Liverpool Heart and Chest Hospital

Diabetes Specialist Nurse

The closing date is 13 July 2025

Job summary

An exciting opportunity has arisen for an experienced Diabetes Specialist nurse to join the diabetes team at Liverpool Heart and Chest Hospital. We are seeking someone who is committed to making a difference, is highly motivated and displays excellent communication skills. You will be working with other diabetes nurses and medical staff to provide specialist advice and education for both Type 1 and Complex Type 2 Diabetic cardiothoracic patients. In addition you will provide education for other healthcare professionals within the hospital Trust. The post includes providing clinical excellence and specialist nursing advice within the inpatient and outpatient setting via our pre-operative nurse led clinic.

Main duties of the job

To work within a multidisciplinary team to provide a specialist diabetes nursing service for adults throughout the trust with diabetes, and those at risk of developing diabetes. Delivering treatment, education, and support for patients and their families.

To manage the outpatients Diabetes Pre-operative Clinic (fully nurse-led), providing specialised diabetes treatment to optimise patients pre-operatively in a limited time frame.

Provide education and develop learning programmes for staff throughout the trust.

To be responsible for maintaining and enhancing professional standards of diabetes care.

To act as a specialist diabetes resource for medical and nursing staff and allied health care professionals.

About us

As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.

We provide specialist servicesin cardiothoracic surgery, cardiology, respiratory medicine both in the hospital and out in the community.

We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.

Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and our encouragement of flexible working in a variety of forms.

Please visit our website - https://www.lhch.nhs.uk/

Please follow this link for a tour of our site - https://bit.ly/36ylsoq

Details

Date posted

02 July 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

410-SUR-7312222

Job locations

Liverpool Heart and Chest hospital

Liverpool

L14 3PE


Job description

Job responsibilities

To work autonomously in a fully nurse-led service.

To act as a competent independent nurse prescriber.

To confidently diagnose diabetes/impaired glucose regulation.

To be accountable for the assessment, planning, implementation, and evaluation of patientcare within the diabetes team.

To confidently prescribe insulin when appropriate and titrate accordingly.

To confidently manage NG feed related hyperglycaemia/steroids induced hyperglycaemia; and initiate insulin as/when appropriate.

To manage the pre-op diabetes clinic, including managing all administrative processes of referrals, waiting lists, documentation, discharges and follow-up letters.

To use specialised/expert knowledge to optimise patients in the outpatient clinic in a limited timeframe, managing both face-to-face and telephone appointments as appropriate.

To act as an expert resource and provide advice about the management of diabetes to health care professionals within the trust.

To have a good understanding and awareness of technology within diabetes, commencing patients on continuous glucose monitoring devices and providing appropriate education and support.

To support patients and staff in managing devices such as insulin pumps and closed-loop systems.

To use advanced clinical experience in diabetes care, as well as theoretical knowledge toprovide a high level of specialist care to people with diabetes.

To teach patients how to manage their medication/insulin and own blood glucose monitoring.

To provide on-going care and information on how to self-manage their chronic disease with a view to reducing long term complications, through altered medication and lifestyle modification.

To provide highly specialised advice about diagnosis and treatment of diabetes to senior colleagues.

To manage a defined patient caseload, working unsupervised and using specialist diabetes nursing skills to assess needs of the person with diabetes, and to plan, implement, document, and evaluate programmes of care. This includes referrals to other diabetes services outside of the Trust.

To implement advice and support at an advanced level, directly to patients or relatives/carers, providing information to those who are newly diagnosed or with longstanding diabetes.

To undertake assessment of patients/groups with complex problems by using clinical, investigative, and analytical skills to make difficult decisions about treatment and management plans.

Provide education and training for all health care professionals in the safe management and care of patients with diabetes in the acute setting.

To provide education for patients and teaching on how to self-manage complex diabetes.

Identify, initiate, develop, coordinate, and participate in new educational initiatives for staff development.

Demonstrate professional leadership and assist in the writing of protocols, policies and guidelines in relation to diabetes in conjunction with the multidisciplinary team.

Job description

Job responsibilities

To work autonomously in a fully nurse-led service.

To act as a competent independent nurse prescriber.

To confidently diagnose diabetes/impaired glucose regulation.

To be accountable for the assessment, planning, implementation, and evaluation of patientcare within the diabetes team.

To confidently prescribe insulin when appropriate and titrate accordingly.

To confidently manage NG feed related hyperglycaemia/steroids induced hyperglycaemia; and initiate insulin as/when appropriate.

To manage the pre-op diabetes clinic, including managing all administrative processes of referrals, waiting lists, documentation, discharges and follow-up letters.

To use specialised/expert knowledge to optimise patients in the outpatient clinic in a limited timeframe, managing both face-to-face and telephone appointments as appropriate.

To act as an expert resource and provide advice about the management of diabetes to health care professionals within the trust.

To have a good understanding and awareness of technology within diabetes, commencing patients on continuous glucose monitoring devices and providing appropriate education and support.

