Senior Rotational Dietitian

**Key Responsibilities**: Clinical/Professional To deliver Specialist Dietetic intervention within Portsmouth Hospitals NHS Trust, making sound professional judgments regarding nutrition and hydration, frequently requiring urgent intervention by the nutrition support MDT. Working autonomously in managing a caseload of patients demanding specialised dietetic assessment and intervention using specialist knowledge and skills in the in-patient and out-patient settings including wards, clinics and telephone contact. As a core member of the surgical and nutrition support MDT, to lead dietetic care by signposting patients down appropriate dietetic care pathways, working closely with regional specialist colleagues, and liaising with other members of the dietetic, and nutrition nurse teams in hospital, in the community and across the region to ensure continuity of care. To act as an advocate for patients, carers and relatives to ensure dietary intake and nutritional status are considered as part of medical treatment pathways liaising with key members of both the local MDT, and other regional services where required, to achieve this.

Play a lead role in proactively recommending artificial nutrition support in a timely way to prevent unnecessary/prolonged admissions and to improve patient clinical outcomes. Act as the patient advocate on nutritional issues when devising treatment plans with other professionals. Demonstrate regular personal development activities. To keep up to date on professional matters actively pursuing training for self-development relevant to the role through an individual training plan.

Implement evidence-based practice, initiate, manage and evaluate changes that lead to improved and high standards of care and in particular any service changes following feedback from patients. Communicating, influencing and working with the multidisciplinary team in different ways to improve quality of care, and inform clinical decisions. Promote innovation and participate in benchmarking and quality audits to measure effectiveness of current practices. Create a culture for learning and development that will sustain person-centred safe and effective care.

Support junior colleagues in the provision of direct care; facilitate learning in and from practice at the same time as working alongside; or undertaking a care plan review if and when a serious incident or complaint has occurred. Ensure concerns raised by patients and their families are dealt with in an open, honest and transparent way, quickly and effectively, in line with trust policies, procedures and Duty of Candour legislation. Ensuring that accurate and timely dietetic records are maintained, monitoring standards and taking corrective action as required. Management/Leadership Accountable for the direct delivery of the Dietetic service within the specialised clinical area of your rotation.

Advocate for nutrition and dietetics within the trust. Responsible for the line-management of a band 5 Dietitian as agreed with Acute Operational Team Lead Dietitian; undertaking supervision and appraisal/ADPR as required. Undertake other tasks or accept additional responsibilities (e.g. Student training liaison, health & safety liaison, social media lead) delegated by the Acute Operational Lead or Service Manager that contribute to the effective provision of the Dietetic Service.

To undertake such other tasks and occasional relief duties as may be required from time to time by the Dietetic Services Manager Contribute to the department pay and non-pay budgets by ensuring good housekeeping, economic and sustainable use of resources. Work closely with Trust partners i.e. Engie, resolving any issues regarding provision of food and maintenance of the environment efficiently, and ensure staff are aware how to escalate when issues cannot be resolved. Research and Education Research Contribute to a research culture within the dietetic team to identify current knowledge and deliver evidencebased care.

Seek out ways to evaluate service provision. Lead on the continued development and evaluation of the hepatology nutrition screening tool alongside the acute operational dietetic lead. Support local research teams, actively contribute to local department multidisciplinary audits, represent the clinical area at governance meetings and highlight areas for change. Education Ensure staff under the post-holders leadership have an annual personal development review and set achievable objectives in line with Trust appraisal process, feeding agreed development opportunities into the department training plan.

Create an environment that is conducive to learning and encourage team open-ness so that an evidence-based approach is utilised and applied to nursing care. Act as a mentor and coach for dietitians, support staff and junior team members. Contribute to the direct supervision of dietetic students; commit to and encourage a culture where student dietitians receive quality placement