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Advanced Dietitian - Nutrition Support & Surgery

Employer
Liverpool University Hospitals NHS Foundation Trust
Location
Liverpool
Salary
£43,742 to £50,056 per annum
Closing date
17 May 2024

View more

Profession
Dietitian
Grade
Band 7
Hours
Full Time
An exciting opportunity has arisen for a fixed term full time Band 7 Nutrition Support Dietitian at the Aintree site of Liverpool University Hospitals NHS Foundation Trust (LUHFT). This post would ideally suit Dietitians currently working at band 7 level or Band 6 Dietitians, with relevant experience, wanting to gain experience working in a more senior role.

The post is to provide maternity cover and the successful applicant will be required to manage patients with complex nutritional needs, primarily within the surgical wards, although there will be a requirement to see patients on outlying wards who require specialist input with nutritional management, such as patients with eating disorders and gastroparesis.

A good working knowledge of Parenteral Nutrition is essential as is the ability to manage patients with complex nutritional issues such as high output stomas and gastrointestinal fistulas.

You will work closely with the Medically led Nutrition Support Team and be supported with clinical supervision from the Band 8a Advanced Clinical Practitioner Dietitian in the Nutrition Team.

You will work with, and clinically supervise, a Band 6 Dietitian in surgery and will support the training of Graduate Dietitians on rotation. There is opportunity for Dietetic input into ward rounds, MDTs and service development within the Nutrition and Dietetic Teams.

Main duties of the job

Previous clinical experience nutrition support in the acute setting is essential, preferably with experience working in surgical and/ or gastroenterology settings. It is essential to have a good working knowledge of parenteral nutrition. The successful candidate will need to demonstrate excellent communication skills, a practical, forward thinking approach to service development and evaluation and the ability to work as part of a team. The post also provides the opportunity to contribute to the supervision of Band 6 Dietitians, Student Dietitians and Graduate Dietitians. You would also support the Dietetic Lead in the leadership and management of the service, focussing on quality and safety, workforce, recruitment and performance measures.

As a Nutrition Support Dietitian, your role involves working closely with Dietitians across the Trust, Community Dietitians and other agencies. You will also be part of a friendly and collaborative Dietetic Team across LUHFT with access to regular support via Band 7 peer support meetings.

About us

Liverpool University Hospitals NHS Foundation Trust was created on 1 October 2019 following the merger of two adult acute Trusts, Aintree University Hospital NHS Foundation Trust and the Royal Liverpool and Broadgreen University Hospitals NHS Trust.

The merger provides an opportunity to reconfigure services in a way that provides the best healthcare services to the city and improves the quality of care and health outcomes that patients experience.

The Trust runs Aintree University Hospital, Broadgreen Hospital, Liverpool University Dental Hospital and the Royal Liverpool University Hospital.

It serves a core population of around 630,000 people across Merseyside as well as providing a range of highly specialist services to a catchment area of more than two million people in the North West region and beyond.

To hear more about our achievements click herehttps://www.liverpoolft.nhs.uk/media/13089/1606-annual-report-booklet_final.pdf

Follow us on Social Media:

Facebook - Liverpool University Hospitals Careers

Instagram - @LUHFTcareers

Twitter - @LUHFTcareers

Job description

Job responsibilities

Please refer to description and person specification for more detail. In summary the role involves:

Clinical
  • Collect all relevant medical, social, biochemical and pharmacological information required to inform practice
  • Undertake detailed nutritional assessment using, weight, height, mid upper arm circumference and skin-fold measurements as appropriate.
  • Undertake dietary assessment, estimating intake of macro and micronutrients as appropriate based on disease state.
  • Using all information gathered, compile and agree with patient and/or carers a nutritional care plan. Inform all relevant health care professionals of main aims and objectives of care plan by completing relevant documentation or writing report in medical notes.
  • Monitor progress on the nutritional care plan according to local standards, amending as necessary to ensure improvement in health is achieved, and informing other health care professionals of any changes.
  • Establish and maintain effective communication when giving nutrition and dietetic advice to individuals and groups, ensuring technical information is given in a way that is understood.
  • Communicate with patients and carers to explain principles of nutrition management and its effect on disease progression and outcomes.
  • Undertake supervision and training of student dietitians in your specialist clinical area
  • Attend ward rounds, case conferences and ward meetings as required to reinforce importance of good nutrition in patient care and role of Dietitian in multidisciplinary team.
  • Where appropriate, use advanced communication and counselling skills to assess motivation and overcome barriers to change.
  • Liaise with relevant staff and contract caterers regarding provision of suitable meals for in-patients. Advise on restrictions and nutritional adequacy as appropriate.
  • Ensure continuity of patient care by liaising with primary care colleagues and other agencies involved in care of patients at home for example patients discharged on enteral feeding.
  • Provide cover for absent colleagues thus, requiring knowledge in other areas of dietetics.
  • Assist wards in maintaining stock of enteral feeds and supplement drinks.
  • Plan and prioritise own workload using clinical judgement.

