Community Consultant in Diabetes - Integrated Care

£84,559 to £114,003 a year
22 Sep 2021
30 Sep 2021
Career Level
Contract Type
Full Time

Gloucestershire Hospitals NHS Foundation Trust We have an exciting new opportunity and looking to recruit a permanent Community Consultant in Diabetes for the development of our Integrated diabetes service in Gloucestershire to start as soon as possible in 2021

This is a new post for a Consultant Diabetologist with an interest in complex Type 2 Diabetes and Community Diabetes as we implement an integrated model of care for diabetes. For the post-holder it will be an exciting opportunity to develop the service from its inception so a track record of leadership and service development will be desirable. This vision is that the integrated service will bring together primary, community and secondary care adult diabetes services to create a diabetes service without boundaries. Our clinical outcomes for people with diabetes are good but we want to make them even better. We aspire to excel and achieve National Recognition for our service provision.

Candidates not invited for interview may assume they have been unsuccessful.

Main duties of the job

The successful candidate will be expected to support, develop and lead the Integrated Diabetes Service initially covering the Forest of Dean and Gloucester City, prior to county wide roll out. These two areas represent 43% of our total diabetes population; have the highest levels of deprivation with the need to improve health outcomes.

Integral to the responsibilities of the post are the following requirements:-


  • To ensure the provision of a first class clinical service
  • To provide effective leadership to all staff engaged in the specialty
  • To sustain and develop teaching and research wherever appropriate
  • To undertake all work in accordance with the Trusts procedures and operating policies
  • To conduct clinical practice in accordance with contractual requirements and within the parameters of the Trusts and Divisions services plans
  • To maintain the confidence of business plans and development strategies formulated for the specialty, the Medical Division or the Trust


About us

Gloucestershire has a population of over 650,000 and there are two organisations providing healthcare in the County in addition to Primary care services:

Gloucestershire Hospitals NHS Foundation Trust provides acute services from Gloucestershire Royal Hospital in Gloucester and Cheltenham General Hospital to the population of Gloucestershire as well as caring for patients from surrounding counties and beyond. Gloucestershire Health and Care NHS Foundation Trust was formed in October 2019. This followed the merger of 2gether NHS Foundation Trust and Gloucestershire Care Service NHS Trust, to provide joined up physical health, mental health and learning disability services for the population of Gloucestershire.

The Acute Trusts workforce is almost 8,000 strong and our caring and dedicated staff is recognised as providing good and outstanding patient-centred, high quality emergency, elective and specialist care across a range of clinical areas.

Both organisations are committed to recruiting the best people to work with us to achieve our vision of providing Best Care for Everyone and our success depends on the commitment and dedication of our staff, many of whom are world leaders in healthcare, teaching and research. You could make a real difference to our patients lives by joining our team.

This job is a new post created as part of a commitment by both organisations to provide care to patients closer to home through the integration of primary and secondary care services.

Job description

Clinical 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 to manage caseload.

Clinics will be held initially in Cinderford in Forest of Dean, Gloucester City and Gloucestershire Royal Hospital. Virtual clinics/case discussion will also take place with Primary Care Networks.
Teaching/Training (as agreed with Clinical Lead or Specialty Director)


  • 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 GPs and Practice Nurses, taking part in education programmes for practice staff, responding to email requests from GPs 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

Quality Improvement / Audit (as agreed with Clinical Lead or Specialty Director)

  • To promote evidence based practice. To respond appropriately to NICE 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

Clinical Governance

  • To undertake all work in accordance with Gloucestershire Hospitals NHS Foundation Trust procedures and operating policies
  • To attend accredited conferences and meetings to update personal level of clinical practice, teaching and management skills in line with CME/CPD requirements
  • To participate in an annual Job Planning Review process
  • To participate in the Trusts annual Appraisal process and to respond to any identified development needs
  • To adhere to the Trusts Adverse Clinical Incident Policy
  • Communication: This will include responsibility for and arrangement of communication and liaison with primary care colleagues, other community services and other medical and service departments within the hospital including: General Management, Medical Records
  • Communication with primary care colleagues will include video consultation, telephone discussion of problems and writing of letters about cases seen in the community based clinics
  • Communication with other hospitals and special departments in other hospitals

Management (as agreed with Clinical Lead or Specialty Director)

  • 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


  • 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 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 accountability associated with the post.

Finally, the post-holder is expected to:

  1. Observe the rules, policies, procedures and standards of Gloucestershire Hospitals NHS Foundation Trust together with all relevant statutory and professional obligations
  2. Observe and maintain strict confidentiality of personal information relating to patients and staff
  3. Be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues

Person Specification
Research & Publications

  • Ability to appraise research critically and apply research outcomes to clinical and surgical problems
  • Ability to supervise junior staff undertaking research projects
  • Evidence of participation in Audit and Clinical Governance Programmes

Clinical Experience

  • Clinical training & experience equivalent to that required to obtain UK CCT in Diabetes/Endocrinology & General (Internal)Medicine
  • Ability to take full and independent responsibility for clinical care of patients


  • Full General Medical Council registration
  • Full MRCP diploma
  • On Specialist Register for General (Internal)) Medicine via: CCT or CESR-CP (Combined Programme) (proposed CCT/CESR-CP date must be within 6 months of interview), CESR or European Community Rights


  • Additional degrees
  • Diplomas or postgraduate thesis relevant to the specialty


BMJRef: BMJ-46796/318-21-R7171

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