Diabetes Specialist Nurse - Independent Prescriber

• Independently manage patients with Type 1 and Type 2 diabetes.
• Initiate, adjust and optimise insulin treatment, including complex insulin regimens.
• Initiate and manage GLP-1 therapies where clinically appropriate.
• Review and optimise diabetes medication.
• Manage patients with poorly controlled diabetes and complex treatment needs.
• Interpret HbA1c and other clinical results and develop individual treatment plans.
• Undertake structured diabetes reviews and support QOF achievement.
• Recognise and manage diabetes-related complications and treatment risks.
• Work collaboratively with GPs and the wider clinical team, referring to specialist services when appropriate.
• Maintain accurate clinical records using SystmOne.

• Independently assess, review and manage patients with Type 1 and Type 2 diabetes.
• Initiate, prescribe and titrate insulin, including complex insulin regimens.
• Initiate, prescribe and monitor GLP-1 therapies where clinically appropriate.
• Review and optimise diabetes medication, including treatment escalation and adjustment.
• Manage patients with poorly controlled diabetes and multiple long-term conditions.
• Interpret HbA1c, renal function and other relevant clinical investigations.
• Develop individual treatment plans and agree realistic management goals with patients.
• Recognise and respond to hypoglycaemia, hyperglycaemia and other diabetes-related complications.
• Provide patient education regarding medication, injection technique, glucose monitoring and self-management.
• Undertake structured diabetes reviews and support QOF achievement.
• Liaise with GPs, nursing colleagues and secondary-care diabetes teams when appropriate.
• Maintain accurate clinical records using SystmOne.
• Follow current NICE guidance, local prescribing policies and clinical governance requirements.

• NMC registered nurse.
• Independent Prescribing qualification (V300).
• Significant experience managing both Type 1 and Type 2 diabetes.
• Proven experience initiating and adjusting insulin treatment.
• Experience initiating and managing GLP-1 therapies.
• Competence in independent clinical assessment, prescribing and complex medication management.
• Ability to work autonomously and recognise when specialist referral is required.

• Previous primary care experience.
• Experience using SystmOne.
• Knowledge of QOF.
• Experience with continuous glucose monitoring and insulin pump therapy.

Essential

• Significant clinical experience managing patients with both Type 1 and Type 2 diabetes.
• Proven experience independently managing poorly controlled and complex diabetes.
• Experience initiating, prescribing and titrating insulin, including complex insulin regimens.
• Experience initiating, prescribing and managing GLP-1 therapies.
• Experience reviewing and optimising diabetes medication independently.
• Experience interpreting HbA1c, renal function and other relevant clinical results.
• Experience developing individual treatment plans and supporting patients with diabetes self-management.
• Experience recognising and managing diabetes-related complications, including hypoglycaemia and hyperglycaemia.
• Proven ability to work autonomously and make safe clinical decisions.

Desirable

• Previous experience working in general practice or primary care.
• Experience using SystmOne.
• Experience working towards QOF diabetes targets.
• Experience supporting patients using continuous glucose monitoring (CGM) or insulin pump therapy.
• Experience working collaboratively with secondary-care diabetes specialist teams.

Essential

• Registered Nurse - current NMC registration.
• Independent Prescribing qualification (V300).
• Recognised specialist diabetes qualification or equivalent specialist diabetes training and experience.
• Evidence of relevant continuing professional development (CPD) in diabetes care and management.

Desirable

• Postgraduate qualification in diabetes care or diabetes management.
• Training in insulin initiation and titration.
• Training in GLP-1 therapies.
• Training in continuous glucose monitoring (CGM) and insulin pump therapy.