Clinical Support Nurse Specialist - Diabetes

An exciting opportunity has arisen for a band 6 nurse to join the diabetic specialist nursing team. These specialist nurses are based throughout the trust however provided specialist advice for all specialities within the Trust .

The successful candidate will be required to undertake clinical assessments for our patients and liaise with the wider MDT regarding ongoing care and treatment plans. We strive to deliver a high standard of care to our patients ensuring that safe and timely care is provided at all times enabling both the patients and the the MDT to manage the acute / chronic conditions in the appriopitate environment.

We are looking for enthusiastic and motivated individuals who have an interest in diabetes.

We will provide specialist training as well as the support from the MDT team. Successful candidates must be a minimum of 2 years qualified or have diabetes experience.

The Nurse Specialist will provide support for the patient and family from diagnosis through

treatment and throughout the diabetes journey. Using advanced communication and

psychological assessment skills the CNS will aim to assess and provide management and

education for diabetes patients and their families, including identification of need for

onward referral to other agencies and disciplines as appropriate

Provide education and specialist advice to patients, their carers and staff on the specific

care and treatment for the speciality

Acts as a valuable resource for the multi\-professional team.

Set standards of care, influence the work of other professional groups and act as a change

agent

Work as a core member of the MDT supporting the diabetes pathway to improve the

patient experience.

All new colleagues can expect to receive a warm and friendly Wirral welcome from the very first time they make contact with us. We are described as “competent and caring staff” by our patients.

Wirral University Teaching Hospital NHS Foundation Trust is situated on The Wirral peninsula which has a stunning coastline and beautiful countryside surroundings, with great activities for its residents.

We are one of the largest and busiest acute Trusts in the North West of England, comprising of the Wirral’s only Emergency Department. We provide a high quality range of acute care services and employ over 6,000 staff, who serve a population of approximately 400,000 people across Wirral, Ellesmere Port, Neston, North Wales and the wider North West footprint.

We have approximately 855 beds trust\-wide and our financial turnover is in excess of £337m.

The Wirral is easily accessible with excellent transport links including motorway, train, bus or ferry and within easy reach to the major cities of Liverpool, Chester and Manchester as well as neighbouring North Wales.

Key Responsibilities

Leadership

• Is actively involved in the performance management of diabetes to ensure patients have

prompt access to diagnostics and treatments.

• Acts as a core member of the MDT ensuring the patient pathway is managed as

effectively as possible preventing un\-necessary delays in diagnosis and treatment.

• Actively participates in multi\-professional meetings, acting as patient advocate and

representing nursing views

• Working with the MDT is instrumental in supporting the implementation of the National

diabetes strategy at a local level including Holistic Needs Assessments

• Supports the development of patient focussed education, including training to self

manage ongoing consequences of treatment.

• Promotes the philosophy of person\-centred care, co\-creating care with people affected

by diabetes, embedding patient and public involvement within the sphere of practice

• Working collaboratively with colleagues the CNS will promote compliance with National

Diabetes Audit (NDA) measures including annual and operational policy

1

• Role


• Collates and records quantitative and qualitative data to provide evidence of

productivity, outcomes and quality, through audit and research.

• Supports the implementation and monitoring of adherence to relevant clinical

guidelines.

• Is responsible for ensuring effective communication between all service providers.

Clinical

• As a core member of the MDT works with the team to support the best possible patient

outcomes.

• Delivering evidence based individualised and personalised care through holistic

needs assessment, planning and evaluation of care and all care interventions.

• As key worker ensure management plan to address key concerns which is shared

with patient, GP and any other relevant HCP

• Actively integrates theory and practice


• Acts as a Key Worker for a clinical caseload, working to coordinate care, share

management plans with relevant patient and providers and provide easy access for

ongoing support for patients.

• Enables people to access, identify, appraise and interpret information, to determine

their own future.

• Provides clinical specialist advice and support across the organisation.


• Contributes to service development, ensuring the pursuit of excellence in care.


• Makes clinical judgements based on experience and knowledge and take appropriate

action

• Request diagnostic tests within agreed sphere of competence and make clinical

judgements within competence boundaries

• Communicates sensitive information to patients/carers and professionals such as

breaking bad news, imparting news chronic life limiting conditions of type 1 and type 2

diabetes/ need for insulin for life or in some cases risk of mortality relating to their

condition and dealing with the emotions that arise.

• Defines a clear care pathway, refers to other professionals and signposts to other

agencies as appropriate.

• Promotes self\-management, undertaking risk stratification to determine those who can

self\-manage, following education, those who will need guided support to self\-manage

and those who will require on\-going, face to face support.

• Assess and manage symptoms, problems related to area of expertise and recognising

when appropriate for onward referral is required.

• To facilitate the assimilation of complex clinical information regarding diagnosis,

investigations and treatment options

• Support and empower patients and carers to influence and participate in often difficult

decisions regarding the planning and delivery of care

Education

2

• Role


• Develops own skills in response to emerging knowledge and techniques.


• Works across professional boundaries using creative reasoning and problem\-solving


• Influences the development of others through education and training.


• Promotes patient and public experience feedback through local initiatives to drive

innovation and change.

• Uses clinical, technical, research and audit skills through breadth and depth of

knowledge.

• Demonstrates continuous evaluation of practice and make changes where appropriate.


• Takes personal responsibility for life\-long learning and personal development through

clinical supervision, appraisal and Knowledge and Skills Framework and actively

engages with learning and development opportunities offered

• Implement research /evidence\-based practice.


• IT literate


• Deliver education relevant to speciality.


• Additional information


• Run nurse led clinical services appropriate to the needs of the service.


• .


• If non\-medical prescriber, to prescribe medication within sphere of expertise.

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