Job summary
Bank Community Dietitian - Merton
We are looking for an experienced Community Dietitian to join our team of Bank workers to work the Merton area.
The post holder will provide a clinical dietetic service to adults in Merton Community. This will mainly comprise of assessing and reviewing patients requiring home enteral feeding (HEF), oral nutrition support and dietary management for gastro conditions such as IBS in their own home and in care homes as well as regular virtual clinics.
Why join?
Earn more per hour - bank rates are higher than agency and include holiday pay. We also cover your expenses and provide free uniforms
See the best shifts first - bank staff get priority over all agency workers
Book the shifts you want on your phone - build your own rota on our bank booking system
Get 24x7 support from our friendly Staff Bank team - a local team dedicated to helping you
Access NHS benefits - such as NHS pension contributions and discounts
Access Trust benefits - get support with your career development and mental health
Become part of an integrated team - feel more valued and supported in your work
Main duties of the job
Job Purpose
To provide a clinical dietetic service to adults in Merton Community. This will mainly comprise of assessing and reviewing patients requiring home enteral feeding (HEF), oral nutrition support and dietary management for gastro conditions such as IBS in their own home and in care homes as well as regular virtual clinics.
KEY WORKING RELATIONSHIPS
Secondary Care Dietetic colleagues, GP Practices, Care Homes, Community Nursing, Nutrition Companies, Home Feeding Company Nutrition Nurse, Community Pharmacists, AHPs, other primary care staff, patients and carers in the Merton area.
About us
Central London Community Healthcare (CLCH) is one of the largest community healthcare organisations in London and Hertfordshire, providing our services to diverse communities/boroughs in 11 London Boroughs - Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster - and Hertfordshire.
Just as we care about our patients' wellbeing, we care about yours!
We can offer you:
- A comprehensive induction into the community service followed by a local induction to introduce you to the role
- Single occupancy accommodation in Central London - (we can help you find accommodation in London, support you with your deposit)
- Support with gaining your driving license *T&C's apply
- Car lease scheme *T&C's apply
- Flexible working options
- Annual travel card loan
- Training, support and development in your career
To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits
At CLCH we appreciate and are proud of the diversity in the communities we serve and the workforce we employ. Applications are open and welcome to anyone, regardless of your age, sexual orientation, ethnicity, religion, and disability. We are proud to say that we follow the workforce race equality standard and 28% of our senior staff (8A and above) are from a BAME background. CLCH also has active BAME and LGBTQI networks.
Job description
Job responsibilities
MAIN DUTIES AND RESPONSIBILITIES
1 CLINICAL RESPONSIBILITIES
- To work autonomously to provide HEF and oral nutrition support advice and therapeutic support to patients, carers and other healthcare professionals via domiciliary and care home visits. This will require collation of complex information including nutritional assessment, diagnosis and interpretation of biochemistry, anthropometry, clinical condition, and diet history.
- Development of treatment plans which include calculation of nutritional requirements, client centred goals and treatment outcomes.
- Use of a food-based approach to achieve specific patient centred goals.
- Provide evidence based dietary treatment for gastro conditions following national guidelines, taking into consideration socio-economic and lifestyle factors.
- Prescription of dietary treatment using ACBS products for conditions adhering to professional / clinical guidelines and supporting the organisations agenda for cost and clinically effective ONS prescribing.
- To provide practical and safe tube feeding plans to patients, community nurses and/or carers for use in the community.
- To advice on and order nutrition and ancillary products to support safe and effective home enteral feeding.
- To assist in the management of the dietetic caseload ensuring high quality dietetic care is provided. This will include the review of patients at appropriate intervals according to prioritisation criteria and clinical judgement.
- Line management responsibility of Dietetic assistant and provide clinical supervision to junior members of staff.
- To work in a co-ordinated multidisciplinary manner, communicating effectively with other team members and the wider clinical network to promote timely interventions including Home Feeding Company Nutrition Nurse, Speech and Language Therapists, and Community Nursing Team.
- To use professional judgement and clinical expertise to independently interpret and analyse complex situations and information to formulate treatment plans according to evidence based practice and modify according to changes in clinical condition.
- To be clinically competent to give nutrition support advice, treatment and dietary counselling to support behaviour change and adherence to long term treatments.
- To communicate complex and sensitive information effectively with patients from a wide range of backgrounds, carers and families, tailored to their needs, to gain consent, ensure understanding of condition, treatment options, risks, acceptance and compliance with dietary treatment, which may include unwelcome or difficult to accept information e.g. life time adherence to a artificial diet or limitations of treatment in terminal illness.
- To apply developed communication, negotiation and counselling skills to empower patients to achieve long term lifestyle and behavioural changes taking into account emotional, physical, social and psychological barriers as well as strong influences on change e.g. depression, dementia, language difficulties, resistant attitudes, aggression, behavioural problems, and mental illness. To effectively use interpreters, sign language, information technology or other means of communication appropriate to the clients requirements.
- To discuss ethical issues with service users and health professionals.
- To participate in multi-disciplinary / multi-agency collaborative workings to promote continuity of care.
- To use clinical judgement to refer clients to other services and professionals when appropriate.
- To be ultimately responsible for managing a clinical caseload.
- To be professionally and legally accountable for all aspects of own work and ensure that own work is within professional standards and clinical guidelines.
