Job summary
We are recruiting a Dietetic Advanced Clinical Practitioner to support people with diabetes and the existing team. This role will be based at the Leicester General Hospital and will cover Leicester, Leicestershire and Rutland.
Come and join us in this new and exciting venture, blending medical nursing and dietetic services together to support the diabetes virtual ward, bridging the gap between hospital and primary care. We believe in delivering safe, effective and personalised health care at the patient's own home, and you will be working with the diabetes specialist nurses who are currently supporting people with diabetes in their own home. The role will be predominately based at the Leicester General Hospital but there may be some cross site working.
The Diabetes virtual ward aspires to help people to stay well and at home by facilitating self and supported monitoring of their condition. The diabetes virtual ward has been running for the last 2 years with great success, we are now expanding the service to include direct referrals from East Midlands Ambulance Service and we hope to extend to be able to provide a Diabetes SDEC service.
Currently we have funding until the end of March 26 but the outcome results for this ward have been extremely positive so the indications are that this post will continue to be funded post this fixed term period.
Main duties of the job
You will be providing a comprehensive dietetic assessment, treatment and management service as part of the integrated MDT in diabetes. The client caseload is varied and covers all aspects of diet and nutrition. Consultations will be a blended approach of both in person, and remote monitoring - there will be some home visits involved. You will work closely with the Advanced Nurse Practitioner Lead in developing and evaluating the Service.
Check us out on X (formerly twitter) at UHL_DIETITIANS and keep in touch.
Interested and want more information or an informal chat /or visit?
Contact Gemma Bircher, Speciality Dietetic Lead. Tel: 0116 258 8002
Email: gemma.bircher@uhl-tr.nhs.uk
Or Helen Atkins, Diabetes Advanced Practice Lead Metabolic Medicine
Email: helen.atkins@uhl-tr.nhs.uk
About us
Our new strategy, developed with the support and feedback of colleagues, patients, and partners, is our compass for the next seven years (2023-2030).
We have four primary goals:
high-quality care for all,
being a great place to work,
partnerships for impact, and
research and education excellence
And we will embed health equality in all we do - taking active steps to reduce the avoidable differences in healthcare that some people face, working in partnership with communities.
Our strategy is underpinned by new values and we will work to ensure they are an everyday reality for all:
we are compassionate,
we are proud,
we are inclusive, and
we are one team
This is an exciting moment as we look to the future with clarity on what we already do well and where we need to focus our energies to make an even bigger difference for the people we serve.
About the University Hospitals of Leicester NHS Trust:
http://www.leicestershospitals.nhs.uk/aboutus/work-for-us/current-vacancies/
Leicester is a vibrant city, with excellent rail and bus links; it boasts a myriad of social activities that will ensure that you have the perfect work life balance.
Job description
Job responsibilities
KEY RESULT AREAS
Expert clinical practice
To be lead Clinical Specialist Dietitian responsible for the Nutrition and Dietetic Service delivery to the adult Diabetes Virtual Ward and to manage a caseload with a high degree of complexity and without direct supervision whilst exercising a large degree of autonomy.
To undertake complex nutritional assessments of patients independently as part of a multi-disciplinary team.
To develop dietetic care plans for patients after calculation of nutritional requirements based on interpretation of biochemistry, anthropometry, anatomy and physiology, clinical condition/prognosis and other physical parameters when providing a clinical specialist nutrition service to adults with diabetes and undertake subsequent clinical monitoring of patients.
To use advanced skills and extensive clinical and biochemical knowledge to diagnose malnutrition, dietary non-compliance, mineral and electrolyte abnormalities or metabolic crisis which require dietetic intervention and to independently provide and instigate a nutritional and dietetic plan.
To make complex clinical decisions regarding necessary changes in the nutritional support provided e.g. oral nutritional supplements and enteral tube feeding nutrition
To take a lead in clinical supervision and CPD activities within the Dietetic and Nutrition service.
To be an expert user of anthropometric equipment and enteral feeding pumps and to train others to become competent in the use of such equipment.
To lead on implementation of new nutrition products providing evidence for their use including financial implications/ benefits.
To ensure that appropriate and evidence-based specialist advice on nutrition and dietetic issues is available to patients, clients and health professionals, within the remit of the post holders clinical duties.
To practice and achieve the professional standards, protocols and policies set by the Dietetic and Nutrition Service and the wider Trust.
