Acute Hospitals NHS Trust by Vus6Owj


									                                    Vacancy Bulletin
                 Ayr Hospital / Crosshouse Hospital, Kilmarnock
                           Diabetes Specialist Nurse
                         Band 6: £25,472 - £34,189 PA
                                Post Ref: N/468/10
Joining the Diabetes team based at Ayr and Crosshouse Hospital, you will provide specialist
nursing care, advice, education, counselling and support to people with diabetes and to their
carers. An understanding of diabetes including the wide range of associated complications is
essential. You must be NMC registered with post registration experience evidencing care of
diabetic patients.

A degree, specialist qualification or equivalent experience is essential with evidence of
ongoing personal and professional development as is excellent communication and
presentation skills as you will be required to provide education and training to staff throughout
the organisation.

A car owner/driver is essential.

Hours: 37.5 per week.

Informal enquiries to Jane Cook, Lead Diabetes Nurse, Diabetes Centre, Ayr Hospital, Tel:
01292 617080/01563 827372.

For an application form please contact the Department of O&HRD, 63a Lister Street,
Crosshouse Hospital, KA2 0BE, Tel: 01563 825703 or email

Closing date: 3 December 2010

                        INFORMATION FOR CANDIDATES

POST OF:     Diabetes Specialist Nurse
BASE:        Ayr/Crosshouse Hospital
REF NO:      N/468/10

Thank you for applying for the above post with NHS Ayrshire & Arran. This information sheet
summarises the terms and conditions related to the post.


JOB DESCRIPTION:                A job description is attached.

CONTRACT:                       This post is permanent.

SALARY:                         BAND 6
                                £25,472 - £34,189 per annum (pro-rata where
                                Your salary will be paid into your bank account on the last
                                Thursday of each month.

HOURS OF WORK:                  37.5 per week
                                Existing NHS staff who at 1 December 2004 had a right to
                                protected whole time hours under Agenda for Change
                                agreement and who are moving within the same
                                discipline of staff have the right to retain their protected
                                whole time hours.

ANNUAL LEAVE                    Leave year is from April - March. Annual leave entitlement
                                for full time staff on appointment is 202.5 hours (27 days),
                                with 217.5 hours (29 days) upon completion of 5 years NHS
                                service and 247.50 hours (33 days) after 10 years NHS
                                service, based on 5 days a week at 7.50 hours daily.

                                Part time staff will be paid pro rata.

PUBLIC HOLIDAYS                 Entitlement is 60 hours based on the 8 designated Public
                                Holidays per annum, and on a 5 day week working 7.5
                                hours per day. The 60 hours entitlement is due to all whole
                                time staff irrespective of work pattern.
                         For part time staff, this will be applied on a pro-rata
                         basis and also allocated in hours.

CAR:                     A car owner/driver is essential.


CONDITIONS OF SERVICE:   The conditions of service are those laid down and amended
                         from time to time by the appropriate negotiating bodies e.g.
                         NHS Staff Council/NHS Pay Negotiating Council.

KSF                      The NHS Knowledge and Skills Framework is essentially a
                         development tool but will also contribute to decisions about
                         pay progression. It will promote equality for and diversity of
                         all staff, having the same opportunities for learning,
                         development and review. It will promote effectiveness at
                         work – with managers and staff being clear about what is
                         required within a post. It will support effective learning and
                         development of individuals – with all members of staff being
                         supported to learn throughout their careers.

SUPERANNUATION:          Employees are automatically opted into the NHS (Scotland)
                         Superannuation Scheme. Contributions are at the rate of
                         6.5%. Employees may opt out by completing Form SB34.

RETIREMENT:              The normal Retirement age for employees is 65 years.
                         Requests to work beyond this age under the provisions of
                         the Age Regulations 2006 will be considered in accordance
                         with the Retirement Policy.

DISABLED APPLICANTS:     A disability or health problem does not preclude full
                         consideration for the job and applications from people with
                         disabilities are welcome. All information will be treated as
                         confidential. NHS Ayrshire & Arran has been approved, by
                         the Employment Services Department, as an Equal
                         Opportunities employer with a positive policy towards
                         employment of disabled people. NHS Ayrshire & Arran
                         guarantees to interview all applicants with disabilities who
                         meet the minimum criteria for the post.

                         You will note on our application form we ask for relevant
                         information with regards to your disability. This is simply to
                         ensure that we can assist you, if you are called for
                         interview, to have every opportunity to present your
                         application in full. We may call you to discuss your needs
                         in more detail if you are selected for interview.
ASYLUM AND                    The Asylum and Immigration Act 1996 and 2004
IMMIGRATION ACT 1996          requires employment checks to ensure that all
AND 2004 (Section 8)          employees are legally employed in the United Kingdom.
                              Candidates will be asked to provide relevant original
                              documents prior to an offer of employment being made.
                              Any offer of employment will only be made when the
                              organisation is satisfied that the candidate is the rightful
                              holder of the documents and is legally eligible for
                              employment within the United Kingdom.

