Gloucestershire Hospitals NHS Foundation Trust

Consultant in Integrated Diabetes Care & Weight Management

The closing date is 28 July 2025

Job summary

Gloucestershire's Integrated care System is on a journey to provide more place based and integrated care for our population, where clinically appropriate. We are a progressive and supportive health care system and have an excellent working relationship with our wider system partners. The integration of diabetes services across acute, community and primary care is just one example of this.

The Diabetes and Obesity Clinical Programme meet regularly to oversee the quality and performance of our services, and is committed to delivering high value, integrated care.

We aim to;

Improve the identification and management of Diabetes and improve management of obesity.

Reduce health inequalities and improve the health and wellbeing of the population.

Reduced gap in amenable deaths between the most and least deprived by 2029.

Reduce the demand on acute care by improved management in the community through delivering integrated care.

This is an established position within our system, integrated with the acute trust team. The post's primary emphasis is on community-based care, offering the successful candidate a key opportunity to further evolve the outreach model for diabetes services.

Main duties of the job

Job Summary

  • Lead the Diabetes Integrated Service
  • Providing training, education, and support to professionals across the system
  • Contribute to system wide pathway review and development
  • Conduct community-based outpatient clinics for adults with complex Type 2 diabetes, young type 2 clinics and selected patients with Type 1 diabetes.
  • Provide structured clinical governance to the Community Diabetes Specialist Team
  • Collaborate with the multidisciplinary team (MDT) including Diabetes Specialist Nurses, Dietitians, a Nutritionist, Psychologist, Health Educators, Primary care Champion, and Podiatrists.
  • Work with the Acute Diabetes and Endocrinology team at Gloucestershire Hospitals NHS Foundation Trust.
  • Engage with Integrated Locality Partnerships and Primary Care Networks to develop the service.
  • Continue and develop MDT and mentored diabetes clinics focusing on education within Primary Care Networks.
  • Involvement in various specialised clinics and education programs for diabetes.
  • Actively participate ion audit and research

About us

We take pride in placing people at the centre of everything we do, working together as a united team. Driven by a shared ambition to continually grow, develop, and learn, we recognise and value every contribution. By combining our experience and skills, we not only support our vibrant, diverse communities, but also support one another.

With a team of over 9,000 employees, we are proud to be the largest employer in Gloucestershire and rank among the top 10 largest Trusts in the South West region. By joining our Trust, you will benefit from an excellent package that includes exclusive benefits, flexible working opportunities and the chance to gain valuable experience in one or both of our innovative hospitals.

As well as generous annual leave allowance, you will have access to the excellent NHS pension scheme, competitive bank rates, discounts at local shops and restaurants, access to two on-site nurseries, discounted public transport, reward and recognition and a range of health and wellbeing initiatives to support you.

Details

Date posted

30 June 2025

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£105,504 to £139,882 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

318-25-CONSD&WM

Job locations

Gloucestershire Royal Hospital

Great Western Road

Gloucester

GL1 3NN


Job description

Job responsibilities

1. Clinical Responsibilities/Key Responsibilities

The appointee will work in collaboration with the members of the Integrated Diabetes Service and the current Diabetes and Endocrinology physicians to provide continuity and high standards of care. The main focus on the role is to work closely with community-based specialists team to manage increased complexity within the community.

2. Professional Development, Education and Training

The duties of this post will also include supporting primary care to manage the large majority of patients with diabetes not requiring secondary diabetes care input. This will involve liaising with GPs and Practice Nurses, taking part in education programmes for practice staff, responding to email requests from GPs and Practice Nurses for clinical advice.

The appointee will take on the supervision of the GP trainee

Integrated Diabetes Team: Education, supervision and regular appraisal

3. Management and Leadership

To provide medical information for the development of systems appropriate for Trust needs

To participate in departmental consultant and senior staff meetings whilst remaining within the framework of the agreed strategy of the Trust and the Department

To attend other departmental, Divisional and Trust meetings as necessary

To attend regional and national meetings as necessary

To undertake all work in accordance with Trust procedures and operating policies

To become an active member of the clinical programme group

4. Quality Improvement

To promote evidence based practice. To respond appropriately to NICE guidance. To change own and others clinical practice in response to new clinical developments

To undertake and supervise relevant clinical audit topics

To be involved in risk management and quality assurance

To remain up to date and engaged in CME/CPD as per RCP guidelines

To respond appropriately to complaints and critical incidents

The post-holder will be expected to take part in developing clinical audit in accordance with agreed Directorate and Corporate Clinical Governance programmes.

