Calderdale and Huddersfield NHS Foundation Trust

Clinical Lead Paediatric Dietitian

This job is now closed

Job summary

To work within the Paediatric Dietetic service providing dietary advice across inpatients, outpatients and community.

Main duties of the job

To act as specialist clinician for the paediatric service , supporting the clinical lead/s with evolving and embedding best practice into the clinical area.
To manage own specialist caseload in this area. This may include advising the MDT on the most appropriate form of nutritional management for children and cover for children's ward/special care baby unit/childrens day unit, educational establishments for children with additional learning needs and general/specialist Paediatric Clinics as required. There is potential for post holder to be the lead paediatric dietitian for IBD depending on their previous experience. The post will work closely with the enteral feed nurse to support children on home enteral feeds in the community.
To carry out specialist assessment and treatment of children in a variety of settings with the aim of preventing hospital admissions and/or facilitating safe and timely discharges and transfer of care.
Determine a clinical diagnosis, develop, deliver, implement, evaluate and modify individualised treatment programs and/or provide specialist advice, ensuring appropriate pathways of care and communication via liaison and referral to other agencies as required.
Take part in the education and training of Dietitians and qualified and non-qualified healthcare / social services / education staff including medical staff.
To support the Clinical Leads/ Team Leader in the day to day running of the Dietetic Team.

About us

Calderdale and Huddersfield NHS Foundation Trust is an integrated trust, providing acute and community health services.

We are proud to have been awarded a range of accreditation in recognition of our positive employement practice. Alongside being a Disability Confident Employer, we've also signed the armed forces Covenant and are a totally inclusive trust.

More than 6,500 colleagues provide compassionate care from our two main hospitals, the Calderdale Royal Hospital, and the Huddersfield Royal Infirmary, as well as in our community sites, health centres and in our patients' homes.We also are incredibly proud to have almost 150 volunteers here at CHFT.

We serve two local populations; Greater Huddersfield which has a population of 250,000 people and Calderdale with a population of 220,000 people.

Date posted

06 June 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£43,742 to £50,056 a year per annum, pro rata

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

372-COM2128-B

Job locations

Calderdale Royal Hospital

Halifax

HX3 0PW

Job description

Job responsibilities

To work within the paediatric dietetic service, developing effective clinical interventions within the speciality in order to contribute to clinical practice in the team in line with current evidence base.
To manage autonomously a clinical workload of patients at a specialist level, assessing and treating children and young adults and maintaining clinical records.
To have specialist assessment and treatment skills in the areas listed but not limited to:

To provide highly complex sensitive nutritional counseling to paediatric patients, parents and carers where postgraduate training in Cognitive Behavioural Therapy and use of empathy, reassurance and motivational skills are required to overcome barriers to change.

Ability to utilise developed communication and teaching skills (verbal and non-verbal) to communicate highly complex information in an understandable form to the diverse and multicultural population and where there are significant barriers to understanding e.g. challenging behaviours, learning difficulties, cognitive impairment and pain or fear as a result of their medical condition.

To take a lead in providing expert dietetic advice to the multidisciplinary team in meetings and ward rounds in order to provide expert advice to clinicians regarding the provision of dietetic treatment for babies and children based on clinical evidence. This will involve nutritional assessment (interpretations of biochemistry, anthropometrics, drug interactions, clinical condition and diet history) and the development of treatment plans (calculation of nutritional requirements and client-centred goals).

To be responsible for ensuring that patients, parents and carers have consented prior to dietetic intervention in line with professional guidelines.

Provide expert dietetic input for those patients requiring nutritional support based on the interpretation of biochemical results, medical conditions and ethical issues.

To directly prescribe nutritional supplements and enteral feeds for paediatric patients based on interpretation of nutritional assessment (within local policy agreements) and provide detailed nutritional treatment plans using such supplements/enteral feeds.

Make recommendations to the medical team regarding appropriate enteral/parenteral nutrition prescriptions and other medication e.g. laxatives, prokinetics and pancreatic enzymes.

To be responsible for the discharge planning, organisation and co-ordination with other health professionals and outside agencies of paediatric patients being discharged on enteral feeds.

To liaise with the community multidisciplinary team, tertiary centres (e.g. Leeds General Infirmary) and catering staff (including the provision of school meals) concerning the complex dietary requirements of paediatric patients and assist in instructing chefs on the preparation of special meals as required and provide advice regarding prescription of specialist diets.

