Senior Enhanced Nurse Practitioner - Diabetes

Bristol NHS Foundation Trust; West of England; On-site; GBP 49,000 - 57,000; Part time

Benefits offered by this job

Flexible working

Job summary

Bristol NHS Foundation Trust is seeking an experienced Senior Enhanced Nurse Practitioner in Diabetes (Band 7) to deliver advanced care across inpatient and outpatient settings. The role emphasizes leadership, education and guideline-driven diabetes management within a multidisciplinary team.

The post is part-time (31.88 hours/week) with weekend work required, offering pro rata salary with NHS benefits. The successful candidate will lead complex care pathways and contribute to service

Qualifications

• Active professional registration with a regulatory body (e.g., NMC).
• Post-registration diabetes CPD or qualification required.
• Non-medical prescriber status if applicable.
• Demonstrated leadership experience in clinical settings.
• Maintenance of professional portfolio and revalidation evidence.
• Enhanced Clinical Practitioner Level 6 or above qualification.

Responsibilities

• Provide autonomous assessment, diagnosis and management of diabetes patients across inpatient and outpatient settings.
• Deliver specialist diabetes care within dedicated clinics (antenatal, insulin pump, renal, etc.).
• Develop, implement and evaluate individualised care plans to promote self-management and outcomes.
• Provide diabetes education and support to patients, carers and healthcare professionals across the Trust.
• Initiate and adjust diabetes treatments within guidelines, including prescribing where appropriate.

Skills

Diabetes care knowledge

Clinical leadership

Service improvement

Research and audit

Education

NMC registration

Diabetes CPD / post-registration qualification

Non-medical prescriber status

Leadership experience

Professional portfolio maintenance / revalidation

Enhanced Clinical Practitioner Level 6+

Job description

Main area Diabetes Grade Band 7 Contract Permanent Hours Part time - 31.88 hours per week (Weekend working required) Job ref 339-MED0714-NG

Employer Bristol NHS Foundation Trust Employer type NHS Site Southmead Hospital Town Bristol Salary £49,387 - £56,515 per annum, pro rata for part time Salary period Yearly Closing 23/11/2026 23:59

Senior Enhanced Nurse Practitioner - Diabetes

Band 7

North Bristol NHS Trust (NBT) and University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) have merged as of 1 st July 2026 to become Bristol NHS Foundation Trust. This will create an exciting future that brings together the best of both organisations. As a single, strong and sustainable organisation, we will not only be able to deliver better outcomes for our patients and fairer care for our population, but it will also provide greater opportunities for our people.

Bristol NHS Foundation Trust recognise the value of a healthy work-life balance. When applying, speak to us about how we might be able to accommodate flexible working, so your work life fits around your home life.

We particularly welcome applications from Black, Asian and minority ethnic candidates as they are under-represented within the Trust.

Our job adverts may close as soon as sufficient applications have been received. Considering this, if you are interested in this role, please do apply as soon as you can.

Generative artificial intelligence (AI) describes algorithms that can be used to produce new content, including audio, code, images, text, simulations, and videos. It is developing all the time and is now being used as a support mechanism for all kinds of content-based creations. Please note the use of AI is monitored and if applicants have used it then they are required to declare this.

Job overview

This is an exceptional opportunity for an experienced and motivated Senior Enhanced Nurse Practitioner, to join our rapidly expanding multidisciplinary Diabetes service.

You will work within a forward-thinking and supportive team, delivering outstanding care across a wide range of specialist in-patient and out-patient services.

The successful candidate will utilise advanced clinical skills across antenatal diabetes care, insulin pump therapy, young persons and transitional services, acute diabetes management, complex diabetes clinics and specialist renal diabetes services.

This role is ideal for an experienced diabetes Nurse who is passionate about delivering high quality care and thrives in a dynamic clinical environment. You will manage complex patient caseloads, make advanced clinical decisions, provide education to patients and healthcare professionals, and work collaboratively across multidisciplinary teams.

You will play a key leadership role, contribute to education, quality improvement, and research activities.

The successful candidate will be supported with a structured induction, ongoing professional development opportunities and a job plan designed around service needs and personal learning objectives.

If you are looking to take the next step in your diabetes career within a progressive and supportive team, we would love to hear from you.

Main duties of the job

• Provide expert, autonomous assessment, diagnosis and management of patients with complex diabetes needs across inpatient and outpatient settings.
• Deliver specialist diabetes care within dedicated clinics including antenatal, insulin pump, young persons, renal and complex diabetes services.
• Develop, implement and evaluate individualised care plans, promoting self-management and positive patient outcomes.
• Provide specialist diabetes advice, education and support to patients and their carers, and healthcare professionals across the Trust and wider healthcare community.
• Initiate and adjust diabetes treatments and interventions in line with clinical guidelines and scope of practice, including prescribing where appropriate.

Working for our organisation

Bristol NHS Foundation Trust brings together more than 28,000 staff to deliver over 160 clinical services across thirteen hospital locations, operating from three main sites at Southmead, Bristol city centre and Weston.

With an annual turnover of 2.6 billion, we are now one of the largest NHS trusts in the United Kingdom.

