Specialist Dietitian: Intestinal Failure - Leeds, United Kingdom - Leeds Teaching Hospitals

Description

Job summary

Would you like to advance your career in one of the largest acute teaching hospitals in the UK?

Due to a review of skill mix and expansion of Intestinal Failure services, we have an opportunity for a full-time and part-time Specialist Dietitian to join our Intestinal Failure Dietetic team at the Leeds Teaching Hospitals NHS Trust (LTHT). The Intestinal Failure Dietetic team consists of a Clinical Specialist Dietetic post, Senior Specialist Dietitian, Specialist Dietitians, and a Dietetic assistant and works within the wider multi-disciplinary intestinal failure team. The team manages a large caseload of patients with types 1, 2 and 3 Intestinal failure.

The Intestinal Failure Multidisciplinary Team provide a service to over 200 patients within the Yorkshire and Humber region who require home parenteral support, as well as managing inpatients within LTHT, including patients located in the Centre for Intestinal Rehabilitation at Leeds. Following a national review, the service is developing as part of the Yorkshire and Humber IF network which aims to facilitate the best surgical and nutritional care for patients at the right time and in the right location.

Please indicate ifyou would like to be considered for the full-time or part-time post or both

Main duties of the job

The post holder will provide highly specialised dietetic care to patients with Intestinal Failure at a local and regional level. This will include advice to patients, their families and carers and all healthcare staff at local and regional level. The post-holder will be involved in the day-to-day support of our Dietetic assistant as well as inputting into aspects of clinical training for students, dietetic staff and other health care professionals working within Intestinal Failure and complex artificial feeding. The post-holder will also be actively involved in the development and implementation of guidelines and audit of patient care practices as part of the service quality assurance framework and will be encouraged to participate in dietetic working groups.

About us

Our Trust values are that we are patient-centred, empowered, collaborative, fair and accountable. If your values match ours, we would love to hear from you. We have a strong focus on investing in the continued professional development of our people to ensure that they can achieve their full potential. We lead the way in providing further training and career development opportunities in every department and at every level of our organisation. We have a culture where people take a real pride in their work, respect each other and all work together to deliver the most exceptional standards of patient care. We have a happy, productive work environment where everyone in every role plays their own important part in our success.

The Nutrition and Dietetic Department provides regular professional development events, and hosts training to A, B and C placement students.

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Job responsibilities

To provide part of a professional Nutrition and Dietetic care service within a

Specialist area. This includes advice to in-patients, out-patients, all healthcare staff and participation in the training of student dietitians. Shows initiative in assisting and supporting the senior specialist dietitians and the Clinical Dietetic Manager in the day to day management of the department.

3. JOB DIMENSIONS

The post holder will:

Manage own case load to a level agreed with supervisor/line manager.

Be involved in the provision of education and training to healthcare staff, patients, care providers and students.

Be a key member of the multidisciplinary care team to provide integrated dietetic care.

Shows initiative in assisting and supporting the senior specialist dietitians and the chief dietitian in the day to day management of the department.

Deliver training to healthcare staff, dietitians and students.

Be an active member of the out of hours service

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

BSc (Hons) Nutrition & Dietetics or equivalent.

HCPC Registration as a dietitian

Experience of working within a Dietetic role within a healthcare setting

Willing to undergo any training as required to enable performance in the job.

Awareness of current issues in specialised areas of dietetics.

Able to work within a team, demonstrate initiative, confidence and excellent time management and organisational skills.

Good written, oral and interpersonal communication skills.

Good presentation skills in delivering training to large multidisciplinary groups of staff or members of the public (this may involve groups of more than 50 people).

8. CORE BEHAVIOURS AND SKILLS

Demonstrate good office practice in accordance with departmental policies and procedures.

Be a pro-active team member of the Dietetics department at LTHT by participating in departmental development projects, attending and participating in departmental meetings and clinical updates.

Demonstrate the ability to communicate highly complex, specialised and sensitive information with empathy and understanding.

Demonstrate the ability to provide highly complex nutrition counselling to patients requiring cognitive behavioural therapy skills and use of advanced reassurance, motivational and negotiation skills to overcome barriers to change.

Demonstrate the ability to analyse clinical and non-clinical information to form accurate nutrition care plans in specialised areas.

Demonstrate analytical skills in prioritising the best course of dietetic treatment in patients with highly complex clinical conditions, where nutritional goals may conflict with other on-going physical, emotional, psychological and medical problems.

Ability to use stadiometers, anthropometric skin-fold callipers with precision and accuracy in the nutritional assessment of patients.

9. CORE KNOWLEDGE AND UNDERSTANDING

Ability to perform specialised nutritional assessments, interpret and plan relevant dietetic care programmes for patients with highly complex nutritional needs and multiple medical conditions.

