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Job summary

Main area
Dietetics
Grade
NHS AfC: Band 7
Contract
Permanent
Hours
Part time - 13.5 hours per week
Job ref
197-UT2854
Employer
Lewisham and Greenwich NHS Trust
Employer type
NHS
Site
University Hospital Lewisham
Town
London
Salary
£41,659 - £47,672 per annum plus HCA
Salary period
Yearly
Closing
11/12/2022 23:59

Employer heading

Lewisham and Greenwich NHS Trust logo

Senior Specialist Paediatric Dietitian - Home Enteral Nutrition

NHS AfC: Band 7

Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley.

With a turnover of around £700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

The Trust has 7,500 staff and we have recently invested in our workforce to grow our establishment across a number of key services.  In 2020 we won a London NHS Parliamentary Award in recognition of a wide range of initiatives to make the organisation a great place to work. We are accredited as a flexible working employer offering a number of flexible working options for staff.  We are also accredited as a London Living Wage employer for our substantive, bank and contractors.

Job overview

  • * Are you an experienced paediatric dietitian looking for a new challenge?
    * Would you enjoy working with children and families in their home setting?
    *Do you thrive in an environment where you can work autonomously, supported by a specialist multi-disciplinary team?


If the answer is yes, then we are pleased to offer you the opportunity to apply for the Senior Specialist Dietitian role in our friendly and innovative Paediatric Home Enteral Nutrition Service in Lambeth Southwark and Lewisham.


This is an ideal opportunity for an enthusiastic and innovative dietitian with paediatric experience in nutrition support who wants to consolidate their clinical skills working with children and young people living in the community with a feeding tube. You will work closely with the multidisciplinary team including Dietitians, Speech and Language Therapists, Specialist Nurses and Community Paediatricians.


We are committed to the personal and professional development of all staff and prioritise the wellbeing of everyone in our department.
You will be actively encouraged and supported in your personal development, which will include involvement in multi-disciplinary CPD activities, research and audit. Ongoing support and supervision is always available and is integral to the ethos of the team.


Our experienced team are ready to welcome you and we can’t wait for you to start.

Main duties of the job

  • Specialist Dietitian in the provision and the service development of the paediatric dietetic service provided by the HEN team across Lewisham, Lambeth and Southwark.
  • To autonomously assess and treat a specialist dietetic caseload of children receiving HEN, liaising with their families, carers, acute and community staff. This could be in the patient’s own home, clinics, nursery or school
  • To provide specialist paediatric dietetic advice and training to patients, carers and all other health professionals
  • To write, update, disseminate and implement policies and procedures related to Paediatric Home Enteral Feeding. These policies would impact all Health Care Professionals involved in Home Enteral Nutrition
  • To regularly undertake research and audit in specialist area

Working for our organisation

The Nutrition and Dietetic Department at Lewisham and Greenwich NHS Trust, provides a range of inpatient, outpatient and community services.

The Home Enteral Nutrition Team provides specialist dietetic support to children and young people to safely manage their eating, drinking and tube feeding at home in Lambeth, Southwark and Lewisham with a feeding tube.

You will work closely with the Home Enteral Nutrition Team for Adults and the Dietetic Service for children with Special Education Needs and Disabilities.  You will also work alongside healthcare professionals within the acute and community sectors, education and social services to support children who require home enteral nutrition.

Detailed job description and main responsibilities

Post Title:                 Senior Specialist Dietitian for Children

Department:                         Nutrition and Dietetics           

Responsible to:      Lead Children’s Community Dietetic Service Lead.

Grade:                                    Band 7 

Hours:                       13.5 (0.36 WTE) 

 

Job Summary:

  1. Specialist Dietitian in the provision and the service development of the paediatric dietetic service provided by the HEN team across Lewisham, Lambeth and Southwark.
  2. To autonomously assess and treat a specialist dietetic caseload of children receiving HEN, liaising with their families, carers, acute and community staff. This could be in the patient’s own home, clinics, nursery or school
  3. To provide specialist paediatric dietetic advice and training to patients, carers and all other health professionals
  4. To write, update, disseminate and implement policies and procedures related to Paediatric Home Enteral Feeding. These policies would impact all Health Care Professionals involved in Home Enteral Nutrition
  5. To regularly undertake research and audit in specialist area

 

Key Result Areas & Performance:           

Clinical Duties and Responsibilities

Communication and Relationship Skills 

  • To provide expert, specialist, evidence based, dietetic advice and care to paediatric patients and their carers regarding home enteral nutrition. Communicating highly complex and sensitive information on nutrition using negotiation, counselling and behavioural change skills.
  • To work autonomously when assessing patients, making clinical decisions, selecting treatments and evaluating outcomes of dietetic interventions.

