Job Purpose To work with the multi-disciplinary diabetes team to support implementation of person centred care for people with diabetes in Nottingham City. To deliver clinics and undertake home visits with the aim of gathering information and carrying out assessments that support specialist team members to conduct consultations based on recently acquired clinical information and test results. The post holder will receive regular supervision from an appropriate member of the team. To carry out foot checks and venepuncture as part of diabetes annual review (nine care processes To educate clients and their carers, under the guidance of a qualified member of staff in the safe and correct use of blood glucose testing equipment/continuous glucose monitoring sensor To work in a variety of settings that may include clients own homes and care homes. To ensure effective communication and exchange of information with clients/carers through direct contact, written communication and telephone contact. To liaise with multi-professional teams and other agencies to promote good outcomes for clients. To adapt the approach used to take account of clients/carers individual circumstances and to feedback to relevant clinician. These may involve complex, unpredictable and difficult situations e.g. challenging behaviours, family dynamics or mental health needs. To feedback any concerns relating to needs of patients/carers to the relevant clinical staff. To write and maintain accurate and comprehensive records in line with City Care Policy and procedures. To comply with health and safety requirements and to maintain and adhere to the organisations policies and procedures. To undertake administrative, clerical and housekeeping duties to promote good practice and organisation within the team. To ensure effective use of time and organisational skills to maintain a range of activities this may require flexibility at short notice. To maintain appropriate statistical returns in line with CityCare and Legal requirements. This will involve data entry and storage in paper and/or computer format. To actively contribute to the promotion and marketing of the service. Dimensions This post has no budgetary responsibility; however the post holder is responsible for demonstrating cost consciousness. You will be required to work across different bases and community settings which may include clients own home, residential or nursing homes. Work from a Systm0ne ledger planning clinic workload up to 3 months in advance with support from service coordinator. You will be required to complete all essential training in accordance with CityCare policy and procedures plus any other identified training. Key Responsibilities Clinical To undertake annual review assessments based on a defined Year of Care programme template: Independently in consultation with a senior member of the team. Alongside a clinician when necessary. To use communication skills sensitively to gather information on lifestyle choices To use effective communication skills and gain co-operation with treatment where there may be significant barriers to understanding or ability to co-operate with treatment. To discuss case management with other clinicians and provide advice and support to members of the team where appropriate. To communicate effectively with other clinicians and teams to enable smooth patient journey within the system. To establish and maintain effective channels of communication throughout the integrated team. To liaise with relevant secondary and primary care staff in order to ensure that the holistic needs of the service users are met. To be based within the community whilst maintaining close links and regular communication with the secondary care team. To plan and prioritise own workload. To assist with induction of new staff. To attend organised training sessions and complete all relevant competences within agreed time frames. To be involved in appraisal systems, clinical supervision, and be active in identifying aims and objectives for personal development in line with City care Policy. To keep an up to date CPD portfolio. To assist in the training and development of others (new members of staff, students and visitors to the service). To keep up to date in basic IT skills in line with the data collection records. To participate in appropriate in service training and individual learning with specific and measurable outcomes. To undertake any other duties that may be reasonably required by clinicians.