Advanced Diabetic Nurse with Treatment Room Experience.


Company:	NHS Jobs
Salary:	from £26 an hour
Hours:	Full-time
Location:	March, PE15 9BF
Job type:	Permanent
Posting date:	9 Sept 2026
Closing date:	30 Sept 2026

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Summary

You will provide advanced diabetes nursing care alongside a full range of treatment-room services. You will have the opportunity to use your experience and clinical judgement while working within your training, competence and professional scope of practice. Treatment room and wound care Assess and manage simple and complex wounds Develop and review wound-management plans Undertake post-operative wound checks and remove sutures, clips or staples Assess and manage leg ulcers and chronic wounds Provide compression bandaging and compression hosiery assessment and measurement Undertake Doppler/ABPI assessment where trained and competent Recognise wound infection, deterioration or safeguarding concerns and escalate or refer appropriately Take wound swabs and maintain clear wound-care records Diabetes care Undertake comprehensive diabetes reviews, including foot assessment and cardiovascular risk assessment Assess diabetic control using relevant symptoms, observations, home readings, blood results and current treatment Independently manage patients whose diabetes remains above their individual target, within professional scope and agreed clinical pathways Identify the reasons for poor control and develop a clear, documented and individualised management plan Implement the management plan, arrange appropriate monitoring and follow-up, and assess whether it is working Adjust the management plan or escalate for GP or specialist advice when targets are not being achieved or risk is increasing Agree individual goals and provide practical education on diet, lifestyle, blood glucose monitoring, medicines and self-management Review and optimise oral and injectable diabetes medicines within competence and agreed clinical processes Initiate, titrate, monitor and provide ongoing management of GLP-1 medicines Assess suitability, contraindications, treatment response, tolerability and ongoing need for GLP-1 medicines Provide education on injection technique, side effects, sick-day guidance, hypoglycaemia and when to seek help Review insulin and adjust doses where appropriately trained, authorised and competent Initiate insulin where the post-holder has the appropriate experience and competence Identify patients at increased risk of diabetes-related complications and arrange timely follow-up or escalation Work with GPs, pharmacy colleagues and specialist diabetes services when treatment needs fall outside the post-holder's scope Women's health Undertake cervical screening in line with the NHS screening programme Provide menopause advice and undertake HRT reviews within competence and agreed clinical processes Monitor the effectiveness, safety and ongoing suitability of HRT and escalate concerns appropriately Administer contraceptive injections and other prescribed treatments under the appropriate legal mechanism Provide health promotion, breast-awareness and relevant signposting Vaccinations, injections and routine clinical work Administer childhood and adult vaccinations in line with current programmes and authorised PGDs or PSDs Administer seasonal vaccinations, including influenza and COVID-19 vaccinations Administer prescribed injections, including vitamin B12 and hormone or contraceptive injections Administer the NHS travel vaccinations provided under the practice's contractual requirements when clinically indicated: hepatitis A, typhoid, cholera and combined diphtheria, tetanus and polio Undertake venepuncture, blood pressure checks, pulse and oxygen saturation checks, urinalysis, height, weight and BMI measurements Record ECGs and undertake other routine tests within competence Undertake NHS Health Checks and provide health promotion and lifestyle advice Cornerstone does not operate a travel clinic. This role does not include providing a full travel-health assessment or privately funded travel vaccinations. Long-term condition care Undertake structured reviews for diabetes, asthma, COPD, hypertension, cardiovascular disease, chronic kidney disease, heart failure, stroke/TIA and atrial fibrillation, according to the nurse's training and competence Provide inhaler-technique checks, peak-flow monitoring, action-plan advice and smoking-cessation support Support prevention, screening, lifestyle change and self-management Recognise abnormal findings or deterioration and arrange appropriate clinical review Medicines, safety and professional responsibilities Administer and, where appropriately qualified, prescribe or adjust medicines within competence and agreed clinical processes Work safely under relevant PGDs, PSDs and practice protocols Maintain accurate, clear and timely SystmOne records and clinical coding Follow safeguarding, confidentiality, consent, data protection, infection prevention and health and safety requirements Recognise and respond to deteriorating patients, anaphylaxis, sepsis and other clinical emergencies Maintain vaccine cold-chain records and support the safe storage and management of vaccines and medicines Monitor treatment-room stock, equipment, expiry dates, sharps and clinical waste Keep mandatory training and professional registration up to date Participate in clinical meetings, audit, learning, significant-event reviews and service improvement Share your knowledge and provide support to healthcare assistants and phlebotomists within your competence

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