Teaching primary care colleagues, GP trainees, junior doctors and medical students, nurses and other paramedical staff in the team in speciality and special interest

5. Accountability

The post-holder will be immediately accountable to the specialty Clinical Lead / Specialty Director and the Diabetes Clinical Programme Group. Further line management is provided by the Chief of Service for medicine and subsequently the Medical Director

Co-operate with the commissioning lead on budget issues. The intention is to have a programme budget for diabetes across primary, community and secondary care

The purpose of this post is to provide a substantive Consultant for the Integrated Diabetes Service. As a senior employee of the Trust the post-holder will work in close co-operation with, and support other clinical, medical professional and managerial colleagues in providing high quality healthcare to patients with diabetes registered in Gloucestershire.

The post-holder has a general duty of care for their own health, safety and well being and that of work colleagues, visitors and patients within the hospital. This statutory duty is in addition to any specific risk management or clinical governance accountabilities associated with the post.

Finally, the post-holder is expected to:

Observe the rules, policies, procedures and standards of Gloucestershire Hospitals NHS Foundation Trust together with all relevant statutory and professional obligations

Observe and maintain strict confidentiality of personal information relating to patients and staff

Be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues

6. Clinical Governance

To undertake all work in accordance with Gloucestershire Hospitals NHS Foundation Trust procedures and operating policies

To attend accredited conferences and meetings to update personal level of clinical practice, teaching and management skills in line with CME/CPD requirements

To participate in an annual Job Planning Review process

To participate in the Trusts annual Appraisal process and to respond to any identified development needs

To adhere to the Trusts Adverse Clinical Incident Policy

Communication: This will include responsibility for and arrangement of communication and liaison with primary care colleagues, other community services and other medical and service departments within the hospital including: General Management, Medical Records

Communication with primary care colleagues will include video consultation, telephone discussion of problems and writing of letters about cases seen in the community based clinics

Communication with other hospitals and special departments in other hospitals

Job description

Job responsibilities

1. Clinical Responsibilities/Key Responsibilities

The appointee will work in collaboration with the members of the Integrated Diabetes Service and the current Diabetes and Endocrinology physicians to provide continuity and high standards of care. The main focus on the role is to work closely with community-based specialists team to manage increased complexity within the community.

2. Professional Development, Education and Training

The duties of this post will also include supporting primary care to manage the large majority of patients with diabetes not requiring secondary diabetes care input. This will involve liaising with GPs and Practice Nurses, taking part in education programmes for practice staff, responding to email requests from GPs and Practice Nurses for clinical advice.

The appointee will take on the supervision of the GP trainee

Integrated Diabetes Team: Education, supervision and regular appraisal

3. Management and Leadership

To provide medical information for the development of systems appropriate for Trust needs

To participate in departmental consultant and senior staff meetings whilst remaining within the framework of the agreed strategy of the Trust and the Department

To attend other departmental, Divisional and Trust meetings as necessary

To attend regional and national meetings as necessary

To undertake all work in accordance with Trust procedures and operating policies

To become an active member of the clinical programme group

4. Quality Improvement

To promote evidence based practice. To respond appropriately to NICE guidance. To change own and others clinical practice in response to new clinical developments

To undertake and supervise relevant clinical audit topics

To be involved in risk management and quality assurance

To remain up to date and engaged in CME/CPD as per RCP guidelines

To respond appropriately to complaints and critical incidents

The post-holder will be expected to take part in developing clinical audit in accordance with agreed Directorate and Corporate Clinical Governance programmes.

Teaching primary care colleagues, GP trainees, junior doctors and medical students, nurses and other paramedical staff in the team in speciality and special interest

5. Accountability

The post-holder will be immediately accountable to the specialty Clinical Lead / Specialty Director and the Diabetes Clinical Programme Group. Further line management is provided by the Chief of Service for medicine and subsequently the Medical Director

Co-operate with the commissioning lead on budget issues. The intention is to have a programme budget for diabetes across primary, community and secondary care

The purpose of this post is to provide a substantive Consultant for the Integrated Diabetes Service. As a senior employee of the Trust the post-holder will work in close co-operation with, and support other clinical, medical professional and managerial colleagues in providing high quality healthcare to patients with diabetes registered in Gloucestershire.

