Detailed job description and main responsibilities

Manage a complex caseload generated from a defined diabetes population.

Use advanced clinical skills for assessing and treating patients with diabetes using relevant clinical protocols for newly diagnosed patients with diabetes, patients with unstable diabetes and patients with complex needs and/ or complications of diabetes.

Identify, monitor, and review patients with Diabetes in the community and in nurse led clinics with regard to symptom control, prescription and titration of medication adhering to local guidelines.

To take the lead in empowering patients to make appropriate decisions about their treatment including Initiation and adjustment of insulin dosage and initiation of GLP-1 medication.

To initiate appropriate treatment for patients with suboptimal diabetes control including insulin initiation and change of insulin regimens.

To demonstrate knowledge of new and advanced therapies for diabetes control, such as GLP-1 mimetics and SGLT-2 medications.

Work closely with family and GP practices to maximise patients’ health potential.

To support, advise and recommend treatment regimens for diabetes and other comorbidities, including hypertension and lipid management in accordance with local and national guidelines, such as NICE and BHS guidance.

To provide advice and support for GP practices in order to raise the standard of diabetes care to prevent microvascular and macrovascular complications as evidenced by UKPDS, DCCT and NICE guidance.

To deliver evidence-based practice in line with clinical governance, trust policies and procedures and NMC guidance and support junior staff in doing same.

To have undertaken the Non-Medical Prescribing Course and liaise with the medicines management team on issues around prescribing.

To maintain own personal and professional development and attend regular one to ones and appraisals in order to identify own training and development needs.

To maintain own clinical knowledge and awareness of evidence-based research, national changes, and initiatives in diabetes care, by attending study days, workshops, conferences, and by private study.

To participate in clinical supervision on a regular basis either by self or in a team environment.

To maintain accurate, contemporaneous clinical records which are patient held in line with trust and professional guidelines.

To prioritise and evaluate own workload and support junior staff in doing same.

To take direct responsibility for the advanced assessment of patients’ physical, emotional, financial, and psycho-social needs.

To discuss with patients, relatives, and carers specific aspects of care and treatment, including physical complications, drug efficacy and side effects etc.

To develop personalised care plans for patients on the case load.

To work within the Long-Term Conditions team to ensure delivery of holistic, streamlined and patient-focused care.

To empower patients to manage their condition in their own environment.