JOB PURPOSE1. To contribute to the delivery of dietetic services to adult patients across Mid Cheshire Hospitals Trust and Central Cheshire as part of the Adult Dietetic Team.2. To managing and prioritising a defined patient caseload on wards at Leighton Hospital, provide a regular general dietetic clinic, community visits and patient education.3. To formulate, deliver and monitor nutritional care plans for referred patients across a range of general wards and outpatient settings.SERVICE DELIVERY1. To practice safely within the professional code of conduct and level of competency for all aspects of work, including the management of patients in your care.2. To deliver the dietetic service to non-complex clinical areas such as General Medicine including cardiology, respiratory medicine and General Surgery includes orthopaedics. 3. To communicate information in an understandable form to patients which may include giving difficult to accept information e.g. life-long adherence to a restricted diet.4. To gain acceptance for treatment and motivate/persuade patients to comply with treatment programmes where there may also be barriers to understanding such as dementing illness, cognitive impairment, hearing or sight impairment. 5. To assess nutritional status taking into account anthropometric data, clinical condition/treatment, biochemical data and social and cultural factors. 6. To estimate the patients current nutritional intake and nutritional requirements using recognised validated techniques where available. 7. To collect all relevant information such as dietary history, drug history and medical history in order to formulate nutritional care plans and deliver personalised verbal and written information to patients. 8. To monitor and review nutritional care plans against outcome measures and adjust care plans to facilitate achievement of goals. 9. To liaise with catering staff to ensure appropriate therapeutic diets are provided.10. To provide information and support to other health care professionals to ensure a multidisciplinary ward team approach to nutritional care. 11. To contribute to ward rounds and case conferences as appropriate to explain nutritional plans.12. To accurately record all assessments and interventions in medical notes, nursing documentation and dietetic record cards in line with service Policy. To communicate in writing with other agencies e.g. GPs, community dietitians, consultants to keep them fully informed about ongoing patient management.13. To ensure safe and timely discharge of patients particularly those requiring home enteral feeding to include liaison with relevant community health care professionals. To be responsible for arranging feed, equipment and training.14. To be responsible for safe use and tracking of equipment by patients in your care e.g. scales, feeding equipment.15. To provide dietetic input into patient group sessions, which will facilitate lifestyle change such as cardiac rehabilitation. This should include planning, delivery and evaluation of the session providing advice to patients which is clear, consistent and evidence based.