Job summary
We are looking for a highly specialist
dietitian to continue to develop and provide evidenced based, collaborative and
effective clinical pathways, interventions and processes for a number of key
health conditions and presentations prevalent within the current dietetic
learning disability caseload (Diabetes prevention / weight management). The
postholder will work alongside our band 6 dietician and will focus on delivering
outcomes for specifically agreed health conditions as well as offering more
specialist support for those on the dietetic caseload presenting with highly
complex nutritional needs. The successful candidate will also be responsible
for setting up and running an exciting new health and well-being intervention
that has been designed to meet the specific needs of people with learning
disabilities (Based on the Pentathlon).
Main duties of the job
The Neurodevelopment (NDS) service provides
a service for adults with learning disabilities living in Kingston and Richmond
boroughs. You would work independently in the community but also be an integral
part of a well-established and dynamic multi-disciplinary team. We can offer
flexibility in working schedule (15 hours a week).
As a highly specialist clinician within
the Neurodevelopment al service you may also be asked to contribute more
generally to multidisciplinary interventions and developments provided by our
service and so excellent communication and clinical skills are required as well
as emerging leadership skills.
About us
At Your Healthcare CIC, formerly part of NHS Kingston, we are proud of
delivering patient-led, high quality health and social care community services
for residents in Kingston, and learning disability services in Richmond.
As a
Community Interest Company (CIC), we offer you NHS pay, conditions and
training, but in a bureaucracy-free environment where you can achieve things
faster and see good ideas become reality, quickly.
We
are proud of our exceptional staff survey results, especially our staff
engagement and good place to work scores, and our impressive feedback from
patients and service-users.
We are committed to promoting equality,
diversity and inclusion for our staff members, service users, visitors and
carers, and we will encourage you to progress your career through learning and
research.
We work closely and successfully with other local providers and
commissioners so that a wide range of high-quality, integrated health and
social care services are available to our local community.
Your Healthcare was set up as a membership organisation
because its founders recognised the value of giving staff, service-users and
the community real influence in shaping how health and social care services
were designed and delivered for local residents. Membership
still sits at the heart of Your Healthcare and is one of the key things that
makes us different from other healthcare providers.
Job description
Job responsibilities
3. Dimensions
This post will develop and offer highly specialist interventions and some supervision or support for an established dietetic post within the Neurodevelopmental service for Your Healthcare.
The post will contribute on the whole to the activity of the Neurodevelopmental specialist healthcare service for people with learning disabilities working across Richmond and Kingston boroughs.
4. Key Result Areas
4.1. Clinical
- To provide a highly specialist dietetic service to the Neurodevelopmental service for adults with learning disabilities
- To provide a community service in liaison with other related dietetic posts in partner organisations (e.g. Kingston Hospital, Home enteral feeding services, NUTRICIA, GPs)
- To communicate effectively with patients and carers to maximise advice taken by the patient. This includes, where necessary, using interpreters for patients where English is not a first language and methods of communication may need to be changed where patients have limited ability to understand
- To communicate with referring agents and other agents as necessary such as nursing staff, therapists and social workers through personal, written or telephone contact
- To undertake comprehensive assessments of all patients diets and lifestyles to formulate individualised management and treatment plans. This will include anthropometric measurements, interpreting biochemical data and evaluating nutritional information using quantitative and qualitative methods including in the field of enteral feeding
- To attend and contribute to team meetings and case conferences as necessary and to take an active role in the Neurodevelopmental Service complex care pathway.
- To work autonomously with day/day support and line management from the Principal speech and language therapist.
- To provide domiciliary visits to patients as required
- To accept clinical responsibility for the dietetics patient caseload and to organise this effectively with regard to clinical priorities and use of time.
To be responsible for the updating of diet sheets, information and other literature for the care of patients within the Neurodevelopmental service.
- To maintain accurate and up to date patient records which meet the department standards.
- To enter information onto data systems (e.g. Advance care Notes) as detailed by the immediate line manager and to maintain an effective data collection system.
4.2. Service Delivery
- To initiate and contribute to the development of policies and protocols for the Neurodevelopmental service in the community that will impact on all service users.
