About this role
Job summary
Kings Medical Practice has a great opportunity for a Primary Care Diabetes Nurse to join our forward thinking training practice, in Normanton, just off the M62 corridor.
Our large modern building was personally designed with the intention of hosting all services at one site, for the benefit of patients and our staff and includes 24 fully air conditioned consulting rooms, an operating theatre, education suite along with ultrasound, dermatology, neurosurgery, podiatry, community nursing and an NHS dentist.
We are focused on promoting work-life balance for our staff with a 90% reduction in administrative burden due to innovative role development and unique technological investment.
Our extensive pharmacy team lead on all medication activity including acute and repeat prescribing, reconciliation of medication, SMRs, promoting eRD and all quality initiatives.
We are committed to freeing up clinicians to focus on clinical work supported by our diverse highly trained multidisciplinary team.
We have a dedicated multidisciplinary team of ANPs, PAs, and Specialists nurses supporting patient care.
The culture of training is a core identity of the Practice and manifests across the MDT. Development is actively encouraged with a strong ethos of growing our own.
Main duties of the job
16 hours per week
Patches fully embedded into the ledger
20 or 30 minute appointment time dependant upon patient need
Protected admin time
Protected PDP time to support audit work and clinical supervision
Minimal administration
Daily team coffee break for support and housekeeping
Regular rota'd team meetings and education sessions
About us
List size of around 14,500
SystmOne clinical system
Full education programme with protected time for 2-hour meeting each week
Dedicated home visiting team for those with long term conditions
Dedicated Care Home visiting team
Friendly vibrant practice with robust social calendar
Mentors with a wide range of skills linking to opportunities for specialist interests
Extended PHCT with, Health and Wellbeing Coaches, Care Co-ordinators, Social Prescribers
Active member of PCN (senior GP is Clinical Director), nurse partner is lead nurse.
Maximum QOF achievement rated 1 in Wakefield District.
CQC rated good
Innovative Modern General Practice access model, ensuring the patient is directed to the right service and personnel at the right time.
Job description Job responsibilities
Purpose
To work as part of a multidisciplinary team to enable service delivery and management of high quality evidence based care to meet the health and social care needs of the practice population.
Job Summary
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 diabetes
Proactively identify, diagnose and manage treatment plans for patients with diabetes
Work with other health care professionals to diagnose, monitor, manage and treat diabetes, including non-drug-based treatment methods using a management plan, and in line with national and local policies and practice needs
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
Recognise, assess and refer patients presenting with mental health problems
Implement and participate in vaccination and immunisation programmes
Communication
Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment
Communicate and support patients receiving complex and sensitive information to patients including unwanted pregnancy, bereavement counselling and mental health.
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 local and national 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
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 practice nurse 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 practice nurse 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 is undertaken. Where appropriate, oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements
Undertake mandatory and statutory training
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 about patients in order 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 own and others responsibility to the individual organisation 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
Equality and diversity
Identify patterns of discrimination, take action to overcome this, and promote diversity and quality of opportunity
Enable others to promote equality and diversity in a non-discriminatory culture
Support people who need assistance in exercising their rights
Monitor and evaluate adherence to local chaperoning policies
Act as a role model in good practice relating to equality and diversity
Accept the rights of individuals to choose their care providers, participate in care and refuse care. Assist patients from marginalised groups to access quality care
Person Specification
Experience Essential
Recent primary and community nursing experience Experience of nurse-led management of diabetes patients Experience of implementing protocols and clinical guidelines Audit experience
Desirable
Experience of quality initiatives such as clinical benchmarking
Knowledge and Skills Essential
Knowledge of needs of patients with diabetes Knowledge of accountability of own role and other roles in a nurse-led service Knowledge of health promotion strategies Knowledge of clinical governance issues in primary care Knowledge of patient group directions and associated policy Clinical skills diabetes management, including insulin. 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 IT skills
Desirable
Knowledge of public health issues Ability to identify determinants on health in the local area Knowledge of public health issues in the area Awareness of issues within the wider health economy Ability to provide teaching and mentorship in a clinical setting
Qualifications Essential
Registered first level nurse Relevant nursing/health degree Independent/supplementary nurse prescribing qualification Diabetes Post Graduate Diploma
Desirable
Mentor/teaching qualification Clinical supervision training and experience
Other Essential
Self-directed practitioner Highly motivated Flexibility Enthusiasm Team player Ability to work across boundaries
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).
Employer details Employer name Kings Medical Practice
Address Kings Medical Centre
King Edward Street
Normanton
West Yorkshire
WF6 2AZ
United Kingdom
Employer's website https://www.kingsmedicalpractice.co.uk/ (Opens in a new tab)