Specialist Lower Gastrointestinal

2 weeks ago


London, United Kingdom Guy's and St Thomas' NHS Foundation Trust Full time

Specialist Lower Gastrointestinal (LGI) Surgical Dietitian post.

An exciting opportunity has arisen to join our GI surgery dietetic team at Guy's & St Thomas' NHS Foundation Trust full-time (1.0 WTE). This is a fixed term position until the 1st May 2024, covering a maternity leave in the team.

The post will be focused particularly in the dietetic management of patients who have had LGI surgery (malignant and complex benign). You will need significant knowledge of nutrition support, GI surgery and/or oncology to deliver an expert dietetic service. The role will also cover a weekly long COVID outpatient clinic.

The important role of nutrition is valued and well recognised by the gastroenterology medical and surgical teams.

The post holders will be joining a team of over 100 Dietitians working across Guy's, St Thomas’, the Evelina Children's Hospital, Lambeth, Southwark community services. The department has a strong commitment to research and teaching.

Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals - Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

We are among the UK’s busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.

We have a long tradition of clinical and scientific achievement and - as part of King’s Health Partners - we are one of England’s eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research’s biomedical research centres, established with King’s College London in 2007, as well as dedicated clinical research facilities.
- To take responsibility for and manage a caseload of LGI patients’ receiving oral, enteral and parenteral nutritional support on the St Thomas’ Hospital site.
- To undertake nutrition ward round weekly, reviewing a complex cohort of patients on parenteral nutrition as an integral part of the nutrition team.
- To work closely with the surgical MDT to ensure seamless holistic care and monitoring of patients.
- To attend and make an active contribution to both the surgical and Proactive care of Older People undergoing Surgery (POPS) ward rounds weekly.
- To support the ongoing monitoring and development of the LGI surgery Enhanced Recovery Programme (ERP), including the development of new guidelines.
- Form part of the GI surgery team, which includes upper and lower GI surgical teams.
- To provide clinical cover for LGI dietetic clinics and home parenteral nutrition clinical in times of leave or absence.
- To attend and make an active contribution to intestinal failure MDM, which is held on a weekly basis.
- To provide LGI specific expert advice to clinicians, patients and carers regarding provision of nutritional support for patients based on clinical evidence. This will involve nutritional assessment, to include the calculation of nutritional requirements based on the interpretation of biochemistry, anthropometry clinical condition and other physical parameters.
- To initiate and participate in regular research and audit in line with departmental and MDT procedures.
- To provide dietetic input to a long COVID outpatient clinic once per week


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