Diabetes and Endocrinology in East of England
Endocrinology and diabetes is a fascinating specialty encompassing basic mechanisms of physiology and pharmacology coupled with the ability to improve quality of life and long-term outcomes through effective disease control, and often cure. Endocrine and metabolic diseases are commonly encountered in the UK population and are increasing in prevalence and impact emphasising the need to continue to improve health care delivery in the specialty. Endocrine diseases and diabetes affect every physiological system of the body and specialists need a wide range of skills and expertise and make a major contribution to general medicine in its broadest sense. 
The specialty has something to offer for everyone. Many of the endocrine diseases we encounter are rare ones and pose diagnostic and therapeutic challenges, and present considerable intellectual stimulus. There are equally challenging less rare conditions that require working closely with many different multiprofessional colleagues. A broad training in endocrinology and diabetes provides the basis for progression to specialist posts in a wide range of settings from the smaller hospital to the large tertiary referral centre, from the community base to the University academic department.
Why Train in the East of England?
The East of England provides a high standard of living combining city, country and coast, internationally recognised teaching and research, and great weather! One of the advantages of training in the east of England is the number of opportunities open to every trainee. In addition to high quality clinical training there are extra opportunities to develop skills in research, teaching, management or leadership both in and out of programme. If you choose to train in the East of England you would join a team of diabetologists and endocrinologists with a wide range of clinical and research interests who deliver nationally and internationally recognised services and contribute to clinical practice in the UK through their work on national networks, societies and guideline committees.
Unlike many other schools, successful trainees are aware of the location of all five years of their training programme at the time of appointment, which helps domestic planning. The East of England School of Medicine is located in a large region but as a school we prioritize arranging rotations to prevent unreasonable commuting distances. All trainees spend a minimum of 20 months in a teaching hospital either rotating to Addenbrooke’s Hospital or the Norfolk and Norwich University Hospital.
Post Graduate Certificates in Medical Education: many of our trainees have completed PGCE, sponsored by the School.
Research: There are well established academic clinical fellow (ACF) and clinical lecturer (CL) programmes within the region and we support all clinical trainees wishing to take time out of programme to undertake a higher degree. There are a wide range of research opportunities encompassing diabetes, obesity, endocrinology and metabolic medicine.
Clinical Excellence and Expertise in Diabetes and Endocrinology in East of England:
If you choose to train in the East of England you would join a team of diabetologists and endocrinologists with a wide range of clinical and research interests who deliver nationally and internationally recognised services and contribute to clinical practice in the UK through their work on national networks, societies and guideline committees.
Nationally recognised services in in several areas:
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Meet the Team:
- Dr Victoria Stokes | Training Programme Director | Consultant Diabetes and Endocrinology at Addenbrooke’s Hopital, Cambridge University Hospital
- Dr Asma Chaudhry | Trainee Representative | ST7 Registrar at Addenbrooke’s Hospital | Cambridge University Hospital
- Dr Mariyam Shazra | Trainee Representative | ST7 Registrar at Norfolk and Norwich University Hospital
TPD's Perspective
In progress...
Trainee Representative's Perspective
We are appointed specialty trainees chosen to act as representatives of our peers within Diabetes and Endocrinology training in East of England Deanery. We aim to be a visible voice to improve trainees’ experience and the quality of their education and training, as well as to provide feedback and help to shape new initiatives within our region.
We aim to foster a supportive and inclusive sense of belonging within the trainee body and act as an effective interface between the trainees and the deanery.
East of England is a friendly deanery to work in across a variety of trusts, with supportive colleagues and excellent senior guidance. The Deanery is also very supportive to increase flexible training. Any trainee can apply for Less Than Full Time Training with aim to support work-life balance.
Endocrinology and Diabetes 4-year higher specialty training programme follows the Joint Royal Colleges of Physicians Training Board (JRCPTB) curriculum. The 4-year training pathway involves:
- Curriculum: The specialty is a "Group 1" curriculum, maintaining commitment to both D&E and acute General Internal Medicine (GIM) resulting in dual accreditation.
- Rotations: Trainees typically rotate between large tertiary teaching hospitals (Cambridge and/or Norwich) and district general hospitals (DGHs) across the vast East of England locations.
- Clinical Capabilities: Trainees focus on mastering specialty capabilities in practice (CiPs).
- Research & Education: The 4-year programme allows time for Clinical Lecturers, research projects, or the pursuit of higher degrees. Trainees also utilize regional teaching days and can join professional groups like the Young Diabetologists & Endocrinologists' Forum for support, advocacy, and education.
