative 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

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