Job Summary
The Diabetic Specialist Nurse will be an experienced and compassionate clinician who will play a key role in managing Hitchin and Whitwell patients with diabetes mellitus and pre-diabetes. You will work with practice and PCN staff and the wider multi-disciplinary team to deliver excellent, patient-facing care, aiming to improve patient experience and their outcomes.
Diabetes is a condition in which good blood sugar control can reduce the risk of the many associated potential complications. You will be an experienced prescribing nurse who is passionate about diabetes care, promoting self-management and patient empowerment while confidently adding and adjusting medication as required.
This post is part of the Additional Roles Reimbursement Scheme (ARRS) for Primary Care Networks (PCNs).
Main duties of the job
With support from the practice and PCN teams, you will undertake holistic diabetic Quality Outcomes Framework and Enhanced Commissioning Framework reviews, including taking and recording clinical observations, completing care planning documents, implementing evidenced based interventions, prescribing and monitoring medication, and offering practical advice and emotional support patients and, where appropriate, their carer. You will be aware of local support services and be able to refer and signpost into these as appropriate. You will work collaboratively with partners to support patients, primary care and the wider health and social care system.
About Us
H&W Health Ltd is a company providing services for Hitchin and Whitwell Primary Care Network (HWPCN). HWPCN was the Hertfordshire and West Essex PCN of the Year in 2024.
PCNs build on existing primary care services and enable new and innovative approaches to improve patient care and access to services. HWPCN covers approximately 47,000 patients from four local GP surgeries. We are a dynamic and forward-thinking PCN, with a team of ARRS including clinical pharmacists, physiotherapists, social prescribing link workers, health & wellbeing coaches and care coordinators, supported by an operations manager, a business manager and a clinical director. We facilitate our PCN staff to integrate into practice teams and pride ourselves on providing a friendly and supportive working environment.
Hitchin is a market town in Hertfordshire with excellent schools and transport links.
Details
Date posted
23 July 2025
Pay scheme
Other
Salary
£46,000 to £50,000 a year pa WTE depending on experience
Contract
Permanent
Working pattern
Full-time
Reference number
M0067-25-0003
Job locations
Portmill Surgery
114 Queen Street
Hitchin
Hertfordshire
SG4 9TH
Doctors Surgery
60 High Street
Whitwell
Hitchin
Hertfordshire
SG4 8AG
Bancroft Medical Centre
Bancroft Court
Hitchin
Hertfordshire
SG5 1LH
Regal Chambers Surgery
50 Bancroft
Hitchin
Hertfordshire
SG5 1LL
Job Description
Job responsibilities
Primary Responsibilities
- The following are the core responsibilities of the Diabetic Specialist Nurse:
- Deliver comprehensive diabetes care and management in accordance with national guidelines (e.g., NICE, QOF)
- Conduct structured diabetes reviews including assessment, monitoring, and adjustment of treatment plans
- Provide education and self-management support to patients with diabetes and pre-diabetes
- Initiate and titrate insulin or non-insulin therapies in accordance with clinical protocols and independent prescribing rights
- Support patients to manage devices such as continuous blood glucose monitoring equipment and insulin pumps
- Identify patients at risk of diabetes-related complications and implement appropriate interventions
- Collaborate with GPs and multidisciplinary teams to deliver patient-centred care
- Provide support and training to primary care staff in diabetes management
- Contribute to service development
- Maintain accurate and timely clinical documentation in patient records
- Participate in patient recall systems and help ensure achievement of QOF and IIF targets related to diabetes
Secondary Responsibilities
In addition to the primary responsibilities, the Diabetic Specialist nurse may be requested to:
- Participate in practice audits as requested by the audit lead
- Participate in local quality improvement initiatives to enhance service delivery and patient care
- Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA)
This list is not exhaustive and there may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload, staffing levels and the needs of the business.
Generic Responsibilities
Confidentiality
- All staff are required to respect the confidentiality of all H&W Health, HWPCN and Practice business and the business of the staff, residents, patients and general public which they may learn in the execution of their duties.
Data Protection
- All staff are expected to adhere to the current laws regarding data protection.
Health and Safety
All Staff Are Expected:
- To carry out the duties placed on employees by the Health and Safety at Work Act 1974, , Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.
- To take reasonable care for the Health and Safety of themselves and of other persons who may be affected by their acts or omissions at work
- To co-operate with their employer as far as is necessary to meet the requirements of the legislation.
