Job overview

An exciting opportunity has arisen for an experienced Diabetes Specialist Nurse to lead and support on the development of a new integrated neighbourhood service for people who have diabetes with renal or cardiac disease. The post will initially be a 12 month fixed term contract. We are seeking a highly motivated individual with advanced practice and recognised MSc qualification. 

The successful candidate will lead on creating a common workflow in cardio-renal-metabolic medicine to address the complex needs of a vulnerable diabetes patient population. The candidate will be working in an integrated neighbourhood holistic diabetes service within two primary care networks in Salford (starting with Eccles PCN) and with Salford Care Organisation Community Diabetes Team. It is in partnership with Boehringer-Ingelheim who are a leading Pharmaceutical Company with experience of working with the NHS on change programmes.

The role will be to support and identify appropriate patients, through audit and practice analysis who will benefit from this holistic diabetes service. The successful candidate will require excellent communication skills and will need to be confident to work alone and within a multidisciplinary team.

The post holder will contribute to achieving clinical objectives, work within the clinical governance framework through the core dimensions of the role, clinical practice, leadership, acting as the patient advocate and through audit and education.

Main duties of the job

  • Tackle health inequality, reduce variation in care and improve outcomes by improving access to expertise delivered in the community by a specialist team
  • Improve early diagnosis of the complications of diabetes providing individualised care planning and management
  • Develop the culture, skills, and resource to promote service integration around the individual
  • Provide in-depth analysis of patient data to determine those in need of support from the improvement programme which will ultimately:
  • Support Salford PCNs to accurately identify high-risk diabetes patients who have cardiac disease and renal dysfunction using a risk stratification tool.
  • Create a clear pathway to refer patients into the Integrated Neighbourhood Holistic Diabetes Service using a tier framework.
  • Improve attainment of the three diabetes treatment targets (HBA1C, Blood pressure, Cholesterol) by optimisation of medicines and lifestyle advice and/or referrals.
  • Enable access to education, quality improvement skills and support across PCN practices to confidently support patients
  • Provide patient education and advice to improve the optimal management of citizens health
  • Reduce the risk of further cardiovascular deterioration. 
  • Improve patient experience and quality of life indicators
  • Encourage patient empowerment and ownership of their health.
  • Reduce demand on specialist care services
  • Deliver seamless transfer of care across the diabetes care pathway.
  • Working for our organisation

    Salford Integrated diabetes team support patients across both acute and community services. The team is extremely supportive in both provisions of patient care, and team working relationships. Our care is based upon inclusivity, individuality and best practice. We aim to provide the very best patient experience and welcome new team members with positivity and enthusiasm.

    Detailed job description and main responsibilities

    The post holder will lead on creating a common workflow in cardio-renal-metabolic medicine to address the complex needs of a vulnerable diabetes patient population. The post holder will be supported by a Senior Project Manager to introduce the new service.

    This role is also in partnership with Boehringer-Ingelheim who are a leading Pharmaceutical Company with experience of working with the NHS on change programmes.

    This collaboration will support high-risk diabetes patients who have cardiac disease and renal dysfunction in an Integrated Neighbourhood Holistic Diabetes Service within 2 Primary Care Networks (starting with Eccles PCN) in Salford and with Salford Care Organisation Community Diabetes Team. It aims to improve patient health outcomes, create a primary care workforce for the future, transforming the traditional care model.

    Person specification

    Essential

    Essential criteria

  • Clinical Based Masters Degree in Advanced Clinical Practice
  • ESSENTIAL

    Essential criteria

  • Registered Nurse
  • Knowledge of conditions, and management of treatment
  • Clinical experience within diabetes speciality
  • Ability to prioritise and organise workload
  • Ability to conduct own projects successfully and follow them through
  • Evidence of clinical leadership qualities
  • Committed to collaborative working
  • Desirable criteria

  • Non-Medical Prescribing
  • Lead on audit and/or research study
  • Presentation experience
  • Evidence of leading a service
  • Evidence of change management
  • Evidence of delivering education