Specialist Cystic Fibrosis Dietitian Band 7
Liverpool Heart and Chest Hospital
This job is now closed
Job summary
A rare and exciting opportunity has arisen to join the Liverpool Adult Cystic fibrosis (CF) team. We are looking for an experienced and enthusiastic dietitian to join a well-established multi-disciplinary team delivering high quality care to people with CF, on an in and outpatient basis.
We are a large CF centre, caring for 377 adult patients with a catchment area covering the North West, North Wales and the Isle of Man and an international reputation for research.
Main duties of the job
You will work alongside an experienced specialist CF dietitian, within the wider dietetic department. The role requires a motivated and adaptable approach, with an ability to manage a large, complex caseload and strong multidisciplinary working.A keen interest in cystic fibrosis is essential, with experience in nutrition support, weight management, diabetes and supporting patients with a chronic condition. Experience in audit, quality improvement and research is desirable and such projects are encouraged.
About us
As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.
We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine both in the hospital and out in the community.
We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.
Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and our encouragement of flexible working in a variety of forms.
Please visit our website - https://www.lhch.nhs.uk/
Please follow this link for a tour of our site - https://bit.ly/36ylsoq
Date posted
02 February 2023
Pay scheme
Agenda for change
Band
Band 7
Salary
£41,659 to £47,672 a year
Contract
Permanent
Working pattern
Full-time, Part-time, Flexible working
Reference number
C9410-23-9062
Job locations
Liverpool Heart and Chest Hospital
Thomas Drive
Liverpool
Merseyside
L14 3PE
Job description
Job responsibilities
JOB DESCRIPTION
POST: Highly Specialist Dietitian
BANDING: Band 7
ACCOUNTABLE TO: Therapy Leads
RESPONSIBLE FOR: Dietitians, Dietetic Support Workers, Dietetic Students and Work Experience Students.
JOB SUMMARY
To provide factually accurate, unbiased evidence based nutritional advice appropriate to the needs of the individual. Advice will be provided using a patient centred approach, in the context of multidisciplinary, multiagency delivery plans.
To provide the nutrition and dietetic service as clinical lead to your own specialist area.
This involves:-
1. Personally providing the dietetic service to in-patients and out-patients.
2. Educating/training other members of the multi-disciplinary team in specialist area.
3. Clinical supervision of new members of the dietetic team.
4. Training of Student Dietitians
5. Development and implementation of policies, protocols and guidelines relevant to clinical speciality.
PRINCIPAL ACCOUNTABILITIES
CLINICAL
For each patient, collect all relevant medical, social, biochemical and pharmacological information required to inform practice.
Undertake detailed nutritional assessment using, weight, height, mid upper arm circumference and skin-fold measurements as appropriate.
Undertake dietary assessment, estimating intake of macro and micronutrients as appropriate based on disease state.
Using all information gathered, compile and agree with patient and/or carers a nutritional care plan.
Inform all relevant health care professionals of main aims and objectives of care plan by completing relevant documentation or writing report in medical notes.
Monitor progress on the nutritional care plan according to local standards, amending as necessary to ensure improvement in health is achieved, and informing other health care professionals of any changes.
Establish and maintain effective communication when giving nutrition and dietetic advice to individuals and groups, ensuring technical information is given in a way that is understood.
Communicate with patients and carers to explain principles of nutrition management and its effect on disease progression and outcomes.
Communicate relevant information about patients and their management to relevant clinicians and other appropriate members of the medical staff and health care professional in other NHS Trusts & Community Services.
High level communication skills and the ability to develop a rapport with challenging patients and their carers.
Attend ward rounds, case conferences and ward meetings as required to reinforce importance of good nutrition in patient care and role of Dietitian in multidisciplinary team.
Where appropriate, use advanced communication and counselling skills to assess motivation and overcome barriers to change.
Liaise with relevant staff and contract caterers regarding provision of suitable meals for in-patients. Advise on restrictions and nutritional adequacy as appropriate.
Ensure continuity of patient care by liaising with primary care colleagues and other agencies involved in care of patients at home for example patients discharged on enteral feeding.
Provide cover for absent colleagues thus, requiring knowledge in other areas of dietetics.
Assist wards in maintaining stock of enteral feeds and supplement drinks.
Plan and prioritise own workload using clinical judgement.
MANAGERIAL/LEADERSHIP
Organise cover for absence of members of your team by prioritising and allocating work as necessary.
