Diabetes Matron Neighbourhood Health Programme

Diabetes Matron in the Tier 3 Clinical Oversight Group of the Diabetes Neighbourhood Health Programme, a Leeds system role hosted by South and East Leeds GP Group. The post leads advanced decisions on complex diabetes cases, Tier 3 MDT work, step-up and step-down decisions, and supervision of Tier 2 nurse leads. It is a 15-hour-a-week, system-facing role across the multi-neighbourhood footprint rather than a ward post, with applications open to secondment from within the Leeds Health & Care Partnership.

• Provide advanced clinical assessment for complex and atypical diabetes, including MODY, LADA, type 3c and ketosis-prone Type 2
• Attend the weekly Tier 3 MDT, presenting cases, drafting shared care plans and owning the resulting nursing actions
• Contribute to step-up and step-down decisions across the tiers, including CKD and stable Type 1 step-down from Year 2
• Give advanced nursing input to complex case sign-off, including insulin optimisation, pre-operative optimisation and hypoglycaemia unawareness work-up
• Prescribe independently across the diabetes formulary within scope of practice
• Provide clinical supervision to the two Tier 2 Band 7 Clinical Lead Nurses for Diabetes and the Band 5 development post
• Lead the interface between the programme and Tier 4 services at Leeds Teaching Hospitals Trust
• Deliver quarterly TARGET-style education to Practice Diabetes Leads and Tier 1 nurses, and supervise pre-registration and post-registration learners
• Lead clinical audit across the programme and implement changes arising from MHRA alerts and national guidance
• Provide senior nursing representation in system-wide diabetes forums, including the Leeds ICB Ca Re Me  Expert Reference Group
• Engage with people in the most deprived neighbourhoods and priority groups, including people with learning disability, serious mental illness and those homeless or vulnerably housed
• Contribute to the Year 2 business case, service development and outcomes evaluation

• Post-graduate learning to Masters level, or equivalent evidence of expert-level specialist practice
• Recognised specialist diabetes qualification, such as a Diabetes Specialist Practitioner course
• Teaching, training or mentorship qualification, or experience to an equivalent level
• Independent Non-Medical Prescribing (V300), or working towards

• Current NMC registration as an adult nurse, with a CPD portfolio in line with NMC standards

• Substantial post-registration experience as a Diabetes Nurse Specialist or equivalent
• Advanced case management of complex diabetes, including atypical presentations and insulin titration with CGM or Flash data
• Practical experience of subcutaneous GLP-1 initiation and titration support
• MDT working across community and acute care
• Clinical supervision and management of Band 6 or Band 7 diabetes nurses
• Leading service development, quality improvement or clinical audit

• Expert clinical knowledge of diabetes across Type 1, Type 2, atypical presentations and complex multimorbidity
• Clinical leadership that influences across professional and organisational boundaries
• Confident with SGLT2i, GLP-1, insulin regimen selection and CGM or Flash interpretation

• Meets DBS reference standards
• Up-to-date mandatory training and immunisation status

• Full Masters in Advanced Clinical Practice or formal ACP qualification, or an ACP-level portfolio across the four pillars
• Experience contributing to national or regional guideline development or clinical research
• Experience across the acute, community and primary care interface
• Experience of pre-operative optimisation, hypoglycaemia unawareness work-up or steroid-induced hyperglycaemia management
• Specialist-level experience of insulin pump, hybrid closed loop or CGM therapy
• Educator-level experience of structured education, such as DAFNE or DESMOND
• Formal teaching qualification, such as PGCert HE
• Leadership or management qualification, such as NHS Leadership Academy or Nye Bevan

• Competitive salary, with salary-sacrifice options
• Access to the NHS Pension Scheme
• Annual leave
• Occupational sickness scheme
• Secondees remain on their current employer's terms and conditions