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Nicola Milne

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2022 - 2023 Clinical Champions Community: Leading Diabetes Care Innovation

PCN DiAST Lead, Brooklands and Northenden PCN

 

Introduction

I have worked specifically in diabetes care for over 20 years, initially for 16 years as a practice nurse with a special interest in diabetes and more recently as a primary care diabetes specialist nurse. I have a strong commitment to the value of primary care diabetes and represent primary care nurses both as a member of the Diabetes UK Council of Healthcare Professionals and as a Committee Member of the Primary Care Diabetes Society.   

My time as a Diabetes UK Clinical Champion began in 2019 and this has served to inform and support both my personal and professional development. My initial project was in developing a Community Diabetes service in Central Manchester, with a strong focus on providing diabetes education and support for all health care professionals. Having secured the ongoing funding of this service my next steps involve the implementation and dissemination of the PCN model of best practice diabetes care.  

On a personal note, I enjoy sports, travel and spending time with family and friends. I am a keen Manchester United supporter; although this is not easy these days and I’m unsure if the Clinical Champions programme can extend to support with this?!  

What gifts, strengths, or unique experiences do you intend to bring to your development work? 

In considering what gifts and strengths I would bring to my development work, I would suggest enthusiasm, commitment, a listening ear, and a desire to learn both from within and from my peers. I feel that these qualities have been demonstrated throughout my Clinical Champions journey and specifically in the continuation of the 'action set' learning beyond the programme with my amazing colleagues in our ‘Oop North' group. 

As someone with a wealth of primary care experience, I will be able to bring my learnings from within this environment and from the last four years in establishing and progressing a community diabetes service. I can bring both secondary and community care experience and in addition, experience as working for a clinical commissioning group and within integrated care service. 

My various local and national roles have given me extensive colleague contacts and networking opportunities within diabetes and allow for a contemporaneous knowledge on various projects and national workstreams that are taking place. All of these will be beneficial in terms of supporting my development work. 

And not least, I have gained a great insight of my own strengths, weaknesses and behavioural patterns from extended coaching facilitated by Diabetes UK and I hope to bring this learning and build upon in it during my progression as a Clinical Champion. 

What area of change are you currently passionate about in diabetes care? 

For me, my area focus is primary care diabetes. I have been part of an authorship team for a guidelines document looking at how to deliver best practice diabetes in the primary care networks and have recently started a new role as a DiAST Lead (Diabetes Support Lead) in a PCN in South Manchester and I am really looking forward to translating the evidence within the document into practice. Reducing variation in care and raising standards in terms of both the care of the person with diabetes and the education of all healthcare professionals involved in diabetes care has always been of great importance to me and hopefully reflected in my work in primary care diabetes over the last 20 years, much of which has been published.  

As a Queen’s Nurse another area of focus for me is in the promotion of education, career progression and leadership for nurses involved in diabetes, although mindful that this sits alongside the promotion of all the multidisciplinary health care professionals providing diabetes care. 

What most excites you about this journey? 

For me I am most looking forward to joining with my fellow Clinical Champions and learning both from and together with them. 

This is a wonderful opportunity to continue to grow and develop with the ultimate benefit of improving services and teamworking related to diabetes care. 

 

2019 - 2021 Clinical Champions

Community Diabetes Specialist Nurse

As one of our Clinical Champions, Nicola is striving to ensure that high quality education, mentorship and support remains a key priority in Manchester as well as across the country. Nicola is passionate about making sure that healthcare professionals are educated in diabetes care in order to help their patients prevent the development of Type 2 diabetes, as well as ensuring they have the skills to help prevent progression of their diabetes and complications.

Nicola believes that all primary care healthcare professionals are important in the delivery of effective and holistic diabetes care.

Background

Nicola qualified as a Registered General Nurse in 1988 and as a Midwife in 1991, moving into primary care in 2002, where she worked as a Practice Nurse for sixteen years until April 2018. As a practice nurse she developed a special interest in diabetes, with a key focus on ensuring effective, accessible care.

Nicola is now employed by Manchester University Foundation Trust as a Community Diabetes Specialist Nurse working within primary care to give support and education to all healthcare professionals in the delivery of diabetes care to adults living with Type 2 diabetes.

Valuing engagement and the sharing of good practice, Nicola has presented poster abstracts at multiple conferences. She is increasingly involved in educational activities supporting community nurses and has published articles on her work in chronic kidney disease and diabetes, as well as on projects in diabetes prevention, pregnancy and hypoglycaemia awareness. Nicola was Chair of the Diabetes UK Professional Conference Organising Committee for Liverpool 2019, and currently a Committee Member of the Primary Care Diabetes Society, a faculty member of At The 4FRONT Diabetes Nurse Leadership Academy and on the Editorial Board of The Journal of Diabetes and Primary Care and The Journal of Diabetes Nursing.

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