  • To collaborate with team members to ensure the patient receives care and advice on all aspects of tube feeding at home. This will require particularly close liaison with the Children’s Community Nursing Team and Speech and Language therapists.
  • To develop and maintain close communications with all health care professionals (Consultants, GPs, Acute Dietitians, Children’s Community Nurses, SALTs, School Teachers, School Nurses, Social workers, Portage workers), private sector companies and other agencies as necessary in order to provide co-ordinated patient centred care.
  • To arrange visits/clinics for patients and their families at the various children’s centres, schools and nurseries. Attend, where appropriate, local hospital or community meetings and clinics with other members of the MDT.
  • To work with families who may have learning disabilities, mental health problems and challenging behaviours

  • To work with patients who have language barriers to effective communication. This may often require the use of interpreting services via the telephone or with a relevant interpreter at the patient’s place of care.

  • To empathise, communicate and reassure families who may be dealing with unpleasant circumstances/diagnosis relating to their child. This may include relaying additional unwelcome information relating to the long term nutritional requirements of a child.

  • To use motivational and negotiating skills to facilitate acceptance and ongoing compliance with nutritional treatment plans.
  • To act as a keyworker to certain families. Besides acting as an emotional support for the family the Dietitian will be responsible as the organisational link between all health professionals involved in the acute and community settings ensuring consistency of services.

  • To be involved with children and their carers placed on the child protection register. The dietitian will be responsible for receiving highly confidential, complex and sensitive information and will act within Lewisham and Greenwich and Guy’s and St Thomas’ Paediatric Community Services child protection policies.

  • To document all activities concerning patient care in the paediatric dietetic patient record notes including all confidential correspondence with health care professionals and enteral feeding delivery company in accordance with trust policies.
  • To be responsible for ordering and changing regimes for all enteral feeds and tube feeding ancillaries.
  • To produce timely and informative reports for Consultants, Paediatrician, GPs and other health professional relevant to a specific family.
  • To negotiate with carers, clients and other members of the multi-disciplinary team around individual case management and to provide support to other team members and health care professionals in the specialist area of home enteral tube feeding.

 

Analytical and Judgement skills

  • To make all clinical decisions and judgments autonomously guided by broad professional and organisational policies.

  • To implement specialist clinical dietetic assessment, treatment and management of patients referred to the HEN team. This will include the advising, ordering and prescribing of specialist products listed as ACBS (Advisory Committee on Borderline Substances).
  • To analyse dietary intake and calculate nutritional requirements using clinical judgement and experience as well as computer software as required when completing a treatment plan for a specific patient.
  • To be trained to trainer level in the use of anthropometrics equipment for the assessment of nutritional status such as skin fold callipers, portable and hoist scales, enteral feeding pumps and equipment.

  • To take anthropometric measurements and interpret as part of nutrition assessment of patients ongoing monitoring.

 

Planning and Organisational Skills

  • To manage and act as an independent holder of the paediatric caseload ensuring high quality dietetic care is delivered. Carrying out systematic review of patients at appropriate intervals according to prioritising criteria and clinical judgement.

  • To liaise with health care professionals regarding hospital discharges or new referrals and offer joint visits as required enabling them to formulate care plans in relation to enteral feeding which are based on specialist assessment and recommendations.
  • To ensure that the enteral feed and equipment delivery company have accurate information on each patients enteral feeding requirements and that all regimen changes are communicated with adequate notice.
  • To provide cover for the other dietitians within the HEN team during periods of staff absence.
  • To devise and implement specialist evidence/research based guidelines and protocols that can be used Trust(s) wide for the dietetic care management in relation to paediatric enteral nutrition.
  • To demonstrate highly skilled clinical expertise within own team and LSL Primary Care Networks and act as a resource in the specialism of paediatric enteral nutrition, advising colleagues on the management within the specialist area.

