REMEDY : BNSSG referral pathways

Diabetes Specialist Nurse (DSN)

Checked: 21-11-2018 by vicky.ryan Next Review: 21-11-2019

Specialist Nurse Service - Bristol

This service is only available to patients registered with a GP in the Bristol area.

The Bristol Community Health Diabetes Specialist Nurses support GP practices across Bristol by improving health professionals’  knowledge of diabetes through training and advice. They also provide study days, conferences and network meetings throughout the year for local healthcare professionals.

In addition to the education of healthcare professionals, the Diabetes Specialist Nurses carry a small caseload of local people with diabetes and complex issues, who have been referred by their GP and who require short term intensive support and education from the team.

Referral Guidance - Bristol

Refer to the Diabetes Specialist Nurse Service Referral Criteria for further information.

Referral forms and further information on Diabetes services in the Bristol area can also be accessed by visiting the Bristol Community Health - Diabetes and Nutrition Service website.

Specialist Nurse - South Gloucestershire

The service is for adults (aged 18 years or over) with Type 1 or Type 2 diabetes who need the clinical expertise of a Diabetes Specialist Nurse. Anyone who is registered with a GP in the South Gloucestershire area can be referred to the service.

We provide service users with a comprehensive, specialist assessment of their diabetes, including any necessary treatment changes. Individual management plans and diabetes targets are developed to help people to get better control of their diabetes and to reduce their risks of developing diabetes complications which can affect their quality of life.

Examples of the types of referral to the service are:

  • to initiate insulin or other injectable therapies

  • insulin management skills – for people who need to learn how to adjust their own insulin safely and correctly

  • treatment changes – for people who need a diabetes medication review in order to improve their blood glucose levels

  • hypoglycaemia management – for people who are having problems with low blood glucose levels (hypoglycaemia) and need help to prevent/treat correctly

  • The service also offers sessions to people with Type 1 or Type 2 diabetes so they can learn how to manage their condition (this is also known as structured education and is usually delivered to small groups).

Referral Guidance - South Gloucestershire

This service is available in a number of community venues across South Gloucestershire.  Contact the service at:

Leap Valley Surgery Downend, Bristol, BS16 6UG

Opening hours: Monday – Friday 9am – 5pm

01225 831327

Specialist Nurse Service - North Somerset

We provide support, education and specialist advice for adults (over 16 years old) with complex diabetes needs, and their carers. This can be delivered in a group setting or on a one to one basis. Topics include:

  • Insulin management

  • Type 2 diabetes management

  • Managing diabetes during potentially difficult times such as illness and travelling

  • Caring for people with special needs and diabetes

  • Living with diabetes.

NSCP Adults with Diabetes Service

Referral guidance - North Somerset

Who is this service for?

Adults over the age of 16 years who are having complex problems with their diabetes and require specialist nurse input. A nurse will assess the issues and develop a care plan.

If you need to refer a patient to the Adults with Diabetes service, please refer via NSCP Managed referrals in EMIS

Contact us

Diabetes Specialist Nurse Office Locking Castle Medical Centre Highlands Lane Locking Castle Weston Super Mare North Somerset BS24 7DX

Tel: 01934 527114

Opening hours: Monday to Friday, 9am - 5pm