Job description

Job responsibilities

Job Purpose

The post holder will work as part of the Integrated Community Diabetes Services, providing specialist diabetes advice and clinical support. Demonstrating a sound knowledge of the issues related to the identification, assessment, treatment and management of diabetes.

They will support the delivery of structured educational to people with diabetes. Give specialist advice to GPs and other health professionals about Diabetes, especially with reference to adjustment of medication and supporting the management of patients with complex needs. Working closely with General Practices and other Health Care Professionals, they will support the delivery of integrated diabetes services across the primary / secondary care interface. As well as contributing to Clinical Governance within the service by participating in audit and research as part of the team, they will be expected to champion priorities within national diabetes strategies and NICE guidance/standards for diabetes.

1. Receive direct patients referrals according to referral criteria set out in the service contract and participate in joint clinics as necessary.
2. To contribute to preventing avoidable hospital admissions, by providing a holistic assessment of the individual needs of patients. Plan, implement and evaluate care delivered and support self-management.
3. To organise and when necessary, coordinate the overall care to meet clients care needs, which may be complex involving other professionals and agencies in an integrated and co-ordinated way.
4. Engaging the wider multi-disciplinary team as needed.
5. Understanding of approaches to motivating behavioural change for patients and their carers and champion and support diabetes self-management.
6. To champion and support diabetes self-management wherever appropriate in conjunction with senior nurses in team, work as an autonomous specialist practitioner.
7. Understand the implications of cultural differences for service delivery.
8. Plan and prioritise own caseload.
9. Provide specialist, expert clinical knowledge and advice to other health care professionals involved in diabetes care.
10. Collect, evaluate, report, and maintain accurate patient records on the Diabetes Computer Software System SystmOne
11. To work in partnership with other agencies to deliver strategic national and local health priorities
12. To escalate Risk appropriately
13. To ensure that patients are treated with care and compassion at all times.
14. To support the delivery of group education including DESMOND and other bespoke programmes including specific programmes for the South Asian community.
15. Identify learning needs and be involved in planning, delivery, and evaluation of educational programmes for other Health Care Professionals. E.g. GPs, Practice Nurses, Community Nurses, student nurses
16. To be involved in updating and assessing diabetes competencies for self and junior team members.

To support the teams delivery and evaluation of services; identify areas for improvement and contribute to plan the future development.

Ensure safe use of equipment by self and other health care professionals. Be involved in maintain stock and ordering of supplies and equipment.

Liaise with community nurses, GPs and hospital staff to ensure a comprehensive diabetes service is provided across primary/secondary care.

Actively participate with the Lead and other Diabetes Nurse Specialists in formulating, implementing and evaluation of policies and procedures relating to diabetes care.

Developing relationships with external organisations and across boundaries.

Ensure own competencies, mandatory and role specific training are up-to-date.

Provide a positive public relations image by dealing with queries direct from members of the public.

To promote and facilitate excellent working relationships and communication within the Integrated Community Diabetes Services and multi-disciplinary teams, and between the hospital and community settings.

To communicate highly sensitive, condition related, information to patients and their relatives. To demonstrate good interpersonal and communication skills and the ability to explore health beliefs, attitudes, and behaviours.

To understand data protection and patient confidentiality and the policies and procedures surrounding them and to accurately record personally generated clinical observations, and update patient/client records.

To create opportunities to promote and share good practice, locally and nationally, by undertaking presentations and publications.

To anticipate barriers to communication and use interpreters or tools as required.

To produce accurate and complete records of communication consistent with legislation, policy and procedure.

To attend, lead and participate in relevant meetings and events including relevant research projects and conferences as required

Build and develop relationships between all health professionals involved in the patient pathway.

