The diabetes clinical nurse specialist is integral to supporting chronic disease management in primary and secondary care. This role historically was based in secondary care and facilitated some integration between settings.

Such roles are characterised by advanced clinical skills and competences, a higher degree of autonomous decision-making, along with the remit to diagnose, treat and prescribe. They require an education to Master's level, as well as prescribing qualifications. 3 years post registration experience is often required.