Gloucestershire’s Integrated care System is on a journey to provide more place based and integrated care for our population, where clinically appropriate. We are a progressive and supportive health care system and have an excellent working relationship with our wider system partners. The integration of diabetes services across acute, community and primary care is just one example of this.
The Diabetes and Obesity Clinical Programme meet regularly to oversee the quality and performance of our services, and is committed to delivering high value, integrated care.

We aim to;

• Improve the identification and management of Diabetes and improve management of obesity.
• Reduce health inequalities and improve the health and wellbeing of the population.
• Reduced gap in amenable deaths between the most and least deprived by 2029.
• Reduce the demand on acute care by improved management in the community through delivering integrated care.

This is an established position within our system, integrated with the acute trust team. The post’s primary emphasis is on community-based care , offering the successful candidate a key opportunity to further evolve the outreach model for diabetes services.
Job Summary
Lead the Diabetes Integrated Service
Providing training, education, and support to professionals across the system
Contribute to system wide pathway review and development
Conduct community-based outpatient clinics for adults with complex Type 2 diabetes, young type 2 clinics and selected patients with Type 1 diabetes.
Provide structured clinical governance to the Community Diabetes Specialist Team
Collaborate with the multidisciplinary team (MDT) including Diabetes Specialist Nurses, Dietitians, a Nutritionist, Psychologist, Health Educators, Primary care Champion, and Podiatrists.
Work with the Acute Diabetes and Endocrinology team at Gloucestershire Hospitals NHS Foundation Trust.
Engage with Integrated Locality Partnerships and Primary Care Networks to develop the service.
Continue and develop MDT and mentored diabetes clinics focusing on education within Primary Care Networks.
Involvement in various specialised clinics and education programs for diabetes.
Actively participate ion audit and research
We take pride in placing people at the centre of everything we do, working together as a united team. Driven by a shared ambition to continually grow, develop, and learn, we recognise and value every contribution. By combining our experience and skills, we not only support our vibrant, diverse communities, but also support one another.
With a team of over 9,000 employees, we are proud to be the largest employer in Gloucestershire and rank among the top 10 largest Trusts in the South West region. By joining our Trust, you will benefit from an excellent package that includes exclusive benefits, flexible working opportunities and the chance to gain valuable experience in one or both of our innovative hospitals.
As well as generous annual leave allowance, you will have access to the excellent NHS pension scheme, competitive bank rates, discounts at local shops and restaurants, access to two on-site nurseries, discounted public transport, reward and recognition and a range of health and wellbeing initiatives to support you.
1. Clinical Responsibilities/Key Responsibilities
The appointee will work in collaboration with the members of the Integrated Diabetes Service and the current Diabetes and Endocrinology physicians to provide continuity and high standards of care. The main focus on the role is to work closely with community-based specialists’ team to manage increased complexity within the community.

1. Professional Development, Education and Training

• The duties of this post will also include supporting primary care to manage the large majority of patients with diabetes not requiring secondary diabetes care input. This will involve liaising with GP’s and Practice Nurses, taking part in education programmes for practice staff, responding to email requests from GP’s and Practice Nurses for clinical advice.
• The appointee will take on the supervision of the GP trainee
• Integrated Diabetes Team: Education, supervision and regular appraisal

1. Management and Leadership

• To provide medical information for the development of systems appropriate for Trust needs
• To participate in departmental consultant and senior staff meetings whilst remaining within the framework of the agreed strategy of the Trust and the Department
• To attend other departmental, Divisional and Trust meetings as necessary
• To attend regional and national meetings as necessary
• To undertake all work in accordance with Trust procedures and operating policies
• To become an active member of the clinical programme group

1. Quality Improvement

• To promote evidence based practice. To respond appropriately to NICE guidance. To change own and others clinical practice in response to new clinical developments
• To undertake and supervise relevant clinical audit topics
• To be involved in risk management and quality assurance
• To remain up to date and engaged in CME/CPD as per RCP guidelines
• To respond appropriately to complaints and critical incidents
• The post-holder will be expected to take part in developing clinical audit in accordance with agreed Directorate and Corporate Clinical Governance programmes.
• Teaching primary care colleagues, GP trainees, junior doctors and medical students, nurses and other paramedical staff in the team in speciality and special interest

1. Accountability

• The post-holder will be immediately accountable to the specialty Clinical Lead / Specialty Director and the Diabetes Clinical Programme Group. Further line management is provided by the Chief of Service for medicine and subsequently the Medical Director
• Co-operate with the commissioning lead on budget issues. The intention is to have a programme budget for diabetes across primary, community and secondary care

The purpose of this post is to provide a substantive Consultant for the Integrated Diabetes Service. As a senior employee of the Trust the post-holder will work in close co-operation with, and support other clinical, medical professional and managerial colleagues in providing high quality healthcare to patients with diabetes registered in Gloucestershire.
The post-holder has a general duty of care for their own health, safety and well being and that of work colleagues, visitors and patients within the hospital. This statutory duty is in addition to any specific risk management or clinical governance accountabilities associated with the post.

• The post-holder will be immediately accountable to the specialty Clinical Lead / Specialty Director and the Diabetes Clinical Programme Group. Further line management is provided by the Chief of Service for medicine and subsequently the Medical Director
• Co-operate with the commissioning lead on budget issues. The intention is to have a programme budget for diabetes across primary, community and secondary car