Permanent Diabetes Nurse (Primary Care)

Job responsibilities

Job Summary

Monkfield Medical Practice is seeking an experienced and motivated Diabetes Nurse to lead and deliver highquality diabetes care for patients with Type 1, Type 2 and prediabetes. The post holder will work autonomously within primary care, providing assessment, diagnosis, treatment planning, medication titration, and ongoing review.

A part of this role will also be to educate and upskill the wider clinical team, ensuring all staff maintain strong diabetes knowledge and competencies. The post holder will also contribute to maintaining high QOF performance, particularly in diabetes indicators, and may support additional cardiovascular QOF areas such as hypertension, CHD and heart failure.

The position holder will promote the health and wellbeing of people with diabetes enabling them to achieve optimum Glycaemic, Blood Pressure, Cholesterol and other key parameters. In this they may identify other conditions or abnormalities and escalate these appropriately internally or by referral.

The role would be part of the nursing team under the leadership of our lead nurse , and the clinical partners. We would expect the successful candidate to integrate and work with the nursing team and other staff in a flexible and mutually beneficial way.

About Monkfield Medical Practice

We are a friendly, collaboratively working, forwardthinking NHS practice committed to delivering excellent patient care. Our multidisciplinary team includes GPs, nurses, HCAs, pharmacists, social prescribers and administrative staff. We value innovation, education, and collaborative working.

Main Duties and Responsibilities

Clinical Care

Run autonomous diabetes clinics to assess, diagnose, plan, implement and evaluate care for patients with Type 1, Type 2 and prediabetes.

Initiate, titrate and monitor diabetes medications, including oral hypoglycaemics, GLP1s, SGLT2s. Insulin initiation is not essential but titration is required.

Provide structured diabetes education and selfmanagement support.

Identify and manage patients with complex needs, including those with multimorbidity.

Request and interpret diagnostic tests and communicate results appropriately.

Recognise and act on signs of undiagnosed or worsening conditions.

Undertake home visits where clinically required.

Quality and QOF

Maintain high QOF performance across diabetes indicators.

Support QOF delivery in related cardiovascular areas (e.g., hypertension, CHD, HF).

Ensure accurate coding, register management and recall processes.

Participate in audit, service improvement and clinical governance.

Team Education & Development

Provide training, mentorship and diabetes education to nurses, HCAs, GPs and other staff.

Ensure the team remains uptodate with diabetes guidelines, technologies and best practice.

Support induction of new staff in diabetesrelated competencies.

Health Promotion

Deliver lifestyle advice using motivational interviewing techniques.

Promote weight management, smoking cessation, physical activity and cardiovascular risk reduction.

Professional Responsibilities

Maintain accurate, legible clinical records.

Work within NMC Code, practice policies and clinical governance frameworks.

Participate in MDT meetings and contribute to integrated care pathways.

Maintain a professional portfolio and meet revalidation requirements.

Uphold DBS requirements, confidentiality, safeguarding, infection control and health & safety standards along with all other mandatory training and occupational health clearances.

Experience

Essential

• Minimum 2 years experience managing Type 1 & Type 2 diabetes in primary, community or secondary care
• Experience running autonomous clinics
• Experience using clinical IT systems and Microsoft Office
• Experience contributing to governance and audit or quality improvement

Desirable

• Experience using SystemOne
• Experience managing other long term conditions
• Experience supporting multi-morbid and housebound patients

Personal Qualities

Essential

• Compassionate, patient centred approach
• Professional, reliable and self motivated
• Flexible, adaptable and a team-player
• Able to work under pressure
• Commitment to ongoing professional development

Desirable

• Innovative and proactive in service improvement

Skills, Knowledge & Abilities

Essential

• Strong clinical knowledge of diabetes management, including medication initiation and titration to include SGLT2s and GLP-1s, as well as other non-insulin medications
• Ability to titrate insulin
• Ability to educate and mentor colleagues and patients on diabetes and medication
• Excellent communication and interpersonal skills
• Ability to prioritise and manage a busy caseload
• Strong IT skills and accurate record keeping
• Understanding of evidence based practice and PGDs
• Ability to work autonomously and within an MDT

Desirable

• Knowledge of local and national diabetes policy
• Experience leading audits or service development
• Understanding of public health and health promotion strategies
• Ability to initiate insulin

Qualifications

Essential

• Registered Nurse (NMC)
• Suitable diabetes qualification (Type 1 & Type 2 management)
• Evidence of ongoing CPD

Desirable

• Independent Non Medical Prescriber
• Primary Care Nursing qualification
• Mentorship/teaching qualification

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).