Diabetes Matron Neighbourhood Health Programme
South and East Leeds GP Group
Leeds, LS14 1HX
Salary
£57,528 to £64,750
Contract
Permanent
Hours
Not specified
Closing date
13 September 2026
13 days left
Job description
Are you an experienced diabetes nurse specialist looking for a next-step senior leadership role in a genuinely new model of care? A rare opportunity h...
Main
You will provide senior nursing
leadership within the Tier 3 Clinical Oversight Group of the Diabetes
Neighbourhood Health Programme. Your focus is advanced clinical decision-making
for complex and atypical diabetes presentations, MDT leadership, and workforce
development across the multi-neighbourhood diabetes nursing offer.
The day-to-day mix includes
weekly Tier 3 MDT attendance (combined with the existing LTHT community
diabetes MDT), advanced clinical assessment for complex or atypical
presentations, contribution to step-up and step-down decisions across the tiers
(including new CKD Year 2 step-down and stable Type 1 Year 2 step-down), and
clinical supervision of the Tier 2 Clinical Lead Nurses for Diabetes.
You will provide advanced
nursing input to complex case sign-off, including insulin regimen optimisation,
pre-operative optimisation, hypoglycaemia unawareness work-up, and management
of atypical presentations. You will lead the interface between the community
programme and Tier 4 services at LTHT, working across the acute, community and
primary care boundary.
Beyond direct clinical work, you
play a system-wide leadership role
Purpose
of the role
The Diabetes Matron is a Leeds
system-wide senior nursing leadership post within the Tier 3 Clinical Oversight
Group of the Diabetes Neighbourhood Health Programme a new integrated model
of care for adults aged 1867 with diabetes (any type) and two or more other
long-term conditions, delivered across the Beeston and Middleton & Hunslet
PCN footprint and scaling across the multi-neighbourhood over the three-year
development period.
The post-holder provides
advanced clinical decision-making across atypical and complex diabetes
presentations, contributes to the weekly Tier 3 MDT (combined with the existing
LTHT community diabetes MDT), and provides clinical supervision to the Tier 2
Clinical Lead Nurses for Diabetes. The role sits alongside the Consultant
Diabetologist, Consultant Pharmacist, Highly Specialist Pharmacist and Clinical
Psychologist, forming the specialist backbone of the model.
This is not a ward-based Matron
post it is a system-facing, MDT-embedded, senior nursing leadership role
designed to work across organisational boundaries. The post-holder champions
diabetes in wider long-term-conditions pathways, contributes to workforce and
educational strategy across the Leeds diabetes nursing workforce, and drives
service development, quality improvement and equity of diabetes nursing care
across the neighbourhoods.
The post-holder is expected to
demonstrate advanced practice competence across the four pillars set out by the
Health Education England / NHS England multi-professional framework for
advanced clinical practice clinical practice, leadership and management,
education, and research. Expert clinical knowledge of diabetes is the primary
requirement of the role and takes precedence over a formal Advanced Clinical
Practitioner qualification. Applicants without a formal ACP qualification who
can demonstrate the four pillars of advanced practice, together with expert
diabetes knowledge, are strongly encouraged to apply.
Active engagement with people in
deprivation deciles 13 and named priority groups (people with learning
disability, serious mental illness, those homeless or vulnerably housed, those
who smoke or use substances, adults living alone) is a core expectation of the
role. The post-holder is expected to work in a person-centred, trauma-informed
way with a working understanding of the wider social determinants of health.
Key
duties and responsibilities
Advanced
clinical practice and complex clinical decision-making
Provide advanced clinical assessment, examination and
consultation for adults with complex or atypical diabetes presentations including
suspected MODY, LADA, type 3c (pancreatic) diabetes, early-onset Type 2 and
ketosis-prone Type 2.
Advanced nursing input to complex insulin regimen
optimisation, hypoglycaemia unawareness work-up, steroid-induced hyperglycaemia
in complex multimorbidity, and preparation for surgical procedures
(pre-operative optimisation) for the working-age cohort.
