This is a secondment post as 0.6 WTE band 8a clinical specialist dietitian who will work closely with a senior physiotherapist and clinical psychologist to deliver and evaluate a new service for people with kidney disease who are medically fit to enter the kidney transplant list but require to lose weight. This post was originated following a successful grant request to the NHSEnglad and we have the opportunity to run this service for another 24 months . The successful candidate will hold a clinical caseload and be responsible in developing the service working collaboratively with the multidisciplinary team. As a clinical specialist dietitian you will act as an independent clinical specialist dietitian leading and supporting this project by being responsible for the data collection and communication with the management team as well as NUH charity.Main duties of the job
You will be responsible for the development, implementation, monitoring and evaluation of a new service delivery for people who have kidney disease, medically fit to enter the transplant list but need to lose weight. You will be responsible for a number of patients who will be regularly followed up over the course of 24 months. The role is flexible with some home working and face to face duties. You will work as part of the a dynamic and proactive MDT . Experience in working in weight loss is essential. Renal dietetic experience is essential. The project will be based at the City Campus as well as at our satellites units and you will be responsible in ensuring the delivery of this including looking at different ways of working and thinking innovatively.
As an autonomous clinical specialist dietitian, you will be responsible for ensuring safe practice through development of a caseload management plan and to identify treatment priorities in a variety of situations. You will provide expertise and input into the strategic planning and implementation of multidisciplinary clinical guidelines, care pathways and protocols within the trust, in line with national and regional guidance within specialist areas of practice.About us
We are a large and friendly department of around 100 staff including assistants and technicians providing dietetic and nutrition services across all areas of the Trust and beyond.
As a large acute teaching hospital over two main sites, NUH has a range of fantastic opportunities for staff to develop their careers within the NHS. The Dietetic and Nutrition service is part of the Therapies and Rehabilitation Services pathway, which is one of the pathways that together make up the Clinical Support Division at NUH. We are a diverse pathway of AHPs and support staff, employing over 600 staff who work together to deliver high quality care.
We are committed to continuing professional development for all our staff through a range of opportunities that include recognised training courses, involvement in service development and audit. We have close links with the University of Nottingham, and take student dietitians for their placements. We support dietitians working toward Master levels, including university master modules and the Clinical Updated course run by the Parenteral and Enteral Nutrition group of the British Dietetic Association.Job descriptionJob responsibilities
KEY JOB RESPONSIBILITIES
Please refer to the full job description
To provide clinical leadership within the specialist service, through consultation and joint working with all bands of staff, in the management of complex patients, this will involve review of their clinical reasoning, dietetic assessment and treatment plans.
To maintain and develop high standards of patients care and facilitate and implement evidence based practice by ensuring implementation of standards set in relevant national guidance, specialist clinical group guidance and specialist relevant areas. Also by ensuring staff are informed of recent developments through attendance at research based conferences, relevant network meetings and postgraduate education and training courses.
To develop local pathways of care for specialist area patients
To evaluate the effectiveness of the service through service evaluation & clinical audit in liaison with the Therapy Services Manager and relevant stakeholders.
Where appropriate, offer extended scopes of practice so as to facilitate the optimal management of patients within a clinic setting (i.e. non-medical prescribing, leading clinics, extended role of dietetic practice)
To ensure waiting list targets are maintained by initiating and developing new ways of working (e.g. telephone consultation, opt-in appointments, SOS appointments).
To ensure high standards of clinical care within the section on issues pertaining to specialist area to own team and a wide range of disciplines (e.g. medical staff and the MDT) in line with the education and training strategy by:
In-service training and development programme
One to one coaching / teaching
Presenting lectures at under and post-graduate level
Acting as an information resource
To establish collaborative links with other local and national advanced practitioners and disseminate information and development.
To lead on and participate in clinical research projects that enhance patient care, evaluate service and clinical developments, at times in collaboration with relevant stakeholders.
To develop links between local dietitians to enable the sharing of best practice (e.g. benchmarking, Essence of Care).Person SpecificationOther requirements specific to the roleEssential
- oWilling to work cross campus and at the different satellites sites.
- oWilling to work evening shift
Training and qualificationsEssential
- oAbility to conduct anthropometric measurements
- oBSc Hons in Dietetics, or MSC or equivalent
- oFull HCPC registration
- oRecognised post-graduate training relevant to specialty preferably including research skills to a Master's level
- oEvidence of maintaining professional competence through CPD
- oKnowledge of National, Trust and Departmental policies, procedures and guidelines
- oNon-medical prescribing course or willing to undertake this
- Member of the British Dietetic Association and the Renal Nutrition Group
- oRequire highly advanced / theoretical / practical knowledge and clinical reasoning skills for renal dietetic including: dialysis, transplantation, low clearance clinics as well as inpatient admitted with kidney disease
- oExperience of working in a consultant clinic
- oAble to demonstrate the 4 AHP pillars: oClinical effectives oLeadership oTeaching and education at undergraduate and postgraduate level oService development and research
Communication and relationship skillsEssential
- oExperience of working within diabetes
- oExperience of working with other clinical area within dietetics (i.e. gastroenterology, complex patients, critical care)
- Able to communicate highly complex information
- oAble to utilise persuasion, negotiation and reassurance skills to ensure agreement and co-operation
Analytical and Judgement skillsEssential
- oBehavioural change training
Planning and organisation skillsEssential
- oAbility to analyse, interpret and compare information e.g. interpreting blood results / recognising the clinical need for referring for investigation, or refer back to the consultant
- oAbility to provide an expert 'second opinion' to patients with highly complex clinical conditions
- oAbility to assess and manage risk in relation to patient care and working environment
- oAbility to critically appraise research literature and together with the team, implement evidence based practice in order to deliver an effective service.
- oAbility to allocate limited resources in accordance with changing needs
Employer detailsEmployer name
- oAbility to plan and prioritise own workload, by using planning, organisational and time management. This requires flexibility to work over a number of different settings
- oTo contribute to the overall service delivery with the multidisciplinary team in own work section/ department/ directorate.
- oTo develop and evaluate the renal dietetic service in relation to Trust objectives and National guidelines.
Nottingham University Hospitals NHS TrustsAddress
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