Be responsible for service developments and develop policies, guidelines and procedures and supervise others in this development. This will include updating and development of nutrition and diet literature and resources, feeding plans and to ensure this is non biased and evidence based /best practice.
To provide dietetic and nutrition input into all areas of adult diabetes making clinical decisions as necessary.
To attend multi-professional meetings in order to provide expert nutrition and diet advice regarding of diet therapy and nutritional care of patients based on clinical evidence.
Job description
Job responsibilities
KEY RESULT AREAS
Expert clinical practice
To be lead Clinical Specialist Dietitian responsible for the Nutrition and Dietetic Service delivery to the adult Diabetes Virtual Ward and to manage a caseload with a high degree of complexity and without direct supervision whilst exercising a large degree of autonomy.
To undertake complex nutritional assessments of patients independently as part of a multi-disciplinary team.
To develop dietetic care plans for patients after calculation of nutritional requirements based on interpretation of biochemistry, anthropometry, anatomy and physiology, clinical condition/prognosis and other physical parameters when providing a clinical specialist nutrition service to adults with diabetes and undertake subsequent clinical monitoring of patients.
To use advanced skills and extensive clinical and biochemical knowledge to diagnose malnutrition, dietary non-compliance, mineral and electrolyte abnormalities or metabolic crisis which require dietetic intervention and to independently provide and instigate a nutritional and dietetic plan.
To make complex clinical decisions regarding necessary changes in the nutritional support provided e.g. oral nutritional supplements and enteral tube feeding nutrition
To take a lead in clinical supervision and CPD activities within the Dietetic and Nutrition service.
To be an expert user of anthropometric equipment and enteral feeding pumps and to train others to become competent in the use of such equipment.
To lead on implementation of new nutrition products providing evidence for their use including financial implications/ benefits.
To ensure that appropriate and evidence-based specialist advice on nutrition and dietetic issues is available to patients, clients and health professionals, within the remit of the post holders clinical duties.
To practice and achieve the professional standards, protocols and policies set by the Dietetic and Nutrition Service and the wider Trust.
Be responsible for service developments and develop policies, guidelines and procedures and supervise others in this development. This will include updating and development of nutrition and diet literature and resources, feeding plans and to ensure this is non biased and evidence based /best practice.
To provide dietetic and nutrition input into all areas of adult diabetes making clinical decisions as necessary.
To attend multi-professional meetings in order to provide expert nutrition and diet advice regarding of diet therapy and nutritional care of patients based on clinical evidence.
Person Specification
Qualifications
Essential
- A four year Undergraduate or a Two Year Post Graduate Degree in Nutrition & Dietetics
- HCPC Registration
- Postgraduate clinical qualification at Masters level meeting requirements of the national framework for Advanced Level Practice
- Completion of an Advanced Clinical Supervision Skills Course
- Study relevant to Adult Diabetes care speciality
- Experience in Nutrition Support
- Post basic qualification in Adult Diabetes speciality
- Recognised Teaching and Assessing Qualification
- Registered practicing Non-Medical Supplementary Prescriber as appropriate to the role
Desirable
- Masters degree
- Counselling qualification
- Research qualification eg Research masters module as part of Masters
Experience
Essential
- Has developed expert practice in adult diabetes dietetics to include autonomous practice, different ways of caseload management and delivering services o
- Has developed expert practice in adult nutrition support to include autonomous practice, different ways of caseload management and delivering services
- Significant experience in specialist or practitioner post at band 7 with knowledge and skills that can be accredited or mapped against the criteria of this role
- Evidence of Quality Improvement leading to improved patient care
- Experience in service development and improvement projects
- Experience of teaching, assessing and mentoring of learners
- Can demonstrate evidence of continued professional development (CPD) e.g. keeps a professional portfolio, Peer reviewed publications, presentations
- Previous involvement with pre-registration practice training
- Highly developed specialist experience across a wide range of care procedures that is underpinned by theory and continued knowledge and skills through CPD to maintain role
- Evidence of involvement in policy, guideline and protocol development and implementation and ability to influence service changes
- Significant experience in specialist or practitioner post at band 7 with knowledge and skills that can be accredited or mapped against the criteria of this role
- Experience managing own caseload of patients and autonomous practice
- Experience in QI, Audit and research development
- Proven line manager experience
- Good working knowledge and experience of mainstream word processing, spread sheets, PowerPoint and email
Desirable
- Evidence of publications and presentations
- Lead role in QI, Audit or Research projects
- Evidence of developing services in collaboration or independently of medical consultants
Communication
Essential
- Can demonstrate ability to work with a wide variety of people at different levels of seniority and from different professional disciplines
- Can use different approaches to communication with a wide variety of patients, both as individuals and in groups, and with the public
- Has a professional appearance and is able to express themselves clearly ( both written and verbal)
- Ability to work as part of a multi-disciplinary team
- Excellent leadership skills including listening, influencing, negotiating, organisational awareness and networking skills
- Able to facilitate change
- Strong verbal and written communication skills and the ability to receive and present data that is complex, sensitive or contentious to large groups
- Is aware of the different communication needs within a culturally diverse community and how this may impact on both own professional practice and others
- Has good negotiation and problem solving skills for communicating and influencing senior managers and clinicians in Trusts, to help deliver an effective Nutrition and Dietetic Service.
