# Advanced Clinical Practitioner - Diabetes Service > NHS job listing from Job Clerk for Chelsea and Westminster Hospital NHS Foundation Trust. ## Canonical URLs - **HTML:** https://www.jobclerk.com/job/advanced-clinical-practitioner-diabetes-service/b47bfda9-ff67-4c11-b710-8bb78fbf344c - **Markdown:** https://www.jobclerk.com/job/advanced-clinical-practitioner-diabetes-service/b47bfda9-ff67-4c11-b710-8bb78fbf344c.md ## Summary - **Status:** Live - **Employer:** Chelsea and Westminster Hospital NHS Foundation Trust - **Town:** London - **Region:** London - **Country:** England - **Profession:** Nurse practitioner - **Grade:** Band 8 - **Salary:** £57,528 - £64,750 per annum plus HCAS - **Contract type:** Permanent - **Employment type:** Full time - 37.5 hours per week (Cross Site) - **Closing date:** 2026-06-09T23:59:00.000Z - **Posted:** 2026-05-29T13:01:42.186Z - **Source information URL:** https://www.healthjobsuk.com/job/UK/London/London/Chelsea_Westminster_Hospital_NHS_Foundation_Trust/Diabetes/Diabetes-v8023896 - **Application URL:** https://apps.trac.jobs/job-advert/8023896?ShowJobAdvert=&feedid=9002 - **Employer website:** https://www.chelwest.nhs.uk ## Job Content ### Job overview - To be the expert ACP for the diabetes service providing operational day to day leadership for the diabetes service across the organisation. - To be responsible for the teaching, development and assessment of all staff working in the service - To provide line management to the diabetes and endocrinology specialist nursing team. - To be a visible leader for the service working collaboratively with the MDT to support and maintain all aspects of service delivery and development. - To ensure the principles of evidence based practice and adherence to current best practice guidelines is adopted across the service. - To drive the research and audit programme for the diabetes service. - To be aware and up to date of changes to local and national rheumatology services and pathways to ensure the Trust is equipped and ready to support the healthcare system in implementing these changes at Trust level. - To provide education, development and training opportunities for the MDT working within diabetes services on both sites. - To develop a workforce strategy for diabetes services. - The ACP will undertake the role in accordance with Trust and Departmental guidelines but have freedom to act within broad policies and protocols, in accordance with professional responsibilities and boundaries. ### Main duties of the job - Uses highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the specialty with complex undifferentiated or undefined presentations. - Undertakes physical examination as indicated by the patient’s condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required, while working within their area of expertise and the Diabetes MDT. - Performs clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, including (but not limited to) catheterisation, cannulation, peripheral arterial blood gas sampling. - Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations and as local policy allows. ### Detailed job description and main responsibilities - Continuously revaluates findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly with the support of the Diabetes MDT when required. - Prioritises health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation, for example in severe hypoglycaemia. - Manages clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patient’s dependency and clinical need. - Provides clinical cover to the specialty wards according to patient and staffing needs. - Prescribes and reviews medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the role’s scope of practice and legal framework. ## Job Details To be the expert ACP for the diabetes service providing operational day to day leadership for the diabetes service across the organisation. To be responsible for the teaching, development and assessment of all staff working in the service To provide line management to the diabetes and endocrinology specialist nursing team. To be a visible leader for the service working collaboratively with the MDT to support and maintain all aspects of service delivery and development. To ensure the principles of evidence based practice and adherence to current best practice guidelines is adopted across the service. To drive the research and audit programme for the diabetes service. To be aware and up to date of changes to local and national rheumatology services and pathways to ensure the Trust is equipped and ready to support the healthcare system in implementing these changes at Trust level. To provide education, development and training opportunities for the MDT working within diabetes services on both sites. To develop a workforce strategy for diabetes services. The ACP will undertake the role in accordance with Trust and Departmental guidelines but have freedom to act within broad policies and protocols, in accordance with professional responsibilities and boundaries. ## Job Description Uses highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the specialty with complex undifferentiated or undefined presentations. Undertakes physical examination as indicated by the patient’s condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required, while working within their area of expertise and the Diabetes MDT. Performs clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, including (but not limited to) catheterisation, cannulation, peripheral arterial blood gas sampling. Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations and as local policy allows. ## Responsibilities Continuously revaluates findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly with the support of the Diabetes MDT when required. Prioritises health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation, for example in severe hypoglycaemia. Manages clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patient’s dependency and clinical need. Provides clinical cover to the specialty wards according to patient and staffing needs. Prescribes and reviews medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the role’s scope of practice and legal framework. ## Person Specification ### Experience **Essential** - Significant post registration experience in relevant clinical area - Leadership and participation of teaching/in-service programmes - Experience of audit in evaluating and developing a service - Operational management skills **Desirable** - Evidence of managing and supervising other professions - Previous lecturing on external courses - Change management experience ### Personal qualities **Essential** - Innovative in approach and outlook - To be able to motivate a team and work well within a team setting - Excellent communication and interpersonal skills, both written and verbal - Able to conduct professional affairs in a confident and assertive manner - Ability to motivate self and others - Ability to build close working relationships with all members of the MDT ### Skills and knowledge **Essential** - Ability to work as an autonomous practitioner where no support or advice may be available - Evidence of verbal and written communication and presentation skills - Demonstrates excellent analytical and organisational ability to be able to deal with a varied clinical and managerial workload - Excellent customer relation skills including complaint management - Ability to work in stressful and unpredictable environments - Advanced computer skills including use of Microsoft Access and Excel databases - Good teaching, supervisory and appraisal skills - Pump and Dafne Accredited **Desirable** - To have experience of setting up a new service - Experience of implementing evidence based practice - To have had experience in leading clinical audit, research or policy/guideline development - Experience of contribution to business planning ### Education and qualifications **Essential** - NMC Registered Nurse - BSc Nursing - Evidence of ongoing relevant higher level postgraduate education - Qualification relating to speciality **Desirable** - Membership of a specialist interest group relevant to clinical area - Masters level education ## Documents - [recruitment pack (pdf, 2.8mb)](https://www.healthjobsuk.com/documents?edoc=1313) - [8a acp diabetes (pdf, 960.2kb)](https://www.healthjobsuk.com/documents?vdoc=10310595) - [policy statement (pdf, 144.5kb)](https://www.healthjobsuk.com/documents?edoc=891) - [guidance for applicants (pdf, 85.4kb)](https://www.healthjobsuk.com/documents?edoc=890) - [functional requirements (pdf, 528.6kb)](https://www.healthjobsuk.com/documents?vdoc=10310594) - [staff benefits and wellbeing (pdf, 177.9kb)](https://www.healthjobsuk.com/documents?edoc=1256) ## Agent Notes - This Markdown page is generated from the same Job Clerk job record as the HTML job detail page. - Use the canonical HTML URL for user-facing references. - Use the application URL when the user wants to apply on the source NHS site.