- Ensure that any future designated Dietetics staff implement policy and service development changes.
- Deliver services in line with Better Standards for Health Care and relevant legislation.
- To provide services in a variety of community sites as required by service models used and to be able to travel between sites using suitable transport.
- Along with other clinicians in the Neurodevelopmental service, draw upon specific professional knowledge and skills to establish effective matrix working
- Support multidisciplinary team working, by facilitating colleagues to effectively prioritise, plan and manage their caseloads
- Contribute to the development and implementation of guidelines, protocols and patient care pathways for use across the Neurodevelopmental service
- Be responsible for ensuring the effective selection and use of all treatment resources available.
- Be actively involved in the collection of appropriate data and statistics for the use of the service.
4.3. Management
- Work under direction of the principal speech and language therapist to train and supervise more dietetic junior staff, technical instructors, assistants and students as required. This may include contributions to formal appraisal documents.
- To cascade information to staff within area of responsibility.
- To participate in clinical supervision and through the supervisory framework, support other junior staff in effective decision making with regard to caseload management
- To attend any team briefing meetings and other meetings as requested by the Principal Therapist and provide input in relation to dietetics on day to day issues and clinical matters as indicated.
- With other members of the Multidisciplinary Team contribute to the prioritisation of referrals to the Neurodevelopmental service
- To promote and develop quality improvements through supervision, audit and other CPD activities as appropriate to the needs of Dietetics as part of the Neurodevelopmental service
- To be responsible for own personal professional development, and maintaining a CPD portfolio demonstrating awareness of new clinical practices
- To act as clinical educator for undergraduate students as requested.
4.4. Quality
- Be responsible for ensuring appropriate risk assessments are undertaken and reported Line Management.
- Contributes to meeting national and local performance measures contributing to reports as necessary.
- Supports the collection of relevant data sets to demonstrate performance of the Dietetics against agreed measures.
- To participate in clinical audit, supporting staff in undertaking audit as required.
- Contribute towards a culture in which Equality, Diversity and inclusivity is embedded within the organisation.
Communication and working relationships
To liaise and work together with other disciplines and professionals within the neurodevelopmental disability service, leading on clinical development.
To liaise and work with outside agencies including childrens safeguarding services, the police, adult safeguarding services and the homeless service to contain and manage risk.
To keep contemporaneous records and comply with regulations from the data protection act
To communicate effectively with clients with significant physical, cognitive and mental health impairments.
To frequently communicate very complex and/or highly sensitive condition related information from assessments to clients, carers, families, members of the MDT and other professionals
To maintain sensitivity at all times to the emotional needs of clients/carers in particular when imparting potentially distressing information regarding diagnosis and or/prognosis
To work with people who have life limiting and degenerative conditions with professionalism, compassion and empathy.
To demonstrate the ability to manage adults with challenging behaviours including the development and application of appropriate management strategies
Decision making
To demonstrate clinical effectiveness by use of evidence-based practice and outcome measures.
To plan, develop and evaluate methods and processes for gathering, analysing, interpreting and presenting data and information.
To provide leadership and facilitate risk management within the highly specialist area of neurodevelopmental disabilities and complex nutritional needs.
To manage and prioritise a highly complex and demanding caseload independently; including new referrals, wait list, client reviews and discharge.
To work within defined departmental and national protocols and polices, and within the professional code of conduct.
Job description
Job responsibilities
3. Dimensions
This post will develop and offer highly specialist interventions and some supervision or support for an established dietetic post within the Neurodevelopmental service for Your Healthcare.
The post will contribute on the whole to the activity of the Neurodevelopmental specialist healthcare service for people with learning disabilities working across Richmond and Kingston boroughs.
