Job summary

The post holder is responsible for ensuring the delivery of
diabetes and care for the whole practice population.

They will work
independently and in conjunction with other members of the clinical team to
deliver excellent primary care services within the practice.

Clinically, the
focus of the role is the delivery of evidence-based practice for patients
with diabetes conditions and other related metabolic conditions, management
and preventative nursing interventions to all patients.

As autonomous practitioners, the nurse is
responsible for the care delivered, demonstrating critical thinking and
skills in clinical decision making.

In addition to this, they will provide
leadership and work collaboratively with the management team to support any
transformation of services needed to ensure the organization that offer
innovative, effective, safe clinical services that raise standards of care
and reduce health inequalities.

Main duties of the job

To ensure that the Practices
diabetes care is delivered in a timely, professional manner whilst maintaining
equity of access to a coordinated and seamless service.

To identify patient's diabetes
care needs using a holistic approach and to assess and offer highly specialist
advice in all aspects of complex diabetes management to all members of the
multidisciplinary team.

Chronic disease management -
assess, plan, implement and evaluate individual treatment plans for patient,
including insulin and GLP-1/GIP initiation,

Review medication for
therapeutic effectiveness, appropriate to patient needs and in accordance with
evidence-based practice and national and practice protocols
• To demonstrate a positive supportive approach to.

patients at diagnosis and/or patients with the development of diabetes related
complications

Work with patients in order to
support adherence to prescribed treatments
• Establish and maintain highly.

effective communication skills with patients, carers/relatives, and
professionals across health and social services.

This may involve the giving of
sensitive and complex information.

On occasion the post holder
will be required to visit patients in their own home e.g.

to conduct chronic
disease reviews.

About us

SHP are a Solihull based partnership looking after over 56,000 patients and operating out of 7 sites.

This

role provides an opportunity to join a large forward thinking organisation whose vision is to be the most

respected Primary Care provider in the West Midlands.

Through our centralised back-office functions, our systems are organised so we can concentrate on

healthcare and not administration.

Our practices place great value on teaching, training and mentorship

within the team.SHP Vision Statement: To provide person-centred care at the heart of the community.

Mission Statement:

Solihull Healthcare Partnership aims to be the provider of choice in delivering holistic care to our neighbourhood.

Honest - We practice and encourage open and honest communication, acting with integrity in all that we do.

Excellence - We strive to achieve the highest standards in the care we deliver

and enable our team to create an environment that encourages excellence.

Accountable - We take personal and collective responsibility for our actions and the way we deliver care.

Respectful - We engage with our team, our patients and our community with respect, providing kind and compassionate person-centred care.

Transformational - We are committed to continually improving our standards, working with the community, being responsive and adapting to the changing needs of the neighbourhood

Job responsibilities

Clinical practice

Perform advanced clinical
skills in assessment, diagnosis and treatment.

Assess, plan, implement and
evaluate care delivery according to changing health care needs.

Collect, collate, evaluate
and report information, maintaining accurate patient records.

Involve patients and
carers and relatives in the planning and delivery of care and development of
services.

Work collaboratively with the
multidisciplinary team and outside agencies to ensure patient needs are met,
especially in relation to ongoing care needs

Act as a resource for
specialist advice and expert clinical knowledge across the Practice, giving
advice to colleagues on the clinical management of patients.

Provide expert specialist
advice and education to patients and carers/relatives to enable the safe and
independent management of their diabetes.

Undertake clinical
supervision and education of nursing colleagues on an individual or group
basis.

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 and other's workload in a manner that maintains and promotes
quality

Deliver care as an individual
and team according to NSF, NICE, other relevant local guidelines, contracts
and evidence-based care

Assess effectiveness of care
delivery for the organisation through peer review, benchmarking and formal
evaluation

Maintain quality governance
systems for the nursing team, including the adherence to and promoting of the
Care Quality Commission requirements

Implement and review the
application of evidence-based practice in the organisation

Utilise the audit cycle as a
means of evaluating the quality of the work of self and the team,
implementing improvements where required

Evaluate patients' response
to health care provision and the effectiveness of care

Participate in shared
learning across the practice and wider organisation

Identify learning from
clinical incidents and near-miss events utilising a structured framework (eg
root cause analysis - significant event procedures)

Assess the impact of policy
implementation on care delivery

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

Team working

Understand own role and scope
in the practice and identify how this may develop over time

To organise, co-ordinate and
lead on MDT meetings to review patients deemed to be at greatest risk/need
and ensuring MDT discussions take place to manage those with higher levels of
complexity and the recommendations from MDT meetings are acted upon in a
timely manner

Work as an effective member
of the team, supporting others and exploring the mechanisms to develop new
ways of working

Prioritise own workload and
ensure effective time-management strategies are followed.

Work effectively with others
to clearly define values, direction and policies impacting upon care delivery
this includes not only at PCN level but also at neighbourhood and locality
level

Be involved in activities
that create opportunities to improve patient care and upskill other staff
members and increase the skills mix used in delivering care for patients with
diabetes and related metabolic
syndromes.

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

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

Communication

The post-holder should
recognize the importance of effective communication within the team and will:

Demonstrate sensitive
communication styles to ensure patients are fully informed and consent to
treatment

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

Participate in practice team
meetings

Utilising information

Use technology and
appropriate software packages as an aid to the ...