Lead Endocrine CNS: Nurse-Led Clinics & Autonomy

Gloucestershire Hospitals NHS Foundation Trust; Gloucester; On-site; GBP 42,000 - 56,000; Full time

Job summary

Gloucestershire Hospitals NHS Foundation Trust is seeking an experienced Clinical Nurse Specialist (Endocrinology) to lead and develop a nurse‑led endocrine service across the Trust. The role involves autonomous management of a complex caseload, establishing clinics (in person and virtual), and acting as a clinical expert to patients, carers and colleagues.

You will work closely with Consultant Endocrinologists and contribute to education, governance, and service development, delivering

Responsibilities

• Manage a complex specialist caseload autonomously, prioritising workload according to clinical need.
• Establish and deliver nurse‑led endocrinology clinics, both face‑to‑face and virtual.
• Act as the key worker for patients with complex endocrine conditions, providing continuity of care throughout the patient pathway.
• Provide specialist advice and support for endocrine inpatients and support safe discharge planning.
• Undertake endocrine dynamic function testing in accordance with national guidance and local protocols.
• Interpret investigation results and implement agreed management plans within scope of practice.
• Initiate, monitor and review specialist endocrine treatments, referring appropriately where medical review is required.
• Provide education relating to adrenal insufficiency, steroid replacement therapy, hypopituitarism, steroid sick day rules and emergency hydrocortisone administration.
• Administer and monitor specialist endocrine medications including injectable therapies.
• Promote self‑management and personalised care planning to optimise patient outcomes and quality of life.

Job description

Gloucestershire Hospitals NHS Foundation Trust is seeking an experienced Clinical Nurse Specialist (Endocrinology) to lead and develop a nurse‑led endocrine service across the Trust. The role involves autonomous management of a complex caseload, establishing clinics (in person and virtual), and acting as a clinical expert to patients, carers and colleagues.

You will work closely with Consultant Endocrinologists and contribute to education, governance, and service development, delivering