DIABETIC PRACTICE NURSE

Job description

Job responsibilities

Clinical practice

• Assess, plan, develop, implement and evaluate treatment programmes that promote health and well-being
• Assess, plan, implement and evaluate individual treatment plans for patients with a known long-term condition
• Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition as appropriate
• Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols
• Work with patients in order to support adherence to prescribed treatments
• Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
• Support patients to adopt health promotion strategies that promote patients to live healthily, and apply principles of self-care
• Support and manage cervical cytology consultations
• Implement and participate in vaccination and immunisation programmes for both adults and children
• Advise, support and administer vaccinations where appropriate for patients travelling abroad
• Promote and deliver evidence-based care for patients presenting with aural conditions
• Meet the needs of patients presenting for opportunistic wound care

Communication

• Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment
• Communicate with and support patients receiving bad news
• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
• Anticipate barriers to communication and take action to improve communication
• Estimate and maintain effective communication with individuals and groups within the practice environment and with external stakeholders
• Act as an advocate when representing patients and colleagues

Delivering a quality service

• Recognise and work within own competence and professional code of conduct as regulated by the NMC
• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
• Prioritise, organise and manage own workload in a manner that maintains and promotes quality
• Deliver care according to NSF, NICE guidelines and evidence-based care
• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
• Participate in the maintenance of quality governance systems and processes across the practice
• Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
• Collaborate on improving the quality of health care in partnership with other clinical teams, responding to local and national policies and initiatives as appropriate
• Evaluate the patients response to health care provision and the effectiveness of care
• Support and participate in shared learning across the practice and wider organisation
• Participate in the management and review of patient complaints, and identify learning from clinical incidents and near-miss events using a structured framework (eg root-cause analysis)
• Assess the impact of policy implementation on care delivery
• Participate in the performance monitoring review of the team, providing feedback as appropriate
• Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance
• Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate

Leadership personal and people development

• Take responsibility for own development learning and performance including participating in clinical supervision and acting as a positive role model
• Support the development of others in order to maximise potential
• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
• Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency and actions that are not in the interest of the public and/or users of services
• Act as a clinical leader in the delivery of GPN services to patients, ensuring that the needs of the patient are the priority
• Participate in planning and implementing changes within the area of care and responsibility
• Work with practice management to ensure sufficient staff of appropriate ability, quality and skill-mix are available to meet current and future service delivery
• Contribute and participate in the development of local guidelines, protocols and standards
• Participate in the planning and engagement of practice-based commissioning or similar initiatives
• Ensure awareness of sources of support and guidance (eg PALS), and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate
• Promote the role of the senior GPN in the provision of care

Team working

• Understand own role and scope, and identify how this may develop over time
• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
• Delegate clearly and appropriately, adopting the principles of safe practice and assessing competence
• Ensure clear referral mechanisms are in place to meet patient need
• Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery
• Participate in team activities that create opportunities to improve patient care
• Participate in and support local projects as agreed with the practice management team

Management of risk

• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines
• Ensure safe storage, rotation and disposal of vaccines and drugs
• Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements
• Support members of the nursing team to undertake mandatory and statutory training requirements
• Apply infection-control measures within the practice according to local and national guidelines
• Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
• Participate in the local implementation strategies that are aligned to the values and culture of general practice

Utilising information

• Use technology as an aid to management in planning, implementation and monitoring, presenting and communicating information
• Review and process data using accurate Read codes to ensure easy and accurate retrieval for monitoring and audit processes
• Manage information searches using the internet and local library databases, for example, the retrieval of relevant information for patients on their condition
• Understand the responsibility of self and others regarding the Freedom of Information Act
• Collate, analyse and present clinical data and information to the team using appropriate charts and/or graphs to enhance care

Learning and development

• Act as mentor to students, assessing competence against set standards as requested and if appropriately qualified
• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments
• Assess own learning needs and undertake learning as appropriate
• Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Person Specification

Qualifications

Essential

• Registered first level nurse
• Minimum 3 years post registration experience
• At least 2 years recent primary and community nursing experience
• Relevant qualifications for nurse led clinics
• Knowledge of management of patients with long-term conditions
• Clinical skills - immunisation & vaccination, Cytology, sexual health, ear care and chronic disease nurse led clinic
• Knowledge of PGD and associated policy
• Knowledge of health promotion strategies and of local and national policies
• Experience of quality initiatives such as clinical benchmarking
• Knowledge and experience of working in primary care in a GP setting

Desirable

• Independent/supplementary nurse prescribing qualification
• Mentor/teaching qualification
• Clinical supervision training and experience
• Knowledge of public health issues
• Community nursing specialist qualification or equivalent
• Relevant nursing/health degree

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Dekeyser Group Practice

Address

Fountain Medical Centre

Little Fountain Street

Morley

Leeds

LS27 9EN

Employer's website

https://www.fountainmedical.co.uk/ (Opens in a new tab)