Detailed job description and main responsibilities

CLINICAL

·       Provide a specialist nursing community service and advice in a variety of clinical settings and disciplines for staff, patients, their families and careers, effectively liaising with multidisciplinary colleagues. 

·       Contribute to the co-ordination of care between primary and secondary care diabetes services to ensure high quality of patient care and the continuity of services across both Trusts

·        Develop and run multidisciplinary clinics, participate in MDT, patient reviews and including triage

·       Work autonomously as an expert practitioner within the specialty, managing a caseload of patients delivering individualised direct patient care 

·       Utilise advanced clinical assessment skills to conduct in depth patient assessment and history taking, plan and provide support in the implementation of clinical management plans. 

·       Undertake a variety of clinical skills and provide treatment, non-medical prescribing or advice as per speciality and scope of practice. Using agreed protocols of clinical practice and professional guidelines. This service may be provided within primary, community or home care settings. 

·       Utilise advanced knowledge and skills relating to the speciality to provide specialist advice to other members of the multidisciplinary team on the basis of patient assessment.

·       Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review, referring to other specialists as required. Provide guidance to staff, patients and their families and carers on pathway navigation 

·       Lead in the development and updating of referral guidelines and policies for the service.

·       Use highly developed communication skills to effectively communicate with colleagues, patients and their relatives/carers, making reports and liaising as required with medical staff and other members of the multidisciplinary team both verbally and in writing.

·       Lead and ensure active engagement of service users through patient and family feedback, user groups and support groups, report and raise any concerns relating to safeguarding.

·       Monitor the quality and standard of care provided by all members of the team and all staff in clinical area, including documentation. Identifying any skills or training gaps and escalating to the Nurse Consultant 

·       Undertake training to develop further advanced clinical practice roles required by the service in order to provide a high standard of patient care.

PROFESSIONAL LEADERSHIP & MANAGEMENT

·       Provide highly visible and accessible professional leadership and demonstrate expert knowledge and standards of clinical practice 

·       Lead a defined service or group, promoting interdisciplinary team and collaborative working practices

·       Act as a point of contact to the Trust on nursing within the specialist field of practice

·       Meet regularly with team members as a team and on an individual basis as required to support  their personal and professional development 

·       In absence of Nurse Consultant, Participate in directorate management meetings, including service planning, budget setting and demand & capacity work

·       Lead and support the development of the role according to changing patient’s needs, service requirements and evidence base practice.

·       Ensure that all resources are managed in an efficient and cost-effective manner to achieve maximum effect for patients and staff.

·       Demonstrate effective leadership skills, supporting the Nurse Consultant and LTC head in service development and lead as delegated on the implementation of any of these changes. 

·       Utilise the highest level of interpersonal and communication skills when dealing with complex, sensitive or emergency situations. 

·       Lead in the recruitment and selection of staff. 

·       Responsibility for completing or delegating the preparation and daily review of staff duty rotas, ensuring that the team provides most effective service provision.

·       Cover in absence of Nurse Consultant delegated budgetary management of the team  

·       Ensure the team has adequate resources to provide efficient services. Participate in business planning and business case development to support increased resource requirements with associated directorate and divisional management teams 

QUALITY & SAFETY

·       Maintain improvements in patient safety by supporting implementation of patient safety initiatives, prompt and appropriate response to complaints resolution and escalation where appropriate

·       Ensure patient safety by escalating any risks with nurse staffing or service provision to directorate management team  and reporting any issues

 MANAGEMENT , SUPERVISORY, TEACHING, TRAINING RESPONSIBILITIES

·       Act as an expert specialist educational resource for clinical staff, patients, and carers by providing formal and informal education. Promote and develop a positive learning environment throughout the Trust.

·       Act as mentor/ assessor to staff members and students as required, providing educational advice and support. Ensure staff can access appropriate training support and guidance. 

·       Lead and actively participate in the delivery of educational programmes for all grades of nursing, medical and allied health professional staff, including students 

·       Lead on the identification and provision of in-service training need for all team staff.

·       Participate in education and practice development on a Trust wide basis liaising with Trust wide educational leads  as well as primary care/community teams.

·       Take responsibility for ensuring personal and team attendance and completion of any statutory or mandatory training as required for. Informing line manager  if there is any deviance from training attendance 

·       Lead the annual appraisal process, delegating duties to team members as appropriate to ensure all staff within the team have personal development plans which support revalidation 

RESEARCH AND DEVELOPMENT

·       Where required lead or assist  in research projects as required, disseminating and ensuring utilisation of research results to change practice.

·       Utilise research findings in the delivery of specialist patient care, developing new ways of working.  

·       Be aware of research /trails being undertaken within the specialist field of practice 

·       Lead audit projects as required by the specialty, involving collating, analysing and reporting on results of the audit process.

·       Provide support, encouragement and advice to nursing staff undertaking audit and research.