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Communication and working relationships

• To establish and maintain effective working relationships with health professionals, patients and carers and facilitate communication between primary and secondary care to ensure the provision of high-quality specialist diabetes care to patients and carers at all stages of the care pathway.

• Using advanced specialist skills be responsible for assessing the physical and psycho-social needs of people with diabetes, initiating the appropriate therapeutic care plans and treatments including insulin and GLP-1 initiation.

• To develop strategy and policies to support the Clinical Operations Manager to deliver an effective service through positive leadership, quality standards, communication and expert knowledge

•  Make presentations to a wide range of groups at meetings/conferences internal and external to the organisation, in order to share work locally and nationally to influence both strategy and practice. Participate in networking and collaborative working with key service users and complementary service agencies within the local health economy and nationally as appropriate.

3. Main tasks

1. Work autonomously and carry a caseload of patients who require specialist intervention. To manage patients living with diabetes to support with diabetes technologies including but not exclusively continuous glucose management (CGM), pumps and hybrid closed loops.
2. To provide contemporaneous records and reports regarding patient’s ongoing care and management.
3. To provide clinical supervision for team members.
4. To facilitate education programmes tailored to the needs of patients with diabetes, underpinned by best practice and using a patient centred approach.
5. Prescribe and review medication (if appropriate prescribing qualification has been obtained and governance in place) for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national practice protocols, and within scope of practice.
6. To identify ongoing training and updating of other healthcare professionals in the community regarding diabetes management.
7. To undertake appropriate clinical risk assessments to inform the Trust of any circumstances that contribute to an unsafe environment for patients and staff.
8. Contribute to the service review of achievements and performance against service plan targets and standards, both clinical and managerial, including data activity collation in order to support service development and meet contractual requirements.

4. Main responsibilities

1. To provide leadership and act as a specialist resource and role model to clinicians in the community to plan, develop and implement community diabetes services, ensuring patient/users are given the opportunity to contribute to service improvement/development.
2. To contribute to strategic planning for diabetes care in line with local and national commissioning processes. To work with secondary care services with regards to information provision to ensure a whole system approach to diabetes management.
3. To contribute to the development of and maintenance of mechanisms to audit the quality of care and effectiveness and act upon findings.
4. To keep up-to-date with professional developments in diabetes including product information and attend appropriate forums related to specialist role.
5. As a Registered Nurse, the post holder is required to adhere to NMC standards and guidelines of practice, education and conduct.
6. To develop as a Community DSN and enable effective team working.
7. To assist with management of daily workload allocation, supervision, recruitment, induction and appraisal of junior members of the nursing team including Health Care Assistants.
8. To apply evidence-based knowledge of diabetes and contribute in the development and implement relevant policies, protocols and care pathways as appropriate.

5. Organisation chart