Lewisham and Greenwich NHS Trust

Clinical Nurse Specialist– Diabetes(including Endocrinology service)

The closing date is 23 March 2026

Job summary

We are seeking an experienced and motivated Diabetes (including Endocrinology service) Specialist Nurse to deliver expert, evidence-based care across our Integrated Diabetes services. You will provide leadership, manage a caseload of complex patients, and work collaboratively with multidisciplinary teams to ensure integrated care pathways are implemented effectively.

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.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
Widening access (anchor institution) and employability
Improving the experience of staff with disability
Improving the EDI literacy and confidence of trust staff through training and development
Making equalities mainstream

Date posted

03 March 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year Per annum plus HCA pro rata

Contract

Permanent

Working pattern

Part-time

Reference number

197-AJ-R-7985

Job locations

University Hospital Lewisham

Lewisham High Street

Lewisham

SE13 6LH

Job description

Job 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.