Epsom and St Helier University Hospitals NHS Trust

Paediatric Diabetes Clinical Nurse Specialist
The closing date is 23 November 2026

Job summary
Paediatric Diabetes Clinical Nurse Specialist Band 6/7 dependent on experience. Due to brand new funding, we are recruiting a full time (37.5 hours) Paediatric Diabetes Specialist Nurse to join our team working trust wide on a Monday to Friday work pattern. This nursing role is a band 7 opportunity but we will consider a developmental post at Band 6 depending on experience. In addition the successful candidate will be expected to participate in a 365 day out of hours / 24 hour weekend and bank holiday on call rota.

This is a fantastic opportunity to join a growing and committed multidisciplinary team working to provide a children's diabetes service in the light of Best Practice Tariff and more recently the TA943 Technology Appraisal Guidance.

For more information and / or to arrange an informal visit please contact Lorraine Laccohee, Lead PDSN, 0208 296 3071.

Main duties of the job
The Paediatric Diabetes Clinical Nurse Specialist will provide specialist diabetes care to children and their families and act as a resource to other professionals, by utilising expert knowledge and skills. Working as part of a multidisciplinary team, and with external agencies, they will play a key role in the delivery of evidence-based practice, both in the hospital and community setting, in light of Best Practice Tariff and the TA943 Technology Appraisal Guidance.

The scope of the post covers clinical care, education and leadership, research, audit and quality improvement.

About us
St George's, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey. Our sites include St George's Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).

After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.

At gesh we are committed to supporting flexible working arrangements. Applicants are encouraged to discuss any flexibility they may need during the recruitment process.

Details
Date posted: 09 November 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £55,524 to £62,652 a year pro rata per annum incl HCAS
Contract: Permanent
Working pattern: Full-time
Reference number: 343-7971558-RB-AT
Job locations: St Helier Hospital, Wrythe Lane, Carshalton, SM5 1AA, United Kingdom

Job description
Job responsibilities
The Paediatric Diabetes Clinical Nurse Specialist will provide specialist diabetes care to children and their families and act as a resource to other professionals, by utilising expert knowledge and skills. Working as part of a multidisciplinary team, and with external agencies, they will play a key role in the delivery of evidence-based practice, both in the hospital and community setting, in light of Best Practice Tariff. The post holder: is responsible for the management of a caseload of children; will act as an educational resource to children, families, carers and other agencies providing specialist advice and education on diabetes management in childhood and adolescence; will provide advice and support in paediatric diabetes care for paediatric nurses within the Trust and to other agencies as requested.

