Band 7 Diabetes Specialist Practitioner: Visa sponsorship

Barnet and Chase Farm Hospitals

Full job description

Our trust has around 10,000 staff serving 1.6 million patients. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free 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.

Detailed job description and main responsibilities


  • To provide a diabetes service by receiving and acting on direct referrals.
  • Autonomously manage a caseload of patients with the support of the Consultant Nurse Diabetes and Diabetes Service Lead.
  • Use advanced clinical assessment skills and judgement to assess, plan, implement and evaluate care for patients with diabetes with complex physical and psychological related problems using a recognised evidenced based model of care.
  • Monitor and make treatment interventions in order to manage patients’ symptoms associated with diabetes. If qualified as an independent Nurse/Dietitian Prescriber, prescribe medications as clinically indicated as per Trust and department policies.
  • Order and interpret and act on relevant tests and investigations.
  • Provide appropriate and timely education and advice to patients in order to promote self-management, enhance quality of life and decrease avoidable A&E attendances or admissions.
  • To provide essential advisory and psychological care to patients referred with diabetes.
  • To document all care given using the Trust guidelines.
  • To act as a clinical expert role model in nursing care to other nurses within the team and nationally as required.
  • To develop nursing guidelines/ protocols related to diabetes at a local and network level.


  • To review patients on a weekly/daily basis with the multi-professional team
  • To be an advocate for service users to highlight service deficiencies, to improve patient centred care.
  • To actively engage with service users and develop methods to measure patient satisfaction.
  • To participate in regular structured education sessions for patients.
  • To communicate clearly, skilfully and sensitively with all patients always


  • In conjunction with the multi-professional team develop annual objectives and strategies for Diabetes and monitor and evaluate progress towards these
  • To identify potential service improvements within Diabetes and lead local improvement projects
  • To actively participate in measurement of outcomes including local audit
  • To develop and update nursing guidelines/protocols in relation to Diabetes
  • Participate in the development of Trust wide mandatory education programmes for Diabetes
  • Work collaboratively with Lead/ Consultant Nurse and multi-professional team to develop and disseminate Trust wide Diabetes guidelines


  • To ensure that resources are used effectively and efficiently.
  • To ensure that any equipment used is maintained and serviced accordingly.


  • To provide advice and leadership on complex issues within care practices and delivery across the Trust and local networks
  • To take a lead role in the further development of off-site Diabetes led services
  • Promote the principles of clinical supervision and act as a supervisor for others
  • To provide advice and support to other members of the multi-disciplinary team in relation to specialist practice in Diabetes
  • To use clinical expertise to provide practical strategies to solve problems identified by other health care professionals
  • To take a lead role in developing advanced practice in Diabetes, whilst being aware of personal and professional limitations.
  • To work with the Diabetes service leads and multi-professional team to engage in the implementation of improvements in diabetes practices within own areas of responsibility and in line with local and national agenda and patient feedback.
  • To work closely alongside senior practitioners within the Trust to advance specialist roles.
  • Line manage and mentor junior staff and students
  • To assist with the cross cover of the DSN/Dietitians across all sites
  • To report all clinical and non-clinical incidents promptly and when requested to co-operate with any investigation undertaken
  • To establish strong working links with other key colleagues within the directorate both within the multi-professional team and external bodies outside the Trust and local Diabetes networks.
  • To initiate and develop collaborative care strategies.


  • To document and maintain accurate records in line with professional standards of record keeping
  • To participate and attend Directorate and Trust forums to ensure uptake of information to disseminate to own team
  • To ensure mandatory training and adherence to the Trust’s Information Governance Policy


  • To ensure an evidence-based service, through regular literature review and update of Trust guidelines.
  • To participate in research and quality improvement within the unit
  • To develop teaching resources to develop knowledge base about Diabetes
  • To pursue a programme of continuous education to achieve and maintain expertise for the post and continue professional development using the NMC/CPSM Advanced Practice competencies as a framework
  • To be responsible for ensuring own awareness of current developments in Nursing/Dietetics, the Health Service and relevant specialist clinical practices.
  • To actively seek out opportunities to participate in formal and informal teaching and training of all members of the multi-professional team


Infection Control

Infection control is everyone’s responsibility. All staff, both clinical and non clinical, are required to adhere to the Trust’s Infection Prevention and Control policies and procedures and the Health Act (2006) Code of Practice for the prevention and control healthcare associated infections and make every effort to maintain high standards of infection control at all times thereby reducing the risk of Healthcare Associated infections.