Advanced knowledge of biochemistry, physiology and pharmacology.

Understanding of the calculations required in dietetic assessment.

Ability to correctly interpret complex nutritional impairments, biochemical parameters and fluid balance. This will involve nutritional diagnosis including interpretation of biochemistry, anthropometrics, clinical condition, Social factors and diet histories in patients with specialised and complex nutritional needs.

Demonstrate advanced knowledge in interpretation of complex clinical information to develop, monitor and complete nutritional care plans in a specialised dietetic areas. This may include the prescription of dietary treatment, prescribable nutritional products and enteral nutrition.

Responsible for safe discharge planning including the discharges of patients receiving home enteral nutrition.

Demonstrate the ability to evaluate practice using evidence based practice and critical appraisal.

Ability to advise and suggest nutrition related medications.

Knowledge of clinical governance, quality of care and evidence based practice in specialist areas.

Awareness of national guidance and driving factors in specialist areas.

9. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY

Clinical and professional

Be an autonomous practitioner, clinically, legally and professionally responsible for own caseload.

Responsible as a clinical practitioner in a specialist dietetic field, for delivering high quality specialist dietetic care. This will involve being guided by departmental standards, professional guidelines, broad occupational policies and procedures.

Collect, analyse and record relevant patient information from clinical and patients sources to develop effective nutritional plans.

Responsible for providing highly specialised dietary advice within an in-patient and out-patient setting, to patients in a distinct specialist area advice to renal dialysis patients on calcium and phosphate management. oncology patients on enteral feeding.

Communicate the nutrition and dietary treatment of patient to healthcare staff, other professionals and patient carers. This may involve co-ordinating nutritional care with other trusts and centres outside the Trust.

Undertake comprehensive assessments of patients with diverse and complex nutritional issues where investigative and analytical skills are required to formulate accurate treatment plans.

Responsible for providing relevant dietary advice within an in-patient and out-patient setting in verbal and written forms in a format which is understood by patients and carers.

Responsible for developing and maintaining an agreed level of expertise by updating own specialised clinical knowledge and skills through attendance at post-graduate courses, clinical updates and in-service training.

Participate in the appraisal process as an appraise and develop a strategy for personal and continuous professional development, encompassing a portfolio-based assessment in line with national legislation.

Participate in audit within specialist areas, involving evaluation of research and audit projects to measure clinical effectiveness and promote evidence based practice.

Undertake any other duties appropriate to the grade as requested/ agreed with the line manager.

Education and training

Devise and implement specialised nutritional care plans for inpatients and outpatients according to current national guidelines and standards, including NSFs. This will involve advising patients, relatives or carers, individually or in a group setting.

Contribute to developing and maintaining agreed levels of expertise of dietetic team members.

Provide effective oral and written specialised dietetic advice and information to patients and their carers to enable achievement of dietary aims.

Develop resources used in the education and training of patients, health professionals and the public.

Deliver formal and informal talks on nutrition and dietetics to health care staff as required.

Plan and deliver student training as assigned after an appropriate induction period / supervisory training course.

Train ward staff to use dietetic resources appropriately

Participate in providing specialised advice, teaching and training to other members of the multidisciplinary team regarding the nutritional managements of a specialist group of patients.

Be an active member of the in-service training programme through delivery of training sessions and tutorials at staff meetings and by attending external courses and demonstrating reflective practice.

Managerial

Disseminate clinical information to other members of the multidisciplinary team by attendance and participation in ward rounds and case conference as required.

Responsible for ordering and cancelling additional snacks and nutritional supplements from catering and pharmacy according to patients clinical condition and requirements.

Involved in the planning, setting and monitoring of departmental objectives and standards as assigned. This will include contributing to the adaptation of national standards for use in the local setting.

Participate in surveys, research and audit as required. Help to recommend any changes to practice after discussion with supervisory / chief dietitian.

Participate in the collection of data for management information purposes as requested.

Ability to work independently within appropriate professional and specialist guidelines.

Maintain stock control of diet sheets, patient information and educational material for ward, discharge and outpatient use.

Organisational

Plans and organises complex caseload. This may involve prioritising and reviewing tasks several times throughout the day to accommodate competing clinical demands.

Co-ordinates discharge planning of patients with complex nutritional needs, liaising with community dietitians nursing staff, GPs and other health care professionals within the locality and region to ensure safe discharge patients on home enteral nutrition.

Provide appropriate diet sheets / patient education material for ward discharge and outpatient use.

Participate in departmental and multidisciplinary meetings where required to ensure integrated dietetic care.

Qualifications

Essential

Desirable

Experience

Essential

Desirable

Skills & behaviours

Essential

Desirable

Additional Requirements

Essential