Key working relationships

Senior nurseAll team membersPatients, carers, and familiesOther community specialist servicesCommunity Health Care ProfessionalsGeneral Practitioners and practice staffLuton & Dunstable hospital diabetes team CCS personnelLocal Clinical Commissioning GroupExternal OrganisationsCare / Nursing HomesHospital

Contribute to research, surveillance, and clinical audit in order to improve effectiveness of patient care.

To promote the use of research in practice.

To contribute to appropriate audit of services and service role from user and provider perspectives and respond to research findings

Observe and maintain strict confidentiality with regards to any patient/family/staff/records and information in line with the requirements of the Data Protection Act.

Any data that is taken/shared as part of a phone call or transported, faxed, or transferred electronically must be undertaken with regard to the Trust Information Governance and Information Security policies. The post holder must adhere to the Trust risk assessment and risk management processes

The post holder must adhere to infection control policies and proceduresIt is a condition of your employment that you are currently registered with your professional body, and it is your responsibility to maintain your professional registration.

Undertake mandatory training and any other training relevant to the role as required by Cambridgeshire Community Services NHS Trust.

The post holder must participate in clinical and safeguarding audits as required

Provide patients and their families /carers with information on standards they should expect from the team

Participate in Clinical & Safeguarding supervision on a regular basis

The post holder is required to participate in relevant emergency preparedness process for their team.

The post holder will be expected to undertake ongoing personal, professional and management development in line with the responsibilities of the post.

Improving Working Lives

The post holder is expected to demonstrate a commitment to the Improving Working Lives initiative.

Person Specification

Qualifications and Training

Essential

• Registered Nurse Level 1
• Educated to Degree level or equivalent experience
• Post registration qualification in Diabetes or working towards / willing to undertake the course
• Independent Non Medical Prescriber or working towards / willing to undertake the course
• DESMOND trained or willingness to train

Desirable

• Counselling certificate / diploma

Experience

Essential

• Minimum of 3 years post registration clinical experience
• Relevant clinical experience in diabetes
• Some experience of working across organisational boundaries
• Understanding of Clinical Governance
• Understanding of NSF for Diabetes
• Awareness of working in a multicultural team and with a multicultural client group.

Desirable

• Involvement in audit research and guidance based practice
• Experience of working with multicultural groups
• Previous experience of delivering education sessions / programmes

Knowledge, Skills & Personal Qualities

Essential

• Teaching / Assessment skills
• Organisational and negotiation skills and ability to prioritise workload.
• Effective communicator and ability to manage complex cases
• Works well as part of a team
• Knowledge of professional and NHS issues and policy relating to diabetes
• Able to work under own initiative and achieve deadlines

Desirable

• Experience in counselling patients.
• Experience in Trust wide computer systems i.e. ICE, SystemOne, mobile IT working
• Ability to communicate at a senior level to both internal and external agencies

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

East of England Community Health and Care NHS Trust (Cambridge)

Address

The Poynt

Units 2-3 Poynters Road

Luton

LU4 0LA

United Kingdom

Employer's website

https://www.eastofenglandcommunityhealthandcare.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

