Specialist Dietitian for Diabetes Neighbourhood Health Programme

Are you an experienced diabetes specialist dietitian 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 two Clinical Lead Nurses for Diabetes, 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.

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 dietetic offer is delivered and evaluated over the three-year development period.

If you are motivated by working across tiers, driving equity into everyday 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 specialist dietetic care in complex multimorbidity, particularly cardio-renal-metabolic disease, MAFLD, severe obesity and gastrointestinal disorders, working as an autonomous clinician within an experienced multidisciplinary team.

The day-to-day mix includes advanced dietetic assessment and consultation, delivery of structured diabetes education (DAFNE, Confidence with Carbohydrates, DESMOND or equivalent), targeted recruitment into the National Type 2 Path to Remission Programme (Xyla), carbohydrate counting and dose-adjustment support, cultural adaptation of dietary advice, and pre-conception or gestational diabetes dietetic input. There is a regular rhythm of Tier 2 MDT case discussion and weekly Tier 3 MDT participation.

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

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.

As your employer SEL GP offer a competitive salary, including the NHS Pension Scheme, annual leave, occupational sickness scheme and salary-sacrifice options. We support flexible working, protected CPD time, professional supervision and access to formal advanced-practice development pathways. You will have regular clinical supervision, access to Tier 3 MDT mentorship, and structured opportunities to contribute to service evaluation, research and Year 2 business-case development.