• Job Description

  Req#: A0040-25-0013?language=en&page=66&sort=publicationDateDesc

  Job summary

  The post holder is responsible for ensuring the delivery of diabetes and care for the whole practice population. They will work independently and in conjunction with other members of the clinical team to deliver excellent primary care services within the practice. Clinically, the focus of the role is the delivery of evidence-based practice for patients with diabetes conditions and other related metabolic conditions, management and preventative nursing interventions to all patients.

  As autonomous practitioners, the nurse is responsible for the care delivered, demonstrating critical thinking and skills in clinical decision making. In addition to this, they will provide leadership and work collaboratively with the management team to support any transformation of services needed to ensure the organization that offer innovative, effective, safe clinical services that raise standards of care and reduce health inequalities.

  Main duties of the job

  To ensure that the Practices diabetes care is delivered in a timely, professional manner whilst maintaining equity of access to a coordinated and seamless service.

  To identify patient's diabetes care needs using a holistic approach and to assess and offer highly specialist advice in all aspects of complex diabetes management to all members of the multidisciplinary team.

  Chronic disease management - assess, plan, implement and evaluate individual treatment plans for patient, including insulin and GLP-1/GIP initiation,

  Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols

  • To demonstrate a positive supportive approach to patients at diagnosis and/or patients with the development of diabetes related complications

  Work with patients in order to support adherence to prescribed treatments

  • Establish and maintain highly effective communication skills with patients, carers/relatives, and professionals across health and social services. This may involve the giving of sensitive and complex information.

    On occasion the post holder will be required to visit patients in their own home e.g. to conduct chronic disease reviews.

  About us

  SHP are a Solihull based partnership looking after over 56,000 patients and operating out of 7 sites. This

  role provides an opportunity to join a large forward thinking organisation whose vision is to be the most

  respected Primary Care provider in the West Midlands.

  Through our centralised back-office functions, our systems are organised so we can concentrate on

  healthcare and not administration. Our practices place great value on teaching, training and mentorship

  within the team.SHP Vision Statement: To provide person-centred care at the heart of the community.

  Mission Statement:

  Solihull Healthcare Partnership aims to be the provider of choice in delivering holistic care to our neighbourhood.

  Honest - We practice and encourage open and honest communication, acting with integrity in all that we do.

  Excellence - We strive to achieve the highest standards in the care we deliver

  and enable our team to create an environment that encourages excellence.

  Accountable - We take personal and collective responsibility for our actions and the way we deliver care.

  Respectful - We engage with our team, our patients and our community with respect, providing kind and compassionate person-centred care.

  Transformational - We are committed to continually improving our standards, working with the community, being responsive and adapting to the changing needs of the neighbourhood

  Details

  Date posted

  29 May 2025

  Pay scheme

  Other

  Salary

  £50,895 to £52,221 a year

  Contract

  Permanent

  Working pattern

  Full-time

  Reference number

  A0040-25-0013

  Job locations

  308 Blossomfield Road

  Solihull

  West Midlands

  B91 1TF

  
  

  Job description

  Job responsibilities

  Clinical practice

  Perform advanced clinical skills in assessment, diagnosis and treatment.

  Assess, plan, implement and evaluate care delivery according to changing health care needs.

  Collect, collate, evaluate and report information, maintaining accurate patient records.

  Involve patients and carers and relatives in the planning and delivery of care and development of services.

  Work collaboratively with the multidisciplinary team and outside agencies to ensure patient needs are met, especially in relation to ongoing care needs

  Act as a resource for specialist advice and expert clinical knowledge across the Practice, giving advice to colleagues on the clinical management of patients.

  Provide expert specialist advice and education to patients and carers/relatives to enable the safe and independent management of their diabetes.

  Undertake clinical supervision and education of nursing colleagues on an individual or group basis.

  Delivering a quality service

  Recognise and work within own competence and professional code of conduct as regulated by the

  NMC

  Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

  Prioritise, organise and manage own and other's workload in a manner that maintains and promotes quality

  Deliver care as an individual and team according to NSF, NICE, other relevant local guidelines, contracts and evidence-based care

  Assess effectiveness of care delivery for the organisation through peer review, benchmarking and formal evaluation

  Maintain quality governance systems for the nursing team, including the adherence to and promoting of the Care Quality Commission requirements

  Implement and review the application of evidence-based practice in the organisation

  Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

  Evaluate patients' response to health care provision and the effectiveness of care

  Participate in shared learning across the practice and wider organisation

  Identify learning from clinical incidents and near-miss events utilising a structured framework (eg root cause analysis - significant event procedures)

  Assess the impact of policy implementation on care delivery

  Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance

  Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate

  Team working

  Understand own role and scope in the practice and identify how this may develop over time

  To organise, co-ordinate and lead on MDT meetings to review patients deemed to be at greatest risk/need and ensuring MDT discussions take place to manage those with higher levels of complexity and the recommendations from MDT meetings are acted upon in a timely manner

  Work as an effective member of the team, supporting others and exploring the mechanisms to develop new ways of working

  Prioritise own workload and ensure effective time-management strategies are followed.