• Work within the PCN to provide and monitor care, alongside the wider PCN team, contributing to the delivery of excellent patient care, supporting the existing workforce under direct or indirect supervision
• Improve safety and quality of care at every opportunity
• Undertake additional clinical training as required by the PCN to support the Network Contract/DES Services Specification
• Support registered nurses and the wider team to enable them to focus on the more complex clinical care
• To support with chronic disease clinics and maintaining registers, deliver patient care, referring patients to other members of the PCN or to secondary/specialist care as appropriate. To implement and evaluate individual treatment plans dependant on training and experience
• Provide support to the PCN with regards to their Network Contract DES Services Specification including CVD prevention and tackling health inequalities
• Develop relationships across the PCN to support integration of the role across health and social care: including community care, secondary care, and mental health services
• Provide support and supervision to trainee nursing associates, healthcare assistants, apprentices, and those on learning placements appropriate to level of competence
• Accurately perform and record clinical observations such as blood pressure, temperature, respiration, and pulse rates
• Engage positively with patients/carers/families and staff members promoting mutually respectful and appropriate relationships
• Communicate effectively with patients regarding providing and planning their care and carrying out risk assessment needs as required
• Communicate complex and sensitive information verbally and in writing. Adapt and tailor communication skills to the need of the listener
• To act as patient advocate during practice or PCN meetings, sharing any relevant information confidently and accurately, maintaining patient confidentiality appropriately
• Develop an understanding of MDT structures and members roles
• Support patients to improve and maintain their physical, mental, and behavioural health and well-being
• Provide advice to patients including promoting self -management where appropriate and signposting patients to other PCN colleagues, local community, and voluntary sector services
• Maintain accurate and contemporaneous patient health records
• Skills and training needs to be updated through continuous professional development, attending regular educational updates, via e-learning and face to face sessions as appropriate
• Work in adherence to NMC Code for Nursing Associates, within own level of competence and the protocols and policies of the practices/PCN
• Maintain a good working knowledge of Health and Safety procedures, fire safety and mandatory training as per practice and PCN policies. Participate in policy development and data collection where appropriate
• Work flexibly to meet the needs of the service and patients. Adapt to what may be potentially challenging and changing situations at times
• Willing to undertake other duties deemed appropriate to a Nursing Associate following correct training/guidance and agreed by the post holder and their line manager

Person Specification

Personal Attributes

Essential

• Adaptability and a flexible, positive approach
• Highly dependable
• A common sense, pragmatic approach
• Willingness to undertake further training and learning
• An understanding of the importance of confidentiality
• Ability to take responsibility for own actions
• Ability to share information and good practice appropriately

Qualifications

Essential

• Microsoft Office Qualification or extensive Microsoft Word & Excel experience
• Good standard of education
• Specific qualification and training requirements as specified in the Nursing and Midwifery Council Standards of Proficiency by having undertaken and completed the two year foundation degree, recognised by the Nursing and Midwifery Council.
• Registered with the NMC and revalidation is undertaken in line with NMC requirements.

Experience

Essential

• Understanding on human needs physical, emotional & social
• Proven ability to recognise and manage risk
• Knowledge of the needs of vulnerable adults, safeguarding and the associated legislative framework
• Understanding of basic health and social care terminology
• Good interpersonal skills
• Ability to communicate confidentially with staff of all seniority levels
• Ability to work well across teams
• Good time management and prioritisation skills, ability to work to strict deadlines.
• Ability to work on own initiative without direct supervision, understanding where clinical input is needed, recognising own limitations.
• IT skills and experience using Microsoft packages
• Coordination of services from a variety of organisations.
• Communication and relationship building
• Experience in Health and or Social care
• Experience of developing relationships with a wide variety of people
• Highly organised.

Desirable

• Familiarity with IT systems currently in use in health and social care settings.
• Experience of health and social care assessments
• Demonstrated successful outcomes delivery within determined timeframes

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

Bolton GP Federation

Address

Bolton Primary Care Hub

Chorley Street

BOLTON

BL1 4AL

United Kingdom

Employer's website

http://www.boltongpfed.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

JOB DESCRIPTION

JOB TITLE: SALARIED GENERAL PRACTITIONER

REPORTS TO: THE PARTNERS (Clinically)

THE PRACTICE MANAGER (Administratively)

HOURS: Tuesday AM & PM

Thursday - PM

Friday - AM & PM

Job summary:

The post-holder will manage a caseload and deal with a wide range of health needs in a primary care setting, ensuring the highest standards of care for all registered and temporary patients.