- Not to intentionally or recklessly interfere with or misuse anything provided in the interest of health, safety or welfare in the pursuance of any relevant statutory provision.
Equality and Diversity
- You must uphold the PCN commitment that all people will be valued regardless of their economic circumstances, disability, race, age, gender, sexual orientation, religion or belief, transgender status, pregnancy, maternity, partnership or marital status.
Risk Management
All Staff Are Expected:
- To have a commitment to identifying and minimising risk, report all incidents and any risks which need to be assessed.
- To always comply with the Practices/PCNs/Companys Health and Safety policies. To follow agreed safe working practices and report any incidents or concerns to the practice manager, PCN director and senior clinic pharmacist.
Professional Registration
- All qualified/professional staff are required to keep professionally registered and updated in accordance with the requirements of the relevant Code of Practice and to follow guidance issued by their professional body.
Policies and Procedures
- The post holder is expected to comply with all relevant PCN policies, procedures and guidelines.
Quality & Continuous Improvement (CI)
- All staff are expected to strive for continuous improvement and to raise ideas and concerns with their line manager
Learning and Development
- All staff will be required to partake and complete a company induction and mandatory training, as well as participating in PCN training activities.
Collaborative Working
All Staff Are Expected:
- To recognise the significance of collaborative working.
- To communicate in a manner which enables the sharing of information appropriately and professionally.
Professional Conduct
- Staff are required to dress appropriately for their role
Leave
- Staff are encouraged to use all of their annual leave entitlement.
Job description
Job responsibilities
All Staff Are Expected:
- To recognise the significance of collaborative working.
- To communicate in a manner which enables the sharing of information appropriately and professionally.
Professional Conduct
- Staff are required to dress appropriately for their role
Leave
- Staff are encouraged to use all of their annual leave entitlement.
Person Specification
Essential
Other requirements
- Flexibility to work outside of core office hours
- Disclosure Barring Service (DBS) check
- Occupational Health Clearance
Desirable
- Clean current driving licence and access to own vehicle
- Project lead as required
Personal Qualities
Essential
- Polite and confident
- Flexible and cooperative
- Motivated, forward thinker
- Problem solver with the ability to process information accurately and effectively, interpreting data as required
- High levels of integrity and loyalty
- Sensitive and empathetic in distressing situations
- Ability to work under pressure / in stressful situations
- Effectively able to communicate and understand the needs of the patient
- Commitment to ongoing professional development
- Effectively utilises resources
- Punctual and committed to supporting the team effort
Qualifications
Essential
- Current registration with the Nursing and Midwifery Council
- Recognised nursing qualification to degree level or equivalent
- Additional post-registration qualification in diabetes management
- Independent nurse prescriber
Skills
Essential
- Excellent communication skills (written and oral)
- Strong IT skills
- Clear, polite telephone manner
- Competent in the use of Office and Outlook
- SystmOne user skills
- Effective time management (Planning & Organising)
- Ability to work as a team member and autonomously
- Excellent interpersonal skills
- Problem solving & analytical skills
- Ability to follow clinical policy and procedure
- Experience with audit and able to lead audit programmes
- Experience with clinical risk management
Clinical Knowledge & Skills
Essential
- Excellent level of clinical knowledge and skills
Experience
Essential
- Experience of working in a primary care environment
- Extensive experience in managing diabetes mellitus, including initiation and monitoring of insulin
Desirable
- Experience of using SystmOne
- Experience of working in multi-disciplinary teams
Essential
- Flexibility to work outside of core office hours
- Disclosure Barring Service (DBS) check
- Occupational Health Clearance
Desirable
- Clean current driving licence and access to own vehicle
- Project lead as required
Person Specification
Essential
- Flexibility to work outside of core office hours
- Disclosure Barring Service (DBS) check
- Occupational Health Clearance
Desirable
- Clean current driving licence and access to own vehicle
- Project lead as required
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.
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.
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
Hitchin & Whitwell Primary Care Network
Address
Portmill Surgery
114 Queen Street
Hitchin
Hertfordshire
SG4 9TH
Employer's website
https://hitchinandwhitwellpcn.nhs.uk/ (Opens in a new tab)
Employer details
Employer name
Hitchin & Whitwell Primary Care Network
Address
Portmill Surgery
114 Queen Street
Hitchin
Hertfordshire
SG4 9TH
Employer's website
https://hitchinandwhitwellpcn.nhs.uk/ (Opens in a new tab)
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