Job summary

Are you an experienced, autonomous nurse ready for your next challenge ? Cornerstone Practice and Healthcare is looking for a Same Day Consultation Nurse to join our friendly, forward-thinking team, caring for a large and growing practice population across four sites in Blackburn and Darwen. You'll be the clinician patients see on the day they need us most - assessing, diagnosing and treating a wide range of undifferentiated presentations, by telephone and face-to-face. You'll also support our Extended Access clinics, and help the practice achieve its QOF and Enhanced Services commitments - real variety, genuine autonomy, and real impact on your local community.

We're a values-led practice with a genuine passion for patient care, and a workplace where your clinical judgement is trusted and your development is taken seriously.

If you want a role where every day is different and every patient matters, we would love to hear from you.

Main duties of the job

You'll see patients booked into your same day sessions, by telephone or face to face, using your clinical skills to assess undifferentiated presentations and decide, there and then, how best to manage each one.

Day to day you'll examine, diagnose and manage a broad mix of acute illness, minor injury and flare-ups of long-term conditions - treating and prescribing where your NMP qualifications allows, safety-netting appropriately, and referring on where needed. You'll travel out to patients at home when a visit is the right call, and a day in our extended access clinics.

You'll take shifts in our Triage Hub too, supporting our Care Navigators with clinical advice on the right pathways for a patient, and stepping in to triage patient when needed.

You'll keep accurate, timely records and work closely with our GPs on complex or urgent cases, and use audit and reflection to keep improving your own practice and ours.

About us

Cornerstone Practice and Healthcare is a four-site GP practice serving a large and growing patient populations across Shadsworth, Rhyddings, Lambeth and Bentham Road in Blackburn and Darwen.

We're proud of the team we've built: GPs, nurses, pharmacists, physician associates and a close-knit admin team and care navigators. It's a busy environment, but a warm one- the kind of place where your name is known, your ideas are heard, and asking for help is never seen as a weakness.

We're a values-led, Christian-founded practice with a long-standing commitment to serving people in some of the most deprived parts of our area, whatever their background or belief. That sense of purpose runs through everything we do.

You'll have access to CPD opportunities and the support of an experienced clinical team as you settle into the role, along with the NHS Agenda for Change terms, NHS Pension Scheme membership.

If you want colleagues who care as much as you do, you'll fit right in here.

Job summary

Job summary

Would you like to use your diabetes experience to make a real difference to patients who need more than a routine annual review?

The Cornerstone Practice is looking for an experienced Diabetes Practice Nurse to join our friendly and supportive team.

A key part of the role will be helping patients with poorly controlled type 2 diabetes achieve better control. You will independently assess patients, identify what may need to change and agree individual management plans.

You will review and optimise treatment, initiate and manage GLP-1 medicines, review and adjust insulin within your competence, and monitor each patients progress. Experience of initiating insulin is desirable.

Applicants must already have the knowledge, experience and clinical competence to manage poorly controlled type 2 diabetes, as this role goes beyond routine annual reviews.

Alongside the diabetes work, you will provide the usual treatment-room nursing service, including advanced wound care, compression therapy, HRT and menopause reviews, cervical screening and vaccinations.

This is a varied role offering 22 hours per week at £26.00 per hour. We are happy to discuss the working pattern.

We care for approximately 9,500 patients and use SystmOne. You will join a supportive clinical and non-clinical team.

An immediate start is available, but we are happy to wait for the right person.

Main duties of the job

This is a varied, hands-on nursing role combining advanced diabetes care with day-to-day treatment-room work.

Your duties will include:

• Managing patients with poorly controlled type 2 diabetes from assessment through to follow-up
• Identifying factors affecting diabetic control and agreeing individual management plans
• Reviewing symptoms, observations, blood results and medicines
• Setting realistic goals and supporting patients to improve their diabetes control
• Reviewing and optimising diabetes treatment within your competence
• Initiating, titrating and monitoring GLP-1 medicines
• Reviewing insulin and adjusting doses where trained and competent
• Seeking GP or specialist advice when needed
• Managing routine and complex wounds
• Providing compression therapy, including Doppler/ABPI where competent
• Undertaking HRT and menopause reviews
• Undertaking cervical screening
• Administering vaccinations, immunisations and prescribed injections
• Monitoring other long-term conditions within your competence
• Taking blood samples and completing routine clinical observations and tests
• Maintaining accurate SystmOne records
• Supporting infection prevention, vaccine management and the safe running of the treatment room

About us

The Cornerstone Practice is based in the centre of March and cares for approximately 9,500 patients. We use SystmOne.

You will join a team of GP partners, salaried GPs, advanced practitioners, treatment room nurses, healthcare assistants, a mental health practitioner and experienced reception and administration colleagues. We also work closely with pharmacy, physiotherapy and social prescribing colleagues.

We cannot promise quiet days in general practice. We can promise that you will not face the busy ones alone. Colleagues share their knowledge, ask one another for advice and step in when somebody needs a hand.