It is the duty of every member of staff to take personal responsibility for the prevention and control of infection, as laid down in the Trust’s polices and procedures which reflect the statutory requirements of the Hygiene Code.

  • To work in close collaboration with the Infection Control Team.
  • To ensure that monitoring of clinical practice is undertaken at the agreed frequency.
  • To ensure that the ward environments are cleaned and maintained to the highest standards; ensuring that shortfalls are rectified, or escalate as necessary.
  • To ensure that all relevant monitoring data and issues are provided to the Directorate’s Governance structures.
  • To ensure that all staff are released to attend infection control-related educational sessions and staff with specialist roles, e.g. link practitioners, are released to undertake their duties.

Health and Safety at Work

The post holder is required to:

  • Take reasonable care for the health and safety of himself/herself and other persons who may be affected by their actions or omissions at work.
  • Co-operate with the employer in ensuring that all statutory and other requirements are complied with.

Person specification

Royal Free World Class Values

Essential criteria
  • Demonstrable ability to meet the Trust Values

Education & professional Qualifications

Essential criteria
  • Registered nurse/Dietitan
  • Relevant 1st degree to specialist Diabetes care
Desirable criteria
  • Educated to or willing to work to Masters level education
  • Non-medical prescriber
  • Advanced clinical assessment skills
  • Recognised teaching or mentorship qualification
  • DAFNE (Dose adjustment for normal eating or equilevent


Essential criteria
  • Recent extensive experience in specialist diabetes care at CNS/DSD level.
  • Experience in teaching multidisciplinary staff.
  • Able to demonstrate contribution to clinical protocols
  • Experience of supervising other healthcare professionals
  • Covid-19 Vaccination
    Getting vaccinated, and getting a booster, remains the best defence against COVID-19.
    We encourage and support staff to get COVID-19 vaccine and a booster dose as and when they are eligible.
  • AT* – Apprenticeship Training. Where AT* is entered next to the job title indicates that this vacancy is for an apprenticeship role.
  • By applying for this role, you accept if successful, that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which aims at saving you time and improving efficiencies within the NHS when your employment transfers. Therefore we require you to complete your stat and Man e-learning modules prior to joining our organisation.
  • If you are an EU/EEA citizen who does not have EU Settlement or Pre-Settled status, you will require a visa to work in the UK.
  • Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the UKVI points based system.
  • If you are offered a role with one of the NLPSS partner trusts, as part of pre-employment checks your identity and right to work documentation will be verified remotely (in most circumstances), using a certified identity verification service provider TrustID. You will be asked to capture an image of the relevant documents as well as a “selfie” using your smartphone/tablet (if available) for facial matching. TrustID will also perform a digital address check using Trunarrative and Equifax, which is a soft check and does not leave a footprint on your credit rating. For more information, visit
  • 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.
  • The Trust will request a DBS (CRB) if post involves regulated activities. The Trust is compliant with the Disclosure and Barring Service Codes of practice and the Rehabilitation of offenders act.
  • By applying for this post you are agreeing to Royal Free London 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.
  • Please be aware of scams – unless specified above, we will only communicate with you via or e-mails and we will never ask you for any payments.

Applications are welcome from people wishing to job share or work flexible patterns. We are committed to equal opportunities.

Please note:

  • 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.
  • Interview arrangements will be communicated via email so please check your email regularly following the closing date.
Please be advised that due to exceptionally high demand, all Royal Free accommodation is at full capacity and waiting lists are being held. Average waiting times are 12 months. Please do not rely on Trust accommodation when you commence your role and ensure you investigate alternative accommodation for your arrival.

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