Central and North West London NHS Foundation Trust

Lead Diabetes Specialist Nurse

The closing date is 20 June 2025

Job summary

In collaboration with Nurse Consultant in Diabetes and in partnership with the multidisciplinary team, the post holder will support leading and developing the provision of a community diabetes specialist service, delivering high quality clinical care. The post holder will demonstrate a high level of expertise within the diabetes specialist service providing advice, education and support to staff, patients, their families and carers. They will practice autonomously within diabetes to provide patient centred quality care. This will encompass the skills of advanced clinical assessment, examination, diagnosis and treatment within an agreed scope of practice. They will ensure safe treatment, referral, follow up and discharge of patients within diabetes. They will act as a specialist resource and provide specialist advice in relation to care of patients in their speciality. The post holder will provide a range of educational and training programmes for the multidisciplinary team, patients, families and carers

They will have managerial responsibility for a defined Clinical Diabetes Specialists, leading the on-going development of clinical practice and standards of care within the service, including the development of policies, procedures, protocols and guidelines in collaboration with multidisciplinary colleagues.

The post holder's job plan should deliver a minimum of 80% clinical component and 20% related to service management, education & research

Main duties of the job

The will be responsible for the organisation and management of a defined specialist nursing service/s or the professional leadership and management of a defined group/s of Clinical Specialists.

Provide expert advice to a cohort of patients referred for specialist intervention, care and support within the services, being a point of contact for assessment, information and advice for the patient, family and carers and all staff involved in the care the patients

To provide a clear focus for clinical leadership and to be responsible for ensuring the provision of a high standard of holistic, patient-centred care supporting the development of staff caring for patients through support formal education and training, practice development and role modelling.

Use a range of techniques to ensure set and monitor standards of clinical practice, audit, research and teaching to set monitor and continually improve standards of care and patient experience.

Lead on diabetes practice development including the development, and or updating of clinical guidelines, policy and procedure that relates to the practice setting, service development and contribute to strategic planning

To teach and act as a facilitator, mentor and supervisor to other staff.

Ensure effective delivery of organisational objectives and effective use of resources, managing a budget/s

About us

There's a place for you at CNWL.We're passionate about delivering first-class patient-centred, safe and effective care, whether it is in a hospital setting, in a community clinic or in the patient's own home. Patients are at the heart of everything we do.Providingtop quality caredepends on our ability to employ the best people.We're always looking torecruit outstanding peoplewho will go the extra mile to support our patients, colleagues, teams and the Trust. With every new employee we're hoping to find our future leaders and we'll support our staff by providing opportunities to develop your career.With adiverse culture and equally diverse range of opportunities across mental health, community services, addictions, eating disorders, learning disabilities and more - whatever stage of your career you're at, there's always a place for you at CNWL.

Details

Date posted

30 May 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£61,927 to £68,676 a year per annum incl. HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

333-G-CC-1456

Job locations

St Pancras Hospital

4 St Pancras Way

London

NW1 0PE


Job description

Job responsibilities

CLINICAL

Provide a specialist nursing community service and advice in a variety of clinical settings and disciplines for staff, patients, their families and careers, effectively liaising with multidisciplinary colleagues.

Contribute to the co-ordination of care between primary and secondary care diabetes services to ensure high quality of patient care and the continuity of services across both Trusts

Develop and run multidisciplinary clinics, participate in MDT, patient reviews and including triage

Work autonomously as an expert practitioner within the specialty, managing a caseload of patients delivering individualised direct patient care

Utilise advanced clinical assessment skills to conduct in depth patient assessment and history taking, plan and provide support in the implementation of clinical management plans.

Undertake a variety of clinical skills and provide treatment, non-medical prescribing or advice as per speciality and scope of practice. Using agreed protocols of clinical practice and professional guidelines. This service may be provided within primary, community or home care settings.

Utilise advanced knowledge and skills relating to the speciality to provide specialist advice to other members of the multidisciplinary team on the basis of patient assessment.

Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review, referring to other specialists as required. Provide guidance to staff, patients and their families and carers on pathway navigation

Lead in the development and updating of referral guidelines and policies for the service.