- To be responsible for complying with legal and professional confidentiality guidelines at all times.
Job description
Job responsibilities
MAIN DUTIES AND RESPONSIBILITIES
1 CLINICAL RESPONSIBILITIES
- To work autonomously to provide HEF and oral nutrition support advice and therapeutic support to patients, carers and other healthcare professionals via domiciliary and care home visits. This will require collation of complex information including nutritional assessment, diagnosis and interpretation of biochemistry, anthropometry, clinical condition, and diet history.
- Development of treatment plans which include calculation of nutritional requirements, client centred goals and treatment outcomes.
- Use of a food-based approach to achieve specific patient centred goals.
- Provide evidence based dietary treatment for gastro conditions following national guidelines, taking into consideration socio-economic and lifestyle factors.
- Prescription of dietary treatment using ACBS products for conditions adhering to professional / clinical guidelines and supporting the organisations agenda for cost and clinically effective ONS prescribing.
- To provide practical and safe tube feeding plans to patients, community nurses and/or carers for use in the community.
- To advice on and order nutrition and ancillary products to support safe and effective home enteral feeding.
- To assist in the management of the dietetic caseload ensuring high quality dietetic care is provided. This will include the review of patients at appropriate intervals according to prioritisation criteria and clinical judgement.
- Line management responsibility of Dietetic assistant and provide clinical supervision to junior members of staff.
- To work in a co-ordinated multidisciplinary manner, communicating effectively with other team members and the wider clinical network to promote timely interventions including Home Feeding Company Nutrition Nurse, Speech and Language Therapists, and Community Nursing Team.
- To use professional judgement and clinical expertise to independently interpret and analyse complex situations and information to formulate treatment plans according to evidence based practice and modify according to changes in clinical condition.
- To be clinically competent to give nutrition support advice, treatment and dietary counselling to support behaviour change and adherence to long term treatments.
- To communicate complex and sensitive information effectively with patients from a wide range of backgrounds, carers and families, tailored to their needs, to gain consent, ensure understanding of condition, treatment options, risks, acceptance and compliance with dietary treatment, which may include unwelcome or difficult to accept information e.g. life time adherence to a artificial diet or limitations of treatment in terminal illness.
- To apply developed communication, negotiation and counselling skills to empower patients to achieve long term lifestyle and behavioural changes taking into account emotional, physical, social and psychological barriers as well as strong influences on change e.g. depression, dementia, language difficulties, resistant attitudes, aggression, behavioural problems, and mental illness. To effectively use interpreters, sign language, information technology or other means of communication appropriate to the clients requirements.
- To discuss ethical issues with service users and health professionals.
- To participate in multi-disciplinary / multi-agency collaborative workings to promote continuity of care.
- To use clinical judgement to refer clients to other services and professionals when appropriate.
- To be ultimately responsible for managing a clinical caseload.
- To be professionally and legally accountable for all aspects of own work and ensure that own work is within professional standards and clinical guidelines.
- To be responsible for complying with legal and professional confidentiality guidelines at all times.
Person Specification
Essential and Desirable
Essential
- Degree in Nutrition and Dietetics.
- HCPC state registration
- Member of BDA
- Relevant MSc or post registration qualification
- Member of a special interest group
- Experience in managing patients requiring nutrition support With other nutrition related diseases such as liver disease, IBS, cancer, malnutrition
- Experience of clinical effectiveness including audits
- Understanding of dietetic service within a busy community team.
- Understanding of the importance of effective multidisciplinary working
- Experience of working at a band 5/6 level
- Basic skills in the assessment and treatment of clients with nutrition related disease
- Ability to apply core Dietetic skills across a range of clinical conditions
- Ability to work autonomously and manage a caseload
- Ability to work as a team member and promote collaborative multi-disciplinary and multi-agency working.
- Ability to problem solve, prioritise and demonstrate clinical reasoning.
- Good communication and report writing skills, in both verbal and written format
- Full UK driving licence
Desirable
- Relevant MSc or post registration qualification
- Member of a special interest group
- Experience working in community settings including care homes.
- Experience in training/teaching healthcare professionals
- Experience of using behaviour change techniques in clinical practice.
- Experience of working with EMIS.
Person Specification
Essential and Desirable
Essential
- Degree in Nutrition and Dietetics.
- HCPC state registration
- Member of BDA
- Relevant MSc or post registration qualification
- Member of a special interest group
- Experience in managing patients requiring nutrition support With other nutrition related diseases such as liver disease, IBS, cancer, malnutrition
- Experience of clinical effectiveness including audits
- Understanding of dietetic service within a busy community team.
- Understanding of the importance of effective multidisciplinary working
- Experience of working at a band 5/6 level
- Basic skills in the assessment and treatment of clients with nutrition related disease
- Ability to apply core Dietetic skills across a range of clinical conditions
- Ability to work autonomously and manage a caseload
- Ability to work as a team member and promote collaborative multi-disciplinary and multi-agency working.
- Ability to problem solve, prioritise and demonstrate clinical reasoning.
- Good communication and report writing skills, in both verbal and written format
- Full UK driving licence
Desirable
- Relevant MSc or post registration qualification
- Member of a special interest group
- Experience working in community settings including care homes.
- Experience in training/teaching healthcare professionals
- Experience of using behaviour change techniques in clinical practice.
- Experience of working with EMIS.
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).
