Senior Enhanced Nurse Practitioner - Diabetes


Company:	NHS Jobs
Salary:	£49,387 to £56,515 a year
Hours:	Full-time
Location:	Bristol, BS10 5NB
Job type:	Permanent
Posting date:	9 Nov 2026
Closing date:	23 Nov 2026

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Summary

For a more detailed job description and main responsibilities, please refer to the job description document attached to this vacancy. Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions for diabetes patients by virtue of enhanced clinical judgement and close liaison with members of the MDT. Use diabetes expertise and decision-making skills to inform clinical reasoning approaches when dealing with individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/ or diagnoses. Initiate, evaluate, and modify a range of diabetes interventions which may include prescribing medicines, therapies, lifestyle advice and care. Use empowerment and counselling skills to enable individuals with diabetes to make life changes in complex situations and self-manage their condition. Provide specialist and expert diabetes clinical knowledge to colleagues, patients and carers/ relatives both within and outside the Trust. Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families, and carers. Ensure compliance with their respective code of professional conduct and work within their scope of practice. Works in conjunction with the MDT to clearly define values, direction and policies impacting upon care. Work in partnership with individuals with diabetes, their families, and carers, using a range of assessment methods as appropriate. Be able to demonstrate a critical understanding of their broadened level of responsibility and autonomy. This includes being critically aware of their limits of their own competence and professional scope of practice, including when working with complexity, risk, uncertainty, and incomplete information. Be responsible and accountable for their decisions, actions, and omissions at this enhanced level of practice. Utilise professional judgement and maturity, understanding when to seek help. Demonstrate critical reflection on own practice, self-awareness, emotional intelligence, and openness to change. Demonstrate effective communication skills, supporting people in making decisions, planning care, or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care. Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining, and evaluating links to manage risk and issues across organisations and settings. Evidence the underpinning diabetes specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope. Act as a clinical role model/ advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies, and networks. Initiate drug therapy/ medication within the parameters of agreed clinical guidelines and in accordance with the legal framework you work under to supply and prescribe medicines (if from professional group legally entitled to prescribe). Request diagnostic intervention and investigation and interpret said investigation within the practitioners scope of practice.

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