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Job Summary
The post holder plays a pivotal role in shaping and delivering high-quality diabetes care across Greenwich in line with Oxleas NHS Trust objectives. They provide clinical leadership for service improvement, promote good clinical governance through audits and research, and ensure compliance with national standards such as NICE guidelines. Additionally, they offer tailored education and support to patients, carers, and healthcare professionals, while managing and mentoring junior staff to foster a skilled and integrated multidisciplinary diabetes service.
Job Summary
The post holder plays a pivotal role in shaping and delivering high-quality diabetes care across Greenwich in line with Oxleas NHS Trust objectives. They provide clinical leadership for service improvement, promote good clinical governance through audits and research, and ensure compliance with national standards such as NICE guidelines. Additionally, they offer tailored education and support to patients, carers, and healthcare professionals, while managing and mentoring junior staff to foster a skilled and integrated multidisciplinary diabetes service.
Main duties of the job
Responsible for independently managing a complex caseload of patients with diabetes in the community, using advanced clinical skills to assess, treat, and support patients with newly diagnosed, unstable, or complex diabetes. The role includes initiating and titrating insulin and GLP-1 therapies, supporting co-morbidity management, and promoting patient self-management in collaboration with GPs and the wider MDT. The postholder will deliver evidence-based care aligned with national guidelines (NICE), maintain accurate clinical records, and support service development, education, and junior staff supervision. Ongoing professional development and participation in clinical governance activities are integral to the role.
About Us
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
Our Purpose Is To Improve Lives By Providing The Best Possible Care To Our Patients And Their Families. This Is Strengthened By Our New Values:
- We're Kind
- We're Fair
- We Listen
- We Care
Details
Date posted
10 June 2025
Pay scheme
Agenda for change
Band
Band 7
Salary
£51,883 to £58,544 a year pa inc
Contract
Fixed term
Duration
12 months
Working pattern
Full-time
Reference number
277-7262638-CPH
Job locations
151-153 Goldie Leigh ,Lodge Hill London SE2 OAS
Lodge Hill ,London SE2 OAS
Abbey Wood,Greenwich
SE2 0AY
Job Description
Job responsibilities
Manage a complex caseload generated from a defined diabetes population.
Use advanced clinical skills for assessing and treating patients with diabetes using relevant clinical protocols for newly diagnosed patients with diabetes, patients with unstable diabetes and patients with complex needs and/ or complications of diabetes.
Identify, monitor, and review patients with Diabetes in the community and in nurse led clinics with regard to symptom control, prescription and titration of medication adhering to local guidelines.
To take the lead in empowering patients to make appropriate decisions abouttheir treatment including Initiation and adjustment of insulin dosage and initiation of GLP-1 medication.
To initiate appropriate treatment for patients with suboptimal diabetes control including insulin initiation and change of insulin regimens.
To demonstrate knowledge of new and advanced therapies for diabetes control, such as GLP-1 mimetics and SGLT-2 medications.
Work closely with family and GP practices to maximise patients health potential.
To support, advise and recommend treatment regimens for diabetes and other comorbidities, including hypertension and lipid management in accordance with local and national guidelines, such as NICE and BHS guidance.
To provide advice and support for GP practices in order to raise the standard of diabetes care to prevent microvascular and macrovascular complications as evidenced by UKPDS, DCCT and NICE guidance.
To deliver evidence-based practice in line with clinical governance, trust policies and procedures and NMC guidance and support junior staff in doing same.
To have undertaken the Non-Medical Prescribing Course and liaise with the medicines management team on issues around prescribing.
To maintain own personal and professional development and attend regular one to ones and appraisals in order to identify own training and development needs.
To maintain own clinical knowledge and awareness of evidence-based research, national changes, and initiatives in diabetes care, by attending study days, workshops, conferences, and by private study.
To participate in clinical supervision on a regular basis either by self or in a team environment.
To maintain accurate, contemporaneous clinical records which are patient held in line with trust and professional guidelines.
To prioritise and evaluate own workload and support junior staff in doing same.
To take direct responsibility for the advanced assessment of patients physical, emotional, financial, and psycho-social needs.
