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Job summary
Are you an experienced diabetes nurse specialist looking for a next-step senior leadership role in a genuinely new model of care? A rare opportunity has arisen to join the Tier 3 Clinical Oversight Group of the Diabetes Neighbourhood Health Programme as Diabetes Matron a Leeds system role hosted by South and East Leeds General Practice Group.
This role sits within the Tier 3 Clinical Oversight Group alongside the Consultant Diabetologist, Consultant Pharmacist, Highly Specialist Pharmacist and Clinical Psychologist. The Tier 3 group provides advanced clinical decision-making, MDT leadership and specialist oversight across the multi-neighbourhood footprint interfacing closely with Tier 2 Neighbourhood Support Teams, Practice Diabetes Leads at Tier 1 and specialist Tier 4 services at Leeds Teaching Hospitals.
Working pattern: this is a 0.4 WTE post 15 hours per week based across the multi-neighbourhood footprint with flexibility to be agreed at appointment. There is genuine scope to shape how the Tier 3 nursing offer is delivered and evaluated over the three-year development period. This is not a ward-based Matron post it is a system-facing, MDT-embedded senior nursing role designed to work across organisational boundaries.
Main duties of the job
Main duties
You will provide senior nursing leadership within the Tier 3 Clinical Oversight Group of the Diabetes Neighbourhood Health Programme. Your focus is advanced clinical decision-making for complex and atypical diabetes presentations, MDT leadership, and workforce development across the multi-neighbourhood diabetes nursing offer.
The day-to-day mix includes weekly Tier 3 MDT attendance (combined with the existing LTHT community diabetes MDT), advanced clinical assessment for complex or atypical presentations, contribution to step-up and step-down decisions across the tiers (including new CKD Year 2 step-down and stable Type 1 Year 2 step-down), and clinical supervision of the Tier 2 Clinical Lead Nurses for Diabetes.
You will provide advanced nursing input to complex case sign-off, including insulin regimen optimisation, pre-operative optimisation, hypoglycaemia unawareness work-up, and management of atypical presentations. You will lead the interface between the community programme and Tier 4 services at LTHT, working across the acute, community and primary care boundary.
Beyond direct clinical work, you play a system-wide leadership role
About us
South and East Leeds General Practice Group brings together general practices across the south and east of Leeds to deliver joined-up primary care, PCN services and integrated community programmes. As host employer for the Diabetes Matron post, we work in close partnership with Leeds Community Healthcare Trust, Leeds Teaching Hospitals Trust, West Yorkshire ICB, our neighbourhood Primary Care Networks and the wider Leeds Health and Care Partnership. This is intended as a Leeds system role rather than a solely SEL GP role the post-holder will have professional links across all partner organisations and will be seen as a system-wide advanced practice leader for diabetes nursing. You will be joining a team comfortable with new ways of working, collaborative across professional and organisational boundaries, and committed to reducing health inequalities in some of the most under-served neighbourhoods in Leeds. The culture is honest about complex multimorbidity, patient-centred in everyday decision-making, and generous with peer support. As your employer SELGP Group offer a competitive salary, access to the NHS Pension Scheme, annual leave, occupational sickness scheme and salary-sacrifice options.
Details
- Date posted: 21 August 2026
- Pay scheme: Other
- Salary: £57,528 to £64,750 a year Depending on experience
- Contract: Permanent
- Working pattern: Part-time, Flexible working
- Reference number: U0053-26-0025
- Job locations: Hosted Employers address, 1st Floor Park Edge Practice, Asket Drive, Leeds, West Yorkshire, LS14 1HX, United Kingdom
Job responsibilities
Purpose of the role
The Diabetes Matron is a Leeds system-wide senior nursing leadership post within the Tier 3 Clinical Oversight Group of the Diabetes Neighbourhood Health Programme a new integrated model of care for adults aged 1867 with diabetes (any type) and two or more other long-term conditions, delivered across the Beeston and Middleton & Hunslet PCN footprint and scaling across the multi-neighbourhood over the three-year development period.
The post-holder provides advanced clinical decision-making across atypical and complex diabetes presentations, contributes to the weekly Tier 3 MDT (combined with the existing LTHT community diabetes MDT), and provides clinical supervision to the Tier 2 Clinical Lead Nurses for Diabetes. The role sits alongside the Consultant Diabetologist, Consultant Pharmacist, Highly Specialist Pharmacist and Clinical Psychologist, forming the specialist backbone of the model.
