Diabetes Nurse - GP surgery

We are looking for an experienced diabetes nurse – not needing further training – who is preferably already doing GLP‑1 initiations and is happy to design and deliver the GLP‑1 initiation service in the practice. Ideally the successful applicant would be a prescriber.

This role is for two days per week: one fixed day in the practice on Wednesdays, and a second day chosen by the applicant, with the option to work from home.

The primary responsibilities of this role include running a Long Term Conditions clinic on Wednesdays within the practice, supporting patients living with diabetes and other long‑term conditions, and upskilling the existing Practice nursing team.

On an additional day of the applicant’s choice, with the option to work from home, duties will include:

• Initiating GLP‑1 therapies
• Supporting the Senior Pharmacist in the management of patients with poorly controlled diabetes
• Responding to non‑urgent diabetes‑related patient queries
• Providing clinical support to the Physician Associates delivering the newly diagnosed diabetes service

Stowhealth is an inclusive, friendly, flexible, forward‑thinking, multi‑disciplinary Primary care team based in Stowmarket, Suffolk.

We currently care for approximately 23,000 patients.

We have a reputation for award‑winning innovation and novel working practices, developed to fit around our individual clinicians.

We are part of the Stowmarket locality of East Suffolk PCN.

We use the Askmy

GP online consultation service allowing us to manage our own workload, with control over face‑to‑face appointment lengths and timings.

Our team of doctors, advanced nurse practitioners, practice nurses and physician associates deal with daily clinical enquiries.

Our skilled care navigators, receptionists and admin staff deal with non‑clinical issues on our behalf.

Job Purpose

Working closely with GP and nursing colleagues working in a multi‑disciplinary team.

• To provide expert, evidence‑based diabetes care across Stowhealth, in line with national guidance and local pathways
• To lead and support the management of adults with type 2 diabetes, with a particular focus on patients using, or being considered for, GLP‑1 receptor agonists and related injectable therapies
• To work as part of the multidisciplinary team to improve glycaemic control, reduce complications and address health inequalities in people living with diabetes.
• To support education, training and clinical supervision of other nurses and primary care staff in diabetes management, including safe and appropriate use of GLP‑1 therapies.
• Experience in managing patients with long term medical conditions and chronic disease management

Key Relationships

• GP's and GP partners
• Practice nurses and nurse associates
• Clinical pharmacists and pharmacy technicians
• Dietitians, podiatrists and other community specialists
• Secondary care diabetes teams
• PCN/ICS long term conditions leads
• Administrative and reception staff

Main duties and responsibilities

Clinical care

1.1 Provide specialist diabetes clinics, face to face, telephone and virtual for adults with type 2 diabetes, including

• complex or poorly controlled diabetes
• patients with multiple comorbidities e.g. CVD, CKD, obesity
• patients on, or being considered for, GLP1 receptor agonists and other injectable therapies.

1.2 Undertake comprehensive, holistic assessments including:

• glycaemic control HbA1c, SMBG/CGM data where available
• cardiovascular and renal risk
• weight, BMI and obesity related risk
• psychosocial factors, health literacy and self‑management capacity.

1.3 Develop, implement and review individualised care plans in partnership with patients and carers, in line with national guidance e.g. NICE NG28, NG17, NG18, obesity and CVD guidance and local IC pathways.

1.4 Provide expert advice on the initiation, titration and monitoring of diabetes therapies, including

• oral hypoglycaemic agents
• insulin and combination regimens, where within competence and local protocols.

1.5 Work closely with clinical pharmacists and GPs to support structured medication reviews
, particularly for patients with complex polypharmacy, frailty, or high risk of hypoglycaemia.

1.6 Support…