JOB DESCRIPTION Job Title: Location: Salary: Hours: Type of Contract: Accountable/Responsible to: Staff Accountable to Postholder: Senior Community Dietitian Enteral Feeding Manchester 29,000 to 35,000 (pro rata for part time) 40 hours (part time applicants welcome) Permanent Dietetic Service Lead Community Dietitians Job Purpose: To join a newly formed community nutrition support and home enteral feeding team of dietitians and assistant practitioners. Supporting patients in clinics, their own homes or across care and nursing homes in Manchester. In line with ABL s holistic approach to health care, we require an experienced community dietitian to join our team. The post holder will provide clinical leadership to junior dietetic colleagues as well as holding a caseload of complex patients in home enteral feeding. Additional to this the role will contribute to service development and professional training programmes. ABL is passionate about supporting and training staff and continuing professional development, and the post holder will receive and contribute to regular training and supervision. You will be joining a small but expanding team of passionate and friendly dietitians and assistant practitioners and will be based with a wider team of friendly and supportive health and community professionals. ABL is a young, vibrant GP led company with various community health services across the North West. As an employee of ABL Health you will benefit from Competitive salary Staff Benefits Package Bonus Scheme Annual Staff Awards Continuing Professional Development Research opportunities Free Parking
Duties and Responsibilities To be responsible for planning and prioritising own clinical nutrition support and HEF caseload. Patients may be referred for a variety of conditions (e.g. gastroenterology, oncology, cardiology, diabetology, neurology and stroke, terminally ill and palliative care patients). To provide dietetic assessment and treatment at a highly developed level, using specialist skills and knowledge to manage nutrition support and HEF caseload. To provide high quality, nutritional and dietetic advice contributing to the care of patients, enabling them to make informed choices about their health and related behaviours. This will involve calculation of nutritional requirements, assessment of oral and non-oral intake, lifestyle and barriers to change, interpretation of biochemical and anthropometric measurements, and consideration of social and cultural needs. The outcome of the dietetic consultation will be an agreed individualised patient nutrition action/care plan. To make clinical decisions, liaising with community and hospital nutrition support dietitians and feed company as necessary, about the appropriate and safe administration of enteral nutrition to the patient; making changes to the enteral regimen based on nutritional status, clinical condition, biochemical, fluid status monitoring, and taking into account the social situation and cost effective prescribing. To contribute to clinical decisions regarding nutritional appropriateness of intensive nutritional treatments, e.g. when dealing with referral for HEF for patients with Stroke, Neurological and Dementia. To make clinical decisions concerning necessary changes to patients dietary intake and oral nutritional supplement prescriptions, and communicate these decisions to other healthcare professionals as appropriate. To liaise with other health professionals regarding the transfer of patients from home to hospital requiring dietetic follow-up, including malnourished and clinically ill patients requiring nutrition support. To liaise with Acute Dietitians and out of area Dietitians to facilitate the safe transfer of appropriate patients onto the HEF caseload for continued monitoring and support by the Community Nutrition Support and HEF Dietitians. To correspond with clinicians and GP s regarding appropriate nutritional treatment plans, prescriptions and investigations following dietetic assessment. To be responsible for facilitating the ordering of enteral feeds and enteral feeding ancillaries in accordance with the agreed protocol for patients receiving HEF. To monitor the provision of appropriate HEF equipment to patients To work with the dietetic service lead and other dietetic team members to produce dietetic resources. To provide specialist advise to GPs and other prescribers on the appropriate prescribing of nutritional supplements (including energy, protein, vitamin and
mineral supplements) and medications to improve enteral feed tolerance, as well as advising on potential drug-nutrient interactions. To be responsible for obtaining informed consent from patients prior to the commencement of dietetic intervention and treatment. To provide supervision and support to dietetic and other staff within ABL To continue the development of training and teaching sessions concerning the identification, treatment and monitoring of malnutrition for health and community care staff. To achieve and demonstrate agreed standards of personal and professional development within agreed timescales. To establish links with Community Nutrition Support Dietitians in other trusts to promote sharing of good practice and evidence based research. To attend and actively participate in Community Nutrition Support and HEF Dietitians Team meetings. To record and submit clinical and professional data according to ABL Health standards. To promote and maintain efficient and safe use of equipment used within the service. To work within the framework of Clinical Governance in order to maintain and improve patient care, quality and efficiency. To demonstrate personal and professional development in line with the ethos of lifelong learning. Be able to travel across Manchester to deliver a dietetic service to patients in their own homes, care homes, day centres, clinics and other community settings. Standard Information Information Governance Employees of ABL Health must comply with the provisions of the Data Protection Act 1998. The postholder must not; either during the course of their employment, or following termination of their employment, disclose any information relating to service users or employees, or of the lawful business practices, of the organisation. The postholder will be required, when and where appropriate to the role, to comply with the processing of requests under the Freedom of Information Act 2000 The postholder must comply with ABL s policies that protect the information assets of the organisation from unauthorised disclosure, modification, destruction, inappropriate access or use.