  Work effectively with others to clearly define values, direction and policies impacting upon care delivery this includes not only at PCN level but also at neighbourhood and locality level

  Be involved in activities that create opportunities to improve patient care and upskill other staff members and increase the skills mix used in delivering care for patients with diabetes and related metabolic syndromes.

  Participate in and support local projects as agreed with the practice management team

  Management of risk

  Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients

  Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines

  Apply infection-control measures within the practice according to local and national guidelines

  Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all

  Participate in the local implementation strategies that are aligned to the values and culture of general practice

  Communication

  The post-holder should recognize the importance of effective communication within the team and will:

  Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment

  Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating

  Anticipate barriers to communication and take action to improve communication

  Participate in practice team meetings

  Utilising information

  Use technology and appropriate software packages as an aid to the planning, implementation and monitoring of care, presenting and communicating information, including the Practice clinical software and other software packages

  Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes. Utilise and promote the accurate completion of Practice templates and be involved in the continual improvement of these processes.

  Manage information searches using the internet and local library databases

  Understand the responsibility of self and others regarding the Freedom of Information Act

  Adhere to Information Governance guidelines and complete IG training.

  Learning and development

  Act as mentor for more junior staff and students, assessing competence against set standards

  Disseminate learning and information to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences)

  Upskill other staff members, support any transformation work to increase the skills mix used in delivering care for patients with diabetes and related metabolic syndromes.

  Assess own learning needs and undertake learning as appropriate

  Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

  The post holder will participate in any training programme implemented by the practice as part of this employment

  To participate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

  Job description

  Job responsibilities

  Clinical practice

  Perform advanced clinical skills in assessment, diagnosis and treatment.

  Assess, plan, implement and evaluate care delivery according to changing health care needs.

  Collect, collate, evaluate and report information, maintaining accurate patient records.

  Involve patients and carers and relatives in the planning and delivery of care and development of services.

  Work collaboratively with the multidisciplinary team and outside agencies to ensure patient needs are met, especially in relation to ongoing care needs

  Act as a resource for specialist advice and expert clinical knowledge across the Practice, giving advice to colleagues on the clinical management of patients.

  Provide expert specialist advice and education to patients and carers/relatives to enable the safe and independent management of their diabetes.

  Undertake clinical supervision and education of nursing colleagues on an individual or group basis.

  Delivering a quality service

  Recognise and work within own competence and professional code of conduct as regulated by the

  NMC

  Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

  Prioritise, organise and manage own and other's workload in a manner that maintains and promotes quality

  Deliver care as an individual and team according to NSF, NICE, other relevant local guidelines, contracts and evidence-based care

  Assess effectiveness of care delivery for the organisation through peer review, benchmarking and formal evaluation

  Maintain quality governance systems for the nursing team, including the adherence to and promoting of the Care Quality Commission requirements

  Implement and review the application of evidence-based practice in the organisation

  Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

  Evaluate patients' response to health care provision and the effectiveness of care

  Participate in shared learning across the practice and wider organisation

  Identify learning from clinical incidents and near-miss events utilising a structured framework (eg root cause analysis - significant event procedures)

  Assess the impact of policy implementation on care delivery

  Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance

  Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate

  Team working

  Understand own role and scope in the practice and identify how this may develop over time

  To organise, co-ordinate and lead on MDT meetings to review patients deemed to be at greatest risk/need and ensuring MDT discussions take place to manage those with higher levels of complexity and the recommendations from MDT meetings are acted upon in a timely manner

  Work as an effective member of the team, supporting others and exploring the mechanisms to develop new ways of working

  Prioritise own workload and ensure effective time-management strategies are followed.

  Work effectively with others to clearly define values, direction and policies impacting upon care delivery this includes not only at PCN level but also at neighbourhood and locality level

  Be involved in activities that create opportunities to improve patient care and upskill other staff members and increase the skills mix used in delivering care for patients with diabetes and related metabolic syndromes.

  Participate in and support local projects as agreed with the practice management team

  Management of risk

  Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients

  Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines

  Apply infection-control measures within the practice according to local and national guidelines

  Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all

  Participate in the local implementation strategies that are aligned to the values and culture of general practice

  Communication

  The post-holder should recognize the importance of effective communication within the team and will:

  Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment

  Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating

  Anticipate barriers to communication and take action to improve communication

  Participate in practice team meetings

  Utilising information

  Use technology and appropriate software packages as an aid to the planning, implementation and monitoring of care, presenting and communicating information, including the Practice clinical software and other software packages

  Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes. Utilise and promote the accurate completion of Practice templates and be involved in the continual improvement of these processes.

  Manage information searches using the internet and local library databases

  Understand the responsibility of self and others regarding the Freedom of Information Act

  Adhere to Information Governance guidelines and complete IG training.

