21 Oct
North Middlesex University Hospital
London
Job description
Job overview
We have an exciting opportunity in NMUH within the Diabetes and Endocrinology team in being part of our team. We are looking to recruit our Lead Nurse for Diabetes and Endocrinology CNS team that is an experienced, motivated, passione in regards improving patient safety, experience and outcomes.
This is a clinical leadership role in the team providing scope for innovative work with various stakeholders and improve patient outcomes and experience.
Within the team, supporting the development of the team of CNS role including with prescribing.
Further opportunities for training and personal development will also be available for this role.
Main duties of the job
Lead Nurse Diabetes and Endocrinology post composed has an advanced level of practice characterized by highly complex decision making and a high degree of autonomy.
The Lead Nurse will be a highly competent, visible autonomous practitioner, capable of functioning effectively across the four pillars of CNS practice as outlined in the multi-professional framework for as following : Clinical Practice, Leadership, Management and Education Research.
The post holder will have clinical autonomy for assessing, evaluating and working with patients with complex Diabetes and Endocrine to formulate their care plan;
identify opportunities to work collaboratively with community and other NHS Trusts
The post holder will develop a strategy in collaboration with the medical team to improve patient experience and quality of care as well as reducing admissions and overall length of stay.
Work will include supporting local and national audits,
support to ward nursing staff in the care of diabetic or endocrine in-patients and collaboration with community colleagues to ensure joined up care between the hospital and patient’s homes and improved patients experience within community setting.
Working for our organisation
North Mid is part of North Central London integrated care system consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey.
As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level.
Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.
We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.
Take a tour of our hospital
Detailed job description and main responsibilities
Toworkautonomouslyinmanagingpatientseligibleforinsulin pumpsandliaisewith medical team andmembers ofthemulti-professionalteam.
Maintain effectivecommunication with patients,carers, andprofessionalsto ensureseamlessservicedelivery.
Assist with the assessment of new patient referrals, working alongside consultants to ensureappropriate investigations are performed in a timely manner and an agreed management plan isinplace.
To undertake assessment of the patient which includes taking a history, physical examination, and when applicable,orderingandinterpretingdiagnostictests asappropriate.
Ensureallassessmentsaredocumentedfullyandcommunicatedeffectivelytoconsultant,referringmember ofthemedicalteamorGPandmembersofthemulti-professionalteam.
To review previous test results and identify any abnormalities with blood tests / imaging andinstigateappropriateactionor escalationtoconsultant.
Tobeaccountableforcoordinatingpatientcarewiththeconsultantsandadministrationteam,inorder to meet agreed standards / pathways.
This will include prescriptions and updating patientandpatients’ referringconsultantorGPofthecare / treatmentplan.
To provide specialist clinical knowledge, support and practice,
to patients and carers within thedepartment and wards. Ensure the patient and family are fully informed and understand thepurpose of any investigations, treatment, and outcomes, in accordance with best practice andinformedconsent.
To be responsible for setting, implementing, and monitoring acceptable standards of care forpatientswithDiabetes and endocrine diseases.
Co-ordinate and run nurse-ledclinics in addition to managing andreviewing patients on an urgent basis in order to provide an expert and effective patient focused service.
Review patients in the inpatient areas and ED to advise in further treatment and support needed in the community.
Lead and develop standard operational procedure (SOP) for Nurse Led Discharge for patients with diabetes and endocrine disease.
Care and control of all medications used and ensuring systems in place for safe administration,orderingandmaintenanceofstock.
WorkingwithConsultantServiceLeadandotherhealthprofessionalsinordertoachieveoptimumwaiting lists for diabetes and endocrine, reduce waiting time in ED and length of stay for inpatients.
Lead and delivery of self-management strategies for patients prior to going home or in an outpatient setting for patients with Diabetes and Endocrine
Utilise scope of practice to undertake Non-Medical Prescribing role and advise on medicine management issues associated with the patent specialty group.
Support the team in regards the insulin pumps projects and other projects that benefit patients with Diabetes
Co-ordinate a nurse-led service which promotes a safe patient pathway for those eligiblepatients.WorkcollaborativelywithClinicalLeadandServiceteamstooptimisedemandandcapacitywithindiabetes and endocrine.
Tocollect,collate andevaluateinformationrelatingtopatientsreferredandproceduraloutcomes.Allpatientpathways are tracked, and data collated on key events such as timing of receipt of referral, date ofconsultations,treatmentoptionsandclinicaloutcomes.
Work collaboratively in developing straight to test triaging / assessment models including research throughdatacollectionandanalysisofkeyoutcomemeasures.
Presentinformationtoprofessionalgroups,analysedataandprovidewrittenreports.Datawillbeanalysedfrequently to identify risks or delays in patient care which require immediate intervention by Clinical Leadorserviceteams.
Identify clinical risks and ensure appropriate escalation and action is taken, in accordance with policy, byprovidingexpertadvice.
Tomaintainasafeenvironmentforpatientsandstaffwithinhigh-riskclinicalareasofrespiratory outpatients department andtake appropriate actions.
The post holder should manage complaints on a local level where possible and escalate unresolved issuestotheADoN / GM.
To be conversant with Trust and department policies and procedures and ensure that these are adheredtoandavailabletoothers.
To monitor clinical standards of nursing care and report to the Clinical Lead / ADoN when standards arenotbeingmet.Thiswillincludethenotificationofproblemsandincidentsandinitiatingappropriateaction.
To provide nursing clinical leadership and be responsible for the delivery of high-quality patient care.Facilitate the development of nursing policies, procedures and patient education relating to the care ofpatientswithindiabetes and endocrine disease
Evaluateserviceandidentifyareasofimprovementtobeassuredclinicalandfinancialefficiency,effectivenessandresourcefulness. Participateinqualityandauditinitiatives.
