Community Diabetes Nurse Specialist

An exciting opportunity has arisen for an experienced Diabetes Specialist Nurse to join the Lewisham and Greenwich District Nursing Team for a 1-year fixed-term position. We are seeking an experienced Diabetes Specialist Nurse who is committed to making a difference, highly motivated and has excellent communication skills.

You will be working closely with DN Team Leads, Diabetes Consultants, and Quality Improvement colleagues to deliver measurable reductions in DN insulin-related workload, improve service efficiency, and enhance patient experience. The post holder is responsible for monitoring outcomes, maintaining project data, and contributing to evaluation and sustainability planning.

The post includes providing clinical excellence and specialist nursing advice within the community. The holder will work across multiple sites within the community neighbourhood bases., The Community Diabetes Specialist Nurse is responsible for delivering a structured insulin optimisation programme to reduce the number of patients requiring District Nurse (DN)-administered insulin and improve overall glycaemic outcomes across the DN insulin caseload.

The role provides advanced diabetes expertise and collaborative working between the Community Diabetes Specialist Nurse (CDSN), District Nursing teams, and wider multidisciplinary team.

The post-holder leads the systematic review of patients receiving DN-administered insulin, identifies those suitable for optimisation, and implements evidence-based interventions to prevent over-medication of patients, improve glycaemic control, and promote safe patient self-management. This includes the use of technologies such as Freestyle Libre, medication optimisation, carer training, and structured patient education.

The role oversees case identification, ongoing glucose data review, and multidisciplinary case discussions. It ensures safe clinical decision-making, supports DN staff in developing enhanced diabetes skills, and strengthens triage and discharge processes to prevent unnecessary long-term DN involvement.

This role is central to transforming community diabetes care through collaborative working with other external agencies, improving patient independence, reducing hypoglycaemia and hyperglycaemia risk, and aligning DN practice with NHS community transformation priorities., 1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
2. Widening access (anchor institution) and employability
3. Improving the experience of staff with disability
4. Improving the EDI literacy and confidence of trust staff through training and development
5. Making equalities mainstream

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations