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Job summary

Main area
Diabetes
Grade
Band 7
Contract
Permanent: 3 days
Hours
Part time - 22.5 hours per week (3 days a week)
Job ref
197-AJ-R-7985
Employer
Lewisham and Greenwich NHS Trust
Employer type
NHS
Site
University Hospital Lewisham
Town
Lewisham
Salary
£47,810 - £54,710 Per annum plus HCA pro rata
Salary period
Yearly
Closing
23/03/2026 23:59

Employer heading

Lewisham and Greenwich NHS Trust logo

Clinical Nurse Specialist– Diabetes(including Endocrinology service)

Band 7

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

To achieve this we value Respect, Compassion, and Inclusion; Being accountable over  staying comfortable; Listening  over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

We are seeking an experienced and motivated Diabetes (including Endocrinology service) Specialist Nurse to deliver expert, evidence-based care across our Integrated Diabetes services. You will provide leadership, manage a caseload of complex patients, and work collaboratively with multidisciplinary teams to ensure integrated care pathways are implemented effectively.

To work independently whilst supporting the team in the management of clinical caseload within your specialist field. Continuing responsibility for assessment of health needs and development and evaluation of standards of care

Main duties of the job

Main duties of the job

Clinical Care & Support

  • Provide expert assessment, advice, and treatment for people with diabetes and endocrine conditions across hospital, community, and outpatient settings.
  • Manage your own patient caseload, delivering individualized care plans that promote optimal health outcomes.
  • Offer ongoing education and support to patients and families to enhance self-management and quality of life.

Education & Training

  • Teach and train patients, carers, and healthcare staff, fostering confidence in managing complex conditions.
  • Develop educational resources and programs tailored to different learning needs and clinical settings.

Collaboration & Integrated Care

  • Work closely with multidisciplinary teams—including doctors, dietitians, and pharmacists—to ensure coordinated, holistic care.
  • Act as a key point of contact for complex cases, ensuring effective communication and continuity of care.

Service Development & Quality Improvement

  • Contribute to service development initiatives to enhance care delivery and patient experience.
  • Conduct audits, collect data, and apply research findings to improve standards and clinical outcomes.

Leadership & Professional Development

  • Support team growth by sharing expertise, mentoring colleagues, and promoting best practices.
  • Take an active role in clinical governance, policy development, and innovation in care pathways.

 

Working for our organisation

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

  1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
  2. Widening access (anchor institution) and employability
  3. Improving the experience of staff with disability
  4. Improving the EDI literacy and confidence of trust staff through training and development
  5. Making equalities mainstream

Detailed job description and main responsibilities

All the following are to be carried out while working in close collaboration with members of the multi-disciplinary team led by a Consultant.  To demonstrate clinical expertise within the speciality and work autonomously, managing own allocated clinics independently and seeking guidance/support when necessary.

·       To co-ordinate the specialty care within the Trust/CCG, including outreach clinics within the region.

·       To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.

·       Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings.

·       Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant.  Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.

·       To demonstrate the ability to develop new skills, to provide an expert high quality, nurse-led service.

·       To provide ongoing follow-up care and support ( telephone support / nurse led clinics / outpatient clinics and outreach clinics)

·       To develop the service in a structured interdisciplinary way, initiating on-going change and progression in the expanding role of a Clinical Nurse Specialist.

·       To develop interdisciplinary clinical management protocols and work within them.

·       Autonomously or in collaboration with the multidisciplinary team, manage the care of patients carrying out relevant interventions, within agreed clinical protocols and in line with current practice/trends.

·       To offer a supportive service to patients and their carers, disseminating specialist knowledge enabling individuals to try and adapt to any changes to their body image and life experiences.  Liaising with other healthcare professionals when necessary.

·       To provide, promote and maintain a support and advice service to patients and their carers, to include provision of information giving from diagnosis through to all stages of the disease process, in liaison with relevant healthcare professionals.

·       To maintain accurate and legible records of all clinical and legal documentation with regard to Statutory and Trust policies.

·       To assess, develop, implement and evaluate programmes of care within the acute and community setting

·       To control patient admission via direct referral and with consultant guidance and supervision.

·       Be aware of, understand, and act upon the Divisional Business Plan, with particular reference to nursing care, in order to participate in the re-formulation of nursing aspects of the plan.

·       When required, investigate the nursing aspects of incidents/complaints and initiate corrective action.

 

 

 

 

 

 

Person specification

Qualifications and Training

Essential criteria
  • Registered Nurse Level 1 register with NMC
  • 1st Level Degree or equivalent
  • Teaching and assessing qualification
  • Evidence of continuing professional development
Desirable criteria
  • DAFNE Educator or willingness to undertake training
  • Independent nurse prescriber or willingness to work towards
  • Accredited qualification in insulin therapy or willing to undertake course

Experience

Essential criteria
  • Minimum two years post-registration experience
  • Experience of working within the multidiciplinary team
  • Clinical experience in diabetes
  • Experience of liaising with other agencies
  • Ability to work autonomously
  • Good time management and prioritisation skills
Desirable criteria
  • Previous experience in the specialty
  • Initiated or been involved in relevant research

Knowledge

Essential criteria
  • Well developed interpersonal skills
  • Excellent communication skills, both written and verbal
  • Effective decision making skills
  • Knowledge and understanding of the relevant NICE guidance
  • Evidence of continued professional development of self and other health care professionals
  • Time management skills
  • Organisational skills
Desirable criteria
  • IT skills
  • Knowledge of research and audit
  • Ability to use Diabetes Clinical Information System, iCare, Connect Care or willingness to undertake training
  • Advanced training skills in therapeutic/ diagnostic procedures relevant to diabetes

Experience

Essential criteria
  • 1 years experience working as a junior DSN

Employer certification / accreditation badges

Trust IDCapital Nurse, LondonVeteran AwareApprenticeships logoTimewise helps businesses to attract and develop the best talent through flexible working.No smoking policyLondon Living Wage is a voluntary commitment made by employers, who can become accredited with the Living Wage FoundationAge positiveDisability confident leaderArmed Forces Covenant (Silver Award)We offer Wagestream - A financial wellbeing benefit which lets you access your pay as you earn it.NHS Rainbow badgePrince's Trust - Proud to support the Prince's trust - Youth can do itStep into healthHappy to Talk Flexible WorkingArmed 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

To ensure fairness and manageable shortlisting processes, some vacancies may have an application cap. This means the vacancy will close once a set number of applications have been received even if this happens before the advertised closing date.

We recommend applying as early as possible to avoid missing out. All applications received before the cap is reached will be considered equally and assessed against the person specification.

Documents to download

Apply online now

Further details / informal visits contact

Name
Cheryl Richardson
Job title
Lead Diabetes Nurse
Email address
[email protected]
Telephone number
07918363463