Clinical responsibilities:

In accordance with the practice timetable, as agreed, the post-holder will make themselves available to undertake a variety of duties, including surgery consultations, telephone consultations and queries, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence in a timely fashion

• Making professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation
• Assessing the health care needs of patients with undifferentiated and undiagnosed problems
• Screening patients for disease risk factors and early signs of illness
• Developing care plans for health in consultation with patients and in line with current practice disease management protocols
• Providing counselling and health education
• Admitting or discharging patients to and from the caseload and referring to other care providers as appropriate
• Recording clear and contemporaneous consultation notes to agreed standards
• Collecting data for audit purposes
• Compiling and issuing computer-generated acute and repeat prescriptions (avoiding hand-written prescriptions whenever possible)
• Prescribing in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate
• In general, the post-holder will be expected to undertake all the normal duties and responsibilities associated with a GP working within primary care.

Other responsibilities within the organisation:

Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety

• A commitment to life-long learning and audit to ensure evidence-based best practice
• Contributing to evaluation/audit and clinical standard setting within the organisation
• Contributing to the development of computer-based patient records
• Contributing to the summarising of patient records and read-coding patient data
• Attending training and events organised by the practice or other agencies, where appropriate.

Confidentiality:

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

• In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & safety:

The post-holder will implement and lead on a full range of promotion and management of their own and others health and safety and infection control as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include (but will not be limited to):

Using personal security systems within the workplace according to practice guidelines

• Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines
• Providing advice on the correct and safe management of the specimens process, including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements
• Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients.
• Management of the full range of infection control procedures in both routine and extraordinary circumstances (e.g. pandemic or individual infectious circumstances)
• Hand hygiene standards for self and others
• Managing directly all incidents of accidental exposure
• Management and advice relating to infection control and clinically based patient care protocols, and implementation of those protocols across the practice
• Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed, and weaknesses/training needs are identified, escalating issues as appropriate to the responsible person
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process
• Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes
• Monitoring practice facilities and equipment in relation to infection control, ensuring that proper use is made of hand-cleansing facilities, wipes etc., and that these are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate to the responsible manager
• Safe management of sharps use, storage and disposal
• Maintenance of own clean working environment
• Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management
• Actively identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised
• Keeping own work areas and general/patient areas generally clean, sterile, identifying issues and hazards/risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with responsible managers
• Undertaking periodic infection control training (minimum twice annually)
• Correct waste and instrument management, including handling, segregation, and container use
• Maintenance of sterile environments
• Demonstrate due regard for safeguarding and promoting the welfare of children.

Equality and diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/professional development:

In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements for PREP are met, the post-holder will participate in any training programme implemented by the practice as part of this employment, with such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality:

The post-holder will strive to maintain quality within the practice, and will:

• Alert other team members to issues of quality and risk
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
• Work effectively with individuals in other agencies to meet patients needs
• Effectively manage own time, workload and resources.

Communication:

The post-holder should recognise the importance of effective communication within the team and will strive to:

• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognise peoples needs for alternative methods of communication and respond accordingly.

Contribution to the implementation of services:

The post-holder will:

• Apply practice policies, standards and guidance
• Discuss with other members of the team how the policies, standards and guidelines will affect own work
• Participate in audit where appropriate.

Person Specification

Qualifications

Essential

• - MBBS/MBChB or equivalent medical qualification.
• - Full registration and license to practice with the GMC.
• - Completion of GP Specialty Training (or equivalent).
• - Inclusion on the GP Register.
• - Excellent communication and interpersonal skills.
• - Ability to work independently and as part of a multidisciplinary team.

Desirable

• - Experience in chronic disease management.
• - Interest in teaching, research, or quality improvement.
• - Additional clinical qualifications or special interests.

Experience

Essential

• - Experience of dealing with management of LTCin General practice
• - Experience of dealing with vulnerable patients

Desirable

• - Experience of working in primary care
• - Experience of working in a GP practice
• - Experience in using EMIS IT system

Experience

Essential

• - Experience of dealing with management of LTCin General practice
• - Experience of dealing with vulnerable patients

Desirable

• - Experience of working in primary care
• - Experience of working in a GP practice
• - Experience in using EMIS IT system

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

Annandale Medical Centre

Address

The Elms

High Street

Potters Bar

Herts

EN6 5DA

United Kingdom

Employer's website

http://www.annandalesurgery.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Please see job description for full details.