Key responsibilities

• Clinical: To autonomously manage a caseload of children, developing effective working relationships with children, young people and their families.
• Monitoring and assessing effectiveness of treatment, in conjunction with the multidisciplinary team, initiating changes according to local protocols and making referrals as appropriate.
• To empower children, families and carers, by providing support and education in order to jointly assess needs, plan and implement care through individualised care programmes and enable them to make informed decisions about their health.
• To act as the patient's advocate working effectively with other professionals particularly where there may be barriers of language, learning difficulties or mental health, by providing effective support and information enabling families to make informed choices and decisions concerning treatment.
• To educate the child and family about their diabetes and any specific clinical procedures they may have to undertake, in order to confidently manage their condition and care.
• To use clinical skills to undertake specialised clinical procedures in diabetes therapy.
• To advise and liaise with professional colleagues in both secondary and primary care ensuring optimum co-ordination of care and initiating changes in clinical management as appropriate.
• To work as a member of a multi-disciplinary team to provide seamless and effective care management for the child and young person, including the arrangement of patient management meetings in a variety of settings, preparing and presenting reports as required.
• To be responsible for contemporaneous patient record keeping and recording activity data on Trust patient administration system.
• Education: To act as a specialist educational resource, providing advice and support to professionals and carers within primary and secondary care settings.
• To take responsibility for own continuing professional education both mandatory and other training appropriate to role including attendance at national conferences.
• To identify training issues within primary and secondary care and initiate appropriate training packages on a broad range of issues relating to paediatric diabetes care.
• To participate on internal teaching programmes, providing specialist information on paediatric diabetes care.
• Leadership: To manage own time, have accountability for own professional actions, effectively prioritising clinical and non-clinical workload.
• To maximise effective use of resources and plan appropriate patient care according to budgetary resources within the directorate.
• To order and ensure availability of adequate and appropriate supplies of specialist equipment and educational materials for children, young people, families and their carers and health care professionals.
• To have an awareness of risk assessment in the work place and be responsible for assessing and providing appropriate advice to children, young people, their families and carers in regards to the storage, administration of medication and safe handling and disposal of sharps in their own home.
• Research and Audit: To promote and create a climate of critical inquiry within paediatric diabetes, thus promoting the use of research in practice.
• To keep up to date with current literature and research, interpreting and critically evaluating relevant research findings and where appropriate applying them to clinical practice and communicating them to effect any necessary changes in clinical practice.
• To identify areas within diabetes that would benefit from being researched, advising on nursing resource implications and to participate, where appropriate, in nursing and multi-disciplinary research.
• To participate in clinical audit and take appropriate action in response to audit findings.
• To contribute to the collection of clinical data for both local and national databases.
• Quality: To actively promote and implement evidence based nursing practice in diabetes care within paediatrics.
• To be aware of national guidelines and standards in paediatric diabetes care and to develop, and keep updated, local evidence-based guidelines and documentation, promoting their use throughout the Trust and, where appropriate, in the wider community.
• Professional: To communicate in a professional manner, exercising accountability and professionalism in practice and portraying a professional role model at all times.
• To adhere to the NMC code of Professional Practice and Conduct.
• To conform and adhere to Trusts policies and procedures.
• To actively participate in clinical supervision and safeguarding supervision.

Person Specification
Qualifications
Essential: Registered children's nurse with paediatric experience. Successfully completed or be undertaking a programme of study in diabetes for nurses, which has been accredited for at least 20 points at first degree level or equivalent and evidence of on-going CPD in diabetes Or Have been working as a PDNS with evidence of on-going CPD in diabetes and a willingness to undertake a diabetes module as agreed by the Trust. Teaching and assessing / mentorship qualification or evidence of this being undertaken.
Desirable: Children's Community Nursing Qualification. Non-medical prescriber

Skills
Essential: Excellent interpersonal and communication skills and ability to deal with situations of conflict in a professional manner. Able to act as a professional role model. Proven teaching ability. Ability to work independently and make autonomous decisions. Good organisational and time management skills. Able to communicate with empathy, age-appropriate, clinically sensitive information. Ability to build effective relationships with patients, carers and colleagues internal and external to the organisation. Excellent IT skills.
Desirable: Ability to analyse and interpret information in an effective manner.

Knowledge
Essential: Family dynamics and the implications on the family of a child with a chronic condition. Good working knowledge of child safeguarding practices nationally and locally. Awareness of audit and research and its effect on quality patient care. Ability to then lead on audit for QI purposes as required. Knowledge pertaining to informed consent relating to children. Knowledge of Best practice Tariff and guidelines for children and young people with diabetes.
Desirable: Awareness of national guidelines and policies pertaining to children generally.

Experience
Essential: Robust experience of working within the MDT for children with Diabetes. Sound working knowledge of current issues and legislation pertaining to paediatric diabetes. Experience of management (patient caseload or staff team). Experience of hybrid closed loop insulin pump systems.
Desirable: Broad paediatric nursing experience in a variety of settings. Experience of working in a community setting.

Special requirements
Essential: Car driver with full driving license and access to car on working days.

Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details
Employer name: Epsom and St Helier University Hospitals NHS Trust
Address: St Helier Hospital, Wrythe Lane, Carshalton, SM5 1AA, United Kingdom
Employer's website: https://www.epsom-sthelier.nhs.uk/work-for-us

Employer contact details
For questions about the job, contact: Lead Paediatric Diabetes Nurse Specialist, Lorraine Laccohee, l.laccohee@nhs.net, 07975232074

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