CAMHS Highly Specialist Dietitian (N&S OPD - ARFID Team)

Job description

Job responsibilities

Key Responsibilities:

1. Clinical Specialist Responsibilities to the Team:

To work as an autonomous dietetic practitioner within the multi-disciplinary team using highly developed assessment and clinical reasoning skills to plan and provide responsive and effective dietetic assessment and treatment for children and young people referred to the ARFID team, MCCAED. This will include:

1. a) Managing and prioritising the caseload. b) Assessing patients by interviewing the patient, and family and carers if appropriate; using clinical information available from other sources, making and using anthropometric and other clinical measurements, and requesting and interpreting additional clinical tests as appropriate. c) Collaborating closely with colleagues to manage medical risk, which may be severe. d) On the basis of the assessment information, and the evidence base, working in close collaboration with colleagues, the patient and their family to produce care plans for dietetic treatment. e) Supporting the implementation of nutritional recovery by providing treatment personally, to individuals or groups, and by close collaboration with members of the ARFID team to ensure that management and reduction of nutritional risk are given a high priority in the overall care package. f) Working with carers and family members of patients to support the patients progress towards recovery. g) Providing effective education, information and support to patients learning to take responsibility for their nutritional health in the context of ambivalence and extreme anxiety. This may be in-group or individual contact and will include families and carers. h) Contributing to discharge planning as appropriate. i) Developing, producing, using and evaluating supporting materials for patients, carers, and for other staff, using appropriate language so that they are within the literacy skills of the client group, and promote a motivational approach. j) Maintaining a high level of awareness of safety in patient areas where there may be incidents that are difficult or challenging and undertaking mandatory training to ensure personal ability to maintain safety. k) Collaborating closely with colleagues to provide a high level of support and close supervision to patients who may be extremely anxious, while they are eating. l) Attending team meetings to discuss and plan individual patients progress.
2. Clinical Individual Responsibilities:
3. a) Assume responsibility for nutritional assessment and determining nutritional risk. Provide specialist assessment and advice, working closely with the MDT to develop appropriate dietetic care plans. b) Provide good quality group work both to teach the young people new skills and to support families. The post holder will need to be flexible in the timing of patient sessions. c) Be aware and understand evidence-based models of psychological and psychotherapeutic interventions including parent-training, CBT for children and adolescents and other relevant approaches. d) Assess safeguarding issues for each case discussing any concerns with other team members as appropriate taking responsibility to escalate and share information as required and set out in the safeguarding guidelines and refer concerns to Child Protection teams/ safeguarding boards where necessary. e) Maintain good relationships and clear lines of communication with other professional agencies and departments, providing specialist advice and support where appropriate.

1. 3. Professional conduct, Teaching, Training and Research:
2. a) It is expected that all team members will engage in research and/or audit/ service evaluation / Quality Improvement projects. b) Participate in the monitoring, evaluation and audit of the service. c) Participate in, and support, larger research projects being undertaken in the Directorates by senior researchers/colleagues when appropriate. Contribute to the development of outcome data by accurately recording and ensuring that others accurately record pre and post treatment measures. d) Join colleagues in specialist teaching, consultation and support to other professionals and agencies, particularly in relation to Feeding and Eating Disorders, risk assessment, and self-harm. e) Undertake all duties in line with the applicable Code of Professional Conduct, policies and guidelines. f) Work in accordance and within the principles/guidelines of all aspects of clinical governance. g) Make effective use of colleagues in sharing and participating in casework supervision and be able to seek clinical supervision when required. To participate in the planning of regular professional supervision in line with professional requirements and clinical governance polices. h) Remain up to date with changing practices and wherever possible make full use of all training and educational facilities. Identify development and training needs with professional supervisor and clinical manager in accordance with Trust/Directorate polices. i) Maintain and ensure good professional standards and attitudes towards the care and treatment of clients. Maintain good relationships and clear lines of communication with other professionals, agencies and departments, providing specialist advice and support where appropriate.

1. Freedom to Act:
2. a) You will have the freedom within a framework as a practitioner accountable for your own professional actions. b) You will work within broad Governance standards for CAMHS, the Trust & NHS protocols and where applicable your professional body.
3. IT competencies and skills:
4. a) The post holder will be expected to operate standard computer software programmes as part of their day to day role.
5. b) They will input and maintain appropriate computer and manual statistical data records.
6. c) They will be responsible for maintaining up to date databases.
7. Personal Development:

The post holder will participate in necessary development and training and complete all mandatory training.

1. Other:

The post holder will ensure all duties are carried out in line with Trust Policy and keep up to date with relevant Trust policies and developments within the NHS e.g. Business Continuity Plans, Care Quality Commission etc.

Person Specification

Qualifications

Essential

• HCPC registered dietitian
• Degree in nutrition and dietetics
• Strong evidence of continuing professional development

Desirable

• Post Registration course(s) at master's level in relevant areas of clinical dietetics

Experience

Essential

• Significant clinical dietetic practice, minimum of 3 years
• Experience of working in a multidisciplinary team
• Experience in enteral feeding, nutrition support and/or managing patients at high risk of re-feeding syndrome

Desirable

• Experience of clinical dietetic practice in feeding and eating disorders

Understanding and Knowledge

Essential

• Excellent knowledge of general aspects of nutrition and health
• Excellent knowledge of clinical and nutritional risk in chronic and acute malnutrition

Skills

Essential

• Ability to engage patients and to build a therapeutic relationship
• High level competence in application of nutrition and dietetics in clinical care
• Ability to work as an autonomous practitioner and as part of a team

Abilities

Essential

• Competent in managing and prioritising a clinical caseload.
• Ability to work collaboratively and effectively in multi-disciplinary teams

Desirable

• Presentation skills

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.

Certificate of Sponsorship

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).

Employer details

Employer name

South London and Maudsley NHS Foundation Trust

Address

Michael Rutter Centre

De Crespigny Park

London

SE5 8AZ

Employer's website

https://www.slam.nhs.uk/ (Opens in a new tab)