Use highly developed communication skills to effectively communicate with colleagues, patients and their relatives/carers, making reports and liaising as required with medical staff and other members of the multidisciplinary team both verbally and in writing.

Lead and ensure active engagement of service users through patient and family feedback, user groups and support groups, report and raise any concerns relating to safeguarding.

Monitor the quality and standard of care provided by all members of the team and all staff in clinical area, including documentation. Identifying any skills or training gaps and escalating to the Nurse Consultant

Undertake training to develop further advanced clinical practice roles required by the service in order to provide a high standard of patient care.

PROFESSIONAL LEADERSHIP & MANAGEMENT

Provide highly visible and accessible professional leadership and demonstrate expert knowledge and standards of clinical practice

Lead a defined service or group, promoting interdisciplinary team and collaborative working practices

Act as a point of contact to the Trust on nursing within the specialist field of practice

Meet regularly with team members as a team and on an individual basis as required to support their personal and professional development

In absence of Nurse Consultant, Participate in directorate management meetings, including service planning, budget setting and demand & capacity work

Lead and support the development of the role according to changing patients needs, service requirements and evidence base practice.

Ensure that all resources are managed in an efficient and cost-effective manner to achieve maximum effect for patients and staff.

Demonstrate effective leadership skills, supporting the Nurse Consultant and LTC head in service development and lead as delegated on the implementation of any of these changes.

Utilise the highest level of interpersonal and communication skills when dealing with complex, sensitive or emergency situations.

Lead in the recruitment and selection of staff.

Responsibility for completing or delegating the preparation and daily review of staff duty rotas, ensuring that the team provides most effective service provision.

Cover in absence of Nurse Consultant delegated budgetary management of the team

Ensure the team has adequate resources to provide efficient services. Participate in business planning and business case development to support increased resource requirements with associated directorate and divisional management teams

QUALITY & SAFETY

Maintain improvements in patient safety by supporting implementation of patient safety initiatives, prompt and appropriate response to complaints resolution and escalation where appropriate

Ensure patient safety by escalating any risks with nurse staffing or service provision to directorate management team and reporting any issues

MANAGEMENT , SUPERVISORY, TEACHING, TRAINING RESPONSIBILITIES

Act as an expert specialist educational resource for clinical staff, patients, and carers by providing formal and informal education. Promote and develop a positive learning environment throughout the Trust.

Act as mentor/ assessor to staff members and students as required, providing educational advice and support. Ensure staff can access appropriate training support and guidance.

Lead and actively participate in the delivery of educational programmes for all grades of nursing, medical and allied health professional staff, including students

Lead on the identification and provision of in-service training need for all team staff.

Participate in education and practice development on a Trust wide basis liaising with Trust wide educational leads as well as primary care/community teams.

Take responsibility for ensuring personal and team attendance and completion of any statutory or mandatory training as required for. Informing line manager if there is any deviance from training attendance

Lead the annual appraisal process, delegating duties to team members as appropriate to ensure all staff within the team have personal development plans which support revalidation

RESEARCH AND DEVELOPMENT

Where required lead or assist in research projects as required, disseminating and ensuring utilisation of research results to change practice.

Utilise research findings in the delivery of specialist patient care, developing new ways of working.

Be aware of research /trails being undertaken within the specialist field of practice

Lead audit projects as required by the specialty, involving collating, analysing and reporting on results of the audit process.

Provide support, encouragement and advice to nursing staff undertaking audit and research.

Job description

Job responsibilities

CLINICAL

Provide a specialist nursing community service and advice in a variety of clinical settings and disciplines for staff, patients, their families and careers, effectively liaising with multidisciplinary colleagues.

Contribute to the co-ordination of care between primary and secondary care diabetes services to ensure high quality of patient care and the continuity of services across both Trusts

Develop and run multidisciplinary clinics, participate in MDT, patient reviews and including triage

Work autonomously as an expert practitioner within the specialty, managing a caseload of patients delivering individualised direct patient care

Utilise advanced clinical assessment skills to conduct in depth patient assessment and history taking, plan and provide support in the implementation of clinical management plans.

