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Speciality Dietitian (UGI)

Oxford University Hospitals NHS Foundation Trust
£43,742 to £50,056 Per Annum / Pro Rata
Closing date
16 Jul 2024

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Band 7
Contract Type
Full Time
This exciting permanent job-share is ideal for anyone with an interest in Upper GI (OG/HPB) surgery, service development and leadership.

This specialist role will support the department to deliver high quality care to patients being treated on the Upper GI ward. The role involves working closely with the Oesophagogastric (OG) and Hepatobiliary (HPB) multi-disciplinary teams, who value and respect the role of the Dietitian.

Along with the Team Lead and Clinical Leads, you will support leading the Oncology, Haematology and Elective Surgery Dietetic Team. The team is currently ~14 Dietitians and 2 Macmillan Dietetic Support Workers.

We encourage every Band 7 to protect 30% of their time within the role to development, both individually and as a service.

As a valued member of ourteam,you will receive:
  • Flexible working, including opportunities for home working
  • Clinical supervisionand support from experienced and specialist dietitians
  • Dedicated timefor professional and service development
  • Regular appraisals andpersonalised development plan

Access to a range ofCPD opportunities, the Oxford AHPs Research & Innovation Unit, and Bodleian Library collection.

Main duties of the job

To be jointly responsible for the development and provision of a highly specialist, evidence based dietetic service to the patients treated within the upper gastrointestinal (UGI) unit at the Churchill Hospital, Oxford University Hospitals NHS Trust (OUHT). The caseload will be primarily oesophogogastric (OG) and hepato-pancreato-biliary (HBP) surgical inpatients. This involves working as an integral member of both the Dietetic team and the multidisciplinary teams to provide a flexible, prioritised service based on clinical need.

Along with the Service Manager, to be responsible for the dietetic service provided to their clinical area and its development

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

Act as a source of expertise for local dietetic, nursing and medical colleagues and nationally regarding the nutritional management of the identified patient group.

Along with the Team Lead, Clinical Lead and Dietetic Service Manager plan annual leave, cover arrangements and other leadership tasks.

Educate, train and disseminate information to healthcare professionalsabout the dietetic management of UGI patients.

Clinically supervise Band 6, Band 5 rotational Dietitian/s and Band 4 Macmillan Dietetic Support Worker.

About us

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 850 AHP staff).

The acute adult dietetics team is made up of ~45 Dietitians, plus assistants and admin support. There are 7 acute clinical teams, each responsible for providing a service to specialist clinical areas while working collaboratively across all OUH sites.

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.ukThis position is based at the Churchill Hospital based in Headington, Oxford. Headington, roughly3 miles from the centre of Oxford,has exceptional public transport to and from the hospital.If you are considering relocating,please contact the recruitment team who will be happy to assist with advice. Oxford iswell knownforitsUniversitybutaside from being drenched in academic history its city centre has recently had a redevelopment including a new shopping centre and a selection of new bars and restaurants, it has something for everyone!

Job description

Job responsibilities


Be professionally and legally accountable for own work and caseload.

Work autonomously as the clinical specialist, in the provision of a comprehensive nutrition and dietetic service to the Upper Gastrointestinal Unit at the OUH. This will include patients groups such as: OG, HPB, Pancreatitis, oncology, surgical patients post ICU etc.

Lead and coordinate dietetic provision to ensure a comprehensive specialised dietetic service is provided to UGI ward. This will include:

- Early appropriate management of nutritionally related surgical issues to improve patient outcomes, reduce costs, reduce hospital length of stay and prevent avoidable readmissions.

- Early dietetic assessment and appropriate individualised nutrition therapy/interventions for patient pre-, peri- and post operatively, and those at risk or/with disease-related malnutrition

- A dietetic presence at OG & HBP ward rounds for early identification of patients requiring nutrition therapy/interventions, obtaining early referrals, direct appropriate nutritional care, facilitate appropriate and timely referrals to services to instigate nutritional plans (e.g. tube placement referrals, TPN referrals), and facilitate safe discharge planning and patient flow

- A dietetic presence at MDT meetings and case conferences to provide accurate information on nutritional status, progress and plans and facilitate safe discharge planning and patient flow

- Facilitate improved partnerships with UGI staff and the wider MDT to enable safe and efficient patient discharges and improve patient flow.

