Paediatric Diabetes Specialist Nurse

We employ over 9,500 staff, many of whom are internationally renowned and have won awards for their work.

Job overview

An exciting opportunity has arisen for a Paediatric nurse to join the Childrens Diabetes Service. The focus of this role will be to work closely with our multidisciplinary team (MDT) to support a patient’s journey from Diagnosis to the adult diabetes service across ELHT.

The post holder will jointly manage a caseload of patient’s from the ages 0-19 years old whilst working alongside a highly skilled team of PDSN's Paediatric Consultants, Specialist Paediatric Doctors, Adult Diabetes Specialist Nurses and Specialist Dietitians.

Our diabetes team is an early adopter of technology and uses examples of all current diabetes technology available to co-ordinate patient care, whether this is flash glucose monitors, insulin pumps and CGM.

The ELHT integrated diabetes service provides complex care to patients with diabetes across ELHT, both within the acute and outpatient setting.

ELHT offer an excellent induction package and as well as clinical care delivery, you will have the opportunity to develop your skills in service development e.g. undertaking clinical audits.

Main duties of the job

In line with National Service Framework (NSF) and the Nationals Institute for Health and Care Excellence (NICE) guidelines you will be expected to provide assessment of patients’ needs and advise on appropriate diabetes management. Additionally you will be expected to support patients and families through all stages of their diabetes care.

The care of patients between 16 and 19 years of age is jointly provided by the paediatric and adult team and you will be expected to work alongside both the adult and the paediatric team for these patients to provide a seamless transition of care in to the Young adult service at 19 years of age at which point paediatric input will cease.

Your role will involve empowering patients with the skills and knowledge necessary to attain independence in self-management.

You will be responsible for maintaining and updating your own knowledge and skills, together with providing evidence in support of this.

The job description and person specification will give a clearer understanding of the role.

Working for our organisation

East Lancashire Hospitals NHS Trust (ELHT) Integrated Diabetes Service consists of a multi- professional team who provide much-valued hospital and community diabetes services to residents in East Lancashire This role will be based within the acute setting.

The Trust has built a good reputation as a place to enjoy job satisfaction and develop professional skills and experience. By joining us now you can play a role in organization that continues to put patients and clients at the heart of everything that we do.

• The successful candidate will be well support in their learning needs to become an experienced PDSN.

• To become a member of the multidisciplinary team and aid in the development of the Paediatric Diabetes Nursing Service in order to facilitate the early discharge and prevent avoidable re-admission to hospital for children with diabetes, through the provision of specialist support.
• Facilitate the seamless transition from hospital to home through multi-professional/multi-agency working, across in-patient and primary health care services and other community settings, e.g. schools, nurseries and recreational organizations.
• Enable children and young people with diabetes to reach their optimum level of health, independence, social and psychological/emotional well-being, through provision of continuous clinical, social and psychological/emotional support for the patient, their families and carers.
• Carry overall continuing responsibility for the management of patient case-loads, promoting and maintaining high standards of nursing care.
• Co-ordinate and delegate team work.
• Provide clinical advice and support, education and training to healthcare professionals and others.
• Support the Education Lead in planning, preparing and delivering Diabetes Education to various client groups in a variety of settings, both community and hospital.
• Build strong links with schools and support teaching staff managing the specific health needs of children/young people with Diabetes
• Support families both at home and in the community, in complying with their child’s diabetes regime.
• Provide targeted support for children and young people with a high Hba1c.,
• Liaise with other agencies.eg Surestart, Social Care etc. in providing the above support.
• Overall continuing responsibility for the clinical assessment and autonomous decision-making with regard to individual care needs, within hospital and community settings.
• Co-ordinate and delegate, as appropriate, nursing activities to other members of the Children’s Diabetes Nursing team.
• Monitor the management and delivery of care to children and their families by members of the paediatric Diabetes Nursing Team.
• Act in partnership with the child and family to continuously assess a child’s health, emotional and social needs. Plan, implement and evaluate care in accordance with the Directorate’s Philosophy of Care.
• Manage and resolve differences between families, healthcare professionals and other carers regarding any issues, acting as the child’s advocate at all times.
• Provide specialist support and education for children, families and other carers, at diagnosis and thereafter, to enable them to become confident in their abilities to meet the child’s health needs at home and in other community settings, e.g. in school, during recreational activities such as brownies, guides etc. and respite care.
• Provide a specialised service for continuous insulin pump patients and their families within ELHT and those referred from outside the Trust. (Training can be arranged for post holder if necessary).
• Provide a specialised service for continuous glucose monitoring (CGM) for patients and their families within ELHT (training can be arranged for the post holder if necessary).
• Input into local support groups and their activities as required, to include some evenings.
• Provide specialist nursing and emotional support for children, families and other carers during distressing times of a child’ life e.g. at diagnosis or when their condition deteriorates for whatever reason.
• Provide ongoing information, advice and counselling for children, young people and their families concerning long-term health out-comes, including complications and lifestyle issues, such as job choices, driving and risk taking behavior, working with Clinical Psychology staff when indicated.
• Act as an expert resource for children, families and other carers, such as teachers, recreational activity leaders and respite carers. Visit homes, schools and other public venues as required.
• Provide complex technical and theoretical information in appropriate manner to facilitate the understanding of individual children and their families and other carers, to enable that understanding to be put into practice.
• Motivate and empower children and their families and other carers to manage this condition.
• Refer to/work with other specialist services/agencies as indicated or as necessary e.g. Social Services, Interpreter. Attend inter-agency meetings and review meetings when required.
• Order relevant laboratory investigations and diagnostic procedures, interpreting the results, and communicating with other health professionals as indicated.
• Oversee the organisation and running of diabetes clinics. Contribute to diabetes clinics and be prepared to run nurse led clinics when required.
• Facilitate and support the provision of transition services for young people between paediatric and adult service providers.
• Act as a prime clinical resource and support person for other members of the diabetes team, and other professionals in the paediatric in-patient hospital team and primary care team members.

