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Job summary

Main area
Diabetes
Grade
NHS AfC: Band 6
Contract
30 weeks (fixed term)
Hours
Part time - 30 hours per week (9-5)
Job ref
391-NMUH-7179861-A
Employer
Royal Free London NHS Foundation Trust
Employer type
NHS
Site
Forest Primary Care Centre
Town
Enfield
Salary
£42,939 - £58,544 pro-rata per annum inclusive of HCAs
Salary period
Yearly
Closing
18/07/2025 23:59

Employer heading

NHS

Diabetes Specialist Nurse Band 6 ( Secondment)

NHS AfC: Band 6

Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community.  This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.

Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation.

Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.

Click here to view our video Welcome to the Royal Free


 

Job overview

If you are looking for your next challenge to add to your portfolio, then look no further. Come and join our lovely award-winning team.  We are looking for a Band 6 Diabetes Specialist Nurse on secondment to join our dynamic community diabetes service serving the London Borough of Enfield. This is a 30.0hrs fixed term post till the 31st of March 2026. 

The successful candidate should have the ability to undertake advanced clinical assessments of patients with a diagnosis of diabetes providing appropriate clinical intervention, support, non-medical prescribing (desirable) , and advice to patients and carers. 

This role provides nursing support within the community diabetes service, providing tier 3 intermediate service and supporting primary care (Tier 1 and 2) and allowing appropriate referrals into secondary care (Tier 4). This a community post but the successful candidate will very closely with the acute care, Diabetes service across NCL, Enfield GP Federation and all other key stakeholders.

The role will  promote the health and wellbeing of people with diabetes enabling them to achieve optimum Glycaemic, Blood Pressure, Cholesterol and other key parameters. The nurse role is key to encouraging compliance with medication through informed self-management and education.

The successful candidate should have a UK Drivers license.

Main duties of the job

To provide holistic care as a key member of the diabetes team and contribute to all multidisciplinary team working.

To perform a comprehensive Diabetes assessment of adults referred to the Diabetes Nursing service with diverse presentations and complex physical and medical conditions, to provide a clinical diagnosis and develop and deliver an individualised treatment programme.

To undertake a comprehensive holistic assessment of patients including those with diverse or complex presentations/multi pathologies. To use advanced clinical reasoning skills and appropriate assessment techniques to provide an accurate clinical diagnosis of their current diabetes issues.

To provide relevant diabetes educational sessions to other Health care professionals, nursing colleagues, patient and their families, residential and nursing home where appropriate.

To hold responsibility for own caseload and be responsible for working without direct supervision.  Supervision takes the form of regular clinical reasoning sessions including peer and case reviews.  To undertake all aspects of clinical and leadership duties as an autonomous practitioner.

To undertake evidence-based audit and a project to further own and teams’ clinical practice.  Make recommendations to clinical lead or manager where appropriate.

other duties are in the job description

Working for our organisation

NMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. For more information, please access the following link: https://www.northmid.nhs.uk/

Detailed job description and main responsibilities

Using diabetes care guidelines to perform a comprehensive Diabetes assessment of adults referred to the Diabetes  service with diverse presentations and complex physical and medical conditions, to provide a clinical diagnosis and develop and deliver an individualised treatment programme.

Undertake new/triage, follow up clinics and structured education.

Maintain effective communication with patients, carers and professionals to ensure seamless service delivery, and to act as a first line contact resource, using developed specialised knowledge underpinned with experience and theoretical knowledge for diabetes related issues.

Be able to empower people with diabetes to self-care, such as starting people on insulin therapy where English is not a first language. Supporting those dealing with complications associated with diabetes, eg loss of vision, amputation, heart attacks etc

To participate in diabetes Clinics, formulating individualised patient treatment care programmes in conjunction with the patient, multidisciplinary team and initiating changes in management of care.

Assessing patients’ diabetes needs, identifying physical, psychological, physiological, emotional, spiritual and cultural needs in relation to their condition and proposed treatment.