TRAVEL EXPENSES               Reasonable travel expenses incurred when
INCURRED WHEN                 attending for interview will be reimbursed. The
ATTENDING FOR                 travel expenses for the successful candidate will be
INTERVIEW:                    paid when they take up post and will be included in their
                              first monthly salary. Please note however reimbursement
                              of expenses shall not be made to individuals who refuse an
                              offer of employment on grounds which, in the opinion of
                              NHS Ayrshire & Arran, are inadequate.

RELOCATION EXPENSES:          Relocation expenses may be payable to the successful
                              candidate, in accordance with the Policy. This is available
                              on request from the Department of O&HR Development.
                              Candidates who require to relocate to take up post, should
                              discuss this with the interview panel.

MEDICAL EXAMINATION:          Any offer of employment is conditional upon a satisfactory
                              medical report from our Occupational Health Services. You
                              may be offered employment conditional on confirmation that
                              you are medically fit for employment. A commencement
                              date for employment will only be agreed following this

POLICY RELATING TO STAFF Candidates for posts which involve exposure prone
WITH BLOODBORNE VIRUS    procedures will not be allowed to commence
INFECTION:               employment until they have been assessed as fit to perform
                         EPPs by Occupational Health.           The pre-employment
                         screening must be completed prior to any job offer being
                         made. Where a candidate is not able to perform EPPs,
                         Occupational Health will notify the appropriate manager that
                         the candidate is ‘fit with restrictions’ and is unable to
                         perform EPPs. The health status of the individual will not
                         normally be notified to management. Where the restrictions
                         recommended by Occupational Health are unable to be
                         accommodated due to the clinical duties of any of the posts
                         within the staff groups specified in the policy, an offer of
                         employment to the post will not be made.
                           Candidates who are not offered employment due to being
                           deemed unfit to undertake EPPs as an essential
                           requirement for a post, may be offered the opportunity to
                           apply for another advertised vacant post and be considered
                           with other applicants.

                           The pre-employment screening for EPP posts above do not
                           apply to staff undertaking non-EPP posts who could have
                           direct contact with blood, bloodstained body fluids or
                           patients’ tissue in the course of their work activities. These
                           staff will be offered and strongly advised to be immunised
                           against Hepatitis B in line with the Immunisation Policy
                           including recall for boosters and further antibody checks.

DISCLOSURE SCOTLAND        All employees who apply for posts which are
CRIMINAL RECORD CHECK      exempt from the Rehabilitation of Offenders Act
(Police Act 1997 Part V)   1974 and who have access to patients in the course of their
                           employment will be required to consent to a Disclosure
                           Scotland Criminal Records Check. Any offer of
                           employment is conditional upon a satisfactory check being
                           received and a commencement date for employment will
                           only be agreed following this confirmation.

REFERENCES                 Two satisfactory written references must be obtained prior
                           to any offer of employment being made. These should
                           include current and previous employers as requested in the
                           job application form. This is in line with the Recruitment and
                           Selection Policy.

APPLICATIONS:         Please note that we no longer acknowledge receipt of
                      applications therefore, unless you are shortlisted to attend
                      for interview, you will not receive any further

INFORMAL ENQUIRIES:   Informal enquiries are welcomed by Jane Cook, Lead
                      Diabetes Nurse, who can be contacted on 01292
                      617080/01563 827372.

CLOSING DATE:         Your completed application form should be submitted to

                      Department of O&HR Development
                      63A Lister Street
                      Crosshouse Site
                      KA2 0BE

                      By Friday 3 December 2010


Situated in attractive south-west Scotland on the Firth of Clyde coastline is the glorious
countryside of Ayrshire which you’ll soon discover is a very special corner of Scotland.
Ayrshire roads are quiet, the countryside peaceful but even so its easy to get here by road,
rail, or air.

Local attractions include country parks, museums - there’s Robert Burns and 1000’s of years
of history and heritage to enjoy, sports - sailing, watersports, swimming, riding, golf to mention
but a few.

