Job summary
An exciting opportunity has arisen for an individual, with relevant clinical expertise and experience, to be the Diabetes Nurse Consultant lead for the Diabetes In-patient, out-patient and community services in the Lewisham Medicine and Community division. The post requires a 50% clinical component of direct patient care and a combination of professional consultancy, service development, clinical supervision, sector-wide work and continuous professional development, education and training, service development, research, and audit.
The focus of this role is to strengthen and lead the nursing service within diabetes and across the Trust. To introduce new ways of working, including the development of extended practice.
The Nurse Consultant will play a lead role in service development within the designated area, across the Trust and into Primary Care.
The Nurse Consultant will exercise a high degree of personal professional autonomy and make clinical judgements of the highest order to satisfy the expectations and demands of the job.
The post holder will provide key clinical management in the facilitation and expansion of the Diabetes service. The post holder will be responsible for the nursing contribution to policy and clinical service development of the Diabetes service in line with the Trust's strategic agenda.
Main duties of the job
Lead and develop extended nursing roles within diabetes.
Lead on Diabetes technology / Hybrid closed loop system.
Lead and oversee on the Continuous Glucose Monitoring (CGM) and FreeStyle Libre 2 & 3.
Provide clinical leadership and expert nursing service within diabetes and across the Trust.
Undertake direct patient care at least 50% of working hours.
Lead on developments and innovations in nursing practice throughout the Trust and Primary Care.
Contribute to policy decisions and strategic directions at local and national level, in particular to The Modernisation Agenda and the Department of Health.
Lead on developments and changes to practice, which will contribute to the achievement of The NHS Plan targets.
About us
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
- Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
- Widening access (anchor institution) and employability
- Improving the experience of staff with disability
- Improving the EDI literacy and confidence of trust staff through training and development
- Making equalities mainstream
Job description
Job responsibilities
- Work autonomously across professional, organisational and system boundaries
- To independently assess, order investigations, diagnose and discharge patients from form their caseload. Assess patients with undifferentiated and undiagnosed problems and make an assessment of their health care needs.
- To be responsible for ordering necessary investigations and provide treatment and care both individually, as part of a team, and through referral to other agencies.
Case-find at-risk patients including emergency admissions and post operative complications to promptly identify and manage medical and multidisciplinary complications.
Use expert theoretical and practical knowledge to refer on to other departments/services within or outside the Trust.
Interpret and analyse complex clinical and non-clinical facts to improve quality of care for older people and facilitate discharge planning.
Apply prevention strategies for adverse outcomes such as readmissions and prolonged inpatient stay.
To provide a consultancy and clinical leadership function as required.
- To undertake a wide range of advanced clinical interventions, which include Advanced Life Support Skills and Independent Nurse Prescribing.
- Support and enable patients and carers to make informed decisions relating to their treatment and management.
- Review and update the documentation to improve the quality, accuracy and consistency of information recorded ensuring that the Trust is CNST compliant.
- Negotiate and facilitate the management of change in practices to achieve best practice in services.
- To develop and implement with nursing and consultant staff new policies and clinical guidance for new procedures.
- To support and facilitate the development of clinical skills for the nurses.
- Line manages members of the local nursing and support team as appropriate including clinical nurse specialists.
- Coordinate, lead and manage the activities of clinical environment on a day-to-day basis.
- Establish regular dialogue with local and tertiary referral centres sharing good practice.
- Participate in professional nursing initiatives as an invited member to the Directorate and trust nursing groups.
Provide a high standard of documentation according to the trusts documentation policy and the NMC guidance on standards for good record keeping and information governance standards
Job description
Job responsibilities
- Work autonomously across professional, organisational and system boundaries
- To independently assess, order investigations, diagnose and discharge patients from form their caseload. Assess patients with undifferentiated and undiagnosed problems and make an assessment of their health care needs.
- To be responsible for ordering necessary investigations and provide treatment and care both individually, as part of a team, and through referral to other agencies.
Case-find at-risk patients including emergency admissions and post operative complications to promptly identify and manage medical and multidisciplinary complications.
Use expert theoretical and practical knowledge to refer on to other departments/services within or outside the Trust.
Interpret and analyse complex clinical and non-clinical facts to improve quality of care for older people and facilitate discharge planning.
Apply prevention strategies for adverse outcomes such as readmissions and prolonged inpatient stay.
To provide a consultancy and clinical leadership function as required.
- To undertake a wide range of advanced clinical interventions, which include Advanced Life Support Skills and Independent Nurse Prescribing.
- Support and enable patients and carers to make informed decisions relating to their treatment and management.