Person specification

Qualifications

• Registered as First Level Nurse (part 8 or 15)UKCC

• Diabetes Nursing Qualification.
• Community Nursing Qualification.
• Educated to Degree Level or equivalent qualification.

Experience

• Experience of working with and managing children with diabetes
• Significant post registration experience.

• Experience of working in a diabetes related environment.
• Experience of working in the community

Knowledge and Skills

• Awareness of the Paediatric Best Practice Tariff and its implications for care provision.

• Good knowledge of clinical information systems.
• Willingness to undertake insulin pump and CGM training.

• Please note that the salary advertised is for full time hours. If this post is less than 37.5 hours per week, the salary will be pro-rata. For posts on Agenda for Change pay-scales, new entrants to the NHS will normally commence on the first pay point of the relevant band.
• This vacancy may close before the closing date if the recruiting manager deems sufficient applications have been received. Therefore it is advised to complete your application as early as possible to avoid disappointment.
• Please ensure you check the email account from which you apply regularly as we will use this to contact you regarding your application.
• Please note that shortlisting is completed anonymously with candidates being assessed against the essential criteria for the post. Therefore only applicants, who can clearly demonstrate how they meet our person specification criteria in their application, will be short-listed.

Disclosure and Barring Scheme (DBS)

If the role you are applying for is identified as either controlled or regulated activity as defined in in the Safeguarding vulnerable Groups Act (2006) any offer of employment is provisional upon a satisfactory DBS check being obtained.

The healthcare sector is exempted from the Rehabilitation of Offenders Act 1974.

However, if you are applying for a post as a BANK worker, the payment must be made in full at the time of employment checks. By applying for this vacancy you are agreeing to this undertaking in the event you are successfully appointed.

The cost of an Enhanced Disclosure will be £55.38 and for a Standard Disclosure will be £27.38.

This cost is not applicable for a Volunteer post

The Trust is an equal opportunities employer, committed to improving the working lives of our staff and operates a 'Zero Tolerance' policy to aggression, violence, bullying and harassment. In addition, our aim is to help protect children and vulnerable adults by providing a first-class service to the recruitment of people into positions of trust.

We aim to employ a workforce that reflects the diverse communities we serve.

We welcome applications from everyone irrespective of ethnic origin, gender, age, gender identity, sexual orientation, religion, marital status, disability or social background.

We especially welcome applications from members of our black, Asian and minority ethnic (BAME) communities, as we have identified that ELHT has an under-representation of BAME employees. Appointments will be made on merit.

Applicants who have a disability and meet the essential criteria for the job will be interviewed if you indicate you wish to be considered under the Guaranteed Interview Scheme.

If you require a reasonable adjustment at any stage of the recruitment process please make the recruitment services team aware as soon as possible. By telephone 01254 732075 or email [email protected] or write to Employment Services, Parkview Offices, Haslingden Road, Blackburn, BB2 3HH