Is trained to trainer level in the safe use of enteral feeding pumps and anthropometrical equipment as appropriate and report faulty equipment in accordance with local policy.

Be responsible for delivering interventions in a wide variety of settings as required e.g. paediatric wards, special care baby unit, childrens Day unit, schools and outpatient clinics.

To apply evidence based knowledge within the specialist clinical area acquired through experience and academic study to a specialist post graduate level.
To act, within the dietetic service, as a resource and provide advice for Dietitians, other professionals and colleagues within the MDT about the assessment, treatment, management and care of paediatric patients / clients who have a multi-pathological illness and/or complex psychosocial need.
To work collaboratively with health and social care community and acute colleagues.
To work with other members of the MDT to ensure effective care pathways and transfer of care / discharges.
To proactively and appropriately facilitate a seamless transfer of care and continuing therapeutic management of paediatric patients between care settings.
To work collaboratively in an interdisciplinary manner within the MDT, being able to debate the blurring of boundaries across professions and where competent take on aspects of blurred boundary working, where appropriate.
To develop specialist programmes of assessment, treatment and intervention paediatric patients.
To manage and prioritise own clinical workload as appropriate, working efficiently to manage professional time and delegate according to the training and competency levels of other team members to ensure the effective delivery of the service.
To participate in the supervision process with staff on a daily basis and for students as required.
To ensure a high standard of patient care is provided including implementing and reviewing clinical standards relevant to the work undertaken.
To provide specialist assessment and advice for the multidisciplinary team and actively participate in MDT meetings as appropriate.
To participate in out of hours working when required

Professional Duties

To comply with and, along with the clinical lead, contribute to the development and implementation of protocols, procedures and guidelines and training programmes both clinical and service specific. To give feedback on policies when required which may impact on patients.
To participate in governance initiatives on a regular basis, measuring and evaluating individual and the Dietetic teams clinical practice, e.g. CPD, clinical effectiveness, research and development, clinical audit and service activity data.
To ensure specialised treatments offered to patients / clients are based on the best available clinical evidence by keeping up to date with current literature, implementing research tools and liaising with other practitioners, both within and outside the service, in order to develop and maintain best practice.
To be responsible for the issue and safe use of equipment used in your area of work and to adhere to the appropriate service policies.
Along with the Clinical Lead / Team Leader generate and contribute to the collection, analysis and dissemination of data as required for the service, both manually and computerised.
To lead, develop and actively undertake clinical audit as requested.
On a day to day basis, to support members of the Dietetic team and contribute to them successfully meeting their objectives and development needs
To assist the Clinical Lead / Team Leader to manage the performance of the Dietetic staff by having a delegated role in supervision/PDR.
Ensure they identify through risk assessment, any risks they feel exist within their department or in the community during the delivery of their service.
Ensure they provide incident reports and supporting documentation for any unexpected event or incident they are involved in. To work with the Team Leader, assisting them in the management of complaints and incidents.
To give specialist advice, teaching and training to patients / clients, carers, volunteers and other health, educational and social care professionals, as appropriate to ensure provision of good patient care.
To be responsible for the supervision and education of student Dietitians to graduate level in the role of clinical educator. This will include planning and organising timetables, developing and delivering tutorials and responsibility for assessing competency.
To contribute to the supervision and education of students from other professional groups e.g. School Nurses, Health visitors, Physiotherapists, Speech and Language Therapists as required.

Managerial Duties

To contribute to the delivery of the Dietetic service within the wider MDT.
To provide advice / information to the Clinical Lead/Team Leader to help in the planning and development of the service.
In conjunction with the Team Leader /Clinical Lead, ensure adequate staff cover within the team by agreeing annual leave, study leave, and report sickness absence to the Team Leader.
To assist the Team Leader in achieving the service objectives.
To actively participate in the departmental meetings and in the professional development programme of the Dietetic service.
To assist the Clinical Lead / Team Leader in the monitoring of professional, clinical and departmental standards and assist implementation of change as appropriate.
To comply with the national, professional, Trust and service policies and procedures and to be involved in the reviewing and updating process as appropriate.
To participate in the staff recruitment process if appropriate
Maintain confidentiality of all patient identifiable information in line with Trust policies relating to the Data Protection Act.
Initiate discussions with the Team Leader about any circumstances that could prevent the postholder or other staff fulfilling the requirements of the job description

Financial Duties

To be mindful of the budgetary constraints within the Trust and the wider health economy and to provide a service which is efficient within these constraints

Job description

Job responsibilities

To work within the paediatric dietetic service, developing effective clinical interventions within the speciality in order to contribute to clinical practice in the team in line with current evidence base.
To manage autonomously a clinical workload of patients at a specialist level, assessing and treating children and young adults and maintaining clinical records.
To have specialist assessment and treatment skills in the areas listed but not limited to:

To be responsible for ensuring that patients, parents and carers have consented prior to dietetic intervention in line with professional guidelines.

