Job responsibilities
Job Purpose
To lead and deliver a high
quality, evidence-based diabetes service for the practice population. The post
holder will manage a defined caseload of adults living with Type 1 and Type 2
Diabetes, providing assessment, treatment, education and ongoing review to
optimise care, prevent complications and support self-management.
They will work collaboratively
with the GPs and other clinical health professionals to ensure safe, consistent
and coordinated care across the patient journey. The postholder will also act
as a clinical resource within the practice contributing to the professional
development of colleagues and the continuous improvement of diabetes care.
Key Responsibilities
Maintain
a defined caseload of patients with all types of diabase and deliver ongoing
assessment, monitoring, review and follow up.
Undertake
complex assessments (clinical history, physical exam, risk stratification,
complication screening) and develop individualized care plans.
Monitor
and interpret relevant investigations (HbA1c, Lipids, Renal Function, etc)
Initiate, titrate, adjust and monito diabetes
medications (oral and insulin therapies) in line with agreed protocols and
prescribing qualifications.
Manage
insulin initiations, intensification and review, including basal bolus regimes,
premixed insulins and where appropriate advanced or technology assisted
therapies.
Educate
patients in self-management; blood glucose monitoring, carbohydrate counting,
sick day rules, prevention of hypoglycaemia, lifestyle modification and foot
care.
Provide
structured education (or refer to diabetes programmes) for newly diagnosed or
existing patients.
Identify,
assess and refer patients with complications as appropriate.
Ensure
continuity of care and coordinate with secondary care and community services to
support integrated diabetes management
Clinical Leadership and
Development Duties
Develop,
implement and review local pathways, policies and protocols in diabetes care.
Audit
and monitor diabetes care metrics (QOF indicators, local targets and clinical
outcomes) and drive improvement initiatives.
Act
as a specialist resource and mentor for practice staff providing expert advice,
support and supervision.
Contribute
to the planning and delivery of health promotion and prevention programmes.
Support
implementation of new technologies such as continues glucose monitoring (CGM),
flash monitoring and digital diabetes tools.
Lead
or contribute to quality improvement projects, audits and service redesign
initiatives aligned with local and national priorities.
Professional and Quality
Assurance Duties
Maintain
up to date knowledge of national and local diabetes guidance (NICE, local
pathways) and ensure clinical compliance
Maintain
accurate, contemporaneous and professional clinical records in accordance with
NMC and Practice standards.
Participate
in practice clinical governance processes including risk management, incident
review, and medicines safety.
Undertake
regular audits and contribute to service evaluations, research and outcome
measurement.
Participate
in and support CQC, or other relevant quality frameworks as required.
Engage
in continuing professional development (CPD) and reflective practice to
maintain and develop specialist competence,
Maintain
professional registration and if applicable, independent prescribing
qualification.
Adhere
to the NMC code, professional boundaries, and practice policies including
confidentiality, data protection and safeguarding.
Administrative Responsibilities
Accurately
record all consultations, care plans ad interventions on the clinical system.
Ensure
appropriate coding to support QOF and Local Enhanced Service reporting.
Maintain
and review diabetes registered, ensuring systematic recall and proactive
management.
Contribute
to data collection, audits and reporting for clinical and performance
monitoring
Participate
in the review and development of practice policies and standard operating
procedures.
Attend
and contribute to clinical meetings, case reviews and multidisciplinary
discussions.
Professional Registration
Be
professional accountable for nursing practice in accordance with NMC Code.
Maintain
active NMC Registration and up to date professional knowledge.
Participate
in annual appraisal and maintain a personal development plan.
Other Duties &
Responsibilities
You
be asked to carry out standard Treatment Room procedures such as
Removal of sutures/clips
Dressings
Venepuncture
Standard medical
measurements
Immunisation and other
injections and travel advice
Urine testing
You may be required to
act as a chaperone if the HCA or Treatment Room Nurse is not available.
You must maintain the
highest standard of hygiene and the prevention of cross infection to patients
and other members of the Primary Healthcare Team.
You will complete all
nurse related paperwork and ensure that all treatment room records are
maintained efficiently.
You will assist in
organising preventative measures: e.g. Flu vaccination, health promotion
activities.
You will liaise with
colleagues to order and maintain stocks of drugs, vaccines and equipment
necessary for the day to day running of the treatment rooms.
You may be required to perform
other related duties from time to time.
This job description is not an exhaustive list of
duties but is intended to indicate the main functions and responsibilities of
the post.