4. Key Result Areas
4.1. Clinical
- To provide a highly specialist dietetic service to the Neurodevelopmental service for adults with learning disabilities
- To provide a community service in liaison with other related dietetic posts in partner organisations (e.g. Kingston Hospital, Home enteral feeding services, NUTRICIA, GPs)
- To communicate effectively with patients and carers to maximise advice taken by the patient. This includes, where necessary, using interpreters for patients where English is not a first language and methods of communication may need to be changed where patients have limited ability to understand
- To communicate with referring agents and other agents as necessary such as nursing staff, therapists and social workers through personal, written or telephone contact
- To undertake comprehensive assessments of all patients diets and lifestyles to formulate individualised management and treatment plans. This will include anthropometric measurements, interpreting biochemical data and evaluating nutritional information using quantitative and qualitative methods including in the field of enteral feeding
- To attend and contribute to team meetings and case conferences as necessary and to take an active role in the Neurodevelopmental Service complex care pathway.
- To work autonomously with day/day support and line management from the Principal speech and language therapist.
- To provide domiciliary visits to patients as required
- To accept clinical responsibility for the dietetics patient caseload and to organise this effectively with regard to clinical priorities and use of time.
To be responsible for the updating of diet sheets, information and other literature for the care of patients within the Neurodevelopmental service.
- To maintain accurate and up to date patient records which meet the department standards.
- To enter information onto data systems (e.g. Advance care Notes) as detailed by the immediate line manager and to maintain an effective data collection system.
4.2. Service Delivery
- To initiate and contribute to the development of policies and protocols for the Neurodevelopmental service in the community that will impact on all service users.
- Ensure that any future designated Dietetics staff implement policy and service development changes.
- Deliver services in line with Better Standards for Health Care and relevant legislation.
- To provide services in a variety of community sites as required by service models used and to be able to travel between sites using suitable transport.
- Along with other clinicians in the Neurodevelopmental service, draw upon specific professional knowledge and skills to establish effective matrix working
- Support multidisciplinary team working, by facilitating colleagues to effectively prioritise, plan and manage their caseloads
- Contribute to the development and implementation of guidelines, protocols and patient care pathways for use across the Neurodevelopmental service
- Be responsible for ensuring the effective selection and use of all treatment resources available.
- Be actively involved in the collection of appropriate data and statistics for the use of the service.
4.3. Management
- Work under direction of the principal speech and language therapist to train and supervise more dietetic junior staff, technical instructors, assistants and students as required. This may include contributions to formal appraisal documents.
- To cascade information to staff within area of responsibility.
- To participate in clinical supervision and through the supervisory framework, support other junior staff in effective decision making with regard to caseload management
- To attend any team briefing meetings and other meetings as requested by the Principal Therapist and provide input in relation to dietetics on day to day issues and clinical matters as indicated.
- With other members of the Multidisciplinary Team contribute to the prioritisation of referrals to the Neurodevelopmental service
- To promote and develop quality improvements through supervision, audit and other CPD activities as appropriate to the needs of Dietetics as part of the Neurodevelopmental service
- To be responsible for own personal professional development, and maintaining a CPD portfolio demonstrating awareness of new clinical practices
- To act as clinical educator for undergraduate students as requested.
4.4. Quality
- Be responsible for ensuring appropriate risk assessments are undertaken and reported Line Management.
- Contributes to meeting national and local performance measures contributing to reports as necessary.
- Supports the collection of relevant data sets to demonstrate performance of the Dietetics against agreed measures.
- To participate in clinical audit, supporting staff in undertaking audit as required.
- Contribute towards a culture in which Equality, Diversity and inclusivity is embedded within the organisation.
Communication and working relationships
To liaise and work together with other disciplines and professionals within the neurodevelopmental disability service, leading on clinical development.
To liaise and work with outside agencies including childrens safeguarding services, the police, adult safeguarding services and the homeless service to contain and manage risk.
To keep contemporaneous records and comply with regulations from the data protection act
To communicate effectively with clients with significant physical, cognitive and mental health impairments.
To frequently communicate very complex and/or highly sensitive condition related information from assessments to clients, carers, families, members of the MDT and other professionals
To maintain sensitivity at all times to the emotional needs of clients/carers in particular when imparting potentially distressing information regarding diagnosis and or/prognosis
To work with people who have life limiting and degenerative conditions with professionalism, compassion and empathy.
To demonstrate the ability to manage adults with challenging behaviours including the development and application of appropriate management strategies
Decision making
To demonstrate clinical effectiveness by use of evidence-based practice and outcome measures.
