Job summary
Are you looking for a challenge and an opportunity to build on your training and gain experience in the biggest NHS trust in London?
We are looking for a motivated and enthusiastic Dietitian to join our innovative dietetic team at Barts Health NHS Trust.
This post is suitable for new graduate Dietitians, or Dietitians currently working at a band 5 level. The post will allow you to gain experience working in a busy inpatient setting, providing excellent dietetic care to patients as part of the Specialist Medicine caseload. The post will also allow you opportunity to experience more specialist areas of dietetics, including neurology, gastroenterology, surgery and infectious diseases, with support from Senior Dietitians. The post holder will work closely with multi-disciplinary teams, including other health professionals.
You will take an active part in training students and other staff. You will need to possess excellent communication and organisational skills. We are committed to work-based education and training to improve clinical skills and we actively encourage CPD and audit.
Main duties of the job
To work together with the dietetic team to provide an effective dietetic service to adult in-patients at The Royal London Hospital. To ensure that research and audit is undertaken on a regular basis to ensure practice is evidence based. This post will have a requirement to work on any adult ward and may be required to work at our other hospital sites: St Bartholomew's Hospital, Newham University Hospital, Whipps Cross Hospital
About us
Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers.
The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.
Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.
We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.
Job description
Job responsibilities
Professional / Clinical responsibilities:
- To be professionally and legally accountable for all aspects of own work including the management of patients in your care.
- To undertake a comprehensive assessment of patients including those with diverse or complex presentations/multi pathologies using advanced clinical reasoning skills particularly in specialist field as well as other specialities as designated by the manager. This may include the use of complex calculations and/or anthropometric/other equipment.
- Formulate and deliver an individual nutrition and dietetic treatment based on a sound knowledge of evidence based practice and treatment options using clinical assessment, reasoning skills and analysis of biochemical results. To be responsible for providing specialised advice to clients within particular specialities including nutritional assessment, dietary counselling, motivational interviewing, negotiating targets, developing care plans and communicating these with relevant health and other care agencies. This may be on a one to one basis or to groups, both in an in and out-patient setting.
- Assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment
- To attend and contribute to relevant departmental meetings and continued professional development meetings i.e. presenting at audit, journal club and clinical supervision
- Use a range of verbal and non-verbal communication tools to communicate effectively with patients and carers where there may be barriers to communication. For example, patients may be dysphasic, depressed, deaf, blind, unable to accept diagnosis or whose first language is not English. This may include the use of an advocacy service
- To provide nutrition counselling, evaluate patient progress, reassess and alter intervention if required
- To manage patients with challenging behaviours by the application of appropriate management strategies such a cognitive behaviour therapy.
- To work at all times within the Professional code of conduct as stipulated by the Health Professions Council
Operational Delivery:
- To act as a resource point for advice/support for other Health Care Professionals including Hospital Clinicians, GPs, Health visitors, District Nurses and any other interested parties.
- To be responsible for planning and organising continuing care for patients, in the community. This may include the arranging of complex packages of care e.g. home enteral feeding. This will include liaising with community nursing, medical teams, patients and carers as well as companies and manufacturers
- To represent the dietetics department by attending relevant Multi-disciplinary Team (MDT) meetings and/or ward rounds as appropriate. This will be to ensure the delivery of a co-ordinated multidisciplinary service, and integrate nutrition and dietetic intervention into treatment programmes and service delivery.
- To engage in nutritional health promotion that includes planning, delivery and evaluation of work projects
- To be flexible in order to assist in covering the work of colleagues during leave.
Information management:
- To write reports reflecting specialist knowledge and to ensure copies are sent to all appropriate parties in line with the Trusts guidance on consent and confidentiality.
- To complete home enteral feeding discharge forms for those patients requiring enteral feeding at home and ensure that all relevant parties receive copies of the forms.
- To assist in the development of nutritional educations materials in collaboration with other dietitians which must be evidence based and take into account barriers to communication.
- Must possess good IT skills such as word, power point and excel
Project management:
To work as an active member of the Dietetic Department developing projects in line with the Department objectives and relevant strategic plans.
Education and Professional Development:
- To participate in relevant dietetic training supported by the senior specialist dietitians in the team e.g. local specialist competencies and protocols to enable the provision of a specialist service.
- To plan, organise and deliver education sessions covering dietetic advice or practice to professional and non-professional groups e.g. Medical, nursing, support staff, students, volunteers, patients and patients panel members.
- To maintain an up-to-date knowledge of research findings and new practices within nutrition and dietetics and apply this knowledge to improve practice. To monitor own and others quality of practice as appropriate.
- To undertake research and audit within the department as appropriate and present findings to dietetic and/or clinical teams
Service Development:
- To be responsible for identifying, commenting, proposing and implementing changes to policies and procedures in own area of work with senior support where appropriate.
- To carry out service improvements in own area of work using skills in training and policy/procedure development and implementation.
Risk and Governance Management:
- To manage clinical risk within own patient caseload.
- To be responsible for maintaining accurate and comprehensive patient treatment records in line with professional and departmental standards of practice.
- To consider clinical and non-clinical risk management in their day-to-day work. The post holder must adhere to policies aimed at reducing risks, minimizing risks and reporting risks.