The postholder will be responsible for maintaining the clinical and/or corporate records that fall within the remit of this role to the standards in ABL s records management policies, and data quality processes and standards. Health & Safety Compliance with the Health & Safety at Work Act 1974 the postholder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Safeguarding is Everyone s Business ABL has a responsibility to ensure that all children / young people and adults are adequately safeguarded and protected. As a consequence, all ABL s employees, temporary staff and volunteers are required to adhere to ABL s safeguarding policies / procedures in addition to local and national safeguarding policies and to act upon any concerns in accordance with them. Smoke Free ABL is Smoke - Free. Smoking is not permitted on any of our premises or the surrounding land including car parking facilities. Training The postholder must attend any training that is identified as mandatory to their role. The range of duties and responsibilities outlined above are indicative only and are intended to give an overview of the range and type of duties that will be allocated. They are subject to modification in the light of changing service demands and the development requirements of the postholder. Equality, Diversity & Human Rights It is the responsibility of every person to act in ways to support equality and diversity and to respect human rights, working within the spirit and detail of legislation including the Equality Act 2010 and the Human Rights Act 1998. ABL is an equal opportunities employer and aims to challenge discrimination, promote equality and respect human rights. Employee s Name and Signature: Manager s Name and Signature: Date: Date:
Job Title Senior Community Dietitian PERSON SPECIFICATION Qualifications and experience ESSENTIAL DESIRABLE METHOD OF ASSESSMENT Teaching certificate e.g. Application Form/ health education Interview/ certificate Certificates/Assessment Dietitian registered with the HCPC Educated to degree level or equivalent Member of British Dietetic Association Varied experience working in dietetic acute and community settings Undertaking of new patient assessment and treatment Working within a MDT setting Undertaking audits within a health care setting Conducting patient and other health professional group education Self-directed working Previous involvement with patients who are eternally fed Good working knowledge of enteral feeding systems Skills & Knowledge Up to date clinical knowledge of nutrition support and HEF based on current dietetic best practice guidance. Good presentation skills Teaching / supervisory skills on a one to one and group basis e.g. Application Form/ Interview/ Certificates/Assessment In depth knowledge of prescribable oral nutritional supplements, enteral feeds and other dietetic products. Medications and drug nutrient interactions British Dietetic Association Statement of Conduct Relevant NICE guidelines Evidence of involvement with relevant specialist British Dietetic association interest groups Evidence of participation in clinical supervision Provision of supervision to other staff Provide verbal and written information accurately, effectively and sensitively, Communicate effectively with professionals at all
levels Relay sensitive and emotional information to patients Excellent active listening skills Motivate others using negotiation and influencing skills To be able to write detailed reports and maintain accurate records Good interpersonal skills To work as part of a team and independently as required Organise and prioritise own day to day workload Good time management Organise and prioritise own clinical caseload Work under own initiative To cope with unpredictable workload patterns Work under pressure to achieve deadlines Stay calm under pressure Caring and Compassionate Nature To be creative, innovative and develop new ways of working Identify own development needs Basic literacy in computer use/it To analyse and interpret statistics Experience of using Anthropometrics
Job Specific Requirements The ability to travel independently across the organisational footprint Work flexibly and adapt to suit service need Application Form/ Interview Date last updated: June 2016