 

Managerial and Administrative Responsibilities 

  • To be solely responsible for prioritising and managing own caseload and to oversee the organisation and development of the caseload across the service, identifying shortfalls and issues to be addressed.

  • To supervise dietitians and dietetic assistants who would assist in the care and administration of Paediatric HEN patients.
  • To provide support and training to the HEN team administration staff.

  • To be involved in the development of, write and update, disseminate and implement policies and procedures related to all aspects regarding Paediatric Home Enteral Feeding across Lewisham, Southwark and Lambeth. This will be used as a point of reference for all organisations, i.e. Special Needs schools, Children’s Community Nurses, Special needs nurses, and Speech and Language Therapists
  • To be aware of trust policies and procedure and participate in their creation and development. The dietitian will be responsible for working under these broad guidelines and when the need arises is able to discuss problems as part of a peer review.
  • To assist in the co-ordination of HEN team service objectives and projects contributing to the team service plan.
  • To ensure all equipment defects, accidents, complaints and clinical incidents are reported to the team leader and necessary action is taken by those concerned.

Education and Training Responsibilities 

  • To act as one of the lead roles in providing training and up to date information on paediatric enteral tube feeding to fellow health care professionals across Lewisham, Southwark and Lambeth (acute and community).
  • To provide effective training to individual patients and their carers/families.

  • To assist in the organisation and participate in formal study days, responsible for devising the contents of own specialist dietetic teaching.
  • To participate in the training of student healthcare professionals.
  • To undertake the measurement and evaluation of own work and current practices through the use and application of evidence-based practice projects, audit, research and outcome measures and lead others in doing so.
  • To pursue an active programme of personal continuing professional development, including attendance at in-service training, journal clubs, and education forums and giving feedback to any courses or conferences attended.
  • To attend and contribute to BDA specialist interest groups and other enteral feeding specialist groups, such as DISC.

 

Research and Audit 

  • Regularly take lead in clinical audit within the HEN team using research methodology and present/publish results to promote evidence-based practice.

  • Undertakes clinical trials as appropriate in conjunction with the commercial sector
  • To participate in any clinical research programmes and to initiate research as required.
  • To contribute to team presentations and training on a local, regional and national basis.
  • Clinical findings or scientific research should be presented at national conferences or study days 

 

Person specification

Qualifications & Training

Essential criteria
  • • 4 year degree in dietetics or equivalent
  • • Current State Registration
  • • Advanced BDA course in paediatrics (or equivalent)
  • • Specialist paediatric training/experience working to or at masters level
  • • Registration with Health Professional Council
  • • British Dietetic Association member or equivalent professional insurance
  • • Evidence of ongoing Professional development
Desirable criteria
  • • Advanced British Dietetic Association Course in Nutritional Support
  • • Nutritional Support Training
  • • Interest in Research

Experience

Essential criteria
  • • Significant experience of paediatric dietetics
  • • Experience of working as part of a multi-disciplinary team
  • • Evidence of training student dietitians
  • • Able to decide priorities for own work area, balancing patient-related and managerial role
  • • Experience of working in a multi-ethnic and cultural setting
  • • Experience of working in complex safeguarding situations
Desirable criteria
  • • Working in the community setting
  • • Previous experience of conducting audits and or research

Knowledge & Skills

Essential criteria
  • • Understand and abide by standards of professional practice, including confidentiality
  • • Able to demonstrate awareness of current NHS changes and professional issues
  • • To have an understanding of the roles and responsibilities of the other disciplines within the MDT team
  • • Computer Literacy, able to use Word, Excel
  • • Accurate anthropometrics measurement skills
Desirable criteria
  • • Full driving licence

Employer certification / accreditation badges

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Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Joanne Ridgway
Job title
Home Enteral Nutrition Team - Service Lead
Email address
joanne.ridgway@nhs.net
Telephone number
020 3049 3810
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