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Senior Specialist Dietitian- Team Lead

Guy's and St Thomas' NHS Foundation Trust
£51,488 to £57,802 per annum inc. H.C.A.
Closing date
28 May 2024

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Band 7
Full Time

Job Details

Job overview

An exciting opportunity has arisen for a highly motivated individual to join the Adult Integrated Care Dietetic team as a Band 7 Senior Specialist Dietitian- Team Lead. The team work across community settings in the boroughs of Lambeth and Southwark including intermediate care settings, care homes, domiciliary care and in general practices.

We are a friendly team, who are proud and passionate about the work we do for our community dwelling patients. We have a dynamic and flexible approach to work. The role offers a wide range of benefits including the opportunity for flexible working, hybrid working, professional development opportunities and initiatives to promote a healthy work-life balance.

This opportunity lends itself to individuals looking to progress into a leadership role. We encourage innovative practice which improves the care we deliver to our patients, and you will have the opportunity to trial innovative ideas. You will utilise skills in leadership and supervision through leading on clinical supervision of band 6 dietitians and being the lead dietetic community representative in cross-organisational multi-disciplinary meetings.

Main duties of the job

As the Senior Specialist Dietitian you will lead the provision of highly specialist care, ensuring excellence in service delivery.

You will work with band 8A Principal Dietitian by co-managing the Adult Integrated Dietetic Care team staff (including dietitians, a dietetic apprentice and a dietetic assistant)

You will provide dietetic care to adult patients who are frail and undernourished. This includes domiciliary and free-living patients who are malnourished or at risk of malnutrition, those with pressure ulcers and patients requiring nutritional support due to illness, long term conditions or social factors.

The team visit patients at home, and we also visit care homes, nursing homes, assisted living accommodations and Intermediate Care Centres in Lambeth and Southwark. We provide a number of outpatient community clinics for patients whom are malnourished, prescribed oral nutritional supplements or seek dietetic advice relating to weight reduction, diabetes or other diet related concerns.

You will manage a caseload of patients living in Lambeth and Southwark with long term neurological conditions, namely motor neurone disease (MND) and will work closely with King's College Hospital's MND multidisciplinary team.

Please see Band 7 Senior Specialist Dietitian- Team Lead for Adult Integrated Care-Primary additional document for more details about the role

About us

From our5main hospitals, and in thecommunity, we provide a full range of lifelong, general and specialist care, as well asclinical research, innovation,education and training.

We're a diverse and welcoming organisation, and are incredibly proud of our 22,700 staff and the dedication they show to our patients and each other.

We aim to be outstanding in everything we do and to provide high quality and compassionate care and experience to all of our patients and families.

As a leading centre of clinical research with a long history of innovation and medical firsts, we are able to provide the latest and most advanced treatments. We'reranked top in Englandfor the number of trials open for patients to join and in the top 10 for the number of patients recruited to help us in our research.

Our world famous teaching hospitals train the doctors, nurses and healthcare professionals of the future.GKT School of Medical Educationis our medical school, run jointly withKing's College LondonandKing's College Hospital.

We're guided byour valuesin everything we do and, as one of the largest employers in London, we reflect the diversity, opportunity and ambition of our communities and the people we serve

