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Specialty Dietitian - Gastroenterology

Employer
Oxford University Hospitals NHS Foundation Trust
Location
Headington, Oxford
Salary
£35,392 to £42,618 a year pa
Closing date
15 Dec 2023

View more

Profession
Dietitian
Grade
Band 6
Contract Type
Permanent
Hours
Full Time
This exciting permanent post is ideal for a Band 5 Dietitian with experience in Gastroenterology looking to progress to a Band 6 role in Gastroenterology or a band 6 Gastroenterology Dietitian looking for a new opportunity.

This role will support the department to deliver high quality care to patients treated on the Gastroenterology Ward, outpatient clinics, and acute eating disorder admissions. You will work across all areas of Gastroenterology including luminal, hepatology and acute eating disorders with the opportunity to lead in one of these areas.

You will be part of the Gastroenterology Dietetic Team based at the John Radcliffe Hospital that consists of a Band 7 Team Lead Dietitian and two Band 6 Gastroenterology Dietitians. You will work closely with Rotational Band 5 Dietitians and Dietetic Assistants. You will be also supported by the Gastroenterology and Hepatology multidisciplinary teams who highly respect and value Dietitians.

As a valued member of our dietetic team, you will receive:
  • Flexible working, including opportunities for working from home
  • Clinical supervision and support from experienced and specialist dietitians
  • Dedicated time for professional and service development
  • Regular appraisals and personalised development plan
  • Access to a range of CPD opportunities, the Oxford AHPs Research & Innovation Unit, and Bodleian Library collection
  • Support for further academic study


Main duties of the job

To be responsible for the development and provision of a specialist evidence based dietetic service to the following areas:

Gastroenterology (luminal) and Hepatology (liver) inpatients

General Gastroenterology dietetic clinics (one-to-one, telephone, and video consultations)

Hepatology dietetic clinics (one-to-one, telephone, and video consultations)

Coeliac virtual group education sessions

Low FODMAP diet virtual group education session

Acute eating disorder admissions

To perform nutritional assessment and consider clinical diagnoses of patients who may have complex and/or chronic presentation, to determine dietetic treatment indicated, to monitor and evaluate treatment, and to maintain records as an autonomous clinical practitioner.

To attend regular ward rounds and multidisciplinary team meetings.

Along with the Team Lead, to be actively involved in the Gastroenterology dietetic service development.

To educate, train, supervise and disseminate information to healthcare professionals including clinicians, nurses, AHPs, dietetic colleagues and students about the dietetic management of Gastroenterology patients.

To be actively involved in student training.

To be an integrated member of the Dietetic team providing help, support, and cover to the team where appropriate.

About us

Oxford University Hospitals (OUH) is a world-renowned centre of clinical excellence and one of the largest NHS teaching trusts in the UK. We employ approximately 12,500 staff (including over 4,000 nurses and 2,000 doctors and 850 AHP staff). The Trust comprises four main hospital sites: the John Radcliffe Hospital (which includes the Children's Hospital, West Wing, Eye Hospital, Heart Centre and Women's Centre), the Churchill Hospital and the Nuffield Orthopaedic Centre, all located in Oxford, and the Horton General Hospital in Banbury, North Oxfordshire.

The acute adult dietetics team is made up of ~50 Dietitians, 6 Dietetic Assistants and administrative support. There are 7 acute clinical teams, each responsible for providing a service to specialist clinical areas while working collaboratively across all OUH sites. We work closely with the children's dietitians, and the Oxford Health community dietitians.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Find out more here www.ouh.nhs.uk

Job description

Job responsibilities

CLINICAL

Be professionally and legally accountable for own work and caseload.

Provide a high-quality and comprehensive clinical care to the Gastroenterology and Hepatology inpatient unit, Gastroenterology and Hepatology clinics, coeliac and low FODMAP diet groups.

Work as an integral member of the multidisciplinary team to ensure a holistic approach to patient care. This involves attending ward rounds, case conferences and multidisciplinary team meetings. Liaise with the Gastroenterology, Hepatology, Surgical and TPN teams to support treatment decisions and hospital admissions. Work closely with specialist nurses, e.g. IBD, Hepatology, Enteral Nutrition, and other members of the MDT.

Assess the nutritional status of individual patients based on anthropometric measurements e.g. weight, height, weight history, handgrip strength as well as biochemical parameters, diet history, reported symptoms and other methods of nutritional assessment as appropriate.

Obtain and analyse relevant information from different sources including: electronic patient records, medical notes, nursing notes, the patient and their carers, ward staff etc., in order to make a comprehensive assessment of the patients needs.

Give individualised advice on appropriate foods, fluids and/or artificial feeding regimens in liaison with patients, carers or relatives considering factors which may affect requirements or help/hinder provision of nutrition support such as prescribed drugs, biochemical derangements, financial and social situation.