This is not a ward-based Matron post it is a system-facing, MDT-embedded, senior nursing leadership role designed to work across organisational boundaries. The post-holder champions diabetes in wider long-term-conditions pathways, contributes to workforce and educational strategy across the Leeds diabetes nursing workforce, and drives service development, quality improvement and equity of diabetes nursing care across the neighbourhoods.
The post-holder is expected to demonstrate advanced practice competence across the four pillars set out by the Health Education England / NHS England multi-professional framework for advanced clinical practice clinical practice, leadership and management, education, and research. Expert clinical knowledge of diabetes is the primary requirement of the role and takes precedence over a formal Advanced Clinical Practitioner qualification. Applicants without a formal ACP qualification who can demonstrate the four pillars of advanced practice, together with expert diabetes knowledge, are strongly encouraged to apply.
Active engagement with people in deprivation deciles 13 and named priority groups (people with learning disability, serious mental illness, those homeless or vulnerably housed, those who smoke or use substances, adults living alone) is a core expectation of the role. The post-holder is expected to work in a person-centred, trauma-informed way with a working understanding of the wider social determinants of health.
Key duties and responsibilities
Advanced clinical practice and complex clinical decision-making
Provide advanced clinical assessment, examination and consultation for adults with complex or atypical diabetes presentations including suspected MODY, LADA, type 3c (pancreatic) diabetes, early-onset Type 2 and ketosis-prone Type 2.
Advanced nursing input to complex insulin regimen optimisation, hypoglycaemia unawareness work-up, steroid-induced hyperglycaemia in complex multimorbidity, and preparation for surgical procedures (pre-operative optimisation) for the working-age cohort.
Independent prescribing across the diabetes formulary within scope of practice, with clear escalation to the Consultant Diabetologist and Consultant Pharmacist for cases outside scope.
Advanced use of Continuous Glucose Monitoring and Flash Glucose Monitoring data for shared decision-making.
Advanced nursing input to sign-off of complex prescribing and management decisions escalated from Tier 2.
Utilises advanced specialist knowledge covering a range of procedures underpinned by relevant broad-based knowledge, experience and competence.
MDT leadership and step-up / step-down decisions
Weekly attendance and active contribution to the Tier 3 Clinical Oversight Group MDT, combined with the existing LTHT community diabetes MDT.
Leadership of step-up and step-down decisions across the tiers including Tier 4 to Tier 3 step-down for stable stage 4 CKD diabetic renal disease (from Year 2) and stable Type 1 not requiring ongoing technology adjustment (from Year 2).
Presenting cases, drafting shared care plans and taking responsibility for nursing-related actions arising from MDT discussion.
Named senior nursing point of contact for cases requiring specialist input across the multi-neighbourhood footprint.
Lead the interface between the community Programme and Tier 4 specialist services at LTHT, working across the acute, community and primary care boundary.
Clinical supervision and workforce development
Provide clinical supervision to the two Tier 2 Band 7 Clinical Lead Nurses for Diabetes and to the Band 5 Registered Nurse development post.
Contribute to workforce development plans across Tier 1 and Tier 2 diabetes nursing capability, in partnership with the LCH Head of Nursing Development, LTHT nursing leadership and the wider Leeds diabetes nursing network.
Delivery of TARGET-style education to Practice Diabetes Leads and Tier 1 nursing colleagues on a quarterly cadence.
Practice supervisor / educator role for pre-registration and post-qualification nursing learners, including trainee ACPs and post-registration diabetes specialist courses.
Contribute to succession planning for advanced practice nursing in diabetes across the system, ensuring a fair and consistent development pathway for Diabetes Nurse Specialist colleagues.
Act as a role model, ensuring a professional service and image is maintained at all times.
System-wide leadership
Champion diabetes in wider long-term-conditions and neighbourhood-health pathways across Leeds, including the Leeds Proactive Care and Integrated Neighbourhood Health frameworks.
Provide senior nursing representation into system-wide diabetes forums, the Leeds ICB CaReMe Expert Reference Group and equivalent bodies.
Contribute to workforce and educational strategy across the Leeds diabetes nursing workforce.
Represent the Programme at local and regional clinical forums, including presentation, publication and submission for relevant awards.
