Practice Nurse with special interest in Diabetes

Job responsibilities

This role requires the ability to work independently and collaboratively, using freedom to exercise judgement about actions while accepting professional accountability and responsibility. This requires:

Enhanced critical thinking and ability to critically analyse a broad range of policies, literature and evidence to support clinical practice.

Ability to analyse service provision in relation to both quality assurance and quality monitoring, and to focus on patient outcomes wherever possible.

Strong clinical leadership of the team and clarity of expectation of team members with respect to quality-of-care delivery and values inherent in nursing practice. Emotional intelligence to recognise pressures on staff and the development of mechanisms to support and develop staff to recognise the impact of caring for people who may be experiencing complex healthcare issues.

Enhanced knowledge of the local community and needs and resources available, and the ability to signpost people to appropriate resources.

Ability to work collaboratively with others to meet local public health needs for individuals, groups and the wider community. Build strong relationships with the secondary care teams, particularly for patients receiving shared care, to ensure an effective flow of patient information to ensure high-quality care.

Ability to reflect in action and be actively engaged with the NMC revalidation process both for themselves and for others.

Actively contributing to a variety of professional networks and sharing learning from these:

Development of effective team systems for on-going supervision and promotion of clinical reflection for all staff, preceptor ship programmes and mentorship.

Identify and support the learning needs of individuals or the team in response to personal development needs identified at appraisal or service need.

Evaluate the impact of educational interventions.

Where appropriate, participate in teaching and student selection in higher education institutions and/or other education organisations.

Develop a positive learning environment for students and the staff team, giving and receiving feedback in an open, honest and constructive manner.

Clinical leadership of the team, recognising the stressors encountered in general practice nursing and developing systems to ensure team members continue to build resilience.

Work effectively across professional and agency boundaries, actively involving and respecting others contributions.

Role modelling of the values expected in Compassion in Practice 2014 and the values and behaviours of effective leaders.

Enhanced and advanced Diabetes knowledge with clinical expertise to guide the nursing team in the management of patients with complex diabetic needs.

Ability to manage the workload effectively and develop business cases where appropriate in response to changing demands. Display an innovative approach to practice, encouraging other team members and, where possible, patients and service users, to contribute and, where appropriate, instigate and evaluate a managed change process.

Ensuring the team is risk aware when working with patients, and health and safety aware within the surgery. Develop regularly reviewed systems to ensure risk is managed safely and effectively. Develop a learning culture within the immediate team to improve patient safety and ensure staff are supported and can learn from and in future prevent untoward incidents.

Awareness and application of appropriate legislation that informs nursing and healthcare delivery.

Ability to work independently but also to co-ordinate, delegate and supervise team members for a designated group of patients.

Undertaking performance management when appropriate. Management of the nursing team within ethical and policy frameworks and knowledge and application of human resource law to enable effective staff management.

Ensuring care and service delivery meets quality requirements but be actively involved in quality improvement strategies and service development innovations.

Ability to demonstrate political awareness and translate policy into practice, demonstrating knowledge and awareness of healthcare commissioning and contracting mechanisms and systems, awareness of health and social policy contexts and local variations, and be skilled in developing effective external relationships with a variety of health, social and third sector agencies, recognising the importance of working within a governance framework.

Where appropriate take delegated responsibility for the management of a budget that may include the purchasing of assets, equipment or other resources and staff costs.

Where appropriate participate in clinical trials and research projects.

Ensure active management of the workload, taking into consideration public health priorities and local community health needs and changing demographics.

Participate in public health strategies where these are aligned to the practice population and work collaboratively with others to undertake risk stratification, case management and other strategies developed to improve health or avoid hospitalisation.

Ability to access databases and other information sources and critically appraise information.

Contribution to the development of local guidelines and policy locally and regionally, and nationally where appropriate.

Participation in research-related activity such as audit, data gathering and patient feedback.

Sharing of information and practice development through a range of means including writing for publication.

Leadership and Management learning activities

Demonstrate specialist competence, innovation and clinical leadership in the assessment, intervention in and delivery of general practice nursing in all contexts appropriate to individuals needs across the whole age range for the general practice population. This requires:

Ability to assess and manage the range of conditions encountered in general practice but a focus on diabetes care using a variety of assessment tools and consultation models appropriate to the patient and situation using physical and clinical examination skills to inform the assessment and decision-making for the on-going management of the patient.

Advanced communication skills that include skills of influencing and negotiation to enable information to be delivered in understandable formats for patients and behaviour change supported where necessary.

Effective multidisciplinary and multi-agency team working, alongside the ability to work independently and accept professional accountability and responsibility for the delivery of whole episodes of care and supporting and developing others in the general practice nursing team to collaborate effectively, ensuring nursing care is guided by precedent and clearly defined policies, procedures and protocols.

Delivery and co-ordination of evidence-informed, person-centred and negotiated care across the age spectrum.

Use of technology to support independence and patient self-care at home to improve self-care and reduce exacerbations

Role modelling and embodiment of non-judgemental, value-based care encompassing the 6Cs44 in practice and expectation and promotion of these values in other team members.

Competence in delivering evidence-informed care across a wide range of minor acute and LTCs, ensuring effective evaluation of therapeutic and other approaches to condition management alongside ability to assess patient concordance.

Skills

Essential

• Clinical leadership
• Change management skills and ability to support patients to change lifestyle
• Communication skills, both written and verbal
• Ability to communicate difficult messages to patients and families
• Negotiation and conflict management skills
• Ability to provide teaching and mentorship in a clinical setting
• I.T skills

Desirable

• Clinical skills e.g. cervical cytology, immunisation and vaccination
• Independent Nurse prescriber

Qualifications

Essential

• Registered Part 1 NMC
• NMC Mentorship Qualification
• Educated to degree Level or equivalent experience
• Successful completion of post registration accredited foundation course in general practice nursing at level 6 or 7 and able to meet RCGP Practice Nurse competencies

Desirable

• NMC specialist Community Practitioner Qualification Practice Nurse

Experience

Essential

• Experience of working within the NHS.
• Experience of nurse led management of long term conditions
• Experience of implementing protocols and clinical guidelines
• Audit Experience
• Knowledge of accountability of own role and other roles in a nurse led service
• Knowledge of public health issues in the local area
• Ability to identify the determinants of health in the local area
• Knowledge of principles of Clinical Governance, confidentiality, data protection and Information Governance
• Knowledge of the safeguarding childrens and adults policies and procedures and how to apply these

Attributes and Behaviours

Essential

• A complete finisher.
• Resilience and drive
• Personal and professional integrity and confidence.
• Flexibility
• Self-starter
• Resourceful
• Strong facilitating skills
• Calm and resolute under pressure.
• Self-motivated and enthusiastic.
• High workload capacity and capable of sustained effort over a long period.
• Effective delegator
• Political awareness.
• Full driving licence.

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).