An opportunity has arisen for experienced nurse to join the multi-disciplinary diabetes team in Portsmouth.

Working autonomously, but as part of a progressive and supportive multi-disciplinary team, the post holder will provide clinical care and leadership for diabetes services across the acute hospital Trust, linking with community services to support seamless patient care.

Areas of clinical service provision across the team are: Care of inpatients with diabetes, Type 1 diabetes services (including use of emerging technologies and education to support this), young persons transition from paediatric services, management of diabetes prior to and during pregnancy, renal and foot services.

Our ideal candidate will be passionate about providing high standards of care to patients and education to the teams that support their care. Energy and innovation will be key features of their approach to the job.

In return, we offer a supportive team environment and encourage educational and clinical developments.

For informal visit or discussion, please contact Lisa Skinner, Clinical Lead (023 9228 6260 or lisa.skinner@porthosp.nhs.uk)

Main duties of the job

• An autonomous practitioner, responsible for the assessment and planning of care for inpatients with diabetes across the Trust.
• In the absence of a senior DSN, lead and co-ordinate the inpatient multi-disciplinary team, taking responsibility for the management and organisation of the clinical workload.
• Provide professional clinical and managerial leadership and act as a professional role model.
• Work across organisational and professional boundaries.
• A highly skilled clinical expert with specialised knowledge in caring for patients and their carers.

About us

The Trust is committed to driving excellence in care for our patients and communities and was rated good by the Care Quality Commission report published 2020 and became a University Hospital. We are ranked as the third in the country for research embedding education and training across the organisation and we continuously strive to achieve our core values which are at the heart of everything we do. The Trusts main hub is the Queen Alexandra Hospital, starting life as a military hospital over a century ago and now one of the largest hospitals on the south coast and you may have seen us on the TV series Nurses on the Ward. The Trust provides comprehensive secondary care and specialist services to a local population of 675,000 people across South East Hampshire. The Trust employs over 8,000 staff and are #ProudtobePHU our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds, not just because its the right thing to do, but because it makes our hospital stronger. If you share our values and our enthusiasm for providing outstanding care and support for patients, colleagues and our community you will find a home at PHU. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veterans status, colour, religion, disability, sexual orientation and beliefs.

Job description

Job responsibilities

Key Responsibilities:

Clinical/Professional

• Promote and set high standards of professional nursing care and maintain the delivery of quality care within the trust policies, protocols and guidelines. Implement the trust values and beliefs ensuring they are embedded into everyday practice and evaluate their impact on the patients experience.
• Act as a a specialist clinical practitioner, demonstrating developed clinical skills and knowledge.
• Provide professional nursing leadership to MDT within sphere of clinical responsibility. Lead and motivate staff by giving clear direction and setting achievable objectives.
• Manages own clinical activity and refers to other agencies as necessary.
• Ensure that any patient quality and safety issues are addressed in a timely manner. This includes monitoring and evaluating standards of care by the clinical team and providing regular feedback to the specialty team on the standards of care.
• Participate in the development of services to prevent inappropriate hospital admission by providing timely telephone advice to patients and health care professionals and where appropriate offering assessment via the diabetes centre (as per pathway).
• Act as an effective professional role model and expert clinician.
• Implement evidence based practice, initiate, manage and evaluate changes that lead to improved and high standards of care and in particular any service changes following feedback from patients.
• Communicating, influencing and working with the multidisciplinary team in different ways to improve quality of care, and informed clinical decisions. Promote innovation and participate in benchmarking and quality audits to measure effectiveness of current practices.
• In collaboration with members of the multidisciplinary team, ensure that the users of the service and their families have a positive experience and using feedback (Family and Friends Test, concerns and complaints) evaluate patient processes and pathways of care are redesigned as required.
• Create a culture for learning and development that will sustain person-centred safe and effective care.
• Support junior colleagues in the provision of direct care facilitate learning in and from practice at the same time as working alongside or undertaking a care plan review if an when a serious incident or complaint has occurred.
• Ensure concerns raised by patients and their families are dealt with in an open, honest and transparent way, quickly and effectively, in line with trust policies, procedures and Duty of Candour legislation.
• Ensuring that accurate and timely nursing records are maintained, monitoring standards and taking corrective action as required.
• Ensure all staff in the clinical area are competent in the use of medical devices/equipment and have access to training and monitoring compliance.
• Autonomously plan evidence based care for a caseload of outpatients with diabetes.