Regularly review clinical supervision guidelines for own specialist area.
Undertake clinical supervision of other dietitians within the team.
Ensure continuity of patient care by sharing resources and knowledge with primary care colleagues.
Be an enthusiastic member of the senior leadership team within the therapies department.
To represent the Therapies Department at relevant committees, as required, within the Clinical Service Division, in conjunction with the Therapy Leads.
To be responsible for the collection of such statistics/records as are required nationally and departmentally and to ensure that confidentiality is maintained.
To achieve the departmental objectives for the relevant elements of the therapy service.
With support from the Therapy Leads, manage any performance and work force issues within the team.
Responsible for implementation of policies and supporting development of policies related to the department.
TRAINING & DEVELOPMENT
Keep a personal professional portfolio, including evidence of reflection, to prove continuing competence to practice, and provide proof of development of knowledge and skills.
Plan, implement and evaluate programme for student dietitians on placement and assess student dietitians on placement.
Identify training needs of other health professionals including doctors, nurses and dietetic colleagues and develop programmes to meet these needs.
Educate at local, regional or national events on changes in evidence base and best practice in your own specialist area.
Lecture to undergraduate and post-graduate courses at higher education establishments e.g. medical students, nursing students.
Facilitate other trust dietitians to maintain basic knowledge of current practice in your specialist area, by organising and delivering clinical update sessions.
Plan, deliver and evaluate training/education sessions for patients in groups.
PROFESSIONAL
To maintain accurate and up to date records.
To comply with the HCPC and CSP standards and rules of professional conduct.
To participate in Clinical Audit and research within the department
To develop and monitor clinical care pathways.
QUALITY
Participate in regional and national specialist interest groups to assist in maintenance of evidence based care.
Always work in accordance with national and local standards, best practice and clinical guidelines when providing the dietetic service.
Lead for own clinical area, regular review, and updating of local standards and guidelines to ensure they always comply with current evidence, best practice or professional consensus.
Lead regular review of resources such as diet sheets, lectures and presentations, to ensure they are always based on current evidence, best practice or professional consensus.
Follow Trust Guidelines when creating new written resources to ensure all patients needs are best met.
Ensure availability of resources in appropriate languages other than English.
Always act in accordance with Trust policy when using interpreting and translation services.
Keep all patient records in accordance with Caldicott, Trust and local standards.
Keep measures of workload as directed by Trust Chief Dietitian to assist in future planning.
Participate in performance review according to Trust policy, identify own training needs and actively assisting in the creation of your personal development plan.
Take part in the development and implementation of multidisciplinary care pathways for own specialist area.
Lead on audit in own clinical area. This involves identifying audits required and drawing up audit outline, evaluating findings and implementing changes as required, in order to improve service delivery.
Always work in accordance with Trust Health & Safety, Equality & Diversity and all Personnel policies and procedures.
Undertake Mandatory, CPR and any other training requested by the trust.
Work within legislation and trust policies on risk management.
Identify, assess and determine how best to manage risks on own clinical areas and work activities.
Always inform departmental head of any risks, which could compromise the safety of other staff, patients or other visitors to the site.
All actions must be taken in accordance with the Health Professions Council Standards of Conduct, Performance & Ethics and Standards of Proficiency.
Job description
Job responsibilities
JOB DESCRIPTION
POST: Highly Specialist Dietitian
BANDING: Band 7
ACCOUNTABLE TO: Therapy Leads
RESPONSIBLE FOR: Dietitians, Dietetic Support Workers, Dietetic Students and Work Experience Students.
JOB SUMMARY
To provide factually accurate, unbiased evidence based nutritional advice appropriate to the needs of the individual. Advice will be provided using a patient centred approach, in the context of multidisciplinary, multiagency delivery plans.
To provide the nutrition and dietetic service as clinical lead to your own specialist area.
This involves:-
1. Personally providing the dietetic service to in-patients and out-patients.
2. Educating/training other members of the multi-disciplinary team in specialist area.
3. Clinical supervision of new members of the dietetic team.
4. Training of Student Dietitians
5. Development and implementation of policies, protocols and guidelines relevant to clinical speciality.
PRINCIPAL ACCOUNTABILITIES
CLINICAL
For each patient, collect all relevant medical, social, biochemical and pharmacological information required to inform practice.
Undertake detailed nutritional assessment using, weight, height, mid upper arm circumference and skin-fold measurements as appropriate.
