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Paediatric Diabetes Specialist Dietitian

Employer
Oxford University Hospitals NHS Foundation Trust
Location
Oxford
Salary
£40,057 to £45,839 a year pro rata
Closing date
29 Feb 2024

View more

Profession
Dietitian
Grade
Band 7
Hours
Part Time
To have responsibility for providing a comprehensive dietetic service to paediatric diabetes patients treated within the Oxford University Hospitals NHS Trust (OUHT) at the Children's Hospital, John Radcliffe Hospital, Oxford, and in Transition Clinics at OCDEM, Churchill Hospital, Oxford. This involves working as an integral member of both the Dietetic team and the multidisciplinary team to provide a flexible, prioritised service based on clinical need and in line with Best Practice Tariff.

Main duties of the job

To educate and counsel children, their parents, family and carers on the management of diabetes from diagnosis until discharge to adult services. To proactively case manage and anticipate future care needs to develop management plans accordingly.

To provide advanced clinical skills and advice demonstrating a sound understanding of the issues related to the identification, assessment, diagnosis, treatment and management of the client group.

To offer long term support to children with diabetes and their families particularly at times of treatment change, times of crisis such as illness, times of lifestyle change such as residential school trips or moving on to secondary school.

To maximise clinical outcomes for all children with diabetes by matching dietetic management with optimisation of insulin therapy and practical skills for each individual.

To contribute to the implementation of relevant research into practice contributing to the further development of evidence based research and audit.

To educate, train and disseminate information to healthcare professionals including clinicians, nurses, allied health professionals, dietetic colleagues and students about the dietetic management of paediatric diabetes.

To be an active leader of the broader dietetic team and specifically the paediatric dietetic team to meet the dietetic needs of all children, particularly those with diabetes, attending the Children's Hospital.

About us

Our friendly and vibrant Children's Therapy and Gait team consist of approximately 80 staff working across 5 professional groups (physiotherapy, occupational therapy, speech and language therapy, dietitians, healthcare scientists). Together we offer a mix of inpatient and outpatient services to our patients across 4 sites (Nuffield Orthopaedic Centre, , John Radcliffe Hospital, Douglas House, Horton General Hospital. to provide world-class collaborative multi-disciplinary care. We are fortunate to work within a large teaching Trust housing many tertiary and regional clinical specialities which encourages staff development, research and quality improvement initiatives.

Children's Therapies sits within the NOTSSCaN directorate within Oxford University Hospital's NHS Foundation Trust. There is a strong learning ethos, and the team regularly host students across all professional groups in addition to supporting continual professional development of its staff.

We are keen to talk to you if you reflect or aspire to our core values - excellence, compassion, respect, delivery, learning and improvement.

Benefits of working for us include career development and regular supervision, staff recognition and excellence schemes and wellbeing support. We are committed to equality, diversity and inclusion as we know this leads to better patient care and a happier workforce. We will consider applications to work flexibly, part-time or job share.

Job description

Job responsibilities

Clinical:

Be professionally and legally accountable for own work and caseload. To support other specialist dietitians, nurses and junior doctors as required.

Work autonomously in the provision of a comprehensive nutrition and dietetic service to the paediatric diabetes service at the Oxford Childrens Hospital

Deliver dietetic provision to ensure a comprehensive specialised paediatric diabetes dietetic service is provided to approx 340 children attending the Childrens Hospital and Horton General Hospital. This could include:
  • Outpatient clinics
  • Dietetic annual review appointments
  • Insulin pump starts
  • Transition clinic
  • Home visits (joint or on own)
  • Group education

Work as an integral member of the multidisciplinary team to ensure a holistic approach to patient care. This involves reviewing patients jointly with the paediatric consultant and/or paediatric diabetes specialist nurse during out patient appointments, on the ward or in the patients own home. Participate fully in the problem solving aspects of the consultation which may involve:
  • changing insulin doses, regimens, and the types of insulin used
  • changing the daily routine of insulin injections to fit with an individuals lifestyle and diet
  • advising on the management of hypoglycaemia
  • interpretation of biochemistry results
  • discussing dietary issues associated with therapy changes.

