Lead Diabetes Nurse

This is a senior clinical leadership role within Metabolic Health's diabetes nursing team. The Lead Diabetes Nurse provides advanced, expert care for patients with complex diabetes needs while acting as the strategic and operational lead for a team of Clinical Nurse Specialists (CNS) and healthcare practitioners.

As Lead Diabetes Nurse, you will hold clinical and professional responsibility for the diabetes nursing team. You will manage a complex caseload, lead specialist clinics for CGM and insulin pump therapy, and use your Independent Non-Medical Prescriber qualification to initiate and review advanced diabetes medications. You will line-manage and mentor CNS staff, oversee clinical governance and CQC compliance to develop and improve local care pathways.

This role combines hands‑on clinical excellence with strategic service leadership.

• Lead, manage, and supervise the diabetes nursing team, including Clinical Nurse Specialists and healthcare practitioners.
• Conduct probationary reviews and annual appraisals, setting clear performance objectives aligned to patient outcomes and service KPIs.
• Provide hands‑on clinical mentorship, supporting staff in integrating CGM data, wearable technology, and digital tools into patient consultations.
• Manage the nursing duty roster and annual leave to maintain safe, optimal clinical coverage.
• Coordinate nursing services across clinic, and community settings to ensure continuity of care.

• Hold and manage a complex, high‑risk caseload covering Type 1, Type 2, and complex diabetes presentations.
• Lead specialist clinics for continuous glucose monitoring (CGM), insulin pump therapy (CSII), and multidisciplinary diabetes foot care.
• Oversee daily nursing operations including patient assessments, care coordination, and treatment delivery.
• Monitor patient outcomes against clinical benchmarks and act promptly on any variation.
• Evaluate and optimise clinical workflows across the multidisciplinary team to improve patient flow and reduce delays.
• Escalate complex cases to Consultant Endocrinologists in line with clinical governance procedures.

• Use an Independent Non‑Medical Prescriber (V300) qualification to initiate, adjust, and review complex diabetes medications, including insulin regimens and therapies such as GLP‑1 receptor agonists and SGLT‑2 inhibitors.
• Prescribe in line with the NMC Code, NICE guidelines, and organisational prescribing policies.

• Design and deliver specialist training programmes for patients, carers, and families on self‑management, insulin dose adjustment, and diabetes technology.
• Develop and deliver structured education for the multidisciplinary team, junior nurses, and student nurses.
• Oversee BLS and ILS certification compliance across the nursing team, ensuring all staff meet Resuscitation Council UK standards and complete annual refresher training.

• Lead clinical audit programmes, analyse outcomes data, and present findings to drive evidence‑based service improvements.
• Develop, implement, and review nursing protocols, procedures, and policies, including annual updates.
• Establish and maintain nursing competency frameworks and regular assessments for the team.
• Oversee infection control measures, patient safety initiatives, and quality improvement programmes in line with CQC standards.
• Support service expansion and design work alongside the Clinical Director and operations leads, mapping and improving patient journey efficiency.

• Ensure full compliance with NMC registration requirements, CQC regulations, NHS England policies, and internal clinical governance standards.
• Sign off clinical competencies for all nursing staff, ensuring proficiency in insulin titration, EPR documentation, and digital care tools.
• Maintain accurate and up‑to‑date clinical records in line with NMC standards, UK GDPR, and the NHS Data Security and Protection (DSP) Toolkit.
• Conduct regular peer‑review audits of nursing EPR entries and…