Endobible: an online resource developed by Dr Frankie Swords (Norwich)
Diabetesbible - an online resource developed by Professor Jeremy Turner (Norwich)
Contributions to National Endocrine Guidelines
Society for Endocrinology Endocrine Emergency Guidance: Emergency management of acute hypocalcaemia in adult patients. Jeremy Turner (Norfolk and Norwich University Hospital), Neil Gittoes, Peter Selby, the Society for Endocrinology Clinical Committee.
Guidelines for the management of thyroid cancer. Third edition. British Thyroid Association July 2014. Perros P, Colley S, Boelaert K, Evans C, Evans RM, Gerrard GE, Gilbert JA, Harrison B, Johnson SJ, Giles TE, Moss L, Lewington V, Newbold KL, Taylor J, Thakker RV (Addenbrookes), Watkinson J, Williams GR
Management of primary hypothyroidism: statement by the British Thyroid Association Executive Committee. Onyebuchi Okosieme, Jackie Gilbert, Prakash Abraham, Kristien Boelaert, Colin Dayan, Mark Gurnell (Addenbrookes), Graham Leese, Christopher McCabe, Petros Perros, Vicki Smith, Graham Williams and Mark Vanderpump
Society for Endocrinology Endocrine Bone and Calcium Network: Convenor: Jeremy Turner (Norwich).
Contributions to National Diabetes Guidelines
National Institute for Clinical Excellence
- Dr Amanda Adler (Addenbrookes) chairs a multi-disciplinary Technology Appraisal Committee at the National Institute for Health Excellence (NICE)
- Catherine Gooday (Principal Podiatrist, Norwich) is an expert adviser for the NICE Centre for Guidelines (CfG). Member of the group that developed the NICE guidance; Diabetic foot problems: prevention and management (2015).
The Hospital Management of Hypoglycaemia in Adults with Diabetes Mellitus. JBDS 01
Lead authorship: Esther Walden (RGN), Norfolk and Norwich University Hospitals NHSFT, Debbie Stanisstreet, Christine Jones, Norfolk and Norwich University Hospitals NHSFT, Dr Alex Graveling.
Supporting organisations: Tracy Kelly, Diabetes UK, Professor Mike Sampson (Norwich), Joint British Diabetes Societies (JBDS) Inpatient Care Group Chair, Esther Walden (Norwich), Diabetes Inpatient Specialist Nurse (DISN) UK Group Chair, Dr Chris Walton (Hull), Association of British Clinical Diabetologists (ABCD) Chair.
The Hospital Management of DKA in Adults. Revised September 2013. JBDS 02
Lead authorship: Dr Ketan Dhatariya, Norfolk and Norwich University Hospital NHS Foundation Trust, Dr Mark Savage.
Supporting organisations: Tracy Kelly, Diabetes UK, Professor Mike Sampson (Norwich), JBDS Inpatient Care Group Chair, Esther Walden (Norwich), Diabetes Inpatient Specialist Nurse (DISN) UK Group Chair, Dr Chris Walton, ABCD Chair.
Management of adults with diabetes undergoing surgery and elective procedures: improving standards April 2011. JBDS 03
Ketan Dhatariya (Norfolk & Norwich University Hospital), Daniel Flanagan, Louise Hilton, , Anne Kilvert, Nicholas Levy, Gerry Rayman, (Ipswich Hospital), Bev Watson.
Self-Management of Diabetes in Hospital March 2012. JBDS 04.
Lead authorship: Dr Daniel Flanagan, Maggie Watkinson.
Supporting organisations: Esther Walden (Norwich) Diabetes Inpatient Specialist Nurse (DISN) UK Group Chair, Professor Mike Sampson (Norwich) JBDS Inpatient Care Group Chair, Dr Chris Walton, ABCD Chair, Tracy Kelly, Diabetes UK
Glycaemic management during the inpatient enteral feeding of stroke patients with diabetes June 2012 JBDS 05.
Lead authorship: Dr Aled Roberts, Simone Penfold.
Trust Supporting organisations: Jill Hill TREND UK, Tracy Kelly, Diabetes UK, Professor Mike Sampson (Norwich), JBDS Inpatient Care Group Chair, Esther Walden (Norwich), Diabetes Inpatient Specialist Nurse (DISN) UK Group Chair, Dr Chris Walton, ABCD Chair
The Management of the hyperosmolar hyperglycaemic state (HHS) in adults with diabetes August 2012 JBDS 06. Lead authorship: Dr Adrian Scott, Anne Claydon.