Management and Leadership:
- To take the lead and be responsible for agreed projects / tasks.
Job description
Job responsibilities
Professional / Clinical responsibilities:
- To be professionally and legally accountable for all aspects of own work including the management of patients in your care.
- To undertake a comprehensive assessment of patients including those with diverse or complex presentations/multi pathologies using advanced clinical reasoning skills particularly in specialist field as well as other specialities as designated by the manager. This may include the use of complex calculations and/or anthropometric/other equipment.
- Formulate and deliver an individual nutrition and dietetic treatment based on a sound knowledge of evidence based practice and treatment options using clinical assessment, reasoning skills and analysis of biochemical results. To be responsible for providing specialised advice to clients within particular specialities including nutritional assessment, dietary counselling, motivational interviewing, negotiating targets, developing care plans and communicating these with relevant health and other care agencies. This may be on a one to one basis or to groups, both in an in and out-patient setting.
- Assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment
- To attend and contribute to relevant departmental meetings and continued professional development meetings i.e. presenting at audit, journal club and clinical supervision
- Use a range of verbal and non-verbal communication tools to communicate effectively with patients and carers where there may be barriers to communication. For example, patients may be dysphasic, depressed, deaf, blind, unable to accept diagnosis or whose first language is not English. This may include the use of an advocacy service
- To provide nutrition counselling, evaluate patient progress, reassess and alter intervention if required
- To manage patients with challenging behaviours by the application of appropriate management strategies such a cognitive behaviour therapy.
- To work at all times within the Professional code of conduct as stipulated by the Health Professions Council
Operational Delivery:
- To act as a resource point for advice/support for other Health Care Professionals including Hospital Clinicians, GPs, Health visitors, District Nurses and any other interested parties.
- To be responsible for planning and organising continuing care for patients, in the community. This may include the arranging of complex packages of care e.g. home enteral feeding. This will include liaising with community nursing, medical teams, patients and carers as well as companies and manufacturers
- To represent the dietetics department by attending relevant Multi-disciplinary Team (MDT) meetings and/or ward rounds as appropriate. This will be to ensure the delivery of a co-ordinated multidisciplinary service, and integrate nutrition and dietetic intervention into treatment programmes and service delivery.
- To engage in nutritional health promotion that includes planning, delivery and evaluation of work projects
- To be flexible in order to assist in covering the work of colleagues during leave.
Information management:
- To write reports reflecting specialist knowledge and to ensure copies are sent to all appropriate parties in line with the Trusts guidance on consent and confidentiality.
- To complete home enteral feeding discharge forms for those patients requiring enteral feeding at home and ensure that all relevant parties receive copies of the forms.
- To assist in the development of nutritional educations materials in collaboration with other dietitians which must be evidence based and take into account barriers to communication.
- Must possess good IT skills such as word, power point and excel
Project management:
To work as an active member of the Dietetic Department developing projects in line with the Department objectives and relevant strategic plans.
Education and Professional Development:
- To participate in relevant dietetic training supported by the senior specialist dietitians in the team e.g. local specialist competencies and protocols to enable the provision of a specialist service.
- To plan, organise and deliver education sessions covering dietetic advice or practice to professional and non-professional groups e.g. Medical, nursing, support staff, students, volunteers, patients and patients panel members.
- To maintain an up-to-date knowledge of research findings and new practices within nutrition and dietetics and apply this knowledge to improve practice. To monitor own and others quality of practice as appropriate.
- To undertake research and audit within the department as appropriate and present findings to dietetic and/or clinical teams
Service Development:
- To be responsible for identifying, commenting, proposing and implementing changes to policies and procedures in own area of work with senior support where appropriate.
- To carry out service improvements in own area of work using skills in training and policy/procedure development and implementation.
Risk and Governance Management:
- To manage clinical risk within own patient caseload.
- To be responsible for maintaining accurate and comprehensive patient treatment records in line with professional and departmental standards of practice.
- To consider clinical and non-clinical risk management in their day-to-day work. The post holder must adhere to policies aimed at reducing risks, minimizing risks and reporting risks.
Management and Leadership:
- To take the lead and be responsible for agreed projects / tasks.
Person Specification
Qualifications and Knowledge
Essential
- BSc in Nutrition & Dietetics or relevant postgraduate qualification
- HCPC registered
Experience
Essential
- Clinical experience in acute/ and or community setting
- Demonstrable experience of working within a multidisciplinary team and understanding team dynamics
- Documented evidence of commitment to CPD
Desirable
- Previous experience working as Dietitian, or Dietetic Assistant Practitioner
- Previous experience working as Dietitian, or Dietetic Assistant Practitioner
Person Specification
Qualifications and Knowledge
Essential
- BSc in Nutrition & Dietetics or relevant postgraduate qualification
- HCPC registered
Experience
Essential
- Clinical experience in acute/ and or community setting
- Demonstrable experience of working within a multidisciplinary team and understanding team dynamics
- Documented evidence of commitment to CPD
Desirable
- Previous experience working as Dietitian, or Dietetic Assistant Practitioner
- Previous experience working as Dietitian, or Dietetic Assistant Practitioner
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