- Review and update the documentation to improve the quality, accuracy and consistency of information recorded ensuring that the Trust is CNST compliant.
- Negotiate and facilitate the management of change in practices to achieve best practice in services.
- To develop and implement with nursing and consultant staff new policies and clinical guidance for new procedures.
- To support and facilitate the development of clinical skills for the nurses.
- Line manages members of the local nursing and support team as appropriate including clinical nurse specialists.
- Coordinate, lead and manage the activities of clinical environment on a day-to-day basis.
- Establish regular dialogue with local and tertiary referral centres sharing good practice.
- Participate in professional nursing initiatives as an invited member to the Directorate and trust nursing groups.
Provide a high standard of documentation according to the trusts documentation policy and the NMC guidance on standards for good record keeping and information governance standards
Person Specification
Qualifications and Training
Essential
- NMC registered Nurse / Other allied health care professional (HCPC) MSc in Advanced Practice or equivalent experience
- Mentorship or equivalent qualification in diabetes
- Non-Medical Prescribing
- Teaching qualification
- Portfolio of practice evidencing level of advanced practice
Desirable
- DAFNE educator
- FreeStyle Libre educator
Experience
Essential
- Experience of leadership and service design in Diabetes care at an organisation level
- Autonomous practice experience
- Experience in running own clinics / workload.
- Specific clinical experience relevant to the post, including understanding of Diabetes care management, the various complications of Diabetes care such as HONK, DKA, Diabetes Type 1 and Type 2. Insulin treatments and management of various Diabetes complications. Diabetes technology treatment outcomes and shared decision-making methodology.
- Experience and understanding of the local and national Diabetes agenda and workforce challenges.
- Experience teaching patient and staff including health promotion and 'making every contact count'
- Line management experience
Desirable
- Prior clinical education role
- Antenatal Diabetes
- Experience in a range of acute care settings.
Knowledge and Skills
Essential
- Advanced clinical assessment and documentation skill
- Evidence of radiology requesting
- Investigation interpretation, result review and diagnostic reasoning
- Critical decision-making skills including shared decision making and evaluation of mental capacity.
- Clinical audit and quality improvement methodology
Desirable
- Publication Speaker at national conferences on Diabetes care and management
Personal Qualities
Essential
- Evidence of trans disciplinary team working and cross departmental collaboration to achieve best practice.
- Self-motivated towards own practice and development
- Confident and competent in approach to practice Supportive, friendly, adaptable and patient focused.
- Effective communication skills
- Willingness to travel (across both hospital sites) in order to ensure service continuity and continue professional development.
- Flexibility in working pattern.
Desirable
- Demonstrate commitment to support national, and Trust strategies
Person Specification
Qualifications and Training
Essential
- NMC registered Nurse / Other allied health care professional (HCPC) MSc in Advanced Practice or equivalent experience
- Mentorship or equivalent qualification in diabetes
- Non-Medical Prescribing
- Teaching qualification
- Portfolio of practice evidencing level of advanced practice
Desirable
- DAFNE educator
- FreeStyle Libre educator
Experience
Essential
- Experience of leadership and service design in Diabetes care at an organisation level
- Autonomous practice experience
- Experience in running own clinics / workload.
- Specific clinical experience relevant to the post, including understanding of Diabetes care management, the various complications of Diabetes care such as HONK, DKA, Diabetes Type 1 and Type 2. Insulin treatments and management of various Diabetes complications. Diabetes technology treatment outcomes and shared decision-making methodology.
- Experience and understanding of the local and national Diabetes agenda and workforce challenges.
- Experience teaching patient and staff including health promotion and 'making every contact count'
- Line management experience
Desirable
- Prior clinical education role
- Antenatal Diabetes
- Experience in a range of acute care settings.
Knowledge and Skills
Essential
- Advanced clinical assessment and documentation skill
- Evidence of radiology requesting
- Investigation interpretation, result review and diagnostic reasoning
- Critical decision-making skills including shared decision making and evaluation of mental capacity.
- Clinical audit and quality improvement methodology
Desirable
- Publication Speaker at national conferences on Diabetes care and management
Personal Qualities
Essential
- Evidence of trans disciplinary team working and cross departmental collaboration to achieve best practice.
- Self-motivated towards own practice and development
- Confident and competent in approach to practice Supportive, friendly, adaptable and patient focused.
- Effective communication skills
- Willingness to travel (across both hospital sites) in order to ensure service continuity and continue professional development.
- Flexibility in working pattern.
Desirable
- Demonstrate commitment to support national, and Trust strategies
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