To discuss with patients, relatives, and carers specific aspects of care and treatment, including physical complications, drug efficacy and side effects etc.
To develop personalised care plans for patients on the case load.
To work within the Long-Term Conditions team to ensure delivery of holistic, streamlined and patient-focused care.
To empower patients to manage their condition in their own environment.
Job Description
Job responsibilities
Manage a complex caseload generated from a defined diabetes population.
Use advanced clinical skills for assessing and treating patients with diabetes using relevant clinical protocols for newly diagnosed patients with diabetes, patients with unstable diabetes and patients with complex needs and/ or complications of diabetes.
Identify, monitor, and review patients with Diabetes in the community and in nurse led clinics with regard to symptom control, prescription and titration of medication adhering to local guidelines.
To take the lead in empowering patients to make appropriate decisions abouttheir treatment including Initiation and adjustment of insulin dosage and initiation of GLP-1 medication.
To initiate appropriate treatment for patients with suboptimal diabetes control including insulin initiation and change of insulin regimens.
To demonstrate knowledge of new and advanced therapies for diabetes control, such as GLP-1 mimetics and SGLT-2 medications.
Work closely with family and GP practices to maximise patients health potential.
To support, advise and recommend treatment regimens for diabetes and other comorbidities, including hypertension and lipid management in accordance with local and national guidelines, such as NICE and BHS guidance.
To provide advice and support for GP practices in order to raise the standard of diabetes care to prevent microvascular and macrovascular complications as evidenced by UKPDS, DCCT and NICE guidance.
To deliver evidence-based practice in line with clinical governance, trust policies and procedures and NMC guidance and support junior staff in doing same.
To have undertaken the Non-Medical Prescribing Course and liaise with the medicines management team on issues around prescribing.
To maintain own personal and professional development and attend regular one to ones and appraisals in order to identify own training and development needs.
To maintain own clinical knowledge and awareness of evidence-based research, national changes, and initiatives in diabetes care, by attending study days, workshops, conferences, and by private study.
To participate in clinical supervision on a regular basis either by self or in a team environment.
To maintain accurate, contemporaneous clinical records which are patient held in line with trust and professional guidelines.
To prioritise and evaluate own workload and support junior staff in doing same.
To take direct responsibility for the advanced assessment of patients physical, emotional, financial, and psycho-social needs.
To discuss with patients, relatives, and carers specific aspects of care and treatment, including physical complications, drug efficacy and side effects etc.
To develop personalised care plans for patients on the case load.
To work within the Long-Term Conditions team to ensure delivery of holistic, streamlined and patient-focused care.
To empower patients to manage their condition in their own environment.
Person Specification
Qualifications
Essential
- Registered Nurse
- Relevant Diabetes Course or equivalent
- Independent Non Medical Prescriber
Desirable
- Community Nursing experience
Experience
Essential
- Minimum 5 years post registration experience with 3 years spent in diabetes care
- Knowledge of Type 1 and Type 2 diabetes including diabetes oral treatments, insulin therapies and GLP-1 mimetics
Skills
Essential
- Evidence of Advanced clinical assessment skills
- Knowledge of national policy and guidelines in relation to diabetes
- Excellent communication skills both written and verbal
Person Specification
Essential
- Evidence of Advanced clinical assessment skills
- Knowledge of national policy and guidelines in relation to diabetes
- Excellent communication skills both written and verbal
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
Oxleas NHS Foundation Trust
Address
151-153 Goldie Leigh ,Lodge Hill London SE2 OAS
Lodge Hill ,London SE2 OAS
Abbey Wood,Greenwich
SE2 0AY
Employer's website
http://oxleas.nhs.uk/ (Opens in a new tab)
Employer details
Employer name
Oxleas NHS Foundation Trust
Address
151-153 Goldie Leigh ,Lodge Hill London SE2 OAS
Lodge Hill ,London SE2 OAS
Abbey Wood,Greenwich
SE2 0AY
Employer's website
http://oxleas.nhs.uk/ (Opens in a new tab)
Seniority level
Seniority level
Mid-Senior level
Employment type
Job function
Job function
Health Care ProviderIndustries
Hospitals
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