Support LCH, LTHT and SEL GP in aligning practice and workforce across the diabetes pathway, ensuring the model reflects the Leeds system view rather than any single organisation.
Outreach, equity and engagement
Active engagement with people in deprivation deciles 13 and named priority groups people with learning disability, serious mental illness, those homeless or vulnerably housed, those with substance-use co-morbidity, adults living alone.
Liaison with mental health teams for patients with SMI and antipsychotic-induced metabolic disturbance.
Liaison with drug and alcohol services, homelessness services, and LD nursing colleagues.
Working in partnership with third-sector and asset-based community delivery partners as active collaborators, not downstream referrals.
Advocacy for equity of specialist access, addressing patterns of exclusion and disengagement in Tier 3 and Tier 4 attendance data.
Advice & Guidance and interface with primary care
Provide senior Advice and Guidance across the diabetes pathway, in partnership with the Tier 3 Consultant Diabetologist and Consultant Pharmacist.
Support quarterly joint clinics between Tier 2 and Practice Diabetes Leads, providing advanced nursing input as required.
Support Practice Diabetes Leads to cascade learning through practice clinical meetings.
Provide expert clinical opinion into primary care, community pharmacy, mental health, drug and alcohol and maternity services on complex diabetes cases.
Quality, safety and improvement
Work to NMC Code and advanced practice standards; ensure practice, and that of colleagues, is grounded in evidence-based theoretical and practical knowledge.
Lead and contribute to clinical audit across the Programme; feed back results and implement changes with the Tier 2 team, Practice Diabetes Leads and the Tier 3 Clinical Oversight Group.
Lead the implementation of changes to nursing practice that result from MHRA alerts, national guidance and local intelligence.
Contribute to the Programmes outcomes and evaluation framework, particularly on nursing-related outcomes, safety indicators, equity of access and specialist utilisation.
Lead complex clinical audit within the clinical area and support colleagues to contribute to audit and research activity relevant to the clinical area locally and nationally.
Comply with the organisations Infection Prevention and Control requirements, including bare below the elbows dress code.
Service development
Contribute senior nursing advice for the development and iteration of the Diabetes Neighbourhood Health Programme model including step-up / step-down criteria, pathway design, and operational standards.
Contribute to Year 2 business case development and Multi-Neighbourhood expansion planning.
Analyse, interpret and present nursing and outcomes data to highlight issues, opportunities and risks to support programme decision-making.
Propose and develop clinical policies and service developments that have impact on other disciplines, services or agencies.
Collaborative working relationships
Work collaboratively with the SEL GP senior clinical lead, Programme Manager, and the Tier 3 Clinical Oversight Group.
Maintain strong relationships with the LCH Head of Nursing Development, LTHT diabetes nursing leadership, SEL GP clinical leadership and the wider Leeds diabetes nursing network.
Maintain strong relationships with PCN Clinical Directors, Practice Diabetes Leads and practice nursing teams across the footprint.
Liaise with the Leeds ICB, community pharmacy, mental health services, drug and alcohol services, and VCSE partners as required.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Person specification
Experience
Essential
- Substantial post-registration experience as a Diabetes Nurse Specialist or equivalent diabetes-specialist nursing role.
- Advanced practice experience in complex diabetes case management, including atypical presentations (MODY, LADA, type 3c, early-onset Type 2, ketosis-prone Type 2). Practical experience of insulin regimen optimisation across all regimens, including CGM and Flash-informed titration.
- Practical experience of subcutaneous GLP-1 initiation and titration support.
- Experience of MDT working across community and acute care.
- Experience of clinical supervision and mentorship of Band 6 / 7 diabetes nursing colleagues.
- Experience of workforce development and education delivery.
- Experience of working with people affected by health inequalities.
- Experience of leading service development, quality improvement or clinical audit.
- Experience of supervising and managing other staff.
Desirable
- Experience of working in community or primary care based teams.
- Experience across the acute, community and primary care interface.
- Experience of pre-operative optimisation, hypoglycaemia unawareness work-up, or steroid-induced hyperglycaemia in complex cases.
- Experience of insulin pump, hybrid closed loop or CGM therapy at specialist level.
- Experience of leading complex clinical audit locally or nationally.
- Experience of research or contributing to national or regional guideline development.
