The Mid Yorkshire Teaching NHS Trust

Clinical Specialist Dietitian - Bariatrics

Information:

This job is now closed

Job summary

Mid Yorkshire NHS Teaching Trust has been awarded new funding to develop a specialist obesity service and extend the existing bariatric service to provide an improved, evidence-based service across Wakefield. It will also reduce inequalities by targeting priority groups in line with NICE guidelines. The new Specialist Obesity and Bariatric Service will replace previous T3 and T4 services to provide a patient-centred, needs based service, which will allow seamless and more timely care for patients who require specialist interventions like bariatric surgery, injectable drugs and non-surgical weight-management programmes. Non-surgical weight-management programmes will include dietetic, clinical psychology and physiotherapy input. Patients will be able to access all parts of the service that are appropriate for them, following multidisciplinary team (MDT) assessment and recommendations.

The service has been commissioned on a permanent basis, so we are looking to expand capacity in all areas of the service. The Specialist Obesity and Bariatric Service has been commissioned to process 250 referrals annually with the aims of contributing to a long-term healthy weight strategy, reducing obesity in the Mid Yorkshire Region, and to improve health outcomes by lowering obesity-related disease risks and support increased life expectancy in Wakefield.

Main duties of the job

This exciting new post will lead the development of the dietetic aspect of the service, while supervising the Band 6 dietitian and Band 4 Dietetic Assistant who are part of the team. The post-holder will work as part of the wider MDT, provide a specialist dietetic service for patients with complex obesity needs through detailed assessment, formulation, and interventions, on a one-to-one and group basis, in both surgical and non-surgical parts of the pathway. Excellent communication and multi-disciplinary team working skills are essential.

The post-holder will be based at Dewsbury and District Hospital but may be required to run group sessions and attend meetings at one of the other sites in Wakefield (Pinderfields). The post-holder may also work remotely for part of the week.

The dietetic department is fully committed to CPD and clinical supervision. As we take A, B and C students from Leeds Beckett University, the post holder will also be expected to take an active role in supporting and supervising our student training program.

You must currently be registered with the Health Care Professions Council.

It is essential that you are able to attend any location required of you, including patients homes therefore being a car driver with access to a vehicle to support home visits is desirable.

About us

We are an acute trust caring for over half a million people in Wakefield and Kirklees. Our 10,000 staff work in patients homes, the community, and our three hospitals in Pontefract, Dewsbury, and Pinderfields (Wakefield). We prioritise our people and values so we can deliver the best possible care to patients. Our team is friendly, passionate, and innovative, always seeking better ways to work.

We support work-life balance and foster a diverse, inclusive environment where everyone belongs. Our staff networks offer safe spaces to share ideas and concerns so we can increase awareness and appreciation of equality, diversity, and inclusion. We welcome applicants from all backgrounds and especially encourage members of the LGBTQ+ community, ethnic minority groups, and people with disabilities or neurodivergence to apply, as they are currently underrepresented in the Trust.

If you value caring, high standards, improvement, and respect, join the MY team to make a difference every day.

Application guidance: We understand that more applicants are using AI technology to help with their applications. While these tools can be useful, they cannot fully capture your skills, knowledge, and experience. Its important that you personalise your application. Relying solely on AI is not recommended, as it may reduce your chances of success. Our screening process is thorough, so if you have used AI, please make sure to disclose this on your application form.

Details

Date posted

13 February 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year

Contract

Permanent

Working pattern

Full-time

Reference number

C9377-ATS0069

Job locations

Pinderfields Hospital

Aberford Road

Wakefield

West Yorkshire

WF1 4DG


Job description

Job responsibilities

Clinical Duties

Be professionally and legally responsible and accountable for all aspects of own work, including the management of patients in your care.

To communicate highly complex specialised and sensitive information with empathy and understanding

To provide highly complex nutrition counselling to patients, using cognitive behavioural therapy skills to overcome barriers to change

To use analytical skills in prioritising the best course of dietetic treatment in patients with highly complex clinical conditions, where nutritional goals may conflict with other on-going physical, emotional, psychological and medical problems and a range of treatment options must be assessed and considered

To correctly interpret complex nutritional impairments, biochemical parameters and fluid balance. This will involve nutritional diagnosis including interpretation of biochemistry, anthropometrics, clinical condition, social factors and diet histories, in patients with highly specialised and complex nutritional needs

To utilise highly specialist knowledge in interpreting complex clinical information to develop and monitor nutritional care plans in a specialised dietetic area.

Assessment and advice regarding initiation and adjustment of medication and the provision of appropriate dietary modifications to support medications to promote weight loss Qualified supplementary or independent prescribers annotated on the HCPC register may prescribe medicines within scope of practice. This will be within a defined clinical speciality and will be as per the Mid Yorkshire Teaching NHS Trust non-medical prescribing policy

Diagnose over nutrition, vitamin/mineral and electrolyte abnormalities which require dietetic intervention, and to independently provide and instigate a dietetic plan

Plan a care programme for individual patients in conjunction with other professional staff within the multidisciplinary team (MDT).