Independent prescribing across the diabetes formulary
within scope of practice, with clear escalation to the Consultant Diabetologist
and Consultant Pharmacist for cases outside scope.
Advanced use of Continuous Glucose Monitoring and Flash
Glucose Monitoring data for shared decision-making.
Advanced nursing input to sign-off of complex
prescribing and management decisions escalated from Tier 2.
Utilises advanced specialist knowledge covering a range
of procedures underpinned by relevant broad-based knowledge, experience and
competence.
MDT
leadership and step-up / step-down decisions
Weekly attendance and active contribution to the Tier 3
Clinical Oversight Group MDT, combined with the existing LTHT community
diabetes MDT.
Leadership of step-up and step-down decisions across
the tiers including Tier 4 to Tier 3 step-down for stable stage 4 CKD
diabetic renal disease (from Year 2) and stable Type 1 not requiring ongoing
technology adjustment (from Year 2).
Presenting cases, drafting shared care plans and taking
responsibility for nursing-related actions arising from MDT discussion.
Named senior nursing point of contact for cases
requiring specialist input across the multi-neighbourhood footprint.
Lead the interface between the community Programme and
Tier 4 specialist services at LTHT, working across the acute, community and
primary care boundary.
Clinical
supervision and workforce development
Provide clinical supervision to the two Tier 2 Band 7
Clinical Lead Nurses for Diabetes and to the Band 5 Registered Nurse
development post.
Contribute to workforce development plans across Tier 1
and Tier 2 diabetes nursing capability, in partnership with the LCH Head of
Nursing Development, LTHT nursing leadership and the wider Leeds diabetes
nursing network.
Delivery of TARGET-style education to Practice Diabetes
Leads and Tier 1 nursing colleagues on a quarterly cadence.
Practice supervisor / educator role for
pre-registration and post-qualification nursing learners, including trainee
ACPs and post-registration diabetes specialist courses.
Contribute to succession planning for advanced practice
nursing in diabetes across the system, ensuring a fair and consistent
development pathway for Diabetes Nurse Specialist colleagues.
Act as a role model, ensuring a professional service
and image is maintained at all times.
System-wide
leadership
Champion diabetes in wider long-term-conditions and
neighbourhood-health pathways across Leeds, including the Leeds Proactive Care
and Integrated Neighbourhood Health frameworks.
Provide senior nursing representation into system-wide
diabetes forums, the Leeds ICB CaReMe Expert Reference Group and equivalent
bodies.
Contribute to workforce and educational strategy across
the Leeds diabetes nursing workforce.
Represent the Programme at local and regional clinical
forums, including presentation, publication and submission for relevant awards.
Support LCH, LTHT and SEL GP in aligning practice and
workforce across the diabetes pathway, ensuring the model reflects the Leeds
system view rather than any single organisation.
Outreach,
equity and engagement
Active engagement with people in deprivation deciles
13 and named priority groups people with learning disability, serious mental
illness, those homeless or vulnerably housed, those with substance-use
co-morbidity, adults living alone.
Liaison with mental health teams for patients with SMI
and antipsychotic-induced metabolic disturbance.
Liaison with drug and alcohol services, homelessness
services, and LD nursing colleagues.
Working in partnership with third-sector and
asset-based community delivery partners as active collaborators, not downstream
referrals.
Advocacy for equity of specialist access, addressing
patterns of exclusion and disengagement in Tier 3 and Tier 4 attendance data.
Advice
& Guidance and interface with primary care
Provide senior Advice and Guidance across the diabetes
pathway, in partnership with the Tier 3 Consultant Diabetologist and Consultant
Pharmacist.
Support quarterly joint clinics between Tier 2 and
Practice Diabetes Leads, providing advanced nursing input as required.
Support Practice Diabetes Leads to cascade learning
through practice clinical meetings.
Provide expert clinical opinion into primary care,
community pharmacy, mental health, drug and alcohol and maternity services on
complex diabetes cases.
Quality,
safety and improvement
Work to NMC Code and advanced practice standards;
ensure practice, and that of colleagues, is grounded in evidence-based
theoretical and practical knowledge.
