Diabetes Practice Nurse

NHS; Dorking; On-site; GBP 35,000 - 45,000; Full time

Job summary

A healthcare provider in Dorking is seeking an experienced Diabetic Practice Nurse to lead diabetes care within a supportive team. This role involves managing a caseload of diabetes patients, conducting assessments, and delivering patient education on diabetes management. The ideal candidate will have a nursing qualification, experience in diabetes care, and excellent IT skills. This position offers flexible working hours, promoting a balance between professional commitments and personal life.

Benefits

Flexible working hours

Supportive nursing team

Ongoing professional development

Qualifications

• Experience with diabetes and chronic disease management.
• Ability to work autonomously and collaborate with a team.
• Good IT skills for clinical note management.

Responsibilities

• Manage a caseload of diabetes patients with care and treatment.
• Conduct complex assessments and develop individualized care plans.
• Provide patient education on self-management of diabetes.

Skills

Diabetes management

Patient education

Clinical assessment

Team collaboration

Education

Registered General Nurse

Qualification in Diabetes

Job description

We are seeking to recruit an experienced Diabetic Practice Nurse at our highly successful 14,000 patient practice in Dorking.

Hours for this post:

• 25 hours up to 37.5 hours a week

We are a friendly practice with a large supportive nursing team.

Main duties of the job

To lead and deliver a high-quality, evidence-based diabetes service for the practice population. The postholder will manage a defined caseload of adults living with Type 1 and Type 2 diabetes, providing assessment, treatment, education, and ongoing review to optimise care, prevent complications, and support self-management.

They will work collaboratively with GPs, practice nurses, healthcare assistants, and allied health professionals to ensure safe, consistent, and coordinated care across the patient journey. The postholder will also act as a clinical resource within the practice, contributing to the professional development of colleagues and the continuous improvement of diabetes care.

About us

Medwyn Surgeryis a well-established GP practice located in the heart of Dorking, Surrey, serving a growing patient population of over 14,000. Our mission is to deliver the highest standard of primary healthcare, encompassing not only medical treatment but also comprehensive health information, community engagement, and fostering strong doctor-patient relationships.

Operating from the purpose-built Medwyn Centre on Reigate Road, our facility, completed in 2006, offers a modern and accessible environment for both patients and staff. The Centre houses a range of services, including Medwyn Surgery, physiotherapy and podiatry services, community health staff, conference and meeting facilities, a pharmacy, audiometry services, and a variety of services provided by sessional medical practitioners.

The Centre is fully accessible, featuring step-free access, wheelchair-friendly facilities, an induction loop, and a disabled toilet. Additional amenities include CCTV for security, comfort cooling, and automated check-in and patient calling systems, all contributing to a comfortable and efficient healthcare environment.

Medwyn Surgery offers a full range of Enhanced Services to our patients, ensuring comprehensive care that meets the diverse needs of our community. We provide Improved Access appointments every weekday evening and on Saturdays, accommodating patients who require flexibility in scheduling their healthcare visits.

Job responsibilities

KEYRESPONSIBILITIES

1.Clinical Patient Care & Management

Maintaina defined caseload of patients with diabetes (Type 1, Type 2, and other forms)and deliver ongoing assessment, monitoring, review, and follow-up.

Undertakecomplex assessments (clinical history, physical exam, risk stratification,complication screening) and develop individualized care plans.

Monitorand interpret relevant investigations (HbA1c, lipids, renal function,microalbuminuria, liver function, etc.).

Initiate,titrate, adjust and monitor diabetes medications (oral and insulin therapies)in line with agreed protocols and prescribing qualifications.

Manageinsulin initiation, intensification, and review, including basalbolus regimes,premixed insulins, andwhere appropriateadvanced or technology-assistedtherapies.

Educatepatients in self-management: blood glucose monitoring, carbohydrate counting,sick-day rules, prevention of hypoglycaemia, lifestyle modification, and footcare.

Providestructured education (or refer/deliver programmes such asDESMOND/DAFNE/equivalent) for newly diagnosed and existing patients.

Conductgroup and one-to-one education and support sessions to promote behaviour changeand adherence.

Identify,assess, and refer patients with complications (e.g. retinopathy, neuropathy,foot problems, renal disease) as appropriate.

Providetelephone, virtual, or in-person follow-up as clinically required.

Undertakehome visits where necessary (e.g. housebound patients) for assessment,treatment, or education.

Ensurecontinuity of care and coordinate with secondary care and community services tosupport integrated diabetes management.

2.Clinical Leadership & Service Development

Leadand direct the coordination of diabetes clinics within the practice, includingscheduling, patient recall, and quality assurance.

Develop,implement, and review local pathways, policies, and protocols in diabetes care(e.g. insulin safety, hypoglycaemia management, foot screening).

Auditand monitor diabetes care metrics (QOF indicators, IIF, local targets, andclinical outcomes) and drive improvement initiatives.

Actas a specialist resource and mentor for practice staff (GPs, nurses, HCAs),providing expert advice, support, and supervision.

Deliveror facilitate in-house training sessions and case-based discussions to enhanceteam competence in diabetes care.

Contributeto the planning and delivery of health promotion and prevention programmes(e.g. prediabetes identification, obesity management, smoking cessation).

Liaiseclosely with local diabetes networks, community teams, and secondary careproviders to promote continuity and best practice.