The post-holder has a general duty of care for their own health, safety and well being and that of work colleagues, visitors and patients within the hospital. This statutory duty is in addition to any specific risk management or clinical governance accountabilities associated with the post.

Finally, the post-holder is expected to:

Observe the rules, policies, procedures and standards of Gloucestershire Hospitals NHS Foundation Trust together with all relevant statutory and professional obligations

Observe and maintain strict confidentiality of personal information relating to patients and staff

Be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues

6. Clinical Governance

To undertake all work in accordance with Gloucestershire Hospitals NHS Foundation Trust procedures and operating policies

To attend accredited conferences and meetings to update personal level of clinical practice, teaching and management skills in line with CME/CPD requirements

To participate in an annual Job Planning Review process

To participate in the Trusts annual Appraisal process and to respond to any identified development needs

To adhere to the Trusts Adverse Clinical Incident Policy

Communication: This will include responsibility for and arrangement of communication and liaison with primary care colleagues, other community services and other medical and service departments within the hospital including: General Management, Medical Records

Communication with primary care colleagues will include video consultation, telephone discussion of problems and writing of letters about cases seen in the community based clinics

Communication with other hospitals and special departments in other hospitals

Person Specification

Qualifications and Training

Essential

  • Full General Medical Council registration
  • On Specialist Register for General (Internal) Medicine and Generic Medicine via CCT or CESR-CP (Combined Programme) (Proposed CCT/CESR-CP date must be within 6 months of interview
  • Ability to appraise research critically and apply research outcomes to clinical and surgical problems

Desirable

  • Willingness to undertake additional professional responsibilities at local, regional and national levels
  • Additional degrees
  • Experience in community based care provision
  • Diplomas or postgraduate thesis relevant to the specialty

Knowledge and Skills

Essential

  • Ability to appraise research critically and apply research outcomes to clinical and surgical problems
  • Ability to supervise junior staff undertaking research projects
  • Evidence of participation in Audit and Clinical Governance Programmes
  • Ability to manage and lead a Diabetes & Endocrine/General Medicine firm
  • Commitment to CPD/CME
  • Ability to take part in and respond to appraisal
  • Experience in audit & clinical governance
  • Working knowledge of evidence based practice

Clinical Experience

Essential

  • Clinical training & experience equivalent to that required to obtain UK CCT in Diabetes, Endocrinology & General Medicine
  • Ability to take full and independent responsibility for clinical care of patients

Desirable

  • An interest in obesity (weight management)
  • Experience in community based care provision
Person Specification

Qualifications and Training

Essential

  • Full General Medical Council registration
  • On Specialist Register for General (Internal) Medicine and Generic Medicine via CCT or CESR-CP (Combined Programme) (Proposed CCT/CESR-CP date must be within 6 months of interview
  • Ability to appraise research critically and apply research outcomes to clinical and surgical problems

Desirable

  • Willingness to undertake additional professional responsibilities at local, regional and national levels
  • Additional degrees
  • Experience in community based care provision
  • Diplomas or postgraduate thesis relevant to the specialty

Knowledge and Skills

Essential

  • Ability to appraise research critically and apply research outcomes to clinical and surgical problems
  • Ability to supervise junior staff undertaking research projects
  • Evidence of participation in Audit and Clinical Governance Programmes
  • Ability to manage and lead a Diabetes & Endocrine/General Medicine firm
  • Commitment to CPD/CME
  • Ability to take part in and respond to appraisal
  • Experience in audit & clinical governance
  • Working knowledge of evidence based practice

Clinical Experience

Essential

  • Clinical training & experience equivalent to that required to obtain UK CCT in Diabetes, Endocrinology & General Medicine
  • Ability to take full and independent responsibility for clinical care of patients

Desirable

  • An interest in obesity (weight management)
  • Experience in community based care provision

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Gloucestershire Hospitals NHS Foundation Trust

Address

Gloucestershire Royal Hospital

Great Western Road

Gloucester

GL1 3NN


Employer's website

https://www.gloshospitals.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Gloucestershire Hospitals NHS Foundation Trust

Address

Gloucestershire Royal Hospital

Great Western Road

Gloucester

GL1 3NN


Employer's website

https://www.gloshospitals.nhs.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Consultant

Alison Evans

alison.evans26@nhs.net

03004223157

Details

Date posted

30 June 2025

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£105,504 to £139,882 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

318-25-CONSD&WM

Job locations

Gloucestershire Royal Hospital

Great Western Road

Gloucester

GL1 3NN


Supporting documents

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