To perform advanced nutritional assessments in respective clinical area, interpreting and planning relevant dietetic care programmes for patients with highly complex nutritional and medical needs which requires judgement and consideration of a range of treatment options

Provide specialist clinical expertise to colleagues within the team and referrers to the service.

To be aware of national guidance and driving factors in specialised area

Communicate effectively with patients and carers to maximise rehabilitation potential and ensure understanding of condition. Communication skills of persuasion, motivation and explanation to encourage patients to undertake their treatment programme.

Use verbal and non-verbal communication skills to gain informed consent with patients where there will often be barriers to effective communication e.g. loss of hearing, altered perception, expressive or receptive dysphasia, pain, fear.

Assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who may lack capacity to consent to treatment.

Job description

Job responsibilities

Clinical Duties

Be professionally and legally responsible and accountable for all aspects of own work, including the management of patients in your care.

To communicate highly complex specialised and sensitive information with empathy and understanding

To provide highly complex nutrition counselling to patients, using cognitive behavioural therapy skills to overcome barriers to change

To use analytical skills in prioritising the best course of dietetic treatment in patients with highly complex clinical conditions, where nutritional goals may conflict with other on-going physical, emotional, psychological and medical problems and a range of treatment options must be assessed and considered

To correctly interpret complex nutritional impairments, biochemical parameters and fluid balance. This will involve nutritional diagnosis including interpretation of biochemistry, anthropometrics, clinical condition, social factors and diet histories, in patients with highly specialised and complex nutritional needs

To utilise highly specialist knowledge in interpreting complex clinical information to develop and monitor nutritional care plans in a specialised dietetic area.

Assessment and advice regarding initiation and adjustment of medication and the provision of appropriate dietary modifications to support medications to promote weight loss Qualified supplementary or independent prescribers annotated on the HCPC register may prescribe medicines within scope of practice. This will be within a defined clinical speciality and will be as per the Mid Yorkshire Teaching NHS Trust non-medical prescribing policy

Diagnose over nutrition, vitamin/mineral and electrolyte abnormalities which require dietetic intervention, and to independently provide and instigate a dietetic plan

Plan a care programme for individual patients in conjunction with other professional staff within the multidisciplinary team (MDT).

To perform advanced nutritional assessments in respective clinical area, interpreting and planning relevant dietetic care programmes for patients with highly complex nutritional and medical needs which requires judgement and consideration of a range of treatment options

Provide specialist clinical expertise to colleagues within the team and referrers to the service.

To be aware of national guidance and driving factors in specialised area

Communicate effectively with patients and carers to maximise rehabilitation potential and ensure understanding of condition. Communication skills of persuasion, motivation and explanation to encourage patients to undertake their treatment programme.

Use verbal and non-verbal communication skills to gain informed consent with patients where there will often be barriers to effective communication e.g. loss of hearing, altered perception, expressive or receptive dysphasia, pain, fear.

Assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who may lack capacity to consent to treatment.

Person Specification

Personal Attributes

Essential

  • Confident, caring and empathetic
  • Flexible, adaptable and creative
  • Able to work both independently and to promote MDT working
  • Able to respond to unpredictable work patterns and frequent interruptions
  • Ability to cope working in a stressful environment
  • Ability to cope with emotional or aggressive patients and carers
  • Able to organise complex information
  • Effective problem solver

Desirable

  • Able to cope with demands of the patient group

Qualifications

Essential

  • BSc Nutrition and Dietetics or equivalent
  • Masters Degree or equivalent
  • Registered with the Health Care Professions Council (HCPC)
  • Evidence of CPD maintained in a portfolio including attendance at recent and relevant postgraduate courses
  • Clinical Supervisory Skills Course
  • Behaviour Change training

Desirable

  • Advanced Diploma in Dietetic Practice
  • Postgraduate courses for Bariatric surgery &/or Specialist Obesity Management
  • Non-Medical Supplementary Prescribing qualification
  • Leadership skills
  • IM&T Skills

Skills & Abilities

Essential

  • Excellent interpersonal skills.
  • Excellent Teaching/Presentation skills
  • Advanced clinical reasoning skills
  • Forward thinking
  • Goal setting and negotiation skills
  • Ability to take decisions independently
  • Communicates complex diagnosis gaining consent and understanding of treatment plans required
  • Communicates highly complex information overcoming barriers to understanding
  • Accurate nutrition assessment skills
  • Excellent written and oral communication skills with individual patients, public groups, other health professionals and medical practitioners

Knowledge & Awareness

Essential

  • Detailed knowledge of complex emotional, physical and psychological problems
  • Clinical supervision and leadership skills
  • Ability to organise, prioritise and delegate
  • Understanding of Clinical Governance and its implications for services
  • Up to date advanced knowledge of nutritional support required for Bariatric patients
  • Advanced knowledge of biochemistry, physiology and specialised pharmacology
  • Up to date knowledge and awareness of professional ethical issues surrounding Bariatric/obesity patients and their care
  • Working knowledge of the NHS