Provide a pathway of diabetes specialist nursing care for the patient, referring to secondary care, multidisciplinary teams and voluntary services unsupervised.

To act as a clinical expert in advising patients who present with diabetes related problems and provide clinical advice and support to community-based staff and junior members of the team.

To request and interpret diagnostic investigations and inform patients and GPs of results.

To act as the patients, advocate when relevant and educate on all the treatment options to enable a patient to make an informed choice, negotiating with the medical team to agree a care pathway.

To ensure patients, carers and health care professionals are given verbal and written information regarding planned care.

To identify vulnerable groups and provide support, care and education to enable them to be self-caring in the management of their condition.

Be responsible and accountable as a named nurse for an identified locality/group of general practices.

Receive/triage patient referrals received through the central point of referral within the community diabetes service according to agreed protocol.

Manage a complex caseload, autonomously in a community care setting.

To work across organisational boundaries and in conjunction with the multidisciplinary team at other sites within the borough

Facilitate district nursing teams in the assessment, development, implementation, and evaluation of programmes of care that meet the needs of the individual patient with diabetes in terms of treatment and referral.

Under agreed guidelines, protocols and with supervision undertake the initiation and stabilisation of insulin and oral hypoglycaemics agents.

Advise general practitioners, practice nurses and District nurses on oral hypoglycaemic medication and insulin dose changes.

Participate in case conference in relation to future management or discharge arrangements.

Maintain adequate patient records and ensure all relevant information is documented using database as per agreed protocol.

Prescribe in accordance to locally agreed guidelines and advise GPs of any medication changes.

Maintain adequate prescribing documentation. Network with other Prescribers to maintain and keep up to date to minimise variation in practice.

See others in Job description 

Person specification

Others

Essential criteria
  • Car driver and driving license for business use

Experience

Essential criteria
  • • Minimum of 3years post Nursing qualification. • Experience of providing patient education in an individual or group setting • Providing training and development to staff from a range of backgrounds and levels • Assessing and prescribing care plans for patients with complex needs. • Proving experience of working in clinics and knowledge of diabetes medication. • Proving experience of working in Diabetes required to do the job. • Demonstrate relevant knowledge gained in previous employment or elsewhere. • Knowledge of service improvements.

Skills and Abilities

Essential criteria
  • Negotiation and Facilitation skills. IT skills e.g. RIO including spread sheets and databases, data collection and monitoring. Ability to work closely with MDT to promote best practice in the care of Diabetic patients. Ability to work autonomously to deliver to tight deadlines. Ability to lead audit in the community as part of the wider clinical governance framework. Ability to present complex clinical information in a way that is understandable to a range of staff. Knowledge of risks and governance.

Personal Qualities & attributes

Essential criteria
  • Evidence of team working and interpersonal skills. Demonstrates Trust values. Able to produce high standard care. Importance of a positive “can do” attitude and a positive attitude to change. Motivated to own personal development. Manages time effectively. Strong Communication skills both written and verbal

Qualifications

Essential criteria
  • • RGN Adults (NMC) • First degree • Further relevant training about Diabetes care • Mentorship qualification • Evidence of Continued Professional Development
Desirable criteria
  • • Second degree. • Masters in relevant topic. • Other relevant qualifications to this role (must state which field)

Employer certification / accreditation badges

Nursing TimesApprenticeships logoNo smoking policyPositive about disabled peopleDisability confident employerTimewise PartnerCare Quality Commission - Requires improvementEnei MemberArmed Forces Covenant

Applicant requirements

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.

Application numbers

This vacancy may close early if it receives a high number of applications. Please complete and submit your application in good time to avoid disappointment.

Documents to download

Apply online now

Further details / informal visits contact

Name
Nneka Agbasi
Job title
Diabetes Specialist Nurse Lead
Email address
[email protected]
Telephone number
07929383789.
Additional information

alternatively please email [email protected]

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