To plan, develop and evaluate methods and processes for gathering, analysing, interpreting and presenting data and information.
To provide leadership and facilitate risk management within the highly specialist area of neurodevelopmental disabilities and complex nutritional needs.
To manage and prioritise a highly complex and demanding caseload independently; including new referrals, wait list, client reviews and discharge.
To work within defined departmental and national protocols and polices, and within the professional code of conduct.
Person Specification
Qualifications
Essential
- BSc in Nutrition & Dietetics or relevant Science plus and graduate diploma in Dietetics
-
- At least 5 years post graduate experience in a dietetic role
- Evidence of continued CPD development
- HCPC registration, Registered Member of the British Association of Dietetics
Desirable
- Evidence of a range of specialised, validated postgraduate courses in key areas:
- Enteral feeding, Diabetes, obesity management
PERSONAL QUALITIES
Essential
- Able to work as part of a complex multi-disciplinary and multi agency service
Knowledge
Essential
- Understanding of national policy governing the delivery of adults, physical and learning disabilities, diabetes and older peoples services.
- Expertise in treating complex patients in community environments.
- Knowledge of the range of dietetic assessment protocols and interventions to the relevant client groups including learning disabilities, Adult, Elderly care and Neurology.
Desirable
- A working knowledge of critical health and safety legislation
any other factors
Desirable
- Experience within a specialist healthcare team for adults with learning disabilities is highly desirable
Skills and abilities
Essential
- Ability to work independently and flexibly to manage own caseload and prioritise workload pressures.
- Ability to negotiate and influence, and collaborate across professions.
- Ability to analyse and interpret data and information.
- Excellent IT skills (word, Email and Excel) and Report writing skills
- Excellent oral and written communication skills.
- Awareness and acceptance of the rights and needs of service users
- Understanding of governance and the implications for services, including audit, risk etc.
Desirable
- Clinical leadership and people management skills
- Ability to work independently on complex communication issues where required
Experience
Essential
- Extensive experience of working with adults and or children with a range of nutritional problems including PEG /NG.
- Experience of working in community and in-patient environments as part of undergraduate and post qualification experience.
- Experience of contributing to clinical education of staff and service users
- Experience of leading, working within and contributing to development of operational organisational policies for key nutritional needs within the field of neurodisability
Person Specification
Qualifications
Essential
- BSc in Nutrition & Dietetics or relevant Science plus and graduate diploma in Dietetics
-
- At least 5 years post graduate experience in a dietetic role
- Evidence of continued CPD development
- HCPC registration, Registered Member of the British Association of Dietetics
Desirable
- Evidence of a range of specialised, validated postgraduate courses in key areas:
- Enteral feeding, Diabetes, obesity management
PERSONAL QUALITIES
Essential
- Able to work as part of a complex multi-disciplinary and multi agency service
Knowledge
Essential
- Understanding of national policy governing the delivery of adults, physical and learning disabilities, diabetes and older peoples services.
- Expertise in treating complex patients in community environments.
- Knowledge of the range of dietetic assessment protocols and interventions to the relevant client groups including learning disabilities, Adult, Elderly care and Neurology.
Desirable
- A working knowledge of critical health and safety legislation
any other factors
Desirable
- Experience within a specialist healthcare team for adults with learning disabilities is highly desirable
Skills and abilities
Essential
- Ability to work independently and flexibly to manage own caseload and prioritise workload pressures.
- Ability to negotiate and influence, and collaborate across professions.
- Ability to analyse and interpret data and information.
- Excellent IT skills (word, Email and Excel) and Report writing skills
- Excellent oral and written communication skills.
- Awareness and acceptance of the rights and needs of service users
- Understanding of governance and the implications for services, including audit, risk etc.
Desirable
- Clinical leadership and people management skills
- Ability to work independently on complex communication issues where required
Experience
Essential
- Extensive experience of working with adults and or children with a range of nutritional problems including PEG /NG.
- Experience of working in community and in-patient environments as part of undergraduate and post qualification experience.
- Experience of contributing to clinical education of staff and service users
- Experience of leading, working within and contributing to development of operational organisational policies for key nutritional needs within the field of neurodisability
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
