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Cumberland

Enhanced Practitioner (Diabetes)NHS

Carlisle, CA1 1LB Permanent £45,631 to £49,838
Posted 25 September 2026 Closing date 31 October 2026
Carlisle Rail Station (0.3 miles, direct) Slaggyford (South Tynedale Railway) (16.8 miles, direct) Stance 1 (14.7 miles, direct)

Job summary

The Enhanced practice professional will use clinical decision making within a scope of practice, participate in decision making amongst the wider MDT and contribute specific knowledge of an area of practice.

The Enhanced level of practice includes freedom to act autonomously within the professional scope of practice.

The post holder will have highly developed specialist skills and advanced knowledge in a specific area of interest. They will have significant clinical experience in their area of practice. As an autonomous practitioner they will undertake independent consultations with patients attending with specific symptoms within the post holders specialist scope of practice (Diabetes). The will assess, examine, investigate, diagnose, treat and follow up patients within their scope of practice.

Main duties of the job

To provide a specialist and advanced professional contribution to the clinical management of patients attending within their specialist area of Diabetes.

Use a combination of skills, knowledge, values and self-esteem to manage change and move beyond competency, moving from experienced to expert in area of specialism.

Practice with autonomy and accountability.

To assess selected patients taking a full comprehensible history, carrying out comprehensive clinical examinations, making diagnosis and provide treatment where necessary

To be responsible for the follow up of the patients under their care.

Adhere to the NMC, HCPC professional body Code: Standards of Conduct, Performance and ethics for nurses / professional body at all times.

To undertake assessments for clinical risk within the service and ensure all staff are aware of responsibilities and related policies.

To participate in the identification, development, implementation and dissemination of local clinical protocols, policies, procedures, guidelines relating to individualised specialist service; which includes their management ensuring clinical governance is maintained.

Job description

Key responsibilities

To provide a specialist and advanced professional contribution to the clinical management of patients attending within their specialist area of Diabetes.

Use a combination of skills, knowledge, values and self-esteem to manage change and move beyond competency, moving from experienced to expert in area of specialism.

Practice with autonomy and accountability.

To assess selected patients taking a full comprehensible history, carrying out comprehensive clinical examinations, making diagnosis and provide treatment where necessary

To be responsible for the follow up of the patients under their care.

Adhere to the NMC HCPC professional body Code: Standards of Conduct, Performance and ethics for nurses / professional body at all times.

To undertake assessments for clinical risk within the service and ensure all staff are aware of responsibilities and related policies.

To participate in the identification, development, implementation and dissemination of local clinical protocols, policies, procedures, guidelines relating to individualised specialist service; which includes their management ensuring clinical governance is maintained.

Professional development

To provide leadership by acting as a role model for other nurses within the service and provide specialist and up to date relevant information to other Nurses and Health Professionals.

Lead and develop local clinical policies and procedure in relation to specific skill set.

To ensure that clinical and educational practice within their scope of practice adheres to recent research findings, clinical governance and professional guidelines

To participate in regular clinical supervision and personal staff review.

Maintain a portfolio of evidence aligned to competency frameworks to showcase education and in on-going skills, knowledge, competencies and attributes.

Keep up to date with professional body/ Organisational and national Guidelines, policies and protocols.

Maintain your own professional and personal development, attending mandatory trainings as required.

To support and encourage the clinical supervision process for all nurses within their Services and actively be involved in the process.

To organise, develop, deliver and facilitate formal and informal teaching sessions to staff, Primary Care and other members of the health care team such as medical students, student nurses/midwives and trainee GPs.

Quality

To provide expert advice to their patients on clinical issues and follow relevant guidelines.

Follow best practice for safeguarding

To be a flexible, effective member if the team and provide cover for other relevant staff during absence as appropriate.

To report to the Manager, progress in the assessment, planning, implementation, and monitoring of national strategies ensuring targets are met within the Service.

To identify to the Manager future service requirements.

To respond to daily problems faced by the service and ensure issues are resolved as swiftly as possible. This may include analysing complex situations and making independent decisions and identifying longer-term solutions as required.

To report to the Manager progress in the assessment, planning, implementation and monitoring of national and local strategies and key performance indicators (KPIs) ensuring targets are met within the Service.

To manage, contribute and participate in audit of clinical practice and service delivery within the Service. This includes data collection, analysing information, evaluating findings, writing action plans and putting systems into place to ensure these are actioned.

Communication

  • Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
  • Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
  • Anticipate barriers to communication and take action to improve communication.
  • Maintain effective communication within the practice environment and with external stakeholders.
  • Act as an advocate for patients and colleagues.
  • Ensure awareness of sources of support and guidance (eg PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

About us

At our practice, We Care, We are a Team & We Work Hard to Improve. We're proud of the warm, inclusive culture we've built and were looking for someone who shares our values and enthusiasm for excellent primary care.

We work closely together, support each other, and make space for shared learning and clinical discussions.

Apply / view full listing →
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