Clinical Nurse Specialist in Diabetes and Coronary Risk Prevention
NHS AfC: Band 7
Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities and a National Institute for Health Research (NIHR) Biomedical Research Centre.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.
This is an exciting opportunity to join the Diabetes team in a Band 6 Clinical Nurse Specialist training role. Whilst training as a Diabetes specialist nurse you will also work alongside the Familial Hypercholesterolaemia / lipid team developing knowledge of the wider aspects of coronary risk prevention.
Main duties of the job
Diabetes and coronary risk prevention
1. To be a professional role model within the Trust, responsible for the development of innovative nursing practice within the speciality of Diabetes and Coronary Risk Prevention.
2. To take a collaborative approach with the multi professional team ensuring a comprehensive patient centred service is provided, and to play a key role in the smooth and timely discharge of patients with Diabetes
3. To work alongside the Coronary Risk Prevention and Familial Hypercholesterolaemia team, ensuring all patients receive optimum risk prevention management.
4. To provide specialist nursing advice and skills in the appropriate clinical area. Facilitate high quality, individualised care to patients/clients and relatives/carers in collaboration with the multi professional team in line with national targets.
5. To develop a leadership strategy to ensure that the needs of the patient are placed at the centre of care delivery, this will include participating and contributing at senior management level in service developments and initiatives.
Working for our organisation
Guy’s & St Thomas NHS Foundation Trust
Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
Royal Brompton and Harefield hospitals joined Guy’s and St Thomas’ in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. We provide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.
Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research.
We strive to recruit and retain the best staff as the dedication and skills of our employees lie at the heart of our organisation and ensure that our services are of the highest quality, safe and focused on our patients.
Detailed job description and main responsibilities
Main tasks and Responsibilities
1. In association with other members of the multi-professional team, provide up to date information to patients about Diabetes and coronary risk prevention and assist / advise staff already involved in their care.
2. Actively identify diabetic patients being cared for at Harefield Hospital, and accept referrals from medical, nursing and therapy colleagues regarding diabetic inpatients. This should include
-Acting as a point of contact for Pre-Assessment Clinics, working to pre-empt diabetes related complications of their impending procedure
-Facilitate daily contact with the clinical areas to identify newly- diagnosed and newly admitted patients with Diabetes.
-Oversee the management of Diabetic patients, assessing and interpreting specialist nursing needs and making treatment/care recommendations to colleagues from all disciplines, including adjustment of insulin and oral hypoglycaemic agents.
3. Act as a role model in expert practice of Diabetes facilitating and supporting the delivery of effective patient care.
4. Assist other nursing staff in developing appropriate plans of care for individual patients or client groups with Diabetes.
5. Identify and promote areas for practice development, including guidelines and procedures to support the delivery of care. Ensure that nursing care is evidence based.
6. Liaise with members of the multi professional team to provide holistic care with the aim of achieving an effective primary-secondary and tertiary care interface:
- multi professional meetings and case conferences. Co-ordinate the discharge planning of patients with diabetes, liaising with service providers within the community to provide continuity of care for patients in their transition from secondary to primary care.
- Work collaboratively with PCT-based Diabetic Nurse Specialists, ensuring patients referred for follow-up care as needed.
- Liaise with case managers for specified patients.
7. Document consultations and practice to incorporate both audit and the monitoring and evaluation of standards of care.
8. Liaise with company representatives to keep abreast of current products, advising the multi professional team on choice and use of specialist products.
9. Facilitate and participate in Trust wide groups that require specialist input.
10. Counsel patient and carers regarding conditions, treatments and methods of symptom relief.
11. Work with other nursing colleagues to ensure the Trust’s Strategy for Nursing is implemented within care areas.
12. Provide appropriate and consistent professional advice to other senior members of the care team, acting as a point of contact in times of difficulty and when support is required.
13. Adhere to strict compliance with Trust Infection, prevention and control policies and procedures and ensure junior staff and learners are aware of their responsibility, observe staff practice and advise/educate as necessary. Participate if appropriate in regular audits of clinical areas.
14. Chair meetings and run projects in relation to Diabetes as requested and deliver on target within time-scales.
1.Act in an expert advisory capacity to departmental colleagues and other members of the multidisciplinary team.
2.Challenge individuals and the team’s practice/performance in a way that will improve quality of care.
3. Act as a clinical supervisor, coach and mentor to other nursing colleagues.
4. Actively promote the consultative role as a resource for the development of nursing and patient care across the Trust, in particular at Harefield and at national and professional forums, conferences, groups and meetings.
5. Lead in the provision of patient centred care, recognising the essential contributions which are made by other professional groups.
