Endocrine Specialist Nurse, Band 7

• Manage a complex specialist caseload autonomously, prioritising workload according to clinical need.
• Establish and deliver nurse-led endocrinology clinics, both face-to-face and virtual.
• Act as the key worker for patients with complex endocrine conditions, providing continuity of care throughout the patient pathway.
• Provide specialist advice and support for endocrine inpatients and support safe discharge planning.
• Undertake endocrine dynamic function testing in accordance with national guidance and local protocols.
• Interpret investigation results and implement agreed management plans within scope of practice.
• Initiate, monitor and review specialist endocrine treatments, referring appropriately where medical review is required.
• Provide education relating to adrenal insufficiency, steroid replacement therapy, hypopituitarism, steroid sick day rules and emergency hydrocortisone administration.
• Administer and monitor specialist endocrine medications including injectable therapies.
• Promote self-management and personalised care planning to optimise patient outcomes and quality of life.

• Provide specialist assessment, treatment, monitoring and ongoing management of patients withendocrine disorders.
• Manage a complex specialist caseload autonomously, prioritising workload according to clinicalneed.
• Establish and deliver nurse-led endocrinology clinics, both face-to-face and virtual.
• Act as the key worker for patients with complex endocrine conditions, providing continuity of carethroughout the patient pathway.
• Provide specialist advice and support for endocrine inpatients and support safe discharge planning.
• Undertake endocrine dynamic function testing in accordance with national guidance and local protocols.
• Interpret investigation results and implement agreed management plans within scope of practice.
• Initiate, monitor and review specialist endocrine treatments, referring appropriately where medical review is required.
• Provide education relating to adrenal insufficiency, steroid replacement therapy, hypopituitarism, steroid sick day rules and emergency hydrocortisone administration.
• Administer and monitor specialist endocrine medications including injectable therapies.
• Promote self-management and personalised care planning to optimise patient outcomes and quality of life.

• Lead the establishment and development of the Endocrine Clinical Nurse Specialist Service across Gloucestershire Hospitals NHS Foundation Trust.
• Develop endocrine nursing pathways, clinical guidelines, protocols and patient information resources.
• Act as the Trust expert nursing resource for endocrinology.
• Support delivery of national endocrine standards, recommendations and quality indicators.
• Work collaboratively with primary care, community services and tertiary referral centres to ensure seamless patient pathways.

• Contribute to business planning and future service development within endocrinology.
• Participate in multidisciplinary team meetings and service improvement initiatives.
• Comply with Trust and Departmental policies and procedures e.g. Health and Safety at Work Act (1974), Manual Handling, clinical equipment competency, risk management, Data Protection Acts and patient confidentiality at all times. This will include demonstrating compliance with the terms of all safeguarding policies and processes relevant to the safeguarding of adults and children in the care of GHNHSFT and undergoing regular mandatory training concerned with safeguarding matters
• Report personal sickness to Matron
• Report near misses and untoward incidents, complaints, clinical emergencies, injury or medicine administration errors as detailed in the departmental and Trust protocols. Assist lead staff in investigating incidents as required
• Maintain and contribute to the development of standards of practice
• Ensure a smart, professional image that adheres to Trust policy

• Deliver specialist education and training programmes for nursing, medical and allied health professional staff.
• Develop educational resources for patients, carers and healthcare professionals.
• Provide mentorship and clinical supervision to staff and learners.

Essential

• NMC Registered Nurse with significant clinical experience
• Evidence of post graduate study or specialist Endocrine training
• Prescribing qualification or willingness to undertake
• Evidence of teaching and assessing qualification

Essential

• Experience of caring for patients within Diabetes/Endocrine services
• Experience of autonomous clinical decision making
• Prescribing qualification or willingness to undertake
• Experience of audit, Quality Improvement, service evaluation