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Enfield Town

    Community Specialist Dietitian - Enfield, United Kingdom - North Middlesex University Hospital

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    Full time
    Description

    Job overview

    Community Specialist Dietitian hours per week (1.0 WTE)

    Contract Fixed Term (12 months maternity cover)

    We are looking for an enthusiastic dietitian to join our team of innovative community dietitians' dedicated adult dietetics. The role involves providing a community dietetic service in the primary care setting and care homes for all areas of dietetics including diabetes, obesity management, hyperlipidaemia and oral nutritional support. The post holder will deliver care primarily through clinics face to face and by telephone and home visits and will provide support to GP's and health professionals.

    The post holder will manage their own adult caseload and will be working with the community dietetic Team providing a high quality dietetic service to patients and carers' in this specialist area of dietetics.

    There will be opportunities to support student dietitians.

    Good communication and teaching skills are essential and the post holder must be able to prioritise tasks, manage your time effectively and be able to work flexibly within the team.

    the post holder will be encouraged to build on your knowledge and skills through CPD.

    The successful candidate will work closely with our friendly and supportive team consisting with specialist leads in primary care, care homes and HEF.

    Main duties of the job

    Clinical

    1. To be professionally and legally accountable for all aspects of own work and that work delegated to support staff.

    2. To undertake a comprehensive assessment of patients using a high level of clinical reasoning and assessment techniques

    3. To utilise an extensive knowledge of evidence based practice and treatment options to select and deliver specialised dietetic packages of care

    4. To utilise high level counselling and interpersonal skills with patients

    5. To ensure that patients and carers are involved in the planning of their care packages, using negotiation skills as appropriate and providing support to patients in relation to their dietary care plan

    6. To 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.

    7. To monitor and adjust individual treatment plans on an on-going basis as required

    8. To be responsible for maintaining accurate comprehensive patient treatment records in line with the British Dietetic Association /HPC standards of practice, ECS dietetics and The NorthMid policies and to communicate assessment and treatment results to the appropriate disciplines in the form of reports and letters.

    9. Provide specialist dietetic advice to others regarding the management and care of patients.

    Note: DBS checks are required for any staff that have regular contact with patients in the course of their normal duties.

    Working for our organisation

    North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS's, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

    We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

    Take a tour of our hospital

    Detailed job description and main responsibilities

    Job Purpose

    As part of the Dietetic Service providing care to a multi cultural and diverse population, to deliver a high standard of service to adult patients in primary care services.

    Key roles are:

    To provide a specialist community dietetic service providing patient centred, therapy led nutrition support to adults resident in Enfield in Care Homes, patient's home and clinics.

    To provide a community dietetic service to patients requiring oral nutrition support at home.

    To contribute to the primary care dietetic service provision in outpatient clinics and group activities

    To supervise the dietetic assistants when required.

    Job Statement

    To perform comprehensive dietetic assessment of patients with diverse presentations and complex physical and psychological conditions.

    To undertake all aspects of clinical duties as an autonomous practitioner, holding the responsibility for own caseload of specialist and complex patients.

    To undergo supervision and development support in the form of regular individual and team supervision sessions as part of the wider dietetic team.

    To be aware of and to highlight to the line manager any clinical governance issues pertaining to the role and practice.

    To contribute to the delivery of health promotion activities within the service and wider Trust initiatives

