Specialty Dietitian

This is a fantastic opportunity for anyone with an interest in intestinal failure (IF) and Parenteral Nutrition (TPN). You will work alongside a Team Lead Dietitian and two Band 6 IF Dietitians. This post is supported by the wider multidisciplinary Nutrition Support Team (NST), who value and respect the role of the Dietitians.

Oxford University Hospital NHS Foundation Trust (OUHFT) is a designated integrated surgical Intestinal Failure Centre, providing IF services to inpatients, a caseload of outpatients supported with Home Parenteral Nutrition (HPN) and we support other centres both locally and nationally with in patient PN and HPN and complex feeding issues. OUHFT is also one of two UK designated intestinal transplant centres.

This highly specialist role is based within the dietetic team and delivers complex clinical nutrition support as part of the trust’s NST to patients with IF, particularly in surgery, oncology, colorectal and specialist gastroenterology ward areas and to patients on the ICUs across the trust. Alongside this inpatient work, there is a weekly consultant led clinic for patients on HPN and/or with complex nutritional needs.

We encourage every Band 7 to protect 30% of their time within the role to development, for both their own growth and development and for that of the service. As an expanding intestinal failure service, this role provides a great opportunity to further develop both your clinical and leadership skills.

Be responsible for the development and provision of a highly specialist, evidence based dietetic service to the patients treated with IF at OUHFT. This involves working as an integral member of both the Dietetic team and the multidisciplinary team to provide a flexible, prioritised highly acute service based on clinical need

Provide a specialist dietetic service to patients with intestinal failure who may require parenteral or complex nutrition

Initiate, lead, collaborate on and participate in audits, service development, project work and research within own clinical area

Participate in Governance activities and meetings

Be responsible for monitoring, evaluating, and contributing to local/ national standards ensuring they are being met and make recommendations for change to protocols and guidelines

Act as a source of expertise and clinical support for dietetic, nursing, and medical colleagues locally and nationally regarding the nutritional management of IF patients

Cover the leadership responsibilities of the Team Lead in their absence or when required

Educate, train, supervise and disseminate information to healthcare professionals including clinicians, nurses, AHPs, dietetic colleagues and students about the dietetic management of IF patients

Clinically supervise, mentor, and develop Band 6 and Rotational Band 5 Dietitians

Be an integrated member of the Dietetic and parenteral nutrition teams, providing support and dietetic cover where appropriate

Oxford University Hospitals (OUH) is a world-renowned centre of clinical excellence and one of the largest NHS teaching trusts in the UK. We employ approximately 12,500 staff (including over 4,000 nurses and 2,000 doctors and 850 AHP staff). The Trust comprises four main hospital sites: the John Radcliffe Hospital (which includes the Children's Hospital, West Wing, Eye Hospital, Heart Centre and Women's Centre), the Churchill Hospital and the Nuffield Orthopaedic Centre, all located in Oxford, and the Horton General Hospital in Banbury, North Oxfordshire.

The acute adult dietetics team is made up of ~50 Dietitians, 6 Dietetic Assistants and administrative support. There are 7 acute clinical teams, each responsible for providing a service to specialist clinical areas while working collaboratively across all OUH sites. We work closely with the children’s dietitians, and the Oxford Health community dietitians.

Clinical

Be professionally and legally accountable for own work and caseload.

Work autonomously as a lead clinical specialist, in the provision of a comprehensive nutrition and dietetic service to IF patients within the OUH.

Lead and coordinate dietetic provision to ensure a comprehensive specialised dietetic service is provided to IF patients. This will include:

- Providing a highly specialised clinical service to IF inpatients, including those requiring TPN within the OUH
- To support the multidisciplinary nutrition team in facilitating the planning and discharge of PN fed patients, coordinating and arranging appropriate follow-up remotely or at the consultant led multidisciplinary nutrition clinic for HPN and complex enterally fed patients being discharged both locally and out of area
- Co-ordinate the dietetic service provided to OUH HPN patient and complex nutrition caseload for in and outpatients, and support the NST to assess and provide nutritional input, including requesting additional information, investigations, blood tests, vitamins and trace elements, review TPN prescription based on n