Dietitian: Band 5 Chelsea and Westminster Hospital
Chelsea and Westminster Hospital NHS Foundation Trust aims to be a hospital of choice for patients and an employer of choice for staff.The Trust is also one of the teaching centres for Imperial College London School of Medicine.The Trust provides a full range of general medical and surgical services for the local community, and a selection of specialist services. This Band 5 post will have nominated inpatients and outpatients covering a range of areas including both medical and surgical patients within the hospital. In addition there will be specific insights and program of learning with active involvement into specialty areas. The post will mainly be based at the Chelsea & Westminster Site, there will be occasions where you will be asked to cover the West Middlesex site for cover or meetings etc. You will be a motivated team player with good time management skills and a commitment to evidence based practice. Continuing professional development is well supported within the department.If you are looking to develop your existing skills and get a wide range of experience in the fields of acute and chronic disease dietetic care then look no further. Come and join a pro-active and dynamic dietetic team at the Chelsea & Westminster Hospital.Main duties of the job
The post holder will be a clearly identifiable junior clinical staff member. They will have clinical experience, provide sound clinical knowledge and skills to their team and coordinate and deliver high quality care. They will be a role model for expert clinical care, and lead on specific projects as delegated by the Senior Acute Dietitian or Clinical Lead Dietitian. They will role model the identified Trust values at all times.
The post holder will work as an autonomous practitioner in providing dietetic assessment, treatment and management to their own designated caseload of patients and to maintain up to date dietetic records. They will use evidence based principles and current best practise to assess, plan, implement and evaluate dietetic interventions.
The post holder will provide supervision, teaching and support to dietetic assistants and students on placement.
The service is currently reviewing the working pattern for therapy posts to include seven day working. The post holder may be required to work cross site between Chelsea and Westminster hospital and West Middlesex hospital site, as well as cross site cover in some instances.About us
Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.
We have nearly 7,000 members of staff that are PROUD to Care
for nearly one million people.
Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.
We're one of the best performing Trusts in the country. We're also one of the top trusts to work for -our staff says they're engaged, motivated, and would recommend us as a place to work and receive treatment.
Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an 'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.
Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate.
We have recently completed a �30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminster and are planning an ambitious �60m development of an Ambulatory Diagnostics Centre at West Middlesex.Job descriptionJob responsibilitiesROLES AND RESPONSIBILITIES CLINICAL
To be professionally and legally responsible for all aspects of work, including the management of patients in your care.
To be able to carry and prioritise your own designated clinical caseload, working as an autonomous practitioner with direct supervision.
To take responsibility for certain patient conditions or clinical areas, as delegated by Senior Acute Dietitian, and to develop specialised assessment and treatment skills in these areas with support from the senior acute team staff.
Provide sound evidence based clinical advice as required to staff and patients.
To determine the patients understanding of the dietetic intervention in order to gain valid, informed consent and to be able to work within a legal framework with patients who lack capacity to consent to treatment.
To use a range of verbal and non-verbal communication tools when communicating with patients/carers to maximise the patient understanding of dietetic principles. This will include communication with people with complex communication difficulties such as dysphasia, deafness, dementia, mental health problems, those who have difficulty accepting their diagnosis and young children. To communicate with people who speak English as a second language through the use of an interpreter.
To use good communication skills to agree dietetic goals with individual patients using previous experience to ensure goals are specific, measurable, achievable, realistic and appropriately timed.
To involve all members of the multidisciplinary team in this process when appropriate.
To provide comprehensive documentation of assessment and treatment according to departmental, professional and legal standards.
To undertake proficient and relevant dietetic assessments in line with department and professional standards, to form diagnoses and/or establish accurate nutritional care plans.
To communicate devised complex care plan and progress of care plan delivery to medical, nursing and other professional staff, through clear and accurate documentation in medical and nursing notes and dietetic records, in line with Trust and Dietetic department policies and through regular participation in ward rounds and in both in and outpatient multidisciplinary team meetings.