Chaired by Ingrid Barker and led by Maria Kane as Chief Executive, Bristol NHS Foundation Trust aims to transform the way healthcare is delivered locally with a clear focus on making a difference for what we call our Four Ps:

• Better outcomes for ourPatients
• More opportunities for ourPeople
• Fairer more consistent care for ourPopulation
• Best Value forPublic Purse

Our vision for five years from now:

• Patients will wait less time to be diagnosed and treated, and they will have the same high-quality experience and outcomes, regardless of who they are or where they live.
• We will meet rising demand by maximising the use of our available resources.
• More care will be delivered nearer to patients, in their homes or the community.
• Digital technologies will have transformed the way we work and the way we deliver care.
• Our people will feel engaged, energised and empowered by their work.
• We will be known as a place where people enjoy working, training and building a career.
• Our volume of globally renowned research and innovation will have grown significantly.
• We will contribute to system financial balance

Detailed job description and main responsibilities

For a more detailed job description and main responsibilities, please refer to the job description document attached to this vacancy.

• Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions for diabetes patients by virtue of enhanced clinical judgement and close liaison with members of the MDT.
• Use diabetes expertise and decision-making skills to inform clinical reasoning approaches when dealing with individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/ or diagnoses.
• Initiate, evaluate, and modify a range of diabetes interventions which may include prescribing medicines, therapies, lifestyle advice and care. Use empowerment and counselling skills to enable individuals with diabetes to make life changes in complex situations and self-manage their condition.
• Provide specialist and expert diabetes clinical knowledge to colleagues, patients and carers/ relatives both within and outside the Trust.
• Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families, and carers.
• Ensure compliance with their respective code of professional conduct and work within their scope of practice.
• Works in conjunction with the MDT to clearly define values, direction and policies impacting upon care.
• Work in partnership with individuals with diabetes, their families, and carers, using a range of assessment methods as appropriate.
• Be able to demonstrate a critical understanding of their broadened level of responsibility and autonomy. This includes being critically aware of their limits of their own competence and professional scope of practice, including when working with complexity, risk, uncertainty, and incomplete information.
• Be responsible and accountable for their decisions, actions, and omissions at this enhanced level of practice.
• Utilise professional judgement and maturity, understanding when to seek help.
• Demonstrate critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
• Demonstrate effective communication skills, supporting people in making decisions, planning care, or seeking to make positive changes, using Health Education England’s framework to promote person-centred approaches in health and care.
• Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining, and evaluating links to manage risk and issues across organisations and settings.
• Evidence the underpinning diabetes specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope.
• Act as a clinical role model/ advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies, and networks.
• Initiate drug therapy/ medication within the parameters of agreed clinical guidelines and in accordance with the legal framework you work under to supply and prescribe medicines (if from professional group legally entitled to prescribe).
• Request diagnostic intervention and investigation and interpret said investigation within the practitioner’s scope of practice.

Person specification

Education/Training/Qualifications

• Active Professional Registered Qualification with a professional body e.g., NMC
• Post registration qualifications/CPD in area of diabetes practice as a minimum.
• Non-medical prescriber (If appropriate for statutory profession and role)
• Proven leadership experience
• Evidence of ongoing professional development through maintenance of professional portfolio and registration revalidation
• Enhanced Clinical Practitioner Level 6 or above qualification

Work Experience

• Grounded knowledge of the diabetes environment
• Demonstrable experience of service improvement and transformation, achieving cultural change to improve service quality
• Experience of implementing local/specialist objectives
• Proven track record of successful management of change and leadership
• Excellent organisation and leadership skills
• Ability to act independently, resolve complex clinical situations and have good decision-making skills
• Experience of management of the complex diabetes patient
• Experience of involvement in research and audit at a local level within current or previous roles.
• Ability to interpret and apply best practice and promote its use with others
• A sound understanding of professional priorities and issues

We hope that you will decide to join us and become part of this exciting journey, helping us to shape our future together.

As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application to ensure we’re meeting our pledge.

The Trust is committed to investing in and caring for all our staff. We will support you in maintaining and improving your health and wellbeing, as well as your career development through management and training support - developing exceptional people for exceptional careers.

BFT is committed to safeguarding and promoting the welfare of children, young people, and vulnerable adults.

To comply with Part 7 of the Immigration Act 2016 all applicants must be able to speak fluent English to an appropriate standard which will be assessed at Interview.

If you require sponsorship for a visa to work in the UK, to avoid disappointment, please check to ensure you are eligible under the UKVI points based system.

The Trust uses electronic new starter forms on Trac to collect personal details. Information collected is securely stored and used to set up the employee record on the ESR HR system.

By applying for this post, you are agreeing to Bristol NHS Foundation Trust transferring the information contained in this application to its preferred applicant management system. If you are offered a job, information will also be transferred into the national NHS Electronic Staff Records system.

IMPORTANT:

Please note that if you apply for a position with this Trust, you may be contacted via Trac or via email. This includes invites for job interviews. We therefore recommend that you regularly check your Trac account and email accounts. We may also contact you by texting the mobile number, if provided, on the application form.

Due to the high number of applications that are received for some posts we may close this vacancy before the advertised closing date. Therefore, please apply for this post as soon as you can, if you are interested and you meet the requirements of the Person Specification

Only those candidates who clearly demonstrate how they meet the person specification will be shortlisted for this job.

As a guide interviews should usually take place within 3 weeks of the closing date.

When providing employment reference details, please provide correct work-related email addresses so references can be sought promptly when we are looking to progress your application. Your referee must all be known to you in a line manager or professional lead capacity.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.