To support patients and staff in managing devices such as insulin pumps and closed-loop systems.

To use advanced clinical experience in diabetes care, as well as theoretical knowledge toprovide a high level of specialist care to people with diabetes.

To teach patients how to manage their medication/insulin and own blood glucose monitoring.

To provide on-going care and information on how to self-manage their chronic disease with a view to reducing long term complications, through altered medication and lifestyle modification.

To provide highly specialised advice about diagnosis and treatment of diabetes to senior colleagues.

To manage a defined patient caseload, working unsupervised and using specialist diabetes nursing skills to assess needs of the person with diabetes, and to plan, implement, document, and evaluate programmes of care. This includes referrals to other diabetes services outside of the Trust.

To implement advice and support at an advanced level, directly to patients or relatives/carers, providing information to those who are newly diagnosed or with longstanding diabetes.

To undertake assessment of patients/groups with complex problems by using clinical, investigative, and analytical skills to make difficult decisions about treatment and management plans.

Provide education and training for all health care professionals in the safe management and care of patients with diabetes in the acute setting.

To provide education for patients and teaching on how to self-manage complex diabetes.

Identify, initiate, develop, coordinate, and participate in new educational initiatives for staff development.

Demonstrate professional leadership and assist in the writing of protocols, policies and guidelines in relation to diabetes in conjunction with the multidisciplinary team.

Person Specification

Qualifications & Education

Essential

  • Registered Nurse with current NMC registration
  • Postgraduate qualification or Certificate in Diabetes
  • oNon-Medical Prescribing
  • Mentorship/Teaching Qualification or equivalent

Knowledge & Experience

Essential

  • Significant years post registration experience as a Specialist nurse at B6 or above in defined or associated speciality.
  • Extensive experience working with patients with Diabetes Mellitus
  • Extensive experience working autonomously as specialist level.
  • Experience of providing patients centred education and support.
  • Expert knowledge of current issues surrounding Diabetes including current guidance and best practice
  • Expert knowledge of current treatments of Diabetes.
  • Can demonstrate expert nursing knowledge with an ability to assess, plan, implement and evaluate specialist care delivered to patients and give advice and information to patients/relatives/staff members
  • Experience in teaching/assessing and supervising others in a clinical setting.
  • Experience in service development.

Desirable

  • Understanding of CSII (or willingness to undertake further training)

Skills

Essential

  • Ability to manage own clinical caseload.
  • Ability to work autonomously, manage/prioritise own workload, supervise and assess junior staff.
  • Competent in a range of clinical skills and expanded practices relevant to the scope of practice required.
  • Demonstrate excellent written and verbal communication skills, demonstrating clarity, diplomacy and influencing skills.
  • IT literate.

Values & Behaviours

Essential

  • oAble to work flexibly.
  • Motivated and enthusiastic
Person Specification

Qualifications & Education

Essential

  • Registered Nurse with current NMC registration
  • Postgraduate qualification or Certificate in Diabetes
  • oNon-Medical Prescribing
  • Mentorship/Teaching Qualification or equivalent

Knowledge & Experience

Essential

  • Significant years post registration experience as a Specialist nurse at B6 or above in defined or associated speciality.
  • Extensive experience working with patients with Diabetes Mellitus
  • Extensive experience working autonomously as specialist level.
  • Experience of providing patients centred education and support.
  • Expert knowledge of current issues surrounding Diabetes including current guidance and best practice
  • Expert knowledge of current treatments of Diabetes.
  • Can demonstrate expert nursing knowledge with an ability to assess, plan, implement and evaluate specialist care delivered to patients and give advice and information to patients/relatives/staff members
  • Experience in teaching/assessing and supervising others in a clinical setting.
  • Experience in service development.

Desirable

  • Understanding of CSII (or willingness to undertake further training)

Skills

Essential

  • Ability to manage own clinical caseload.
  • Ability to work autonomously, manage/prioritise own workload, supervise and assess junior staff.
  • Competent in a range of clinical skills and expanded practices relevant to the scope of practice required.
  • Demonstrate excellent written and verbal communication skills, demonstrating clarity, diplomacy and influencing skills.
  • IT literate.

Values & Behaviours

Essential

  • oAble to work flexibly.
  • Motivated and enthusiastic

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

Liverpool Heart and Chest Hospital

Address

Liverpool Heart and Chest hospital

Liverpool

L14 3PE


Employer's website

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

Employer details

Employer name

Liverpool Heart and Chest Hospital

Address

Liverpool Heart and Chest hospital

Liverpool

L14 3PE


Employer's website

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

Employer contact details

For questions about the job, contact:

Divisional Director of Nursing Surgery

Kate Lambe

kate.lambe@lhch.nhs.uk

01616001640

Details

Date posted

02 July 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

410-SUR-7312222

Job locations

Liverpool Heart and Chest hospital

Liverpool

L14 3PE


Supporting documents

Privacy notice

Liverpool Heart and Chest Hospital's privacy notice (opens in a new tab)