Undertake dietary assessment, estimating intake of macro and micronutrients as appropriate based on disease state.
Using all information gathered, compile and agree with patient and/or carers a nutritional care plan.
Inform all relevant health care professionals of main aims and objectives of care plan by completing relevant documentation or writing report in medical notes.
Monitor progress on the nutritional care plan according to local standards, amending as necessary to ensure improvement in health is achieved, and informing other health care professionals of any changes.
Establish and maintain effective communication when giving nutrition and dietetic advice to individuals and groups, ensuring technical information is given in a way that is understood.
Communicate with patients and carers to explain principles of nutrition management and its effect on disease progression and outcomes.
Communicate relevant information about patients and their management to relevant clinicians and other appropriate members of the medical staff and health care professional in other NHS Trusts & Community Services.
High level communication skills and the ability to develop a rapport with challenging patients and their carers.
Attend ward rounds, case conferences and ward meetings as required to reinforce importance of good nutrition in patient care and role of Dietitian in multidisciplinary team.
Where appropriate, use advanced communication and counselling skills to assess motivation and overcome barriers to change.
Liaise with relevant staff and contract caterers regarding provision of suitable meals for in-patients. Advise on restrictions and nutritional adequacy as appropriate.
Ensure continuity of patient care by liaising with primary care colleagues and other agencies involved in care of patients at home for example patients discharged on enteral feeding.
Provide cover for absent colleagues thus, requiring knowledge in other areas of dietetics.
Assist wards in maintaining stock of enteral feeds and supplement drinks.
Plan and prioritise own workload using clinical judgement.
MANAGERIAL/LEADERSHIP
Organise cover for absence of members of your team by prioritising and allocating work as necessary.
Regularly review clinical supervision guidelines for own specialist area.
Undertake clinical supervision of other dietitians within the team.
Ensure continuity of patient care by sharing resources and knowledge with primary care colleagues.
Be an enthusiastic member of the senior leadership team within the therapies department.
To represent the Therapies Department at relevant committees, as required, within the Clinical Service Division, in conjunction with the Therapy Leads.
To be responsible for the collection of such statistics/records as are required nationally and departmentally and to ensure that confidentiality is maintained.
To achieve the departmental objectives for the relevant elements of the therapy service.
With support from the Therapy Leads, manage any performance and work force issues within the team.
Responsible for implementation of policies and supporting development of policies related to the department.
TRAINING & DEVELOPMENT
Keep a personal professional portfolio, including evidence of reflection, to prove continuing competence to practice, and provide proof of development of knowledge and skills.
Plan, implement and evaluate programme for student dietitians on placement and assess student dietitians on placement.
Identify training needs of other health professionals including doctors, nurses and dietetic colleagues and develop programmes to meet these needs.
Educate at local, regional or national events on changes in evidence base and best practice in your own specialist area.
Lecture to undergraduate and post-graduate courses at higher education establishments e.g. medical students, nursing students.
Facilitate other trust dietitians to maintain basic knowledge of current practice in your specialist area, by organising and delivering clinical update sessions.
Plan, deliver and evaluate training/education sessions for patients in groups.
PROFESSIONAL
To maintain accurate and up to date records.
To comply with the HCPC and CSP standards and rules of professional conduct.
To participate in Clinical Audit and research within the department
To develop and monitor clinical care pathways.
QUALITY
Participate in regional and national specialist interest groups to assist in maintenance of evidence based care.
Always work in accordance with national and local standards, best practice and clinical guidelines when providing the dietetic service.
Lead for own clinical area, regular review, and updating of local standards and guidelines to ensure they always comply with current evidence, best practice or professional consensus.
Lead regular review of resources such as diet sheets, lectures and presentations, to ensure they are always based on current evidence, best practice or professional consensus.
Follow Trust Guidelines when creating new written resources to ensure all patients needs are best met.
Ensure availability of resources in appropriate languages other than English.
Always act in accordance with Trust policy when using interpreting and translation services.
Keep all patient records in accordance with Caldicott, Trust and local standards.
Keep measures of workload as directed by Trust Chief Dietitian to assist in future planning.
Participate in performance review according to Trust policy, identify own training needs and actively assisting in the creation of your personal development plan.
Take part in the development and implementation of multidisciplinary care pathways for own specialist area.
Lead on audit in own clinical area. This involves identifying audits required and drawing up audit outline, evaluating findings and implementing changes as required, in order to improve service delivery.