6. Work in partnership with multi professional colleagues.
7. Participate in the development of collaborative clinics/services.
8. Participate in the development of multi-professional guidelines/policies for patient care.
9. Engage with relatives and patients in preventing formal complaints arising, in order to agree local resolution.
1. Identify gaps in current knowledge base of junior staff and disseminate specialist knowledge to others in order to improve patient care through the following interventions:
-Provide effective teaching to individual patients and their families/carers.
-Teach and develop knowledge and skills of other staff through formal and informal training programmes, organised on a continuum.
-Contribute to the development of educational materials and the development of practical skills as required by the Trust.
-Assist in the establishment of a staff development culture within the organisation, participating in induction and mandatory training as appropriate.
-Be prepared to question practice and use audit and /or research to underpin and implement change supported by relevant evidenced based practice.
Research and Audit
1. Initiate the measurement and evaluation of clinical care and that of the team through the use of Evidence Based Practice project audit and outcome measures, including but not limited to:
Co-ordinate data collection to demonstrate clinical effectiveness of the Diabetic service, benchmarking against recommendations of NSF for Diabetes, the NHS Plan and NICE guidelines.
2 Facilitate processes for the development of practice incorporating the views and experiences of the patient and other members of the multi professional team.
3 Liaise with the Matrons, Practice Education team, ward sister and other specialist nurse educational support on providing specific learning objectives and a team education programme.
4. Keep up to date with, interpret and critically evaluate current literature in Diabetes and coronary risk prevention. Communicate research findings to nurses throughout the Trust by relating them to clinical problems.
5. Undertake research in line with research skills and knowledge with a view to presentation and publication.
6. In partnership with other members of specialist team, lead in the development of protocols and guidelines within the Trust for the care of patients with Diabetes.
7.Participate in local/national meetings/networks.
1. Communicate tasks and activities to a range of team members ensuring that staff has the appropriate support to take on projects. Ensure that all outcomes are evaluated.
2. Maintain and promote effective communication with ward teams and all members of the multi professional team.
3. Promote the corporate image of the Trust to all individuals, groups and organisations both within the Trust and to the community at large.
1. To provide effective orientation of staff, including welcome to the department and early objective setting and follow-up.
2. To support senior nursing staff with the Management of sickness absence policy with issues that relate to sickness and absence, poor performance, harassment, disciplinary and grievance issues.
3. To actively support the implementing of flexible working practice, in line with Improving Working Lives Standards and Trust Change Management Policy.
4. Participate in the Trusts appraisal and personal development plan schemes by meeting with the manager at least annually.
1. In conjunction with the Hospital management team participate in The Trust Business Planning cycle, identifying areas of service development.
2 To involve staff in the developments and business of the trust. Actively encourage and promote, supporting where possible within the constraints of service delivery, staff membership of Trust wide initiatives/committees, professional organisations/forums and/or relevant Trade Unions.
1. To manage the efficient and effective use of supplies, provisions and equipment within the designated budget.
2. To act as a role model to others by adopting a flexible approach.
3. To support the recruitment, retention and selection of staff.
4 To provide fundamental care for patients in times of organisational challenge, an on occasion be required to work clinically in a non-specialist capacity. As a senior nurse the post holder is expected to be supportive of such matters.
1. Plan and lead projects relating to local policy development.
2. To be actively involved in the development of Trust policies and procedures at ward level and reinforce their use.
3. To actively promote a healthy lifestyle for patients and staff appreciating National guidance.
1 Plan, lead and delegate local audit and research as required, ensure findings are disseminated appropriately, and recommendations are implemented.
2. Maintain data quality standards for Patient Administration systems in the future.
3. Undertake training for electronic information systems in place & under development.
4. To have an active email account and use this as one of the methods of disseminating information to ward team.
This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder.
Education & Qualifications
- Educated to Diploma/Degree level
- Evidence of participation in CPD
- Degree / Masters in relevant clinical area
- Willingness to enroll as Non-Medical Prescriber
- Relevant post graduate course
Experience and Knowledge
- Post registration experience in acute nursing
- Able to demonstrate sound knowledge of cardiology / diabetes patient group
- Additional role in diabetes care
- Knowledge of basic diabetes lifestyle advice, glucose monitoring, screening and targets
Skills and abilities
- Excellent written and verbal communication skills
- Evidence of management, organisational and leadership skills
- Evidence of delivering education and presenting to small / large groups
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Emma Neves
- Job title
- Lead Nurse for FH and Lipid Management
- Email address
- Telephone number
- Additional information
Dharmendra Mosaheb – Diabetes Clinical Nurse Specialist, Tel: 01895 823737 Ext: 85186 Bleep: 6280. Email: firstname.lastname@example.org.