Starting in the North at the family resort of Largs the coastal route runs south through the
seaports of Ardrossan and Saltcoats to Irvine - Scotland’s only New Town by the sea. From
Irvine you can take in the breathtaking beauty of the Ayrshire countryside - visit Kilmarnock
with its famous Dean Castle and Country Park then inland through the lace making towns of
Galston, Newmilns and Darvel. Further south and you are in Doon Valley - the heart of
Ayrshire’s industrial heritage. Back on the coastal route south of Irvine is Troon, another
popular resort and the start of Ayrshire’s famous Golf Coast. On this stretch of Ayrshire
Coast Ayr is the premier resort and is also the ideal base for exploring the Burns Heritage
Trail and visiting Burn’s birthplace in Alloway.

From Ayr the coastal route to Girvan includes the picturesque harbour village of Dunure and
the National Trust’s major attraction - Culzean Castle. Inland is the ancient capital of Carrick -
Maybole with its castle and tollbooth. Here in South Ayrshire the nearby Carrick forests and
hills offer superb walking country. The popular seaside town of Girvan would be your last port
of call or you could continue southwards to Ballantrae along a spectacular rugged coastline
notorious in the past as a haven for smugglers.

From North to South the countryside is very varied with something to suit everyone - we like
living and working here - and think you will too!


Most locations within Ayrshire are also within easy access of Glasgow by rail or road with all
the benefits and attractions found in a major city. These include the Theatre Royal, Concert
Hall, Burrell Collection, Citizen’s Theatre, Home of the Scottish Opera, RSNO, Scottish Ballet,
Glasgow’s famous street market - at the ‘Barra’s’ etc.


We aim to provide a no smoking environment for staff, patients and visitors with smoking only
permitted in designated smoking areas. Smoking Cessation Promoters are appointed in key
locations and actively encourage staff, patients and visitors through the provision of
information and access to support to give up smoking.

NHS Ayrshire & Arran operates an Alcohol and Drug Policy to protect the safety of all
patients, visitors and staff with the aim of promoting well being and reducing harm.



The Board has set up a staff lottery and the cost of a chance in each monthly draw is
deducted directly from your wage/salary if you decide to enter the scheme. Half the proceeds
of the lottery are paid out as prizes and the remaining half is used to provide amenities,
facilities and services for both patients and staff.

During the year bumper prizes can be won and in the past these have included large cash
prizes, luxury holidays and cars.


Medicash is a “not for profit” health insurance company which is owned by its members.
Benefits to members requiring NHS care include grants when admitted to hospital, nursing
home or day care and dental and optical grants.

To enable staff to benefit from membership of MEDICASH the Division provides facilities for
membership contributions to be deducted direct from pay. Details can be obtained from your


Information on Discounts given to staff by several local businesses will be available on taking
up employment.
                                         JOB DESCRIPTION


Job Title:   Diabetes Specialist Nurse

Responsible to Lead Diabetes Nurse

Department(s): Diabetes Centre Ayr Hospital

Directorate: Medical Directorate

Operating Division: General Division

Job Reference: N/468/10

No of Job Holders: 1

Last Update (insert date):


To provide specialist-nursing care, education, counselling, support to patients and their carers
with a wide range of diabetes problems. The post holder will facilitate high quality patient care
within the caseload, identifying and monitoring high risk patients to detect clinical deterioration.
The postholder will work closely with colleagues across NHS Ayrshire and Arran and all local
authorities to ensure seamless care for the patient is provided and ensure evidence based
practice is carried out in line with regional and national diabetes strategies.
                                                        3 DIMENSIONS

     The post-holder will be one of a team of Clinical nurse specialists providing specialist
    nursing care to patients with a wide range of diabetes problems. Serving the population of
    NHS Ayrshire and Arran. A population of 337,000 with 61 GP practices in this area.

    The diabetes population in Ayrshire and Arran is approximately 11580 with 5000 Diabetic
    patients registered at the Diabetes Centre (Ayr Hospital). Care is managed for both in-patient
    and out-patients within the multi-professional Diabetes team based within Ayr Hospital

    The post holder has access to departmental education and supply budgets.

   Type 1, 2294
   Type 2. 8575
   Unknown type 584


    Lead Clinician
    Managed Clinical                                          Senior Nurse
    Network                                                      Manager

                                                                                                 Consultant Diabetologists 2
                                                     Lead Diabetes Nurse

          Colleague                 Colleague                    This Job                  Colleague            Colleague

    Allied Health
    Professionals                                 Diabetes Specialist Nurse                    Clinical Co-ordinators
                      Report No 1               Report No 2                  Report No 3       Ward Managers /Midwifes
                                                                                                      Report No 4

                                                     Ward / Clinic Nurses

The Diabetes service provides a multidisciplinary team with extended knowledge and skills in
Diabetes management to provide a comprehensive and integrated service both to in-patients and

The Diabetes Day Centre is the focal point for all education activities for Diabetes patients and
Families and also acts as a resource centre for other health care professionals.