Managerial

• To deputise for the Swindon Talking Therapies Service Manager as appropriate.
• To line manage a team of mental health Practitioners including managing sickness, appraisals and performance etc.
• To oversee audits and to report any difficulties to the Service Manager.
• To provide cover for other members of the Senior Management Team.
• Recruit staff as required
• To be a member of the Executive and Senior Management Team, including attending meetings and giving advice to the Head of Talking Therapies/service manager as appropriate
• Appropriately manage time for clinical work and managerial responsibilities.
• To initiate in-service development and expansion
• To over see the organisation and supervision of the work of the clinical team
• To liaise with other Primary Care Services
• To liaise with Secondary Services
• To oversee training in conjunction with the Head of Service.
• To be aware of budgetary constraints.
• Maintain a Talking Therapies manual compliant service.
• Monitor and follow up patients in line with guidance.
• To allocate and support staff as discussed with the Head of Talking Therapies and Swindon Service Manager.
• To supervise staff as appropriate.
• Induct and supervise new members of staff.
• To represent the Service and deliver presentations both internally and to outside organizations e.g. ICB and national organizations especially those related to Talking Therapies.
• To oversee links with voluntary and community organisations, educational and recreational opportunities and resources in the local area which may be of benefit to clients referred to the service
• To oversee the design and delivery of psycho-educational courses

Professional:

• To participate in the Talking Therapies business and professional meetings as appropriate.
• To be aware of and comply with all policies, procedures and directives of the Department, Service and AWP
• To maintain and further develop high standards of therapy and psychology practice through co-operative work with other practitioners of all disciplines and involvement in professional audit.
• To comply with British Psychology Societys/ BABCP/ other regulatory body's Code of Conduct as well as procedures and government legislation as it applies to the Service.
• To oversee the research in the service. To instigate and be involved in research as required.

Clinical Governance:

• To support the Service manager in the development and implementation of effective Clinical Governance across the Talking Therapies Service.
• To support and participate in multidisciplinary audit in the service.
• To promote the use of effective interventions in the service.
• To participate in Clinical Governance processes in the service and in the profession.
• To help in the design of audit forms
• Access GP data systems and input clinical notes.

General:

• To participate in liaison meetings with GPs and other members of the Primary Care Health Teams as appropriate.
• To participate in locality meetings.
• To participate in audit and personal review activity as required.
• To compile and return statistics and activity levels as required and monitor and act on statistics.
• To undertake such further training as might be required to maintain an appropriate level of expertise.
• To participate in individual and peer supervision.
• To be aware of and comply with all policies, procedures and directions of the department, service and AWP
• To participate in the research activities of the service and publish articles.
• To participate in disseminating good practice by publication and presentation.

Person Specification

Qualifications

Essential

• Qualification in one of the talking therapy clinical modalities at a minimum of masters level
• Professional registration - HCP, BABCP, BPS

Experience

Essential

• Management experience & training
• Research and development experience
• Experience of supervising & managing staff in a stepped care service
• Substantial relevant clinical experience

Desirable

• Experience of service development
• Experience of designing and delivering presentations

Skills

Essential

• Capacity to cope with pressure and competing priorities
• Ability to deal with distressed patients
• Ability to support staff in dealing with patients in crisis
• Leadership skills
• Training skills

Knowledge

Essential

• Knowledge of HR policies
• Knowledge of risk management in primary care

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

Avon & Wiltshire Mental Health Partnership NHS Trust

Address

Old Town Surgery (2nd floor)

Curie Avenue

Swindon

SN1 4GB

United Kingdom

Employer's website

http://www.awp.nhs.uk/about-us/working-for-us/ (Opens in a new tab)