Provide on going education for the patient and their family on the ward, in out patient clinics, at home and on the telephone as dictated by the needs of the individual and according to the agreed standards in the paediatric diabetes team guidelines on care for the family and child with diabetes.

To assess the nutritional status of individual patients based on anthropometric measurements e.g. weight, height, weight history as well as biochemical parameters, diet history and other validated methods of nutritional assessment as appropriate.

Obtain and analyse relevant information from different sources including: medical notes, nursing notes, the child and their parents or carers, ward staff etc, in order to make a comprehensive assessment of the patients needs for management and education on diabetes.

Attend weekly paediatric diabetes team meetings when patient care is reviewed, liaison meetings with other multi-disciplinary teams where patients joint care is planned and reviewed, case conferences, ward rounds and meetings with outside agencies including schools.

Responding to telephone calls for advice when specific problems with managing diabetes occur. These may be dietary or for advice on fluctuations in blood glucose, adjustment of insulin doses, treatment of hypoglycaemia or hyperglycaemia associated with illness.

To communicate effectively with children, parents/carers, family and other health professionals. Skills of negotiation, motivation, explanation and gaining consent will be used in a wide variety of and sometimes sensitive situations. The ability to communicate complex information at an appropriate level to allow understanding is essential. Barriers to communication may be evident e.g. loss of hearing, receptive and expressive problems with the formulation and understanding of language or difficulties with speaking. The use of communication aids such as letter/picture boards or games may be necessary.

Participate in the organisation and presentation of group education sessions for parents and children which are part of the structured education programme offered by the childrens diabetes service to all patients. Develop teaching aids for use in these education sessions that will have dietetic, medical and nursing components.

Participate in research undertaken by the paediatric diabetes team. This may involve a key role when diet and insulin adjustment form a major part of the research, or a lesser role supporting the clinician involved when dietary intake is standardised as part of the clinical trial.

To provide specialist advice, teaching and training to all members of the multidisciplinary team, regarding the nutritional management of children with diabetes. This involves regular participation in in-house training of clinicians and both specialist and ward nursing staff

Organisational

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

Collation of audit data on the outcomes of diabetes management for specific age groups, insulin regimens and diet therapies.

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

To ensure the dietetic components of the diabetes service, in order for the service to obtain the best practice tariff, are provided and recorded by the dietetic team.

To maintain accurate and up-to-date documentation of patient interventions on dietetic record cards/electronic patient records. To communicate any changes in day to day management including insulin dose changes, equipment updates, dietetic interventions to appropriate members of the multidisciplinary team. This is achieved by documenting within nursing/medical notes or by means of generating a letter/report and/or updating paediatric diabetes patient database.

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.

To participate in departmental audits and initiate audit within own work area in order to monitor and evaluate whether local/ national standards are being met and make recommendations for change. To contribute to ongoing clinical audit of outcomes related to treatment and /or management changes for patient groups within the paediatric diabetes service. To be involved with the planning of departmental clinical effectiveness and audit strategies.

To remain up to date with the relevant literature and ensure that this informs evidence based practice which will optimise the long term outcomes for each individual patient.

Education and professional development responsibility:

To keep a portfolio providing evidence of continual professional development (C.P.D.). 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 an Annual Report

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.

Person Specification

Registration

Essential

  • HCPC Registration
  • Experience in Paediatric Dietetics
  • Experience in Paediatric Diabetes as a dietitian


Desirable

  • Completion of BDA Paediatric modules
  • Member of professional interest group (BDA, Paed diabetes)


Employer details

Employer name

Oxford University Hospitals NHS Foundation Trust

Address

John Radcliffe Hospital

Headley Way

Oxford

OX3 9DU

Any attachments will be accessible after you click to apply.

321-NOTSS-6029101-B7

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