Communication with all other areas both professional and voluntary are co-ordinated from the
Medical, Nursing and Paramedical education in Diabetes is planned and provided within the
department in in conjunction with Paisley and Warwick universities.

The department can have a lead role in academic and clinical research.


   The post holder will ensure the most efficient and effective use of their skills to provide patients,
   families and carers with appropriate education, support and advice on Diabetes, its risk factors,
   and its impact, which empowers patients to be actively involved in managing and monitoring their
   and psychological health.

   To autonomously lead and co-ordinate the management of nurse led clinics for diabetes
   including ordering and carrying out of investigations as necessary, to facilitate early detection of
   deterioration and prevent re-admission for hospital care.
   To co-ordinate appropriate and effective communication between the diabetes service, patients,
   carers, general practitioners, hospital consultants, nursing staff, social services, and all other
   health professionals involved with the patients care to ensure integrated seamless care across
   community and Hospital care.

   To ensure medication regimes are developed, monitored, titrated and adhered to in partnership
   with registered prescribers, improving symptom control for patients with diabetes.
To effectively manage complex scenarios related to Diabetes disease management using flexible
and creative approaches.
To provide specialised education packages, for Diabetes its Complications, for interagency
services within Ayrshire and Arran, and all staff involved in the care of the client group, to ensure
the improvement of clinical care outcomes for all diabetes patients. e.g. Paisley University
Warwick and Bradford Courses.
Continuing to support the ongoing development and implementation of Diabetes management
protocols and nursing guidelines, which will lead to improved and comprehensive services for
patients with diabetes in line with regional and national diabetes strategies.
To participate in monitoring, evaluation, audit and research activities related to the service,
facilitating improvements within the Diabetes database, to ensure the quality of service provision.
To facilitate improvements in services for individuals with Diabetes in partnership with the
Community health division, local authorities and voluntary organisations.
To participate in working groups as requested (i.e. SCI-DC, Blood Glucose Monitoring Group.
MCN to improve services within the catchment area.)
To assist in the implementation and evaluation of national and local guidelines in relation to
diabetes to ensure the delivery of high quality evidenced based patient care.
To identify and meet training and development needs through personal development planning
and objective setting process.

To comply with all statutory policies and procedures of NHS Ayrshire and Arran.

The post holder will be required to deal with complaints, trying to resolve these amicably
This involves meeting the complainant and seeking to address their concerns while supporting
the staff involved.
                         7a. EQUIPMENT AND MACHINERY
   Blood Glucose Monitors
   Insulin pen devices
   Subcutaneous insulin infusion pumps
   Blood pressure monitors
   Resuscitation Equipment


Post holder will have the appropriate knowledge and skills to generate, access and input to a
wide range of relevant computer systems needing to be used in the normal course of their daily

Access to and knowledge of relevant and updated computer educational programmes for
patient use.
                         8. ASSIGNMENT AND REVIEW OF WORK

   The Post holder will receive direct referrals for assessment and management from
   Consultants,             i.e. Diabetologists, Physicians, Surgeons, General Practitioners and
   District Nurses, Social Workers,
   Practice Nurses, Other allied health professionals.
   Patients can self refer.

   The Post holder works autonomously within a designated caseload and is required to make
   Complex clinical decisions regarding patient management without direct supervision.

   The department meets monthly with all staff to discuss patient management, service
   Development’s and provide professional advice.

   The Post holder, in conjunction with the Lead Diabetes Nurse, will have objectives set and a
   personal development plan in line with the General Hospital Division model of
   Performance Appraisal and Objective setting.


The Post holder has the autonomy and independence to assess, develop and implement
programmes of evidence based care to meet the needs of acute and complex patients.

The post holder is expected to make informed clinical decisions on diagnosis and planning
Patient Care both with in-patient and out-patients, without direct supervision.

The ability to quickly assess and respond to patients needs in emergency situations.

Through expert specialist knowledge and experience the post holder has the skill to anticipate
and resolve potential problems without supervision by developing specialist programmes of care
 when required.

Having specialist knowledge will be able to give specialist advice on treatment regimes
to Medical and Nursing colleagues.
To convey complex concepts in a language that is easily understood, and to negotiate long
term behaviour change, at a time of great anxiety and distress for the individual and their

Time management, being responsible for the management and co-ordination of a caseload,
while balancing competing demands, and ensuring early detection of deterioration in the
condition of an individual.

Using enhanced decision-making skills to promote nurse led care.

To provide educational support to a wide rage of individuals with varying degrees of
intellect while promoting a high standard of care and self-management.

