Job description

An exciting opportunity has arisen for a band 5 Dietitian to join our friendly Dietetic department at Whiston Hospital (St Helens and Knowsley Teaching Hospital NHS Trust).

We are looking for a professional, confident, enthusiastic, driven and motivated individual, who is a team player and keen to develop their knowledge and skills. The successful individual will have excellent interpersonal skills, a flexible approach with the ability to work to high standards, as well as being able to recognise personal and role limitations.

The role will be to deliver high quality evidence-based care to the following clinical areas: care of the older person, oncology, respiratory, general medicine, and general surgery. You will be required to work autonomously and take responsibility for your own clinical caseload.

Interviews for this position will be held week commencing Monday 9th January 2023.

As a service, we are committed to CPD for all of our staff through a range of opportunities including training courses e.g. Postgraduate Masters, the PENG clinical update; BDA accredited courses; and regular internal CPD sessions. There are opportunities to contribute to audits and service development projects and shadowing and development in more specialist areas such as stroke, critical care, gastroenterology, parenteral nutrition, UGI cancer and burns and plastics. If newly qualified, you will be enrolled in the Trusts preceptorship programme which supports the transition from newly-registered professional, to competent practitioner.

We have an excellent staff supervision system enabling our staff to be committed to developing both the service and themselves. You will receive regular supervision from a Senior Dietitian and peer support from our existing Band 5 Dietitians. We take Student Dietitians on P1, P2 and P3 placements and your input into their training would be valued.

A flexible approach to day-to-day tasks is essential to meet the demands of the service. Our philosophy is to keep the patient at the heart of everything we do. We are a forward-thinking department that is continually looking for ways to improve our services and every contribution is welcome.

PLEASE NOTE– we provide a seven day service, days of work will be Sunday to Saturday. You may be asked to provide occasional cover on a Bank Holiday.

St Helens and Knowsley Teaching Hospitals NHS Trust is the only acute Trust in Cheshire and Merseyside, and one of the few in the entire country, to achieve the title of OUTSTANDING, rated by the Care Quality Commission.

We provide a full range of acute adult services to our local population of circa 360,000 and provide tertiary services across a much wider area in the North West, North Wales and Isle of Man. We are a Major Trauma Unit and the Mersey Regional Burns Unit.

Our '5 Star Patient Care' strategy is at the heart of all that we do; supporting our vision to provide world class services for all our patients by getting it right for every patient, every time.

Our latest achievements include:

• Acute Trust of the Year – HSJ Awards November 2019
• Trust rates Outstanding by the CQC – Inspection August 2018
• Top 100 places to work in the NHS (NHS Employers and Health Service Journal)
• Best acute Trust in the North West for quality of care (NHS Staff Survey 2021)
• Best place to work in the North West (NHS Staff Survey 2021)

In the NHS Staff Survey 2021 the Trust scored the highest marks in the North West for the following areas;

• Standard of care
• Best place to work
• Care of patients being the Trust’s priority
• Staff engagement
• Staff morale
• Compassionate and inclusive
• Providing a safe environment for staff

KEY DUTIES

• To be professional and legally responsible and accountable for all aspects of your own work including the management of patients/clients in your care.
• To undertake a comprehensive assessment of patients/clients including those with diverse or complex presentations/multi pathologies; use specialist clinical reasoning skills and appropriate assessment techniques to provide an accurate diagnosis of their condition.
• Formulate and deliver an individual treatment programme using assessment, reasoning skills and treatment skills based on a sound knowledge of evidence-based practice and treatment options.
• To take delegated responsibility from a senior clinician for managing patients/clients with particular conditions and be responsible for providing specialist assessment and treatment plans for patients with these conditions.
• Evaluate patient progress, reassess, and alter treatment programmes as required, reporting back to senior clinician with regular support and advice.
• To have the ability to undertake self-directed/lone working in a variety of locations.
• To participate in weekend, evening working and seven day working rota’s as applicable.

CLINICAL & PROFESSIONAL RESPONSIBILITIES

• To maintain Professional Registration.
• To work within Trust clinical guidelines, HCPC and BDA guidelines and to have a working knowledge of national and local standards and monitor own and others quality of practice against these.
• To establish, maintain and develop professional working relationships with colleagues.
• To be responsible for a designated area of work, as delegated by a senior clinician. Plan and organise efficiently and effectively patient/client caseload and use of time for self.
• To be responsible for equipment used in carrying out clinical duties, and to adhere to policy, including competence to use equipment and to ensure the safe use of equipment by others through teaching, training, and supervision of practice.
• To provide spontaneous and planned advice, teaching and instruction to relatives, carers, and other professionals to promote understanding of the aims of treatment and to ensure a consistent approach to patient care.
• To provide clinical advice to colleagues working within other clinical areas.
• To train, supervise more junior staff and students. This will include the use of formal appraisal documentation
• To communicate effectively with patients and carers to maximise potential and to ensure understanding of their condition.
• To assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients/clients who lack capacity to consent to treatment.
• To communicate effectively and work collaboratively with the multi-disciplinary team (MDT team) to ensure delivery of a co-ordinated multidisciplinary service. This will include participating in a variety of MDT internal and external agency meetings and forums plus other forms of verbal/written communication as necessary including report writing and referrals to other agencies.
• To communicate highly sensitive information effectively with all patient groups/clients/carers where there may be difficulties in accepting or understanding information.
• To maintain tact and diplomacy and use highly developed communication skills when working in situations which may become hostile/antagonistic including potential complaints as per Trust Policy.
• To be aware of and to be responsive to the changing nature of the trust and adopt a flexible and pro-active approach to work.

ADMINISTRATIVE RESPONSIBILITIES

• To maintain accurate, comprehensive, and up to date documentation, in line with legal and local requirements and communicate assessment and treatment results to the appropriate disciplines in the form of reports and letters.
• To undertake as directed the collection of appropriate data and statistics for the use of the department.

TEACHING & TRAINING RESPONSBILITIES

• To maintain own clinical professional development (CPD) by keeping abreast of any new trends and developments and incorporate them as appropriate into your work. To support other staff to do likewise.
• To be an active member of relevant training programmes attending, delivering presentations, training sessions at staff meetings, tutorials and by attending external courses and being a reflective practitioner.
• To participate in the supervision scheme as supervisor and supervisee when appropriate.

LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES

• To demonstrate leadership by means of:
• Effecting change within sphere of practice when and where indicated, to improve service delivery.
• Motivating, supporting, and enabling others to contribute towards the effectiveness and success of the Therapy Team.
• To take responsibility for own decision making and the decisions of their team which effect service delivery.
• To undertake any other duties that might be considered appropriate by senior staff.

CLINICAL GOVERNANCE, RESEARCH & AUDIT

• To adhere to the BDA code of Ethics and Professional Conduct and comply with local and national standards of practice.
• Implement policy and service development changes as directed
• To demonstrate a sound understanding of clinical governance and risk management and apply to work situation.
• To undertake the measurement and evaluation of your work and current practices through the use of evidence-based practice projects, audit and outcome measures under direct guidance.
• To comply with the organisational and departmental policies and procedures and to be involved in the reviewing and updating as appropriate.
• To support research activity within the Service.
• To engage actively in practice development, evaluation, audit, and research activities relevant to service to promote evidence-based practice.

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