We are looking for someone who enjoys getting to know their patients, takes pride in providing safe and thoughtful care, and wants to be part of a team where people support one another.

Details

Date posted

09 September 2026

Pay scheme

Other

Salary

£26 an hour

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

A3846-26-0006

Job locations

Elwyn Road

March

Cambs

PE15 9BF

United Kingdom

Job description

Job responsibilities

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

Job description Job responsibilities 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 recordsDiabetes 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 scopeWomen'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 signpostingVaccinations, 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 adviceCornerstone 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 reviewMedicines, 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

Person Specification

Qualifications

Essential

• Applicants must meet all of the diabetes criteria below to be considered for the post.
• Registered Nurse with current NMC registration
• Recent experience working as an experienced diabetes nurse within UK general practice
• Recognised diabetes qualification or clear evidence of advanced diabetes training and assessed competence
• Advanced knowledge and substantial experience of assessing and managing type 2 diabetes
• Demonstrable experience of independently managing patients with poorly controlled type 2 diabetes, within professional scope
• Able to identify why diabetes is poorly controlled and create, document, implement and review an individual management plan
• Able to arrange appropriate monitoring and follow-up and modify or escalate the plan according to the patient's response
• Able to interpret diabetes-related observations and blood results and use them to support safe treatment decisions
• Experience of managing patients whose diabetes is not at their individual target
• Competent in reviewing and optimising oral and injectable diabetes treatments within professional scope
• Competent and experienced in initiating, titrating and monitoring GLP-1 medicines
• Able to provide clear diabetes education, self-management support and safety-netting
• Able to recognise when treatment needs specialist or medical input and escalate appropriately
• Essential treatment-room and general criteria
• Recent experience providing a full Treatment Room or Practice Nurse service in UK general practice
• Competent in routine and complex wound assessment and management
• Competent in compression therapy, including compression bandaging
• Experience of HRT and menopause reviews within general practice
• Competent in cervical screening
• Competent in administering routine vaccinations, immunisations and prescribed injections
• Able to work under PGDs, PSDs and agreed clinical protocols
• Understands safeguarding, consent, confidentiality and infection prevention
• Able to recognise clinical deterioration and escalate concerns appropriately
• Accurate clinical record-keeping and clear communication
• Able to manage a clinical workload and work well with clinical and non-clinical colleagues

Desirable

• Experience and competence in initiating insulin
• Independent or supplementary prescribing qualification
• Competence in Doppler/ABPI assessment
• Additional training in wound care, respiratory care, women's health or long-term condition management
• Experience of using SystmOne
• Experience of supervising or supporting healthcare assistants, phlebotomists or learners

Person Specification Qualifications Essential Applicants must meet all of the diabetes criteria below to be considered for the post. Registered Nurse with current NMC registration Recent experience working as an experienced diabetes nurse within UK general practice Recognised diabetes qualification or clear evidence of advanced diabetes training and assessed competence Advanced knowledge and substantial experience of assessing and managing type 2 diabetes Demonstrable experience of independently managing patients with poorly controlled type 2 diabetes, within professional scope Able to identify why diabetes is poorly controlled and create, document, implement and review an individual management plan Able to arrange appropriate monitoring and follow-up and modify or escalate the plan according to the patient's response Able to interpret diabetes-related observations and blood results and use them to support safe treatment decisions Experience of managing patients whose diabetes is not at their individual target Competent in reviewing and optimising oral and injectable diabetes treatments within professional scope Competent and experienced in initiating, titrating and monitoring GLP-1 medicines Able to provide clear diabetes education, self-management support and safety-netting Able to recognise when treatment needs specialist or medical input and escalate appropriately Essential treatment-room and general criteria Recent experience providing a full Treatment Room or Practice Nurse service in UK general practice Competent in routine and complex wound assessment and management Competent in compression therapy, including compression bandaging Experience of HRT and menopause reviews within general practice Competent in cervical screening Competent in administering routine vaccinations, immunisations and prescribed injections Able to work under PGDs, PSDs and agreed clinical protocols Understands safeguarding, consent, confidentiality and infection prevention Able to recognise clinical deterioration and escalate concerns appropriately Accurate clinical record-keeping and clear communication Able to manage a clinical workload and work well with clinical and non-clinical colleagues Desirable Experience and competence in initiating insulin Independent or supplementary prescribing qualification Competence in Doppler/ABPI assessment Additional training in wound care, respiratory care, women's health or long-term condition management Experience of using SystmOne Experience of supervising or supporting healthcare assistants, phlebotomists or learners

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 (opens in a new window).

Additional information 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 (opens in a new window).

Employer details

Employer name

The Cornerstone Practice

Address

Elwyn Road

March

Cambs

PE15 9BF

United Kingdom

Employer's website

https://www.cornerstoneandmercheford.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

The Cornerstone Practice

Address

Elwyn Road

March

Cambs

PE15 9BF

United Kingdom

Employer's website

https://www.cornerstoneandmercheford.nhs.uk/ (Opens in a new tab)