Monitor nutritional and fluid intake, the effectiveness of nutritional goals and modify the plan as necessary based on ongoing analysis and assessment of information available, such as weight and blood electrolyte/micronutrient monitoring, tolerance of oral/enteral nutrition.

Organise and coordinate supplies of supplements, enteral feed and plastics as required for patients living locally or out of area, and patient follow up liaising with appropriate community staff (e.g. home delivery companies, GP, dietetic colleagues).

Be actively involved with the development of evidence based, trust wide guidelines, feeding protocols and other resources such as diet sheets and patient information, working in partnership with patients and the relevant MDT as required.

Adhere to Trust referral guidelines to ensure effective use of time and resources and review in collaboration with the changing demands of the service.

Communicate effectively and at an appropriate level with patients, carers/relatives and other health professionals. Skills of empathy, motivation, explanation are used in a wide variety of different, often sensitive situations.

Provide cover for colleagues during periods of absence.

Initiate and participate in audits or research and make recommendations for change in order to improve patient care and outcomes, and to disseminate results via reports, abstracts posters or presentations.

Provide specialist advice, teaching and training to all members of the MDT and dietetic colleagues regarding the nutritional management of gastroenterology and hepatology patients.

Provide specialist training and supervision of dietetic colleagues and students using skills of reflective practice.

Attend and participate in regular department and gastroenterology team meetings.

ORGANISATIONAL

Plan and manage own caseload and determine priorities for own work area based on clinical need and balance patient caseload with professional demands.

Collect data as required by the department, trust and outside agencies.

Maintain accurate and up to date documentation of patient interventions in electronic medical records.

Be involved with setting agenda items, chairing and taking minutes for departmental and dietetic gastroenterology meetings, on a rotational basis.

MANAGEMENT AND PROFESSIONAL RESPONSIBILITIES

Be accountable for own actions working within the professional, ethical and legal framework for dietetics set out in the Health Profession Councils Dietitians Standards of Conduct, Performance and Ethics and the British Dietetic Associations Professional Standards for Dietitians and Code of Professional Conduct.

Participate in departmental audits and initiate audit within own work area in order to monitor and evaluate whether local/international standards are being met and make recommendations for change.

Remain up to date with relevant medical and dietetic literature clinically relevant to this patient group.

EDUCATION AND PROFESSINAL DEVELOPMENT RESONSIBILITIES

Keep a portfolio providing evidence of continual professional development (CPD). This may include critical evaluation of scientific papers, attending professional development meetings, working as a reflective practitioner and attending relevant internal/external courses.

Participate in annual appraisal, identifying own development and training needs and setting personal development objectives within the Value Based Appraisal.

Actively participate in the dietetic student training program, facilitating the development of skills and knowledge, being involved in the assessment process and acting as a mentor.

OTHER INFORMATION

Probation Period

This post is subject to a 6-month probationary period.

References

When providing employment reference details please provide correct work-related email addresses so references can be sought promptly when we are looking to progress your application. This information is essential if your offer of employment is to be confirmed.

Next Steps

Please make sure that you read the job description and person specification, and that your supporting statement reflects this as your application will be judged against these criteria. Candidates selected for interview will be contacted after the shortlisting process, usually within 2 weeks. The majority of correspondence will be via the e-recruitment system, therefore, you should check your emails regularly including junk mail folders in web-based email products.

Person Specification

Qualifications

Essential

  • Registration with the HCPC
  • Recognised Nutrition and Dietetic Degree or equivalent
  • Evidence of a range of CPD activities


Desirable

  • Completion of relevant post registration clinical courses


Experience/Skills

Essential

  • Demonstrates knowledge, skills and experience of a wide range of clinical areas
  • Experience of working as part of a multidisciplinary team
  • Experience of student training including supervision, assessment, and mentoring
  • Experience and skills of teaching and training
  • Experience of service development project work
  • Excellent oral and written communication skills including behavioural change and motivational interviewing skills
  • IT skills (e.g. word processing, power point presentations, internet use)


Desirable

  • Experience of research


Other relevant factors

Essential

  • Ability to work autonomously and as part of a team
  • Able to set priorities and manage own time
  • Self-motivated and confident
  • Good leadership skills and ability to motivate others
  • Able to remain calm under pressure
  • Adaptable and flexible
  • Proactive and committed to raising the profile of the profession
  • Able to travel to other OUH clinical sites easily and efficiently, if required


Desirable

  • Member of BDA and relevant BDA Interest Group


Employer details

Employer name

Oxford University Hospitals NHS Foundation Trust

Address

John Radcliffe Hospital

Headley Way

Headington, Oxford

Any attachments will be accessible after you click to apply.

321-MRC-5747077-B6-PUB-A

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