Team Manager for Home Enteral Nutrition

4 weeks ago

London, United Kingdom Oxleas NHS Foundation Trust Full time

Job summary

An exciting opportunity has developed in the Greenwich Adult Community Dietetics Team at Oxleas. We are looking for an experienced, committed, and enthusiastic dietitian to join and manage our supportive and friendly team as a Team Manager. The service has recently received additional funding from SE London ICS to improve patient outcomes by ensuring consistency of access to adult community health services, and standardising patient outcomes. This is a great time to join the Service and be pivotal in embedding this change. The post-holder will be responsible for the operational management of the Malnutrition Service ensuring that local targets are met and reported on in a timely and accurate manner. The team has a number of important relationships within the borough of Greenwich, and it will be your responsibility to maintain and enhance these relationships with key partners and stakeholders. You will carry a clinical caseload and be available to offer support/second opinions to junior colleagues in managing complex cases. You will be involved in developing service delivery to patients to meet national standards across all care pathways. You will have access to clinical supervision and have regular meetings with the Head of Profession for Dietetics.

Main duties of the job

The post holder will be responsible for the clinical leadership and operational management for the community-based adult home enteral service provided by Oxleas NHS foundation trust. The post holder will be responsible for co-ordinating and setting the strategic direction for the malnutrition and HEN service liaising with both internal and external stakeholders. The post holder will be responsible for day to day management of the Oxleas malnutrition dietetic team, including management of a delegated budget, recruitment, retention and deployment of staff, absence management, managing complaints, procurement and managing resources. The post holder will maintain a clinical caseload, with clinical activity accounting for between 20-30% of working hours.

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 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

Provide direct line management and operational support to a team of highly specialist, qualified dietitians, and dietetic assistants. To provide an efficient and high-quality dietetic service for patients and lead a team of staff who work across one or more specialist clinical areas. To provide a clinical dietetic service to HEN patients including tube care. To plan and prioritise the workload and assist less senior staff to organise their caseload within the specialist areas. To undertake a comprehensive assessment of patients including those with diverse or complex presentations/multi-pathologies in order to identify their problems and needs and ensure that patient's medical, biochemical, pharmacological, psychological, social environmental and cultural factors are taken into account. To communicate effectively with a range of health and care staff working in tertiary, secondary and primary care along with patients and carers, to support the ability of patients to remain safely in their home. To be responsible for recruitment and selection, appraisals, formulation of personal development plans, attendance monitoring and recording. To provide expert advice, teaching and training to other members of the MDT as appropriate, both internal and external to the Trust To manage staff within the adult malnutrition dietetic team, including recruitment, supervision, appraisal, performance, CPD and performance of team members. To collaborate and communicate service-related information and changes to senior managers, staff and external agencies within the boundaries of where Oxleas provide services. At times may require negotiation, persuasiveness, motivational and reassurance skills. To work as a provider of HEN within the Southeast London health system exploring potential opportunities for service development and preparing bids for funding by compiling in partnership business plans. This may require balancing a number of different and often competing interests and presenting complex facts and statistics. To ensure the teams involvement in developing business cases in developing specialist care for tube fed patients in the community. To demonstrate to commissioners and provider services that the service is fit for purpose by writing service line reviews and give formal presentations to senior manager and stakeholders To be responsible for implementing accurate systems of data collection and analysis which demonstrate the full range of the HEN service activity. This would also be undertaken alongside the operational manager through audit and quality improvement projects. To explore possible contentious issues such as piloting new models for the service by extending traditional professional boundaries. To be responsible for developing and implementing a HEN Patient Involvement strategy in line with local and national initiatives, to ensure the needs of service users drive service development. To act as a local resource for HEN services using expertise to advise on innovative service design and implementation of a multi-disciplinary, specialist team. To manage poor/under performance in the team, patient complaints and report incidents To co-ordinate staff requests for training, identifying training needs from personal development plans, and supporting staff to access training and clinical supervision. To challenge staff to evaluate their work and explore different ways of working to ensure staff resources are used efficiently. To encourage professional autonomy whilst ensuring the team work together in the best interest of the patients and service delivery. To collaborate with higher education centres to support the clinical placements for students. To plan and lead the annual team away day to ensure staff involvement when evaluating the current service, setting service objectives and planning projects in line with national and trust policy and priorities. Promote the Dietetic Service within the Trust and with external agencies. To actively support staffs wellbeing by signposting to central resources. To ensure there is a structured programme of HEN training for healthcare professionals to compliment training from enteral feeding company staff Person Specification

Qualifications

Essential

Degree in Dietetics supplemented by diploma level specialist training, management qualification or equivalent and experience Member of the British Dietetic Association (BDA) and PENG specialist subgroup

Desirable

oLeadership or management qualification

Experience

Essential

At least 6 years' broad clinical experience to include 3 years working in relevant specialist clinical area of dietetics Evidence of significant experience in adult HEN Managerial/supervisory experience

Desirable

operational experience of managing a service. experience of workforce and business planning and implementing service developments

Skills

Essential

Able to use Word, Excel, PowerPoint and other packages ability to communicate at all levels, from patients and carers to senior management level, across organisational boundaries Ability to negotiate and influence effectively deliver formal presentations to large groups negotiate and discuss complex and contentious issues.

Desirable

Experience of change management and implementing service developments. analyse and monitor activity data and budget reports

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