- Is able to use different techniques for motivating individuals and groups to make behavioural change
Desirable
- Has undertaken post-registration training in behavioural change and motivational interviewing.
Analytical and Judgement skills
Essential
- Evidence of working under supervision and developing ability to autonomously assess, diagnose and develop management plans for referred patients
- Autonomous management of own patient caseload
- Evidence of working with numerical data and ability to analyse, interpret and present data in appropriate forms
- Ability to think laterally, identify and evaluate options and to find workable solutions to complex issues taking into account internal and external environments
- Presents advice supported by reasoned argument and evidence
- Understands confidentiality and data protection requirements in relation to own professional practice and in the supervision of others
Planning and organisation skills
Essential
- Can demonstrate safe caseload and workload management and has an influence on developing these skills in staff
- Proactive and flexible style
- Ability to prioritise, meet deadlines and manage a diverse workload
- Ability to adapt to changing and competing priorities and deadlines
- Ability to sustain high workload through time of service and organisational pressure
- Can demonstrate excellent organisational and supervisory skills
- Can work independently and use high level of initiative and decision making
- Can give examples of quality initiatives to improve the delivery of patient care and identify own involvement and role in specific initiatives
- Ability to motivate others and self when faced with adversity
Equality, Diversity and Inclusion
Essential
- Able to demonstrate a commitment to and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs
- All staff are expected to engage in compassionate and inclusive leadership in the provision of high quality care and interactions with others
Physical skills
Essential
- New Starters Induction Programme (2 days)
- Must be able to attend the mandatory induction training. Normally takes place all day on a Monday and Tuesday.)
- Mobility - ability to undertake light physical effort in order to work in a range of healthcare settings. E.g. outpatients on and off site
- Able to carry clinic and teaching equipment unaided
- Mobility - able to work in a variety of hospital settings and able to access transport for external / off site meetings
Other requirements specific to the role
Essential
- Working knowledge of local and national clinical and professional policies guidelines and procedures e.g. NICE/British Dietetic Association/Health Professionals Council Code of Conduct/Ethics, Health and Safety, Infection Control, Equality and Diversity, Confidentiality and Data Protection Act
- Has good knowledge of national strategies and clinical evidence related to adult diabetes care and nutrition support.