Provide expert dietetic input for those patients requiring nutritional support based on the interpretation of biochemical results, medical conditions and ethical issues.

Make recommendations to the medical team regarding appropriate enteral/parenteral nutrition prescriptions and other medication e.g. laxatives, prokinetics and pancreatic enzymes.

To be responsible for the discharge planning, organisation and co-ordination with other health professionals and outside agencies of paediatric patients being discharged on enteral feeds.

Is trained to trainer level in the safe use of enteral feeding pumps and anthropometrical equipment as appropriate and report faulty equipment in accordance with local policy.

Be responsible for delivering interventions in a wide variety of settings as required e.g. paediatric wards, special care baby unit, childrens Day unit, schools and outpatient clinics.

To apply evidence based knowledge within the specialist clinical area acquired through experience and academic study to a specialist post graduate level.
To act, within the dietetic service, as a resource and provide advice for Dietitians, other professionals and colleagues within the MDT about the assessment, treatment, management and care of paediatric patients / clients who have a multi-pathological illness and/or complex psychosocial need.
To work collaboratively with health and social care community and acute colleagues.
To work with other members of the MDT to ensure effective care pathways and transfer of care / discharges.
To proactively and appropriately facilitate a seamless transfer of care and continuing therapeutic management of paediatric patients between care settings.
To work collaboratively in an interdisciplinary manner within the MDT, being able to debate the blurring of boundaries across professions and where competent take on aspects of blurred boundary working, where appropriate.
To develop specialist programmes of assessment, treatment and intervention paediatric patients.
To manage and prioritise own clinical workload as appropriate, working efficiently to manage professional time and delegate according to the training and competency levels of other team members to ensure the effective delivery of the service.
To participate in the supervision process with staff on a daily basis and for students as required.
To ensure a high standard of patient care is provided including implementing and reviewing clinical standards relevant to the work undertaken.
To provide specialist assessment and advice for the multidisciplinary team and actively participate in MDT meetings as appropriate.
To participate in out of hours working when required

Professional Duties

To comply with and, along with the clinical lead, contribute to the development and implementation of protocols, procedures and guidelines and training programmes both clinical and service specific. To give feedback on policies when required which may impact on patients.
To participate in governance initiatives on a regular basis, measuring and evaluating individual and the Dietetic teams clinical practice, e.g. CPD, clinical effectiveness, research and development, clinical audit and service activity data.
To ensure specialised treatments offered to patients / clients are based on the best available clinical evidence by keeping up to date with current literature, implementing research tools and liaising with other practitioners, both within and outside the service, in order to develop and maintain best practice.
To be responsible for the issue and safe use of equipment used in your area of work and to adhere to the appropriate service policies.
Along with the Clinical Lead / Team Leader generate and contribute to the collection, analysis and dissemination of data as required for the service, both manually and computerised.
To lead, develop and actively undertake clinical audit as requested.
On a day to day basis, to support members of the Dietetic team and contribute to them successfully meeting their objectives and development needs
To assist the Clinical Lead / Team Leader to manage the performance of the Dietetic staff by having a delegated role in supervision/PDR.
Ensure they identify through risk assessment, any risks they feel exist within their department or in the community during the delivery of their service.
Ensure they provide incident reports and supporting documentation for any unexpected event or incident they are involved in. To work with the Team Leader, assisting them in the management of complaints and incidents.
To give specialist advice, teaching and training to patients / clients, carers, volunteers and other health, educational and social care professionals, as appropriate to ensure provision of good patient care.
To be responsible for the supervision and education of student Dietitians to graduate level in the role of clinical educator. This will include planning and organising timetables, developing and delivering tutorials and responsibility for assessing competency.
To contribute to the supervision and education of students from other professional groups e.g. School Nurses, Health visitors, Physiotherapists, Speech and Language Therapists as required.

