Specialist Dietitian

3 weeks ago

London, United Kingdom Oxleas NHS Foundation Trust Full time

Job summary

Specialist Dietitian, Band 6 Permanent; full time - hours per week

An exciting opportunity has arisen for a band 6 Dietitian to join our community dietetic team in the Royal Borough of Greenwich. You will be involved in delivering a range of assignments in the community across patients own home and care homes for malnourished patients. Travelling in the borough independently is expected. This role will involve face to face assessments as well as Virtual and over the phone assessments.

You will have the opportunity to develop in this role and work as part of a supportive Dietetic Team. You will be involved in training and educating staff and members of the multidisciplinary team. You will need to be an effective team player and be committed to providing a high standard of therapeutic intervention.

The successful candidate will have excellent leadership, organisation and communication skills. We currently provide student training for students on placement 2 and 3. Your clinical knowledge will contribute to both guideline and service development in this area. Our department is committed to evidence-based practice and service improvement.

Main duties of the job

The Greenwich Malnutrition Service comprises several specialized teams, including Food First, Primary Care Team, and Home Enteral Feeding. This role primarily focuses on the Food First dietetic case load but may also cover the Home Enteral Feeding and Primary Care Team's case loads if necessary.

The Food First dietetic service aims to provide a community-based clinical dietetic service specifically tailored for immobile adults in Greenwich. This comprehensive service involves conducting one-on-one sessions for malnourished patients in their residences or care facilities, designing training programs for healthcare professionals and care staff, facilitating assessment and care planning to promote sustained behaviour change, ensuring rapid response to referrals, and establishing connections with other pertinent dietetic services and initiatives within Greenwich.

As part of the role, there is a significant responsibility for managing and implementing oral nutrition support programs across the community. This involves disseminating Malnutrition Universal Screening Tool (MUST) guidelines to various healthcare teams, including care homes, district nurses, general practitioners (GPs), and others. The aim is to ensure that individuals at risk of malnutrition receive timely and appropriate support and intervention.

About us

Oxleas - About Us

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.

We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.

Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

We're Kind We're Fair We Listen We Care Job description

Job responsibilities

MANAGERIAL RESPONSIBILITIES AND LEADERSHIP

To be professionally and legally responsible and accountable for all professional activities. To participate in the induction and development of new members of the Oxleas community dietetic team. To maintain continuing professional development and attend study days and training, providing feedback to the team where appropriate. To participate in regular supervision and reflective practice. To participate in regular supervision and undertake the PPDR of therapy assistants. To supervise and support the junior members of staff, dietetic assistants and students as appropriate. To comply with professional guidelines, HCPC codes of conduct, Oxleas NHS foundation trust and departmental policies. To be an active member of appropriate special interest groups and BDA branches. Report to the Head of Profession and to contribute to the effective running of the dietetic service and the Nutrition and Dietetic department. To ensure that quality standards relating to dietetics are continually improved in line with national policies. To identify possible areas of development for the dietetic service in the adult community services and communicate this to the Head of Dietetics. To be flexible when cover is needed for other members of staff, when appropriate.

CLINICAL

To monitor, review and continually re-assess clients nutritional care plans and objectives against clinical outcomes measured in order to facilitate modification of packages of care/targets as appropriate to enable achievement of their goals. To provide nutritional advice and education to client, carers and relatives based on clinical evidence. To ensure management of clinical risk within own caseload. To maintain up-to-date clinical written records and computerised database in accordance with local and professional standards; and also writing comprehensive discharge and progress reports to GPs and referrers. To provide specialist training and education programmes for medical and nursing colleagues, allied health care professionals, therapy assistants, and health care assistants, in the form of lectures, tutorials and presentations. To develop a programme to educate the community nurses in basic dietetic skills and use of MUST to maintain continuing professional development by participating in regular in-service training, supervision, reflective practice and attending study days and training, providing feedback to the team where appropriate to disseminate learning. To provide caseload supervision to the therapy assistants in conjunction with colleagues, after training them specifically in basic dietetic skills and use of MUST. To maintain accurate clinical records for own caseload according to professional and local standards To be responsible for maintenance of adequate stock levels of nutritional supplements for clients, by monitoring levels and obtaining samples from medical nutrition companies when necessary. To flexibly plan and organise own time. To achieve the effective daily management of a caseload of clients, including prioritising clinical work and balancing other client-related and professional duties. To provide statistical information as required in a timely manner. To keep up-to-date statistics on a monthly basis in accordance with services requirements. To be responsible for any organisational tasks related to the post. To be flexible in the undertaking of any other duties as requested by the service manager or Head of Dietetics to meet the changing needs of the service. To attend team and Trust meetings and case conferences as required. To frequently exercise mental effort on a daily basis during assessments and using technical equipment, such as weighing scales, calliper measuring tape and stadiometer in obtaining anthropometric measurements. To deal sensitively with clients that may be suffering from conditions that may lead to anxiety, fear or aggressive behaviour. To work in an environment where work patterns may be disrupted by frequent demands from clinical staff, assistants, and administrative staff. To be exposed to unpleasant working conditions, which may involve exposure to bodily fluids such as vomit, urine, saliva, and unpleasant smells.

To attend and participate in dietetic team meetings, journal club, case study & study day presentations with dietetic colleagues

RESEARCH Participate in departmental and trust wide audit projects Patient satisfaction survey and service delivery. To present findings of audit and development activities to the team in order to contribute to service and professional development. Where appropriate to present information to other therapy teams or outside agencies. To provide support and encouragement to other staff undertaking research or development activities. Continually evaluates own work and current practices through the application of the available evidence base. To work alongside NICE guidelines and other best practice. To ensure good working knowledge of national and local standards, and monitor quality through participating in clinical audit and evaluation work as required COMMUNICATION To utilise good communication and teaching skills to educate the diverse and multicultural population with barriers to understanding regarding a range of disease specific nutritional principles and guidelines in a manner that is easy to understand and practical. To manage stressful, upsetting and emotional situations in an empathetic manner. To demonstrate the ability to communicate complex and sensitive information to clients and carers, where there may be barriers to communication, use of interpreters due to highly multi-racial client group, or cognitive pathology. To use complex communication skills such as persuasion and motivation in difficult situations when dealing with clients who are in distress or vulnerable circumstances. To communicate frequently with internal and external agencies including Social Services, Sheltered Accommodation Scheme Managers, General Practitioners, Care Home and Community Nurses with regards to client care. To maintain close links with Community Specialist Nurses regarding client care and to co-ordinate any highly complex activities effectively. To maintain close lines of communication with the local acute dietetic team. To clearly convey complex information to small and large groups during training and education sessions. Person Specification

Education

Essential

Dietetic Degree HCPC

Experience

Essential

18 months post grad experience in community

Desirable

Experience supervising

skills

Essential

Good understanding of the use of Nutrition Screening Tools Ability to assess and educate individuals requiring nutritional support Knowledge of Nutrition Support Products

Desirable

Demonstrates wide range of dietetic knowledge Experience Fodmaps Knowledge of HEN

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