About this role
Job summary
To be the expert ACP for the diabetes service providing operational day to day leadership for the diabetes service across the organisation.
To be responsible for the teaching, development and assessment of all staff working in the service
To provide line management to the diabetes and endocrinology specialist nursing team.
To be a visible leader for the service working collaboratively with the MDT to support and maintain all aspects of service delivery and development.
To ensure the principles of evidence based practice and adherence to current best practice guidelines is adopted across the service.
To drive the research and audit programme for the diabetes service.
To be aware and up to date of changes to local and national rheumatology services and pathways to ensure the Trust is equipped and ready to support the healthcare system in implementing these changes at Trust level.
To provide education, development and training opportunities for the MDT working within diabetes services on both sites.
To develop a workforce strategy for diabetes services.
The ACP will undertake the role in accordance with Trust and Departmental guidelines but have freedom to act within broad policies and protocols, in accordance with professional responsibilities and boundaries.
Main duties of the job
Uses highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the specialty with complex undifferentiated or undefined presentations.
Undertakes physical examination as indicated by the patient's condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required, while working within their area of expertise and the Diabetes MDT.
Performs clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, including (but not limited to) catheterisation, cannulation, peripheral arterial blood gas sampling.
Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations and as local policy allows.
About us
Chelsea and Westminster Hospital NHS Foundation Trust is proud to be one of the top performing and safest trusts in England. We have two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital, plus our award-winning clinics across North West London and beyond.
Job description Job responsibilities
Continuously revaluates findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly with the support of the Diabetes MDT when required.
Prioritises health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation, for example in severe hypoglycaemia.
Manages clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patients dependency and clinical need.
Provides clinical cover to the specialty wards according to patient and staffing needs.
Prescribes and reviews medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the roles scope of practice and legal framework.
Person Specification
Education and qualifications Essential
NMC Registered Nurse BSc Nursing Evidence of ongoing relevant higher level postgraduate education Qualification relating to speciality
Desirable
Membership of a specialist interest group relevant to clinical area Masters level education
Experience Essential
Significant post registration experience in relevant clinical area Leadership and participation of teaching/in-service programmes Experience of audit in evaluating and developing a service Operational management skills
Desirable
Evidence of managing and supervising other professions Previous lecturing on external courses Change management experience
Skills and knowledge Essential
Ability to work as an autonomous practitioner where no support or advice may be available Evidence of verbal and written communication and presentation skills Demonstrates excellent analytical and organisational ability to be able to deal with a varied clinical and managerial workload Excellent customer relation skills including complaint management Ability to work in stressful and unpredictable environments Advanced computer skills including use of Microsoft Access and Excel databases Good teaching, supervisory and appraisal skills Pump and Dafne Accredited
Desirable
To have experience of setting up a new service Experience of implementing evidence based practice To have had experience in leading clinical audit, research or policy/guideline development Experience of contribution to business planning
Personal qualities Essential
Innovative in approach and outlook To be able to motivate a team and work well within a team setting Excellent communication and interpersonal skills, both written and verbal Able to conduct professional affairs in a confident and assertive manner Ability to motivate self and others Ability to build close working relationships with all members of the MDT
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.
Certificate of Sponsorship 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).
Employer details Employer name Chelsea and Westminster Hospital NHS Foundation Trust
Address Chelsea & Westminster Hospital NHS FT
369 Fulham Road
London
SW10 9NH
United Kingdom
Employer's website https://www.chelwest.nhs.uk/ (Opens in a new tab)