Lead and coordinate dietetic provision to ensure a comprehensive specialised dietetic service is provided to benign HPB outpatients.

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: electronic patient records, the patient and their carers, ward staff etc, in order to make a comprehensive assessment of the patients needs, condition, prognosis and treatment plans so that a decision on the most appropriate dietetic treatment to support this can be made in the short and long term.

Attend regular 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 governance meetings.

Along with the Team Lead and Clinical Lead, to have responsibility for all organisation, liaison and monitoring of the dietetic aspect of this service.

To communicate effectively with patients, 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 research and audit undertaken by the ward/unit and/or Dietetic team. Presentation of audit or research results at national or international conferences to promote practise and share expertise with colleagues.

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


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

Collation of audit data on the outcomes of surgical patients managed in the dietetic service

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

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 and 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 any 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 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.

Clinically supervise Band 6 Dietitian and Band 4 Dietetic Support Worker. Provision supervision for Rotational Band 5 Dietitians.


To initiate and lead discussions on organisational, professional and clinical issues relevant to the service area. Along with the Service Managers, to be responsible for the dietetic service provided to their clinical area and its development.

To continue to develop own knowledge and skills and contribute to the development of colleagues within the MDT and the Dietetic Service. This involves:

a) taking responsibility for own continuing professional development (CPD) and provide evidence for this by maintaining a CPD portfolio. CPD involves critical evaluation of scientific papers, attending professional development meetings, working as a reflective practitioner and attending relevant internal/external courses.

b) Participating in own annual appraisal, identifying own development and training needs and setting personal development objectives with line manager.

c) Undertaking all relevant statutory and mandatory training

d) Involvement in the dietetic student training programme

e) Providing specialist education and advice to dietetic colleagues in the area of allergy via regular departmental professional update meetings

f) Attending and representing the department and lead area of work at the regional and national meetings as appropriate.

To be responsible for communicating effectively and working collaboratively with the Dietetic team, line managers, other health professionals within the MDT and other organisations to ensure a co-ordinated and evidence based approach to the delivery of dietetic care.

To have responsibility for and lead the development, promotion and delivery of the new specialist dietetic post for patients on UGI ward. This involves

a) Developing dietetic practice to ensure evidence based practice and an equitable service delivery

b) Applying legislation, policies and procedures and making appropriate recommendations for service delivery

c) Managing development projects relevant to the clinical area, the dietetic service and the NHS organisations involved

d) Making recommendations and managing service improvement

e) Evaluating own work and that of the team, including clinical audit

f) Recognising the need to seek appropriate support

g) Active involvement in multidisciplinary team meetings, dietetic departmental meetings and discussions

To demonstrate risk management skills and a sound understanding of clinical governance and apply to the work situation.

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



  • Recognised Nutrition & Dietetic Degree or equivalent
  • Registered with Health Professions Council as a Dietitian
  • Member of a relevant Specialist Interest Group
  • Evidence of leadership experience
  • Evidence of training as clinical supervisor
  • Evidence of successful completion of significant specialist post graduate training equivalent to Masters level in this clinical area



  • Evidence of high level of specialist dietetic knowledge/skills in this clinical area
  • Demonstrates excellent and up to date knowledge of national policies and guidelines relevant to whole service as well as to specific clinical area
  • Evidence of research / audit / project work
  • Is able to demonstrate evidence of clinical service development
  • Able to organise work load and manage time within conflicting agendas
  • Demonstrates ability to be a good team member



  • Able to easily and efficiently travel to clinical sites and training venues across the county to provide a dietetics service

Employer details

Employer name

Oxford University Hospitals NHS Foundation Trust


Churchill Hospital

Old Road



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