Clinical Lead Nurse for Diabetes Neigbourhood Health Programme

Are you an experienced diabetes clinical nurse specialist looking for a new challenge in integrated community diabetes care? A rare opportunity has arisen to join the Tier 2 Neighbourhood Support Team of the Diabetes Neighbourhood Health Programme a new, place-based, integrated model of diabetes care being delivered across south and east Leeds.

This role sits within the Tier 2 Neighbourhood Support Team, working alongside a Clinical Lead Nurse colleague, a Specialist Dietitian, a Specialist Pharmacist, a Specialist Podiatrist and a Registered Nurse development post. The team works into general practice across the initial Beeston and Middleton and Hunslet PCN footprint, and interfaces closely with the Tier 3 Clinical Oversight Group (Consultant Diabetologist, Consultant Pharmacist, Highly Specialist Pharmacist, Diabetes Matron and Clinical Psychologist) and specialist Tier 4 services at Leeds Teaching Hospitals.

Two posts are available. Working pattern: this is a 1.0 WTE post 37.5 hours per week based in the community across the multi-neighbourhood footprint, with flexibility in the working pattern to be agreed at appointment. There is genuine scope to shape how the Tier 2 nursing offer is delivered and evaluated over the three-year development period.

If you are motivated by working across tiers, driving equity into everyday clinical care, and contributing to a genuinely new model of care from the outset, we would love to hear from you.

Main duties of the job

You will hold a patient-facing caseload within the Year 1 cohort adults aged 18 to 67 living with diabetes and two or more other long-term conditions. Your focus is advanced diabetes nursing care in complex multimorbidity, working as an autonomous clinician within an experienced multidisciplinary team.

The day-to-day mix includes advanced clinical assessment and consultation, insulin and injectable initiation and titration, use of CGM and Flash Glucose Monitoring data for shared decision-making, joint visits with district nursing for assisted insulin, and delivery of structured education. There is a regular rhythm of Tier 2 MDT case discussion and weekly Tier 3 MDT participation, giving structured access to specialist opinion and peer learning.

Alongside the clinical caseload, you will play an active role in cascade education across Tier 1 and Tier 2 including quarterly joint clinics with Practice Diabetes Leads and delivery of TARGET education sessions. You will provide Advice and Guidance to primary care within tight response times, and contribute to service development, quality improvement and equity of diabetes nursing care as the model scales towards citywide delivery.

Active outreach and engagement with people in deprivation deciles 1 to 3 and named priority groups is a core expectation, not a bolt-on. This role suits someone who wants to work in a person-centred, trauma-informed way and build partnerships with community and third-sector delivery partners.

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 one of the hosting partners for the new Diabetes Neighbourhood Health Programme, we work in close partnership with Leeds Community Healthcare Trust, Leeds Teaching Hospitals Trust, West Yorkshire ICB and our neighbourhood Primary Care Networks to deliver a genuinely place-based model of care.

You will be joining a team that is 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 the city. The culture is honest about the challenges of complex multimorbidity, patient-centred in its everyday decision-making, and generous with peer support and shared learning.