 Assist patients to come to terms with their diagnosis of diabetes when insulin is the
 only treatment option but this may cause a loss of employment and financial difficulties, this
can lead to resentment of treatment thus causing potential compliance problems

The ability to recognise and deal with bullying, violence, aggression and abusive behaviour in
the workplace.


The Post holder will be required to communicate in a wide range of ways to ensure seamless
care for patient and to improve on the knowledge and skills of individuals who care for patients
with Diabetes.

Informing the patients, carers and relatives about their condition and how to deal with
treatment plans, especially for people who have special needs e.g. visual and auditory
impairment, learning difficulties and language barriers.

The post-holder will be expected to communicate effectively, verbally and in writing with the
multi-disciplinary team, colleagues, patients, relatives, carers and senior staff in General
Hospitals and Community Health Care Divisions. These include liasing with:
  Diabetes Team
  Case conferences
  Nurse management
  Management/nursing staff
  Social Services
  Local Authority
  Patient Associations
  Voluntary Sector
  Other CNS local, regional and national
  NHS Ayrshire and Arran strategic groups
  Professional bodies locally, regional and national

Ability to liaise effectively with external agencies i.e. universities, schools, places of work and
voluntary organisations particularly Diabetes UK.

Ability to adhere to the divisions policy on confidentiality including the requirements of the Data
Protection Act and Caldicott Guidelines.

Demonstrate sensitivity, support and reassurance when communicating with patients, relatives
and staff particularly in relation to breaking bad news and dealing with emotionally challenging

The ability to handle sensitive information in a manner not liable to offend or antagonise.



Manual dexterity needed to cope with keyboard skills
Physical ability needed to be able to drive, to meetings, home visits.
Manual dexterity to cope with teaching and demonstrating, subcutaneous and intra-muscular
injections, finger prick blood testing and to perform venepuncture
Manual handling skills for elderly or unwell patients
Maintaining accurate documentation to ensure effective communication of clinical information
The ability to deal with violent/aggressive behaviour


Frequent need for intense concentration and organisation of workload, patient assessment and
meeting the needs of others using the service.
The Postholder will be required to use own initiative and be able to make decisions without
Provision of formal and informal education programmes.
Daily provision of information and specialist advice to patients, relatives and staff.
Time management skills to ensure all aspects of the job are given appropriate time.
Maintaining accurate documentation to ensure effective communication of clinical information.

The Postholder is required to deal with distressed and anxious patients and carers in a
professional and sensitive manner on a daily basis and provide individual counselling.

There is a requirement to deal with complex family dynamics and a high level of public

The Postholder may require to support staff and to deal with difficult and demanding situations.

The Postholder may be involved in palliative care management and bereavement counselling on
a regular basis.

The Postholder will be required to deal with complaints involving meeting the complainant and
seeking to address their concerns.


Exposure to blood during venepuncture and blood glucose monitor testing/tuition.

Verbal and physical aggression from patients and relatives.


 Essential Criteria:-
 NMC Registered Nurse with relevant post registration experience
 Experience in working with patient’s with Diabetes
 Educated to degree level or Specialist qualification or equivalent experience
 Current driving licence
 Excellent presentation skills
 Excellent communication and interpersonal skills.
 Ability to handle stress
 Evidence of professional / personal development
                                                           NHS Ayrshire and Arran
                                                            Person Specification
Post Title: Diabetes Specialist Nurse
Post Reference Number: N/468/10

   Selection Factors                                                                      Criteria
 (Person Specification)

 QUALIFICATIONS &         Essential   Registered General Nurse, NMC Registered, Nursing Degree (can be currently working towards or due to
 TRAINING                             start) or Specialist Qualification evidence of personal and professional devlepment

                          Desirable   Diabetes Module/Qualification, training on structured education (DAFNE, DESMOND, BRUCIE)

 EXPERIENCE               Essential   Caring for people with diabetes, adequate post registration clinical experience.

                          Desirable   Caring for people with people in complex situations i.e. acute emergencies or insulin initiation, knowledge of
                                      structured education programmes

 KNOWLEDGE                Essential   Diabetes knowledge, knowledge of diabetes devices and medications, knowledge of national guidelines for
                                      diabetes, knowledge of the local diabetes service

                          Desirable   Nurse prescribing, knowledge on insulin pump therapy, knowledge on research and audit methods

 COMPETENCIES &           Essential   Excellent communication, skills excellent presentation skills, ability to work under pressure, time
 SKILLS                               management skills, well developed decision making skills

                          Desirable   Counselling skills, group facilitation, IT skills

 PERSONAL                 Essential   Team worker, innovative, confident
                          Desirable   An ability to work autonomously

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