Supporting organisations: Tracy Kelly, Diabetes UK, Professor Mike Sampson (Norwich), JBDS Inpatient Care Group Chair, Esther Walden (Norwich), Diabetes Inpatient Specialist Nurse (DISN) UK Group Chair, Dr Chris Walton, ABCD Chair.
Admissions avoidance and diabetes: guidance for clinical commissioning groups and clinical team; December 2013, JBDS 07.
Lead authorship: Dr Belinda Allan, Professor Mike Sampson (Norfolk and Norwich University Hospitals NHSFT).
Supporting organisations: Dr Paul Downie (PCDS), Tracy Kelly Diabetes UK, Fiona Kirkland (PCDS), Esther Walden Chair, Diabetes Inpatient Specialist Nurse UK Group (Norwich), Dr Chris Walton Chair,ABCD.
Management of Hyperglycaemia and Steroid (Glucocorticoid) Therapy October 2014. JBDS 08. Lead authorship: Dr Aled Roberts, June James, Dr Ketan Dhatariya, Norfolk and Norwich University Hospitals NHSFT.
Supporting organisations: ABCD Chair: Dr Rob Gregory, Diabetes Inpatient Specialist Nurse (DISN) UK Group Chair: Esther Walden (Norwich), Diabetes UK: Tracy Kelly, Head of Care JBDS Inpatient Care Group Chair: Professor Mike Sampson (Norwich)
Management of glycaemic control in pregnant women with diabetes on obstetric wards and delivery units May 2017. JBDS 12.
Lead authorship: Dr Umesh Dashora, East Sussex Healthcare NHS Trust, Dr Rosemary Temple, Norfolk and Norwich University Hospitals NHSFT, Professor Helen Murphy, Professor of Medicine (Diabetes and Antenatal Care), Norwich Medical School University of East Anglia and Honorary Consultant Addenbrooke’s.
Supporting organisations: Diabetes UK: David Jones, Head of Involvement and Shared Practice JBDS for Inpatient Care, Chair: Professor Mike Sampson (Norwich), Diabetes Inpatient Specialist Nurse (DISN) UK Group, Chair: Esther Walden (Norwich), Association of ABCD, Chair: Dr Rob Gregory.
Diabetes UK Position Statements and Care Recommendations NHS Diabetes guideline for the perioperative management of the adult patient with diabetes. Dhatariya (Norwich), N. Levy, A. Kilvert, B. Watson, D. Cousins, D. Flanagan, L. Hilton, C. Jairam, K. Leyden, A. Lipp, D. Lobo, M. Sinclair-Hammersley and G. Rayman (Ipswich) for the Joint British Diabetes Societies
Contact the Endocrinology School Administrator, LiLiana Mead liliana.mead@nhs.net, for:
- Information related to regional teaching courses
- PGVLE accounts
- Other assistance related to training
- Regional Teaching Days: RTDs are offered virtually and in person; please check PGVLE (Postgraduate Virtual Learning Environment): Course: Diabetes and Endocrinology | PGVLE
- EASE (East Anglian Society of Endocrinology) meetings: This is an annual meeting for consultants and resident doctors in the field of diabetes and endocrinology. the next meeting takes place in June 2026.
- Annual Insulin Pump Courses: 20 March 2026, Cambridge; details for future events will be added on PGVLE.
- GIM (General Internal Medicine) Regional Teaching: For planned dates please check PGVLE: GIM Regional Teaching Days | PGVLE. Email GIM administrator Jai John Thekkumpuram Jose jaijohn.jose@nnuh.nhs.uk for more information.
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Post-Graduate Certification in Medical Education: Bursary up to £3,000 (the approximate cost of the PGCert, varying slightly on which University the qualification is studied at) is provided by EOE Deanery. Applications for the bursary open around March and close around April of every year. Applicants ensure they fulfil the eligibility criteria and they have a signed document from their TPD with their approval to be considered eligible for the bursary.
2026/2027 Endocrinology and Diabetes Regional Training Dates
- 25 February 2026 | Virtual
- 27 February 2026 | Virtual
- 20 March 2026 | Cambridge | Insulin Pump Course
- 25 March 2026 | NNUH
- 26 March 2026 | Cambridge
- 10 April 2026 | Virtual
- 29 April 2026 | Virtual
- 26 May 2026 | Virtual
- 9 June 2026 | Virtual
- 15 June 2026 | ABCD & EASE | https://abcd.care/events/abcd-ease-regional-meeting-2026
- 30 July 2026 | Cambridge
- 12 August 2026 | Virtual