  Learning and development

  Act as mentor for more junior staff and students, assessing competence against set standards

  Disseminate learning and information to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences)

  Upskill other staff members, support any transformation work to increase the skills mix used in delivering care for patients with diabetes and related metabolic syndromes.

  Assess own learning needs and undertake learning as appropriate

  Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

  The post holder will participate in any training programme implemented by the practice as part of this employment

  To participate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

  Person Specification

  Clinical Skills/Knowledge

  Essential

  • Outstanding clinical knowledge and skills commensurate with an experienced GP
  • Experience in patient education and supporting self-management in diabetes
  • Commitment to health inequalities, patient empowerment, and personalised care planning

  Desirable

  • Experience in multidisciplinary team (MDT) working across primary and secondary care

  Other Requirements

  Essential

  • DBS

  Qualifications

  Essential

  • Registered Nurse
  • Minimum 5 years post-registration experience, including at least 2 years in diabetes care
  • Specialist qualification in diabetes care (e.g., PGCert, MSc module)
  • Full NMC Registration

  Experience

  Essential

  • Demonstrated understanding of national diabetes care standards and guidelines (e.g., NICE, QOF, NDA)
  • Evidence of ongoing professional development (CPD) relevant to diabetes care

  Desirable

  • Experience of QOF and clinical Audit
  • General Understanding of the GMS contract
  • Experience to work in a primary care environment

  Skills

  Essential

  • Excellent communication skills (written and oral)E
  • Skilled in using digital tools for care delivery or patient monitoring (e.g., LibreView, EMIS,)E
  • Experience in training/educating other health professionals in diabetes careE
  • Flexible and Cooperative E
  • Motivated Forward thinkerE
  • High level of integrity and loyaltyE
  • Sensitive and empathetic to distressing situations E
  • Ability to Work as a team player and autonomouslyE
  • Effective time management E
  • Excellent interpersonal skillsE
  • Problem solving and analytical skills E
  • Experience with clinical risk management E
  • Proven ability to lead or contribute to service improvement or audit in diabetes servicesE
  • Experience with clinical risk management E
  • Experience to follow clinical process and procedures E

  Personal Qualities

  Essential

  • Polite and Confident
  • Flexible and cooperative
  • Ability to work under pressure
  • Problem solver with the ability to process and interpret information
  • High levels of integrity and loyalty
  • Effectively able to understand the needs of the patient, staff and colleagues

  Person Specification

  Clinical Skills/Knowledge

  Essential

  • Outstanding clinical knowledge and skills commensurate with an experienced GP
  • Experience in patient education and supporting self-management in diabetes
  • Commitment to health inequalities, patient empowerment, and personalised care planning

  Desirable

  • Experience in multidisciplinary team (MDT) working across primary and secondary care

  Other Requirements

  Essential

  • DBS

  Qualifications

  Essential

  • Registered Nurse
  • Minimum 5 years post-registration experience, including at least 2 years in diabetes care
  • Specialist qualification in diabetes care (e.g., PGCert, MSc module)
  • Full NMC Registration

  Experience

  Essential

  • Demonstrated understanding of national diabetes care standards and guidelines (e.g., NICE, QOF, NDA)
  • Evidence of ongoing professional development (CPD) relevant to diabetes care

  Desirable

  • Experience of QOF and clinical Audit
  • General Understanding of the GMS contract
  • Experience to work in a primary care environment

  Skills

  Essential

  • Excellent communication skills (written and oral)E
  • Skilled in using digital tools for care delivery or patient monitoring (e.g., LibreView, EMIS,)E
  • Experience in training/educating other health professionals in diabetes careE
  • Flexible and Cooperative E
  • Motivated Forward thinkerE
  • High level of integrity and loyaltyE
  • Sensitive and empathetic to distressing situations E
  • Ability to Work as a team player and autonomouslyE
  • Effective time management E
  • Excellent interpersonal skillsE
  • Problem solving and analytical skills E
  • Experience with clinical risk management E
  • Proven ability to lead or contribute to service improvement or audit in diabetes servicesE
  • Experience with clinical risk management E
  • Experience to follow clinical process and procedures E

  Personal Qualities

  Essential

  • Polite and Confident
  • Flexible and cooperative
  • Ability to work under pressure
  • Problem solver with the ability to process and interpret information
  • High levels of integrity and loyalty
  • Effectively able to understand the needs of the patient, staff and colleagues

  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).

  Additional information

  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

  Solihull Healthcare Partnership

  Address

  308 Blossomfield Road

  Solihull

  West Midlands

  B91 1TF

  
  

  Employer's website

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

  Employer details

  Employer name

  Solihull Healthcare Partnership

  Address

  308 Blossomfield Road

  Solihull

  West Midlands

  B91 1TF

  
  

  Employer's website

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

• About the company

  National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.

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