Undertake a variety of clinical skills and provide treatment, non-medical prescribing or advice as per speciality and scope of practice. Using agreed protocols of clinical practice and professional guidelines. This service may be provided within primary, community or home care settings.

Utilise advanced knowledge and skills relating to the speciality to provide specialist advice to other members of the multidisciplinary team on the basis of patient assessment.

Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review, referring to other specialists as required. Provide guidance to staff, patients and their families and carers on pathway navigation

Lead in the development and updating of referral guidelines and policies for the service.

Use highly developed communication skills to effectively communicate with colleagues, patients and their relatives/carers, making reports and liaising as required with medical staff and other members of the multidisciplinary team both verbally and in writing.

Lead and ensure active engagement of service users through patient and family feedback, user groups and support groups, report and raise any concerns relating to safeguarding.

Monitor the quality and standard of care provided by all members of the team and all staff in clinical area, including documentation. Identifying any skills or training gaps and escalating to the Nurse Consultant

Undertake training to develop further advanced clinical practice roles required by the service in order to provide a high standard of patient care.

PROFESSIONAL LEADERSHIP & MANAGEMENT

Provide highly visible and accessible professional leadership and demonstrate expert knowledge and standards of clinical practice

Lead a defined service or group, promoting interdisciplinary team and collaborative working practices

Act as a point of contact to the Trust on nursing within the specialist field of practice

Meet regularly with team members as a team and on an individual basis as required to support their personal and professional development

In absence of Nurse Consultant, Participate in directorate management meetings, including service planning, budget setting and demand & capacity work

Lead and support the development of the role according to changing patients needs, service requirements and evidence base practice.

Ensure that all resources are managed in an efficient and cost-effective manner to achieve maximum effect for patients and staff.

Demonstrate effective leadership skills, supporting the Nurse Consultant and LTC head in service development and lead as delegated on the implementation of any of these changes.

Utilise the highest level of interpersonal and communication skills when dealing with complex, sensitive or emergency situations.

Lead in the recruitment and selection of staff.

Responsibility for completing or delegating the preparation and daily review of staff duty rotas, ensuring that the team provides most effective service provision.

Cover in absence of Nurse Consultant delegated budgetary management of the team

Ensure the team has adequate resources to provide efficient services. Participate in business planning and business case development to support increased resource requirements with associated directorate and divisional management teams

QUALITY & SAFETY

Maintain improvements in patient safety by supporting implementation of patient safety initiatives, prompt and appropriate response to complaints resolution and escalation where appropriate

Ensure patient safety by escalating any risks with nurse staffing or service provision to directorate management team and reporting any issues

MANAGEMENT , SUPERVISORY, TEACHING, TRAINING RESPONSIBILITIES

Act as an expert specialist educational resource for clinical staff, patients, and carers by providing formal and informal education. Promote and develop a positive learning environment throughout the Trust.

Act as mentor/ assessor to staff members and students as required, providing educational advice and support. Ensure staff can access appropriate training support and guidance.

Lead and actively participate in the delivery of educational programmes for all grades of nursing, medical and allied health professional staff, including students

Lead on the identification and provision of in-service training need for all team staff.

Participate in education and practice development on a Trust wide basis liaising with Trust wide educational leads as well as primary care/community teams.

Take responsibility for ensuring personal and team attendance and completion of any statutory or mandatory training as required for. Informing line manager if there is any deviance from training attendance

Lead the annual appraisal process, delegating duties to team members as appropriate to ensure all staff within the team have personal development plans which support revalidation

RESEARCH AND DEVELOPMENT

Where required lead or assist in research projects as required, disseminating and ensuring utilisation of research results to change practice.

Utilise research findings in the delivery of specialist patient care, developing new ways of working.

Be aware of research /trails being undertaken within the specialist field of practice

Lead audit projects as required by the specialty, involving collating, analysing and reporting on results of the audit process.

Provide support, encouragement and advice to nursing staff undertaking audit and research.