Always work in accordance with Trust Health & Safety, Equality & Diversity and all Personnel policies and procedures.
Undertake Mandatory, CPR and any other training requested by the trust.
Work within legislation and trust policies on risk management.
Identify, assess and determine how best to manage risks on own clinical areas and work activities.
Always inform departmental head of any risks, which could compromise the safety of other staff, patients or other visitors to the site.
All actions must be taken in accordance with the Health Professions Council Standards of Conduct, Performance & Ethics and Standards of Proficiency.
Person Specification
Experience
Essential
- Broad clinical experience, including post registration experience in speciality
- Evidence of multidisciplinary team working.
- Experience of supporting learning of other healthcare professionals.
- Evidence of participation in service development and audit.
Desirable
- Previous experience at Band 7
- Previous experience leading a team
- Non-medical prescribing
Skills and Abilities
Essential
- Excellent clinical reasoning skills based on evidence and current research.
- Accurate anthropometry skills.
- Implements behavioural / counselling techniques to constructively overcome barriers to change.
- Able to work autonomously within area of specialism using critical thinking and expert practitioner level judgement.
- An ability to work as part of the MDT and communicate appropriately with all grades of staff.
- Demonstrates good presentation and teaching skills
Desirable
- IT skills including keyboard, email, powerpoint
Qualifications
Essential
- BSc in Nutrition and Dietetics/PhD Nutrition and Dietetics
- Current HCPC Registration.
- Membership of BDA or equivalent professional indemnity insurance.
- Member of relevant clinical specialist interest group
Desirable
- Evidence of post graduate study.
- Leadership / management training
Values and Behaviours
Essential
- Demonstrate enthusiasm, vision and a desire to achieve.
- Committed to developing expertise within the dietetic team and the clinical speciality, by sharing knowledge and skills and supporting others.
- Demonstrate a forward-thinking and professional attitude.
- Tactful and diplomatic.
- The ability to remain calm under pressure and respond to unpredictable work patterns.
Desirable
- Interest in developing and promoting the profession at a regional and national level
Person Specification
Experience
Essential
- Broad clinical experience, including post registration experience in speciality
- Evidence of multidisciplinary team working.
- Experience of supporting learning of other healthcare professionals.
- Evidence of participation in service development and audit.
Desirable
- Previous experience at Band 7
- Previous experience leading a team
- Non-medical prescribing
Skills and Abilities
Essential
- Excellent clinical reasoning skills based on evidence and current research.
- Accurate anthropometry skills.
- Implements behavioural / counselling techniques to constructively overcome barriers to change.
- Able to work autonomously within area of specialism using critical thinking and expert practitioner level judgement.
- An ability to work as part of the MDT and communicate appropriately with all grades of staff.
- Demonstrates good presentation and teaching skills
Desirable
- IT skills including keyboard, email, powerpoint
Qualifications
Essential
- BSc in Nutrition and Dietetics/PhD Nutrition and Dietetics
- Current HCPC Registration.
- Membership of BDA or equivalent professional indemnity insurance.
- Member of relevant clinical specialist interest group
Desirable
- Evidence of post graduate study.
- Leadership / management training
Values and Behaviours
Essential
- Demonstrate enthusiasm, vision and a desire to achieve.
- Committed to developing expertise within the dietetic team and the clinical speciality, by sharing knowledge and skills and supporting others.
- Demonstrate a forward-thinking and professional attitude.
- Tactful and diplomatic.
- The ability to remain calm under pressure and respond to unpredictable work patterns.
Desirable
- Interest in developing and promoting the profession at a regional and national 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.
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.
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
Liverpool Heart and Chest Hospital
Address
Liverpool Heart and Chest Hospital
Thomas Drive
Liverpool
Merseyside
L14 3PE
Employer's website
Employer details
Employer name
Liverpool Heart and Chest Hospital
Address
Liverpool Heart and Chest Hospital
Thomas Drive
Liverpool
Merseyside
L14 3PE
Employer's website
For questions about the job, contact:
Date posted
02 February 2023
Pay scheme
Agenda for change
Band
Band 7
Salary
£41,659 to £47,672 a year
Contract
Permanent
Working pattern
Full-time, Part-time, Flexible working
Reference number
C9410-23-9062
Job locations
Liverpool Heart and Chest Hospital
Thomas Drive
Liverpool
Merseyside
L14 3PE
Supporting documents
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