Managerial and Leadership
  • Organise cover for absence of members of your team by responsibility taking for prioritising and allocating work as necessary.
  • Regularly review clinical supervision guidelines for own specialist area.
  • Undertake clinical supervision of dietitians on rotation in your specialist area according to guidelines.
  • Organise and lead departmental updates once a year, relating to own specialist area.
  • Actively influence, by attending and contributing to multidisciplinary team meetings, the knowledge, ideas and clinical work practices of the trust relating to your own specialist area.
  • Ensure continuity of patient care by sharing resources and knowledge with primary care colleagues. If required, help with recruitment process for your clinical speciality this will involve assisting with short listing and sitting on interview panel.
  • Attend managers meetings as appropriate.

Clinical Governance
  • Participate in regional and national specialist interest groups to assist in maintenance of evidence based care.
  • Always work in accordance with national and local standards, best practice and clinical guidelines when providing the dietetic service.
  • Lead for own clinical area, regular review, and updating of local standards and guidelines to ensure they always comply with current evidence, best practice or professional consensus.
  • Lead regular review of resources such as diet sheets, lectures and presentations, to ensure they are always based on current evidence, best practice or professional consensus.
  • Follow Trust Guidelines when creating new written resources to ensure all patients needs are best met.
  • Keep all patient records in accordance with Caldicott, Trust and local standards.
  • Keep measures of workload as directed to assist in future planning.
  • Participate in performance review according to Trust policy, identify own training needs and actively assisting in the creation of your personal development plan.
  • Take part in the development and implementation of multidisciplinary care pathways for own specialist area.
  • Lead on audit in own clinical area.
  • Always work in accordance with Trust Health & Safety, Equality & Diversity and all Personnel policies and procedures.
  • Undertake Mandatory and any other training requested by the trust.
  • Work within legislation and trust policies on risk management.
  • Identify, assess and determine how best to manage risks on own clinical areas and work activities. Always inform departmental head of any risks, which could compromise the safety of other staff, patients or other visitors to the site.
  • All actions must be taken in accordance with the Health Professions Council Standards of Conduct, Performance & Ethics and Standards of Proficiency.

Training and Development
  • Keep a personal professional portfolio, including evidence of reflection, to prove continuing competence to practice, and provide proof of development of knowledge and skills.
  • Plan, implement and evaluate programme for student dietitians on placement.
  • Take part in assessment of student dietitians on placement.
  • Provide expert focus for other health professionals, including dietetic colleagues, on diet and nutrition relating to own clinical area.
  • Identify training needs of other health professionals including doctors, nurses and dietetic colleagues and develop programmes to meet these needs.
  • Educate at local, regional or national events health professionals, such as doctors, nurses, dietitians on changes in evidence base and best practice in your own specialist area.
  • Lecture to undergraduate and post-graduate courses at higher education establishments e.g. medical students, nursing students
  • Facilitate other trust dietitians to maintain basic knowledge of current practice in your specialist area, by organising and delivering clinical update sessions.
  • Plan, deliver and evaluate training/education sessions for patients in groups


Person Specification

Qualifications

Essential

  • BSc in Nutrition and Dietetics/PhD Nutrition and Dietetics
  • Current registration with HCPC
  • Membership of BDA or equivalent professional indemnity insurance
  • Post registration validated training in specialist area - (BDA validated or MSc equivalent
  • Supervisory Skills training, minimum introductory level


Desirable

  • Supervisory Skills training advanced leveL
  • Member of specialist interest group
  • Educated to masters level or equivalent
  • Attended leadership/management training


Experience

Essential

  • Broad clinical experience, including post registration experience in speciality
  • Evidence of multidisciplinary team working
  • Experience of supporting learning of other healthcare professionals
  • Experience and evidence of continuing personal and professional development in practice
  • Experience in the training of student dietitians
  • Previous experience of conducting audits and or research


Desirable

  • Evidence of service review/development
  • Experience of clinical supervision of others
  • Experience of influencing others to improve patient care


Knowledge

Essential

  • Establish effective communication methods to convey specialist knowledge to patients individually and in groups in a variety of settings


Desirable

  • Post registration credited learning in enhanced communication skills


Skills

Essential

  • Demonstrates good presentation skills
  • Accurate anthropometry skills
  • Implements behavioural/counselling techniques to constructively overcome barriers to change
  • Able to work autonomously within area of specialism using critical thinking and expert practitioner level judgement
  • Ability to meet deadlines, prioritise tasks and support others to do the same
  • Demonstrates confidence and motivation to work autonomously using clinical judgement in environments with little direct support


Desirable

  • I.T. skills - keyboard, email, Powerpoint


Other

Essential

  • Demonstrates holistic patient centred approach
  • Commitment to maintain dietetic profile within the multidisciplinary team
  • Self-reliant and self-motivated but willing to seek advice and support of others
  • Supportive approach to learners
  • Ability to respond to unpredictable work patterns
  • Enhanced CRB Disclosure


Desirable

  • Collaborative and constructive


Employer details

Employer name

Liverpool University Hospitals NHS Foundation Trust

Address

Liverpool University Hospital NHS Foundation Trust - Aintree site

Lower Lane, Aintree

Liverpool

L9 7AL

Any attachments will be accessible after you click to apply.

287-DSS-273-24

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