Person Specification

Education and Qualifications

Essential

  • Registered Adult Nurse on the NMC Register.
  • Professional knowledge acquired through post graduate degree and Masters level equivalent in Diabetes
  • Non-Medical Prescribing Course
  • Mentoring or leadership qualification

Experience

Essential

  • Evidence and ability to revalidate as required by the NMC
  • Extensive post registration experience as a Diabetes Specialist Nurse Specialist at Band 7 or above
  • Extensive experience of working autonomously at a specialist level
  • Experience of delivering change management both personally and as a facilitator
  • Evidence of achievements and career development in current post and of ongoing professional development/ competence.
  • Demonstrate expert knowledge underpinned by theory and CPD relevant to speciality
  • Experience in service development

Desirable

  • Experience working in the community diabetes services
  • Awareness of current research related to the speciality

Skills and Knowledge

Essential

  • Ability to explain the requirement to balance clinical caseload
  • Ability to communicate with a wide range of health care professionals, on a variety of complex and sensitive issues which require persuasive and empathetic skills
  • Competent in a range of clinical skills and expanded practices relevant to the scope of practice required
  • Ability to work under pressure across competing priorities
  • Ability to lead clinical audit, analyse information and develop robust measurable action plans to support improvement / change
  • Evidence of ability to compile reports and documents for internal / external communication
  • Ability to lead and manage a team
  • Knowledge of current evidence based practice and ability to apply to service and policy development

Attitudes, aptitudes, personal characteristics

Essential

  • Ability to adapt behaviour to changing circumstances
  • Positive and enthusiastic attitude
  • Ability to communicate articulately and motivate others
  • Evidence of flexible and innovative approach to service delivery and development
Person Specification

Education and Qualifications

Essential

  • Registered Adult Nurse on the NMC Register.
  • Professional knowledge acquired through post graduate degree and Masters level equivalent in Diabetes
  • Non-Medical Prescribing Course
  • Mentoring or leadership qualification

Experience

Essential

  • Evidence and ability to revalidate as required by the NMC
  • Extensive post registration experience as a Diabetes Specialist Nurse Specialist at Band 7 or above
  • Extensive experience of working autonomously at a specialist level
  • Experience of delivering change management both personally and as a facilitator
  • Evidence of achievements and career development in current post and of ongoing professional development/ competence.
  • Demonstrate expert knowledge underpinned by theory and CPD relevant to speciality
  • Experience in service development

Desirable

  • Experience working in the community diabetes services
  • Awareness of current research related to the speciality

Skills and Knowledge

Essential

  • Ability to explain the requirement to balance clinical caseload
  • Ability to communicate with a wide range of health care professionals, on a variety of complex and sensitive issues which require persuasive and empathetic skills
  • Competent in a range of clinical skills and expanded practices relevant to the scope of practice required
  • Ability to work under pressure across competing priorities
  • Ability to lead clinical audit, analyse information and develop robust measurable action plans to support improvement / change
  • Evidence of ability to compile reports and documents for internal / external communication
  • Ability to lead and manage a team
  • Knowledge of current evidence based practice and ability to apply to service and policy development

Attitudes, aptitudes, personal characteristics

Essential

  • Ability to adapt behaviour to changing circumstances
  • Positive and enthusiastic attitude
  • Ability to communicate articulately and motivate others
  • Evidence of flexible and innovative approach to service delivery and development

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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

Additional information

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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

Employer details

Employer name

Central and North West London NHS Foundation Trust

Address

St Pancras Hospital

4 St Pancras Way

London

NW1 0PE


Employer's website

https://www.cnwl.nhs.uk/work (Opens in a new tab)


Employer details

Employer name

Central and North West London NHS Foundation Trust

Address

St Pancras Hospital

4 St Pancras Way

London

NW1 0PE


Employer's website

https://www.cnwl.nhs.uk/work (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Nurse Consultant in Diabetes

Shantell Naidu

shantellnaidu@nhs.net

07909963915

Details

Date posted

30 May 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£61,927 to £68,676 a year per annum incl. HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

333-G-CC-1456

Job locations

St Pancras Hospital

4 St Pancras Way

London

NW1 0PE


Supporting documents

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