Lead and contribute to clinical audit across the
Programme; feed back results and implement changes with the Tier 2 team,
Practice Diabetes Leads and the Tier 3 Clinical Oversight Group.
Lead the implementation of changes to nursing practice
that result from MHRA alerts, national guidance and local intelligence.
Contribute to the Programmes outcomes and evaluation
framework, particularly on nursing-related outcomes, safety indicators, equity
of access and specialist utilisation.
Lead complex clinical audit within the clinical area
and support colleagues to contribute to audit and research activity relevant to
the clinical area locally and nationally.
Comply with the organisations Infection Prevention and
Control requirements, including bare below the elbows dress code.
Service
development
Contribute senior nursing advice for the development
and iteration of the Diabetes Neighbourhood Health Programme model including
step-up / step-down criteria, pathway design, and operational standards.
Contribute to Year 2 business case development and
Multi-Neighbourhood expansion planning.
Analyse, interpret and present nursing and outcomes
data to highlight issues, opportunities and risks to support programme
decision-making.
Propose and develop clinical policies and service
developments that have impact on other disciplines, services or agencies.
Collaborative
working relationships
Work collaboratively with the SEL GP senior clinical
lead, Programme Manager, and the Tier 3 Clinical Oversight Group.
Maintain strong relationships with the LCH Head of
Nursing Development, LTHT diabetes nursing leadership, SEL GP clinical
leadership and the wider Leeds diabetes nursing network.
Maintain strong relationships with PCN Clinical
Directors, Practice Diabetes Leads and practice nursing teams across the
footprint.
South and East Leeds General
Practice Group brings together general practices across the south and east of
Leeds to deliver joined-up primary care, PCN services and integrated community
programmes. As host employer for the Diabetes Matron post, we work in close
partnership with Leeds Community Healthcare Trust, Leeds Teaching Hospitals
Trust, West Yorkshire ICB, our neighbourhood Primary Care Networks and the
wider Leeds Health and Care Partnership. This is intended as a Leeds
system role rather than a solely SEL GP role the post-holder will have
professional links across all partner organisations and will be seen as a
system-wide advanced practice leader for diabetes nursing. You will be joining a team
comfortable with new ways of working, collaborative across professional and
organisational boundaries, and committed to reducing health inequalities in
some of the most under-served neighbourhoods in Leeds. The culture is honest
about complex multimorbidity, patient-centred in everyday decision-making, and
generous with peer support. As your employer SELGP Group
offer a competitive salary, access to the NHS Pension Scheme, annual leave,
occupational sickness scheme and salary-sacrifice options.
Advanced practice — the four pillars
Essential
- Clinical practice expert-level clinical knowledge of diabetes across Type 1, Type 2, atypical presentations and complex multimorbidity; advanced clinical assessment and reasoning; autonomous clinical decision-making within scope of practice.
- Clinical practice advanced use of insulin regimen optimisation, CGM / Flash-informed titration, GLP-1 initiation and titration support; recognition of hypoglycaemia unawareness and appropriate work-up.
- Clinical practice non-medical prescribing (V300) or working towards, with clear understanding of scope and escalation.
- Leadership and management demonstrable clinical leadership at team and system level, able to influence and negotiate across professional and organisational boundaries.
- Leadership and management experience of leading service development, change management and workforce planning.
- Education demonstrable ability to provide clinical supervision and mentorship to Band 5, 6 and 7 diabetes nursing colleagues.
- Education experience of delivering teaching and cascade education, including via TARGET or equivalent forums.
- Education contribution to workforce and educational strategy across the Leeds diabetes nursing workforce; practice supervisor or educator recognition (or working towards).
- Research ability to critically appraise and apply the evolving evidence base for diabetes and cardio-renal-metabolic care.
- Research experience of leading or contributing to clinical audit, service evaluation and quality improvement projects.
- Research understanding of research governance and methodology; interest in contributing to research or service evaluation.
Desirable
- Formal ACP-level portfolio or e-portfolio aligned to the four pillars.
- Experience of contributing to national or regional guideline development or clinical research studies.