Other

Essential

  • Leadership qualities
  • Ability to maintain judgement under pressure
  • Clear vision of role/commitment to speciality
  • Car owner/driver
  • Accurate keyboard skills (data inputting, word processing, internet and dietary analysis)
  • Able to use equipment for anthropometric measurements
  • Able to fulfil occupational health requirements of the post

Desirable

  • Member of the BDA
  • Membership of Specialist Interest groups e.g. BOMSS or DOM UK

Experience

Essential

  • Evidence of comprehensive clinical experience, including Bariatric surgery and adult obesity
  • Good experience of working as a dietitian at a senior level
  • Experience of working with weight loss medications e.g. Wegovy
  • Experience of service delivery in a variety of settings including hospital outpatients and community
  • Supervision of more junior and support staff and students; evidence of significant student training experience
  • Understanding of a wide range of communication skills and their application in a variety of clinical settings

Desirable

  • Participation in audit, evaluation and research.
Person Specification

Personal Attributes

Essential

  • Confident, caring and empathetic
  • Flexible, adaptable and creative
  • Able to work both independently and to promote MDT working
  • Able to respond to unpredictable work patterns and frequent interruptions
  • Ability to cope working in a stressful environment
  • Ability to cope with emotional or aggressive patients and carers
  • Able to organise complex information
  • Effective problem solver

Desirable

  • Able to cope with demands of the patient group

Qualifications

Essential

  • BSc Nutrition and Dietetics or equivalent
  • Masters Degree or equivalent
  • Registered with the Health Care Professions Council (HCPC)
  • Evidence of CPD maintained in a portfolio including attendance at recent and relevant postgraduate courses
  • Clinical Supervisory Skills Course
  • Behaviour Change training

Desirable

  • Advanced Diploma in Dietetic Practice
  • Postgraduate courses for Bariatric surgery &/or Specialist Obesity Management
  • Non-Medical Supplementary Prescribing qualification
  • Leadership skills
  • IM&T Skills

Skills & Abilities

Essential

  • Excellent interpersonal skills.
  • Excellent Teaching/Presentation skills
  • Advanced clinical reasoning skills
  • Forward thinking
  • Goal setting and negotiation skills
  • Ability to take decisions independently
  • Communicates complex diagnosis gaining consent and understanding of treatment plans required
  • Communicates highly complex information overcoming barriers to understanding
  • Accurate nutrition assessment skills
  • Excellent written and oral communication skills with individual patients, public groups, other health professionals and medical practitioners

Knowledge & Awareness

Essential

  • Detailed knowledge of complex emotional, physical and psychological problems
  • Clinical supervision and leadership skills
  • Ability to organise, prioritise and delegate
  • Understanding of Clinical Governance and its implications for services
  • Up to date advanced knowledge of nutritional support required for Bariatric patients
  • Advanced knowledge of biochemistry, physiology and specialised pharmacology
  • Up to date knowledge and awareness of professional ethical issues surrounding Bariatric/obesity patients and their care
  • Working knowledge of the NHS

Other

Essential

  • Leadership qualities
  • Ability to maintain judgement under pressure
  • Clear vision of role/commitment to speciality
  • Car owner/driver
  • Accurate keyboard skills (data inputting, word processing, internet and dietary analysis)
  • Able to use equipment for anthropometric measurements
  • Able to fulfil occupational health requirements of the post

Desirable

  • Member of the BDA
  • Membership of Specialist Interest groups e.g. BOMSS or DOM UK

Experience

Essential

  • Evidence of comprehensive clinical experience, including Bariatric surgery and adult obesity
  • Good experience of working as a dietitian at a senior level
  • Experience of working with weight loss medications e.g. Wegovy
  • Experience of service delivery in a variety of settings including hospital outpatients and community
  • Supervision of more junior and support staff and students; evidence of significant student training experience
  • Understanding of a wide range of communication skills and their application in a variety of clinical settings

Desirable

  • Participation in audit, evaluation and research.

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.

Certificate of Sponsorship

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.

Certificate of Sponsorship

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).

Employer details

Employer name

The Mid Yorkshire Teaching NHS Trust

Address

Pinderfields Hospital

Aberford Road

Wakefield

West Yorkshire

WF1 4DG


Employer's website

https://www.midyorks.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

The Mid Yorkshire Teaching NHS Trust

Address

Pinderfields Hospital

Aberford Road

Wakefield

West Yorkshire

WF1 4DG


Employer's website

https://www.midyorks.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Service Lead - Nutrition and Dietetics

Catriona Gentleman

catriona.gentleman@nhs.net

01924543580

Details

Date posted

13 February 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year

Contract

Permanent

Working pattern

Full-time

Reference number

C9377-ATS0069

Job locations

Pinderfields Hospital

Aberford Road

Wakefield

West Yorkshire

WF1 4DG


Supporting documents

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