- Experience of structured education delivery (DAFNE, DESMOND or equivalent) at educator level.
Qualifications
Essential
- Registered Nurse (Adult) with current NMC registration.
- Post-graduate learning to Masters level, or equivalent evidence of expert-level knowledge and specialist clinical practice.
- Recognised specialist diabetes qualification (Diabetes Specialist Practitioner course, Warwick, Leicester, Sheffield modules or equivalent).
- Demonstrable competence across the four pillars of advanced clinical practice (clinical practice, leadership and management, education, research).
- Independent Non-Medical Prescribing (V300), or working towards.
- Teaching, training or mentorship qualification or experience to an equivalent level.
- Maintains a portfolio of CPD in line with NMC standards.
Desirable
- Full Masters degree in Advanced Clinical Practice or formal Advanced Clinical Practitioner qualification.
- Formal teaching qualification (PGCert HE or equivalent).
- Leadership or management qualification (NHS Leadership Academy, Nye Bevan or equivalent).
- Formal training in health inequalities, trauma-informed care or behaviour-change approaches.
Additional criteria
Essential
- Advanced clinical assessment and consultation skills.
- Confident advanced practice decision-making within scope, with clear understanding of when to escalate.
- In-depth knowledge of diabetes across Type 1, Type 2, atypical presentations and complex multimorbidity.
- Confident with SGLT2i, GLP-1, insulin regimen selection, CGM / Flash data interpretation and complex prescribing.
- Demonstrable understanding of the wider determinants of health and their impact on outcomes.
- Person-centred and trauma-informed approach to consultations.
- Strong system-wide leadership presence able to influence and negotiate across professional and organisational boundaries.
- Ability to develop and lead complex clinical audit within the clinical area. Excellent verbal and written communication skills across clinical and non-clinical audiences.
- Emotional resilience, self-awareness, humility and curiosity.
- Willingness to challenge and be challenged, including consultants and GPs, in the patients best interest.
- Comfortable with the ambiguity of a new service and willing to iterate, evaluate and adjust.
- Confident with digital consultation, MDT tools and asynchronous working.
- Access to own transport and ability to travel across the multi-neighbourhood footprint.
- Meets DBS reference standards.
- Up-to-date mandatory training and immunisation status.
Desirable
- Awareness of the Leeds Proactive Care and Integrated Neighbourhood Health frameworks.
- Understanding of NHS commissioning and business case development.
- Demonstrable interest in continuing to develop the advanced practice profile in diabetes nursing at system level.
Advanced practice — the four pillars
Essential
- Clinical practice expert-level clinical knowledge of diabetes across Type 1, Type 2, atypical presentations and complex multimorbidity; advanced clinical assessment and reasoning; autonomous clinical decision-making within scope of practice.
- Clinical practice advanced use of insulin regimen optimisation, CGM / Flash-informed titration, GLP-1 initiation and titration support; recognition of hypoglycaemia unawareness and appropriate work-up.
- Clinical practice non-medical prescribing (V300) or working towards, with clear understanding of scope and escalation.
- Leadership and management demonstrable clinical leadership at team and system level, able to influence and negotiate across professional and organisational boundaries.
- Leadership and management experience of leading service development, change management and workforce planning.
- Education demonstrable ability to provide clinical supervision and mentorship to Band 5, 6 and 7 diabetes nursing colleagues.
- Education experience of delivering teaching and cascade education, including via TARGET or equivalent forums.
- Education contribution to workforce and educational strategy across the Leeds diabetes nursing workforce; practice supervisor or educator recognition (or working towards).
- Research ability to critically appraise and apply the evolving evidence base for diabetes and cardio-renal-metabolic care.
- Research experience of leading or contributing to clinical audit, service evaluation and quality improvement projects.
- Research understanding of research governance and methodology; interest in contributing to research or service evaluation.
Desirable
- Formal ACP-level portfolio or e-portfolio aligned to the four pillars.
- Experience of contributing to national or regional guideline development or clinical research studies.
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Applying for this NHS job
This advert is for Diabetes Matron Neighbourhood Health Programme with South and East Leeds GP Group in Hosted Employers address, United Kingdom. It is listed as a Nurse (adult and children) role. The advertised salary is £57528.00 to £64750.00. The contract type is Permanent. The application deadline is 13 Sep 2026.
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