Job description

Job responsibilities

GSTT Band 7 Job Description

  • To be responsible for the developmentand provision of a specialist, evidence based dietetic service.
  • To take the lead in providing expert dietetic advice to the multidisciplinary team through attendance and participation in multidisciplinary team meetings and clinics.
  • To attend appropriate clinics and multidisciplinary meetings in order to provide expert advice to clinicians, patients and carers regarding provision of nutritional support for patients based on clinical evidence. This will involve nutritional assessment, to include the calculation of nutritional requirements based on the interpretation of biochemistry, anthropometry clinical condition and other physical parameters.
  • To provide highly complex nutrition counselling to patients and/or their carers requiring post registration cognitive behavioural therapy and use of reassurance and motivational skills to overcome barriers to change particularly where there is non-compliance.
  • Ability to utilise developed communication and teaching skills to educate the diverse and multicultural population with barriers to understanding, both on a one to one basis and in groups. This will include patients with severe communication problems.
  • To be responsible for ensuring that patients and carers have consented prior to dietetic intervention in line with professional guidelines
  • To communicate and liaise with medical, nursing and other professional staff. To attend appropriate ward rounds and meetings, providing highly specialised expert advice based on interpretation of biochemical parameters and fluid status monitoring, and care guidelines.
  • To have a thorough knowledge of the Mental Capacity Act and its implications.
  • To lead on the design, implementation and evaluation of multi-disciplinary protocols and procedures aimed at improving nutritional status.
  • To communicate and liaise with the community multidisciplinary team regarding nutrition related prescriptions and nutritional management of outpatients and where necessary providing information and education to clinicians, patients and carers.
  • To directly prescribe nutritional supplements, vitamin and minerals.
  • To be responsible for the ordering and maintenance of adequate stock levels of feeds and supplements at ward level.
  • To develop, implement and audit innovative methods of delivering education sessions.
  • To research, develop, produce and publish evidence-based literature, including use of patient forums.
  • To be responsible for the safe discharge planning and follow up for those patients requiring artificial nutritional support in the community.
  • To be trained to trainer level in the use of enteral feeding pumps and equipment.
  • To be trained to trainer level in the use of anthropometric equipment for assessment of nutritional status, such as bioelectrical impedance, callipers and hand grip dynamometer and interpretation of results.
  • To develop and lead Nutrition teaching programmes on postgraduate Dietetic, nursing and other courses as appropriate.
  • To develop and lead nutrition teaching programmes for medical staff within the trust.
  • To be responsible for the development and undertaking of the specialist training programme of the Departments junior staff.
  • To participate, where deemed appropriate by clinical lead dietitian, in the recruitment and selection of junior members of staff.
  • To be responsible for the clinical supervision and appraisal of junior staff, facilitating their professional development and post-graduate learning.
  • To undertake mentoring of junior members of staff as appropriate
  • To provide regional teaching of qualified dietitians on nutrition.
  • To participate in the training and assessment of student dietitians
  • To contribute to operational and strategic planning for the dietetic service within the specialist area.
  • To ensure safe practice through development of caseload management plan taking into account risk management and documentation and reporting of critical incidents as outlined in the Trust policy.
  • To take responsibility for ongoing clinical excellence through evidence-based practice and development of standards, policies and guidelines in conjunction with the departmental standards committee.
  • To advise and liaise with the catering staff concerning the dietary needs of patients, and to assist in instructing chefs on preparation of special meals as required. To adapt and analyse the menu cycle to ensure suitability, and make recommendations to the site Catering Manager
  • To initiate and participate in regular research and audit in line with departmental research and audit procedures. This includes co-ordination and supervision of research projects for undergraduate dietetic students. It will be expected that any relevant findings should be published or presented at appropriate conferences.
  • To actively participate in departmental evidence based groups and help to ensure that the trusts clinical governance requirements are met.
  • To keep statistics and written records of all in patient and outpatient contacts in accordance with trust and departmental standards for record keeping.
  • To comply with professional codes of practice, professional guidelines and departmental policies.
  • To maintain strict confidentiality in accordance with the Trust policy and Health Professions Council standards.
  • To be an active team member of the Dietetic Department at Guys and St Thomas participating in departmental developments and projects and attending monthly staff and continuing professional development meetings.
  • To participate fully in the appraisal process and develop a strategy for continuing professional development encompassing a portfolio-based assessment in line with national legislation.
  • To carry out good office practice in accordance with the departments policies and procedures.
  • To have an understanding of the Trusts Equal Opportunities policy and provide a fair and non-biased service.
  • To have an understanding of the Trusts Health & Safety policy and be aware of responsibilities.
  • To provide cover for colleagues during periods of absence.
  • In consultation with the post-holder, undertake any other duties appropriate to the grade as requested by the Dietetic Services Manager.

  • Person Specification



    • Computer literacy


    • Teaching on degree (or higher level) / professional course
    • Representative on academic / government committee / working party
    • Ability to analyse and Interpret statistics
    • Previous specialist related publications



    • Substantial clinical experience following graduation
    • Previous experience at a senior level
    • Experience of training student dietitians
    • Working as part of a team
    • Previous experience of conducting audits and / or research



    • BSc (Hons) Degree in Dietetics or equivalent
    • Current HCPC registration
    • Evidence of further postgraduate study in specialist area
    • Advanced BDA course in Nutritional Support e.g. PENG Course
    • Postgraduate training in cognitive behavioural therapy
    • Sound clinical knowledge
    • Evidence of CPD e.g. advanced diploma in dietetic practice or equivalent short courses
    • Sound knowledge of clinical issues relating to specialist area

    Skills and abilities


    • Good communication
    • Organisational skills
    • Presentation skills - evidence of presentations to large groups
    • Time management
    • Change management
    • Maintain confidentiality
    • Prioritise own workload
    • Able to work under own initiative
    • Able to achieve deadlines
    • Ability to liaise with professionals at all levels

    Employer details

    Employer name

    Guy's and St Thomas' NHS Foundation Trust


    Mary Sheridan

    5 Dugard Way, Prince's


    SE11 4TH

    Any attachments will be accessible after you click to apply.



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