Experience
Essential
- Substantial post-registration experience as a Diabetes Nurse Specialist or equivalent diabetes-specialist nursing role.
- Advanced practice experience in complex diabetes case management, including atypical presentations (MODY, LADA, type 3c, early-onset Type 2, ketosis-prone Type 2). Practical experience of insulin regimen optimisation across all regimens, including CGM and Flash-informed titration.
- Practical experience of subcutaneous GLP-1 initiation and titration support.
- Experience of MDT working across community and acute care.
- Experience of clinical supervision and mentorship of Band 6 / 7 diabetes nursing colleagues.
- Experience of workforce development and education delivery.
- Experience of working with people affected by health inequalities.
- Experience of leading service development, quality improvement or clinical audit.
- Experience of supervising and managing other staff.
Desirable
- Experience of working in community or primary care based teams.
- Experience across the acute, community and primary care interface.
- Experience of pre-operative optimisation, hypoglycaemia unawareness work-up, or steroid-induced hyperglycaemia in complex cases.
- Experience of insulin pump, hybrid closed loop or CGM therapy at specialist level.
- Experience of leading complex clinical audit locally or nationally.
- Experience of research or contributing to national or regional guideline development.
- Experience of structured education delivery (DAFNE, DESMOND or equivalent) at educator level.
Qualifications
Essential
- Registered Nurse (Adult) with current NMC registration.
- Post-graduate learning to Masters level, or equivalent evidence of expert-level knowledge and specialist clinical practice.
- Recognised specialist diabetes qualification (Diabetes Specialist Practitioner course, Warwick, Leicester, Sheffield modules or equivalent).
- Demonstrable competence across the four pillars of advanced clinical practice (clinical practice, leadership and management, education, research).
- Independent Non-Medical Prescribing (V300), or working towards.
- Teaching, training or mentorship qualification or experience to an equivalent level.
- Maintains a portfolio of CPD in line with NMC standards.
Desirable
- Full Masters degree in Advanced Clinical Practice or formal Advanced Clinical Practitioner qualification.
- Formal teaching qualification (PGCert HE or equivalent).
- Leadership or management qualification (NHS Leadership Academy, Nye Bevan or equivalent).
- Formal training in health inequalities, trauma-informed care or behaviour-change approaches.
Additional criteria
Essential
- Advanced clinical assessment and consultation skills.
- Confident advanced practice decision-making within scope, with clear understanding of when to escalate.
- In-depth knowledge of diabetes across Type 1, Type 2, atypical presentations and complex multimorbidity.
- Confident with SGLT2i, GLP-1, insulin regimen selection, CGM / Flash data interpretation and complex prescribing.
- Demonstrable understanding of the wider determinants of health and their impact on outcomes.
- Person-centred and trauma-informed approach to consultations.
- Strong system-wide leadership presence able to influence and negotiate across professional and organisational boundaries.
- Ability to develop and lead complex clinical audit within the clinical area. Excellent verbal and written communication skills across clinical and non-clinical audiences.
- Emotional resilience, self-awareness, humility and curiosity.
- Willingness to challenge and be challenged, including consultants and GPs, in the patients best interest.
- Comfortable with the ambiguity of a new service and willing to iterate, evaluate and adjust.
- Confident with digital consultation, MDT tools and asynchronous working.
- Access to own transport and ability to travel across the multi-neighbourhood footprint.
- Meets DBS reference standards.
- Up-to-date mandatory training and immunisation status.
Desirable
- Awareness of the Leeds Proactive Care and Integrated Neighbourhood Health frameworks.
- Understanding of NHS commissioning and business case development.
- Demonstrable interest in continuing to develop the advanced practice profile in diabetes nursing at system level.
How to apply
Applications are handled entirely by the employer on the original advert. We do not collect CVs, supporting statements or application data.
Provenance
Source
NHS Jobs
First seen
21 August 2026
Last checked
25 August 2026
Salary, closing date and description are taken from the employer's advert. The original advert always takes precedence.
About the employer
NHS organisation
This listing was structured from NHS Jobs. Vacancy details and the application process remain the responsibility of the original source.
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