Management/Leadership

• Have an overall view of the intensity of the workload and the experience of the staff and act to utilise the nursing skill mix on duty to ensure the nursing cover achieves a high standard of nursing care.
• Actively contribute to achieving the clinical governance goals/targets set by the trust and department and comply with reporting schedules for monitoring and reporting on clinical outcomes.
• Implement the Nursing Strategy by setting clear achievable objectives for staff who the post holder manages into annual performance and development reviews and evaluate performance.
• Be proactive in the prevention and management of complaints (formal and those via Patient Advice and Liaison Service) and when they occur investigate and respond in a timely manner. Use any learning to share widely with the multidisciplinary team and to improve care delivery.
• Responsible for the management of staff performance and attendance in line with trust policies.
• Promote the health and well-being of staff, patients and their carers.
• Comply and promote compliance with Trust policies and guidelines e.g. Health and Safety, Clinical Risk and Infection Control.
• Take appropriate action to address unexpected changes and situations, informing the Senior Sister/Charge Nurse or other if unable to resolve.
• Contribute to the ward/department pay and non-pay budgets to ensuring good housekeeping and economic use of resources.
• Delegate duties and tasks as appropriate to team members and evaluate the outcomes.
• Work closely with partners i.e. Engie, resolving any issues regarding cleanliness, provision of food and maintenance of the environment. Ensure staff are aware how to escalate when issues cannot be resolved.

Research and Education

Research

• Maintains clinical expertise by keeping updated with current research findings and participating in research where appropriate.
• Contribute to a research culture within the nursing team to identify current knowledge and deliver evidence based care.
• Support local research teams, actively contribute to local department multidisciplinary audits, represent the clinical area at governance meetings and highlight areas for change.
• Liaise with the relevant research nurse to ensure patients are identified to take part in clinical research studies and research is delivered safely on the ward.
• Embed in the team culture the concept of recruitment to clinical trials which is a national performance indicator.

Education

• Create an environment that is conducive to learning and encourage team open-ness so that an evidence based approach is utilised and applied to nursing care.
• Act as a mentor and coach for members of the MDT.
• Commit to and encourage a culture where students receive quality placements supported by mentorship and teaching from the multi-professional team.
• Responsible for planning and delivering education to clinical teams across the Trust,
• Contribute to education delivered outside of the Trust (eg local primary care conference, national conferences).
• Contributes to regional and national professional groups in relation to diabetes care and advanced practice.
• Maintain own professional expertise by attendance at national and international conferences as agreed at IPR and as part of personal development plan.

Communication and Working Relations

• Communicate highly sensitive and complex information with empathy ensuring that information is understood.
• Communicating and co-operating with other wards and departments, promoting and maintaining good working relationships within own clinical area and across the organisation, giving accurate information as required and keeping everyone informed of any untoward incidents.
• Develop expertise in dealing with interpersonal conflict and be responsible for the resolution of any adverse situation/incidents. Comply and promote compliance to Trust policies e.g. Harassment and Bullying.
• An active member of the clinical nursing team contributing to relevant Trust wide nursing groups and meetings.
• Represent the Senior Sister/Charge Nurse in their absence at ward level.
• Work across professional and organisational boundaries.

Person Specification

Experience

Essential

• Experience within specialty (diabetes).

Skills and Knowledge

Essential

• Clinically competent.
• Advanced communication and interpersonal skills.
• Effective leadership and team building skills.
• Organisational skills and forward planning.
• Coaching and mentoring skills.
• Critical appraisal skills.
• IT literate (i.e. able to use relevant systems with confidence).
• Understanding of the principles and application of effective budgetary management.
• Understanding of the principles and application of effective staff / HR management.
• Understanding of the theory and application of Clinical Governance.
• Demonstrable experience of effective management and supervision of staff and taking charge of ward /unit.
• Evidence of developing policy, guidelines and managing resources.

Qualifications

Essential

• Registered Nurse, with current NMC registration.
• Accredited diabetes education (such as HLTH6092: Management of Adult diabetes in primary and secondary care run by Southampton University).
• BSc Degree.
• Evidence of CPD in the field of diabetes.

Desirable

• Leadership development Programme.
• Teaching qualification /experience.

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 convic
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