- Is an active member of appropriate groups in area of expert practice (e.g. BDA Diabetes Specialist Interest Group) and PENG
Person Specification
Qualifications
Essential
- A four year Undergraduate or a Two Year Post Graduate Degree in Nutrition & Dietetics
- HCPC Registration
- Postgraduate clinical qualification at Masters level meeting requirements of the national framework for Advanced Level Practice
- Completion of an Advanced Clinical Supervision Skills Course
- Study relevant to Adult Diabetes care speciality
- Experience in Nutrition Support
- Post basic qualification in Adult Diabetes speciality
- Recognised Teaching and Assessing Qualification
- Registered practicing Non-Medical Supplementary Prescriber as appropriate to the role
Desirable
- Masters degree
- Counselling qualification
- Research qualification eg Research masters module as part of Masters
Experience
Essential
- Has developed expert practice in adult diabetes dietetics to include autonomous practice, different ways of caseload management and delivering services o
- Has developed expert practice in adult nutrition support to include autonomous practice, different ways of caseload management and delivering services
- Significant experience in specialist or practitioner post at band 7 with knowledge and skills that can be accredited or mapped against the criteria of this role
- Evidence of Quality Improvement leading to improved patient care
- Experience in service development and improvement projects
- Experience of teaching, assessing and mentoring of learners
- Can demonstrate evidence of continued professional development (CPD) e.g. keeps a professional portfolio, Peer reviewed publications, presentations
- Previous involvement with pre-registration practice training
- Highly developed specialist experience across a wide range of care procedures that is underpinned by theory and continued knowledge and skills through CPD to maintain role
- Evidence of involvement in policy, guideline and protocol development and implementation and ability to influence service changes
- Significant experience in specialist or practitioner post at band 7 with knowledge and skills that can be accredited or mapped against the criteria of this role
- Experience managing own caseload of patients and autonomous practice
- Experience in QI, Audit and research development
- Proven line manager experience
- Good working knowledge and experience of mainstream word processing, spread sheets, PowerPoint and email
Desirable
- Evidence of publications and presentations
- Lead role in QI, Audit or Research projects
- Evidence of developing services in collaboration or independently of medical consultants
Communication
Essential
- Can demonstrate ability to work with a wide variety of people at different levels of seniority and from different professional disciplines
- Can use different approaches to communication with a wide variety of patients, both as individuals and in groups, and with the public
- Has a professional appearance and is able to express themselves clearly ( both written and verbal)
- Ability to work as part of a multi-disciplinary team
- Excellent leadership skills including listening, influencing, negotiating, organisational awareness and networking skills
- Able to facilitate change
- Strong verbal and written communication skills and the ability to receive and present data that is complex, sensitive or contentious to large groups
- Is aware of the different communication needs within a culturally diverse community and how this may impact on both own professional practice and others
- Has good negotiation and problem solving skills for communicating and influencing senior managers and clinicians in Trusts, to help deliver an effective Nutrition and Dietetic Service.
- Is able to use different techniques for motivating individuals and groups to make behavioural change
Desirable
- Has undertaken post-registration training in behavioural change and motivational interviewing.
Analytical and Judgement skills
Essential
- Evidence of working under supervision and developing ability to autonomously assess, diagnose and develop management plans for referred patients
- Autonomous management of own patient caseload
- Evidence of working with numerical data and ability to analyse, interpret and present data in appropriate forms
- Ability to think laterally, identify and evaluate options and to find workable solutions to complex issues taking into account internal and external environments
- Presents advice supported by reasoned argument and evidence
- Understands confidentiality and data protection requirements in relation to own professional practice and in the supervision of others
Planning and organisation skills
Essential
- Can demonstrate safe caseload and workload management and has an influence on developing these skills in staff
- Proactive and flexible style
- Ability to prioritise, meet deadlines and manage a diverse workload
- Ability to adapt to changing and competing priorities and deadlines
- Ability to sustain high workload through time of service and organisational pressure
- Can demonstrate excellent organisational and supervisory skills
- Can work independently and use high level of initiative and decision making
- Can give examples of quality initiatives to improve the delivery of patient care and identify own involvement and role in specific initiatives
- Ability to motivate others and self when faced with adversity
Equality, Diversity and Inclusion
Essential
- Able to demonstrate a commitment to and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs
- All staff are expected to engage in compassionate and inclusive leadership in the provision of high quality care and interactions with others
Physical skills
Essential
- New Starters Induction Programme (2 days)
- Must be able to attend the mandatory induction training. Normally takes place all day on a Monday and Tuesday.)
- Mobility - ability to undertake light physical effort in order to work in a range of healthcare settings. E.g. outpatients on and off site
- Able to carry clinic and teaching equipment unaided
- Mobility - able to work in a variety of hospital settings and able to access transport for external / off site meetings
Other requirements specific to the role
Essential
- Working knowledge of local and national clinical and professional policies guidelines and procedures e.g. NICE/British Dietetic Association/Health Professionals Council Code of Conduct/Ethics, Health and Safety, Infection Control, Equality and Diversity, Confidentiality and Data Protection Act
- Has good knowledge of national strategies and clinical evidence related to adult diabetes care and nutrition support.
- Is an active member of appropriate groups in area of expert practice (e.g. BDA Diabetes Specialist Interest Group) and PENG
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