To demonstrate autonomy with nutritional diagnosis (interpretation of biochemistry, anthropometrics, clinical condition and dietary intake information) the development of treatment plans (frequently including complexities surrounding calculation of nutritional requirements, development of patient centred goals and considering medical, physical, social and psychological needs).
To use clinical reasoning, understanding of the medical diagnosis, previous experience and knowledge of treatment options to plan and implement individual dietetic interventions for all patients including those with complex conditions.
To interpret and analyse relevant clinical and non-clinical facts to formulate accurate prognoses and develop appropriate discharge plans.
To monitor and evaluate treatment to measure progress and to ensure effectiveness of the intervention and to identify quickly when treatment requires modifying.
To use clinical reasoning skills to modify treatment interventions and to recognise when advice/assistance from supervisor is required.
To attend and/or organise multi-disciplinary team meetings such as case conferences, ward rounds and discharge planning meetings to communicate information about individual patient progress and prognosis, including potential discharge dates.
To be responsible for the safe and competent use of all dietetic equipment in line with department standards. E.g. Enteral feeding pumps.
Promote and maintain a safe therapeutic environment for patients, their families and staff, according to national and local Infection Control guidelines, Health & Safety legislation, safeguarding legislation and procedures and Trust policies and objectives.
Understand the Trust clinical governance framework, and participate in the promoting and safeguarding of high standards of care, through effective risk management & governance, and adherence to the Trust values. PROFESSIONAL
To comply with the Health and Care Professions Council codes of professional conduct at all times.
To maintain professional registration with the Health and Care Professions Council.
To be responsible for personal continuous professional development by the use of self-education, reflective practice, active participation in the in-service training program including giving presentations and attendance at postgraduate courses as agreed in your personal development plan.
and to maintain an up to date CPD portfolio.
To ensure that all mandatory training is completed within the required timescales.
To carry out an evidence-based project during specified time, communicate findings to other therapists in that team and make recommendations for change.
Have an awareness of current professional and clinical developments within your area of practice and promote this to others
To participate in the appraisal system as appraisee and be responsible for fulfilling your agreed objectives and personal development plan.
To ensure adherence to Trust policy and guidelines at all times.
To role model Trust values at all times. ORGANISATIONAL
To demonstrate good time management and organisational skills during daily management of own workload and to be able to adapt flexibly to sudden changes in workload.
To carry an identified bleep as required by each clinical area and be able to respond to frequent interruptions.
To ensure timely communication of assessment findings, treatment and outcomes to other involved disciplines through the provision of social services reports, discharge letters etc.
To make appropriate and timely referrals to other members of the multidisciplinary team when required.
To keep accurate and up-to-date patient records and statistics at all times in line with departmental, professional and legal standards.
To be responsible for the safe use of all dietetic equipment. E.g. enteral feeding pumps.
To delegate specific tasks to dietetic assistants in line with departmental and professional guidelines.
To understand and apply clinical governance principles to your own caseload and to be involved in departmental clinical governance sessions.
To contribute to service and policy developments.
To develop and maintain effective communication and working relationships with other professional groups, and staff generally within the Division and the Trust.
To assist in the delivery of induction / orientation of new staff.
To provide clinical support and guidance to staff and to act as a resource for clinical knowledge to staff.
To understand and manage local change with team members, including the embedding of new projects. Communication
Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward.
Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.
These duties are not exhaustive and will be reviewed with the post-holder, allowing for amendments within the broad scope and band level of the role
All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure you must seek clarification from a more senior member of staff. Person SpecificationEDUCATION AND QUALIFICATIONSEssential
- BSc or Diploma in Dietetics
- HCPC registration
- Evidence of ongoing CPD since qualification
- Member of special interest group
- Relevant experience at Band 5 or student training level in core areas
- Wide variety of clinical exposure
- Experience of working as part of an MDT in clinical practice
- Evidence of active participation in in-service training
Employer detailsEmployer name
- Experience as a qualified dietitian at band 5 level
- Evidence of working in a non-clinical team
- Evidence of presentation at in-service training
Chelsea and Westminster Hospital NHS Foundation TrustAddress
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