    MAIN TASKS AND RESPONSIBILITIES

    Specific Duties and Responsibilities

    Clinical

  • To be professionally and legally accountable for all aspects of own work and that work delegated to support staff.
  • To undertake a comprehensive assessment of patients using a high level of clinical reasoning and assessment techniques (including anthropometrical measurement) utilising clinical information available from other sources and requesting additional clinical tests as appropriate.
  • To utilise an extensive knowledge of evidence based practice and treatment options to select and deliver specialised dietetic packages of care.
  • To utilise high level counselling and interpersonal skills with patients frequently hostile or ambivalent in order to deal with emotional barriers to dietary change, challenging inappropriate cognitions around food and motivating them to change their dietary habits.
  • To ensure that patients and carers are involved in the planning of their care packages, using negotiation skills as appropriate and providing support to patients who may be highly distressed or confused in relation to their dietary care plan
  • To 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.
  • Use a range of verbal and non-verbal communication tools to communicate effectively with patients and carers as well as providing personalised written information to patients and others involved in their care
  • To monitor and adjust individual treatment plans on an on-going basis as required.
  • To be responsible for maintaining accurate comprehensive patient treatment records in line with the British Dietetic Association /HPC standards of practice and ECS/BEHMHT policies and to communicate assessment and treatment results to the appropriate disciplines in the form of reports and letters.
  • Represent dietetic service service and/or individual patients at multi-disciplinary team meetings, to ensure delivery of a co-ordinated multidisciplinary service, and integrate dietetic treatment into the treatment programme. This will include discussion of patient care, patient progress and involvement in discharge planning.
  • Provide specialist dietetic advice to others regarding the management and care of patients.
  • 12 To prepare and deliver group education sessions for patients.

  • To use relevant clinical outcome measures to demonstrate efficacy of intervention.
  • Apply a sound knowledge of clinical governance and risk management both to own caseload and that delegated to other staff.
  • This job description is intended as a basic guide to the responsibilities of the post and is not exhaustive. The post holder may be asked to undertake duties that are in line with the level of role.

    Person specification

    Qualifications

    Essential criteria

  • BSc Dietetics Qualification
  • HCPC registration
  • Desirable criteria

  • Car driver
  • Experience

    Essential criteria

  • 1 year experience in dietetic practice
  • Experience in all areas of dietetics including obesity, diabetes, gastroenterology and nutritional support.
  • Substantial experience working in NHS as a Dietitian
  • Desirable criteria

  • Experience of working in a community setting or as a lone worker
  • Skills

    Essential criteria

  • Ability to keep accurate and legible patient notes. Ability to demonstrate a high level of clinical reasoning.
  • Good communication skills, able to present information (written and oral) in a clear and logical manner.
  • A strong commitment to patient care.
  • Desirable criteria

  • Able to deal with difficult situations, e.g. dealing with aggressive and/or emotional patients or carers.
  • Knowledge

    Essential criteria

  • Awareness of own knowledge and development needs.
  • Extensive knowledge base underpinning practice
  • Desirable criteria

  • Awareness of current professional and NHS issues
  • We reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications have been received.

    You will only be contacted by the Recruitment Team via email if you are shortlisted for this post. Please ensure therefore that you check your e-mail account regularly.

    Please note in order to progress your application, your data will be processed by our 3rd party recruitment providers – North London Partners Shared Service, (NLPSS) who conduct recruitment activities on behalf of NMUH.

    If you are offered a role with one of the NLPSS partner trusts, as part of pre-employment checks your identity and right to work documentation will be verified remotely (in most circumstances), using a certified identity verification service provider TrustID. You will be asked to capture an image of the relevant documents as well as a "selfie" using your smartphone/tablet (if available) for facial matching. TrustID will also perform a digital address check using Trunarrative and Equifax, which is a soft check and does not leave a footprint on your credit rating. For more information, visit

    NMUH uses identification scanning technology to confirm the authenticity of documents; all prospective employees of NMUH will have their original documents verified using this technology.

    By applying for this post you are agreeing to NMUH transferring the information contained in this application to its preferred applicant management system. All subsequent information regarding your application will be generated from You will not be able to track the progress of your application or receive messages through the NHS Jobs website, and as an employer, we will not be able to respond to any e-mails sent to us via the NHS Jobs website. If you are offered a job, information will also be transferred into the national NHS Electronic Staff Record (ESR) system and other secure, internal NHS workforce systems.

    By applying for this role, you accept in the event you are successful that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which is aimed at saving you time and improving efficiencies within the NHS when your employment transfers. Therefore we want you to complete your e-learning modules prior to joining our organisation.

    If you are an EU/EEA citizen who does not have EU Settlement or Pre-Settled status, you will require a visa to work in the UK.

    If you require sponsorship for a visa to work in the UK, to avoid disappointment, please check to ensure you are eligible under the



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