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Job overview
We are seeking an experienced and motivated Diabetes (including Endocrinology service) Specialist Nurse to deliver expert, evidence-based care across our Integrated Diabetes services (Inpatient service) . You will provide leadership, manage a caseload of complex patients, and work collaboratively with multidisciplinary teams to ensure integrated care pathways are implemented effectively.
We have two vacancies: one full time (37.5 hours) and part time (15 hours)
To work independently whilst supporting the team in the management of clinical caseload within your specialist field. Continuing responsibility for assessment of health needs and development and evaluation of standards of care
Main duties of the job
Main duties of the job
Clinical Care & Support
- Provide expert assessment, advice, and treatment for people with diabetes and endocrine conditions across hospital, community, and outpatient settings.
- Manage your own patient caseload, delivering individualized care plans that promote optimal health outcomes.
- Offer ongoing education and support to patients and families to enhance self-management and quality of life.
Education & Training
- Teach and train patients, carers, and healthcare staff, fostering confidence in managing complex conditions.
- Develop educational resources and programs tailored to different learning needs and clinical settings.
Collaboration & Integrated Care
- Work closely with multidisciplinary teams—including doctors, dietitians, and pharmacists—to ensure coordinated, holistic care.
- Act as a key point of contact for complex cases, ensuring effective communication and continuity of care.
Service Development & Quality Improvement
- Contribute to service development initiatives to enhance care delivery and patient experience.
- Conduct audits, collect data, and apply research findings to improve standards and clinical outcomes.
Leadership & Professional Development
- Support team growth by sharing expertise, mentoring colleagues, and promoting best practices.
- Take an active role in clinical governance, policy development, and innovation in care pathways.
Detailed job description and main responsibilities
All the following are to be carried out while working in close collaboration with members of the multi-disciplinary team led by a Consultant. To demonstrate clinical expertise within the speciality and work autonomously, managing own allocated clinics independently and seeking guidance/support when necessary.
- To co-ordinate the specialty care within the Trust/CCG, including outreach clinics within the region.
- To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.
- Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings.
- Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.
- To demonstrate the ability to develop new skills, to provide an expert high quality, nurse-led service.
- To provide ongoing follow-up care and support ( telephone support / nurse led clinics / outpatient clinics and outreach clinics)
- To develop the service in a structured interdisciplinary way, initiating on-going change and progression in the expanding role of a Clinical Nurse Specialist.
- To develop interdisciplinary clinical management protocols and work within them.
- Autonomously or in collaboration with the multidisciplinary team, manage the care of patients carrying out relevant interventions, within agreed clinical protocols and in line with current practice/trends.
- To offer a supportive service to patients and their carers, disseminating specialist knowledge enabling individuals to try and adapt to any changes to their body image and life experiences. Liaising with other healthcare professionals when necessary.
- To provide, promote and maintain a support and advice service to patients and their carers, to include provision of information giving from diagnosis through to all stages of the disease process, in liaison with relevant healthcare professionals.
- To maintain accurate and legible records of all clinical and legal documentation with regard to Statutory and Trust policies.
- To assess, develop, implement and evaluate programmes of care within the acute and community setting
- To control patient admission via direct referral and with consultant guidance and supervision.
- Be aware of, understand, and act upon the Divisional Business Plan, with particular reference to nursing care, in order to participate in the re-formulation of nursing aspects of the plan.
- When required, investigate the nursing aspects of incidents/complaints and initiate corrective action.
Person specification
Knowledge
Essential
- Excellent communication skills, both written and verbal
- Effective decision making skills
- Knowledge and understanding of the relevant NICE guidance
- Organisational and time management skills
Desirable
- IT skills
- Knowledge of research and audit
- Ability to use EPR
- Advanced training skills in therapeutic/ diagnostic procedures relevant to diabetes
Experience
Essential
- Significant post-registration nursing experience
- Clinical experience in diabetes in a specialist role
- Ability to work autonomously
- Good time management and prioritisation skills
Desirable
- Previous experience in specialist nurse
- Initiated or been involved in relevant research
Qualifications and Training
Essential
- Registered Nurse Level 1 register with NMC
- 1st Level Degree or equivalent
- Teaching and assessing qualification
- Diabetes specialist course
Desirable
- DAFNE Educator
- Independent nurse prescriber
- Accredited qualification in insulin therapy
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Applying for this NHS job
This advert is for Clinical Nurse Specialist– Diabetes(including Endocrinology service) with Lewisham and Greenwich NHS Trust in London, London, England. It is listed as a Band 7 Clinical nurse specialist role. The advertised salary is £49,387 - £56,515 Per annum plus HCA pro rata. The contract type is Permanent: Full time (37.5 hours) and part time (15 hours). The application deadline is 26 Jul 2026.
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