Managerial Duties

To contribute to the delivery of the Dietetic service within the wider MDT.
To provide advice / information to the Clinical Lead/Team Leader to help in the planning and development of the service.
In conjunction with the Team Leader /Clinical Lead, ensure adequate staff cover within the team by agreeing annual leave, study leave, and report sickness absence to the Team Leader.
To assist the Team Leader in achieving the service objectives.
To actively participate in the departmental meetings and in the professional development programme of the Dietetic service.
To assist the Clinical Lead / Team Leader in the monitoring of professional, clinical and departmental standards and assist implementation of change as appropriate.
To comply with the national, professional, Trust and service policies and procedures and to be involved in the reviewing and updating process as appropriate.
To participate in the staff recruitment process if appropriate
Maintain confidentiality of all patient identifiable information in line with Trust policies relating to the Data Protection Act.
Initiate discussions with the Team Leader about any circumstances that could prevent the postholder or other staff fulfilling the requirements of the job description

Financial Duties

To be mindful of the budgetary constraints within the Trust and the wider health economy and to provide a service which is efficient within these constraints

Person Specification

Qualifications

Essential

Relevant Degree
Registered with HCPC
Evidence of post graduate training in paediatrics to masters level or equivalent
Successful completion of BDA paediatric modules or equivalent
Membership and Attendance at relevant Specialist Interest Groups
Teaching/Presentation experience
Clinical Educator training

Desirable

Behaviour Change/motivational interview training
Specialist anthropometric skills
Membership of professional body
Leadership Training

Knowledge

Essential

Recent extensive experience of working in paediatric dietetics setting at Band 6 and above in the NHS
Extensive experience in assessing, treating and evaluating care in paediatric services and working in paediatric nutrition support and enteral feeding
Experience of liaison with other health care professionals and multi agency partnership working
Sound knowledge of current issues relating to paediatric dietetics
Extensive knowledge of relevant legislation, NSF's/Local and national guidelines and initiatives
Proven ability to make decisions and manage clients with complex needs
Excellent time management skills
Experience in contributing to service developments
Ability to manage customer expectation e.g dealing with complaints
Ability to identify own learning needs and engage in self directed learning
Demonstrates critical appraisal skills and reflective practice
Experience in developing team members e.g. supervision, identifying training needs and appraisals
Experience in planning, allocating and delegating tasks
Ability to demonstrate clinical leadership
Ability to prioritise own caseload and assist others to do the same
Competent in use of computers

Desirable

Experience at working at Band 7 level

Person Specification

Qualifications

Essential

Relevant Degree
Registered with HCPC
Evidence of post graduate training in paediatrics to masters level or equivalent
Successful completion of BDA paediatric modules or equivalent
Membership and Attendance at relevant Specialist Interest Groups
Teaching/Presentation experience
Clinical Educator training

Desirable

Behaviour Change/motivational interview training
Specialist anthropometric skills
Membership of professional body
Leadership Training

Knowledge

Essential

Recent extensive experience of working in paediatric dietetics setting at Band 6 and above in the NHS
Extensive experience in assessing, treating and evaluating care in paediatric services and working in paediatric nutrition support and enteral feeding
Experience of liaison with other health care professionals and multi agency partnership working
Sound knowledge of current issues relating to paediatric dietetics
Extensive knowledge of relevant legislation, NSF's/Local and national guidelines and initiatives
Proven ability to make decisions and manage clients with complex needs
Excellent time management skills
Experience in contributing to service developments
Ability to manage customer expectation e.g dealing with complaints
Ability to identify own learning needs and engage in self directed learning
Demonstrates critical appraisal skills and reflective practice
Experience in developing team members e.g. supervision, identifying training needs and appraisals
Experience in planning, allocating and delegating tasks
Ability to demonstrate clinical leadership
Ability to prioritise own caseload and assist others to do the same
Competent in use of computers

Desirable

Experience at working at Band 7 level

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).

Additional information

Disclosure and Barring Service Check

Certificate of Sponsorship

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

Calderdale and Huddersfield NHS Foundation Trust

Address

Calderdale Royal Hospital

Halifax

HX3 0PW

Employer's website

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

Employer details

Employer name

Calderdale and Huddersfield NHS Foundation Trust

Address

Calderdale Royal Hospital

Halifax

HX3 0PW

Employer's website

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