Supportimplementation of new technologies such as continuous glucose monitoring (CGM),flash monitoring, and digital diabetes tools.

Leador contribute to quality improvement projects, audits, and service redesigninitiatives aligned with local and national priorities.

3.Professional and Quality Assurance Duties

Maintainup-to-date knowledge of national and local diabetes guidance (NICE, local ICSPATHWAYS) and ensure clinical compliance.

Maintainaccurate, contemporaneous, and professional clinical records in accordance withNMC and practice standards.

Participatein practice clinical governance processes, including risk management, incidentreview, and medicines safety.

Undertakeregular audits and contribute to service evaluation, research, and outcomemeasurement.

Participatein and support CQC, or other relevant quality frameworks as required.

Engagein continuing professional development (CPD) and reflective practice tomaintain and develop specialist competence.

Maintainprofessional registration andif applicableindependent prescribingqualification.

Adhereto the NMC Code, professional boundaries, and practice policies includingconfidentiality, data protection, and safeguarding.

KEYRESPONSIBILITIES ADMINISTRATIVE

Accuratelyrecord all consultations, care plans, and interventions on the clinical system.

Ensureappropriate coding to support QOF and local enhanced service reporting.

Maintainand review diabetes registers, ensuring systematic recall and proactivemanagement.

Contributeto data collection, audits, and reporting for clinical and performancemonitoring.

Participatein the review and development of practice policies and standard operatingprocedures.

Attendand contribute to clinical meetings, case reviews, and multidisciplinarydiscussions.

KEYRESPONSIBILITIES PROFESSIONAL

ProfessionalRegistration

Beprofessionally accountable for nursing practice in accordance with the NMCCode.

Maintainactive NMC registration and up-to-date professional knowledge.

Participatein annual appraisal and maintain a personal development plan.

Attendrelevant training, study days, and clinical supervision sessions to maintainand enhance clinical competence.

Recogniseand work within scope of professional practice, seeking advice and support whenrequired.

CONFIDENTIALITY

Patientsentrust sensitive information to the practice, which must be handled with theutmost confidentiality.

Informationrelating to patients, carers, colleagues, or the business of the practice mustnot be disclosed to unauthorised persons and must be processed in line withdata protection legislation.

Allstaff must comply with the Practice Confidentiality Policy and the NMC Coderegarding confidentiality.

SAFEGUARDING

Demonstratecommitment to safeguarding and promoting the welfare of children, young people,and vulnerable adults.

Followpractice safeguarding procedures and attend appropriate training.

Thepostholder will be required to undergo an enhanced DBS check.

EQUALITYAND DIVERSITY

Upholdthe principles of equality, diversity, and human rights in all patient and teaminteractions.

Delivercare that is respectful of privacy, dignity, and cultural or individual needs.

Promotea non-judgemental and inclusive environment for patients and colleagues.

PERSONAL/ PROFESSIONAL DEVELOPMENT

Participatein an annual performance review and maintain an up-to-date record of CPD.

Takeresponsibility for personal learning, reflective practice, and skilldevelopment.

Contributeto the training supervision of student nurses, medical students, or othertrainees within the practice.

COMMUNICATION

Communicateeffectively with patients, carers, colleagues, and partner organisations.

Usemotivational interviewing, shared decision-making, and other techniques tosupport engagement and self-management.

Recognisethe need for alternative methods of communication and adapt accordingly.

Contributeto effective communication across the multidisciplinary team.

OTHERDUTIES

Undertakeany other duties commensurate with the role as required by the Partners or LeadNurse.

Activelyparticipate in reviewing systems, suggesting and implementing improvements toenhance quality of care and patient experience.

Person Specification

Experience

• Experience with diabetes and other chronic disease management
• Experience of working autonomously
• Experience of infection prevention and control measures

Clinical Knowledge and Skills

• Ability to work within own scope of practice and understand when to refer to GPs
• Good clinical system IT knowledge and an ability to record accurate clinical notes
• Ability to communicate complex and sensitive information effectively with people by telephone, email and face to face
• Understanding of safeguarding adults and children
• Understanding and knowledge of healthcare provision in GP surgeries, QOF and enhanced service
• Effectively able to communicate and understand the needs of the patient
• Broad knowledge of clinical governance
• Awareness of issues within the wider health arena and knowledge of health promotion strategies
• Knowledge of public health issues in the local area
• Knowledge of national standards that inform general practice (NSF NICE guidelines)

Qualifications

• Registered General Nurse
• Qualification in Diabetes
• Evidence or working at relevant level of practice required for this post
• Mentor or teaching qualification
• Non-Medical Prescriber
• Effective time management (planning and organising)
• Ability to follow legal, ethical and professional policies/local policies/procedures and codes of conduct
• Knowledge of IT systems including the ability to use word processing skills, emails and the internet
• Understand the requirement for PGDs and associated policy
• Ability to use own initiative, discretion, and sensitivity
• Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
• Ability to identify risk and assess/manage risk when working with individuals
• Ability to work as a team member and autonomously
• Good interpersonal and organisational skills
• Sensitive and empathetic in distressing situations
• Commitment to ongoing professional development
• Clear, polite telephone manner
• Occupational Health clearance
• Meet the requirements and produce evidence for professional revalidation
• Evidence of CPD commensurate with the role
• Demonstrate personal accountability, emotional resilience and work well under pressure

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.