2022 - 2023 Clinical Champions Community: Leading Diabetes Care Innovation
Diabetes Clinical Lead, Wiltshire Health & Care
My name is Gaynor, and I am a Diabetes Specialist Nurse and clinical lead for diabetes in Wiltshire. I suspect I'm like most of us in that I spend a lot of time immersed in all things diabetes but when I'm not at work you can usually find me in the greenhouse, eating & drinking with friends or whizzing along the country lanes in my little red soft top (with plants and compost on the back seat)!
I've worked in diabetes for 2 decades and I moved into my current post 5 months ago having worked in integrated diabetes care in Bath. The fantastic team I now work with consists of DSN's, Dietitians and administrators. They have not had a clinical lead for a long time so there is plenty of work to be done to integrate the team themselves (Wiltshire is a very big place) and to integrate the service with the new ICS structure.
What gifts, strengths, or unique experiences do you intend to bring to your development work?
As clichéd as it may sound, I have a lot of drive and energy and I've been told by others that this can help enthuse and motivate. I'm generous with my time and I have coaching skills so I'm a good active listener.
Having worked in diabetes a long time, I've built up a large network of contacts from across the country and across disciplines. I have 7 years of integrated care experience which included both successes and failures and these experiences would be useful to staff setting out on an integrated pathway.
I'm good at looking at the opposing view.
I laugh a lot.
What area of change are you currently passionate about in diabetes care?
Upskilling primary care to ensure better outcomes for people living with type 2 diabetes and in doing so, allowing capacity for specialist services to develop and transform care for type 1 diabetes and complex care.
What most excites you about this journey?
Setting out a clear vision of what I see is needed and achievable and taking the teams with me on this vision.
2018 - 2020 Clinical Champions
Diabetes Nurse Facilitator for Bath & North East Somerset Integrated Diabetes Service
As one of our Clinical Champions, Gaynor plans to build on the current training programme to facilitate a programme of health coaching for nurses, GPs and pharmacists in Bath & NE Somerset.
Gaynor is a registered nurse with 17 years diabetes nursing experience. She has worked as a Renal DSN and as a Specialist Nurse Practitioner in diabetes and has a Masters degree in diabetes from Warwick University.
Gaynor currently works as a Diabetes Nurse Facilitator for the Bath & North East Somerset (B&NES) Integrated Diabetes team.
Since 2015 she has been using her experience of primary and secondary care to identify areas for improvement in diabetes care delivery. As part of a three-person team, Gaynor has supported introduction of virtual clinics, multi-disciplinary team meetings and a core training programme.
Much of Gaynor’s role is in helping nurses to become ‘the best they can’. Through her passion and belief in training and equipping nurses with the skills they need to deliver good care, Gaynor has implemented a training programme to enable nurses to work towards the TRENDUK competency Framework.
Working alongside primary care, Gaynor has noticed more can be done to support her colleagues with their communication skills needed for managing a condition which can be demanding and complex. Observing staff frustration at ‘not knowing what to say’ or how to encourage behaviour change has led to a review of training needs and how to help staff match their clinical competence with communication competence.