Attendmultidisciplinaryteammeetingsandpresentindividualcarestudiesorrelevantdataon service.
Act asapatient advocateandcounselwheninformed discussion maylead tochoicesbeingmadeconcerningtreatmentoptions.Possessathoroughunderstandingofsafeguardingproceduresandpoliciesinpractice.
Ensure that all relevant information is accurately documented in patient health records or on electronicpatientrecordsinlinewithprofessionalstandardsofrecordkeeping.
Implement the Trusts Corporate Governance Strategy regarding meeting the necessary standards ofaccountability,financialcontrol,patientand publicinvolvementandthedeliveryofclinicaloutcomes.
Tosupport,enable,motivate,developnursingstaffanddemonstrateNursingleadership / supervision.
Contribute to protocols, documentation systems, standards, policies and clinical guidelines for others touse in practice.
Develop care protocols / pathways in conjunction with Clinical leadbothlocallyandatanetworklevel.
Identify,develop,andmaintainwaystosupportpatientinvolvementandfeedbackofservice.
To take an active lead in advancing nursing / clinical practice within Diabetes and Endocrinology. Undertake research andimplementevidence-basedpracticeforpatientsundergoingroutineandinterventional levels.
In conjunction with multi-professional team, participate in setting objectives for service and engage withservice improvement initiatives and strategies to deliver Diabetes and Endocrinology Services.
Assist in developingaudittoassesscompliancewithnational and local standards.
Network within and outside of the organisation in relation to service development. Influence strategicdevelopments in pursuit of advancement of quality of patient care, clinical outcomes, and patients’experiencewithinrespiratory.
LeadorfacilitatethepolicydevelopmentfortheDiabetes and Endocrinology Servicetoenableactiveandmeasurableimprovements. Expected to represent self in the service to assure that real improvements have beenimplemented.
Develop and strengthen interpersonal relationships with both Medical & Surgical teams and members oftheMulti-professionalteamtoensuregoodworkingandcollaborationwithinpractice.
Beresponsibleforfinancialcontrolofconsumables / resourcesincludingmedicationsrequiredforbiological treatments
To lead on education ofpatientsandtheircarerstounderstandthediagnosis,treatmentoptionsandtheirhealthcareneedsduringandfollowingtreatment.
To actasapatientadvocateinlinewiththeNationalguidelinesandto activelyapplyin-depthknowledgeofholistic / socio-economicandculturalaspectsofcaretoclientswithinspecialty.
Participateinteachingandsupervisionofnewandunqualifiedstaff,includingmedicalstaffandlearnernurses.
Maintainownprofessional / clinicalrequirementstoactasarolemodelandresourcetopatients,significantothersandstaff.
Beconversantwithcurrentlegislation / NICEguidanceforpatientsrequiringdiabetes and endocrinologycareand implementasappropriate.
Please see the Job Description and the Persons Specification for further details about the job role.
Please take Note : This vacancy has been advertised in accordance with the new NHS pay rate which will take effect from autumn 2024.
Please note if your employment starts before the 24 / 25 pay scales are implemented you will be paid under the 23 / 24 pay scales and any backpay will be adjusted accordingly.
Further information can be found at .
Person specification
Eudcation and Qualifications
Essential criteria
- Registered Nurse on NMC register
- MSc or working towards it
- Post registration course in managing patients with Diabetes and / or Endocrine disease
- Non Medical Prescriber
Desirable criteria
Leadership course
Skillis and Abilities
Essential criteria
- Worked at CNS level 7 or 8a in Diabetes and / or Endocrine
- Management experience
- Leading QI projects to improve patients outcomes
- Knowledge and experience in insulin pumps
- Able to produce policies, SOPS
- Part of national and local audits
We reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications have been received.
You will only be contacted by the Recruitment Team via email if you are shortlisted for this post. Please ensure therefore that you check your e-mail account regularly.
Please note in order to progress your application, your data will be processed by our 3rd party recruitment providers North London Partners Shared Service, (NLPSS) who conduct recruitment activities on behalf of NMUH.
If you are offered a role with one of the NLPSS partner trusts, as part of pre-employment checks your identity and right to work documentation will be verified remotely (in most circumstances), using a certified identity verification service provider TrustID.
You will be asked to capture an image of the relevant documents as well as a selfie using your smartphone / tablet (if available) for facial matching.
TrustID will also perform a digital address check using Trunarrative and Equifax, which is a soft check and does not leave a footprint on your credit rating.
For more information, visit
NMUH uses identification scanning technology to confirm the authenticity of documents; all prospective employees of NMUH will have their original documents verified using this technology.
By applying for this post you are agreeing to NMUH transferring the information contained in this application to its preferred applicant management system.
All subsequent information regarding your application will be generated from apps.trac.jobs. You will not be able to track the progress of your application or receive messages through the NHS Jobs website, and as an employer, we will not be able to respond to any e-mails sent to us via the NHS Jobs website.
If you are offered a job, information will also be transferred into the national NHS Electronic Staff Record (ESR) system and other secure, internal NHS workforce systems.
By applying for this role, you accept in the event you are successful that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS.
This is in accordance with the streamlining programme which is aimed at saving you time and improving efficiencies within the NHS when your employment transfers.
Therefore we want you to complete your e-learning modules prior to joining our organisation.
If you are an EU / EEA citizen who does not have EU Settlement or Pre-Settled status, you will require a visa to work in the UK.
If you require sponsorship for a visa to work in the UK, to avoid disappointment, please check to ensure you are eligible under the
▶️ Lead Nurse Diabetes and Endocrinology
🖊️ North Middlesex University Hospital
📍 London