Job summary The post holder will work as a Specialised Dietitian within the Bailiwick of Guernsey, in the Princess Elizabeth Hospital with some limited outreach to the community where appropriate for Oncology patients. This varied and interesting post is challenging due to the breadth and depth of expertise required, and will only suit a confident and experienced State Registered Dietitian who has relevant experience and is able to juggle a wide case load with still demonstrating a compassionate, accountable, respectful and excellent approach to their work. The post holder will be an active and valued member of the Oncology, Dietetic and as required Palliative care teams. They will support individuals undergoing acute chemotherapy treatments on Bulstrode House and returning from off island care in the UK, and those undergoing surgery. The post holder will look after 2 or 3 wards as part of their post and hold a varied case load as they work closely with Dietetic Colleagues including outpatient clinics as required. Main duties of the job This will include supporting discharges from hospital into the community enteral feedingservice which will include supporting some patients for short term enteral feeding in thecommunity. Due to the small nature of the team they will not have junior staff to share thecomplex work load, and will need excellent time management and workload managementskills. The role will vary as required to maintain the Dietetic service. The postholder will undertake audit and service evaluation within Dietetic services asrequested to proactively support service improvement. The post holder will proactively engage in education and staff development for nursingcolleagues supporting the training goals of the department. The post holder will participate in relevant MDTs including the Bulstrode House MDT and theGastroenterology MDTs to ensure integrated patient care. The post holder will have to demonstrate an ability for self care and to manage their workload in a way that is compliant with recent HCPC guidelines as working in the these serviceswill be highly emotionally demanding and challenging. About us The Island of Guernsey is in the English Channel in the Bay of St Malo, 50km off the north-west coast of France and 120km from the English coast. Guernsey has a population of around 63,000 and in Alderney just under 2,000. Working in a relatively small Health and Social Care Service like ours means you can effectively work with colleagues across the services, health and social care professionals can collaborate not only with each other but also other agencies, the third sector and the community. We offer an attractive relocation policy and competitive salaries with great career opportunities, modern facilities, excellent training, revalidation and registration support and a healthy work-life balance. As a health or social care professional who chooses to join our team, you can look forward to working in an environment that gives you the time to care that you hoped for when choosing this career. Date posted 21 March 2025 Pay scheme Agenda for change Band Band 6 Salary £46,152 to £62,310 a year Contract Permanent Working pattern Full-time Reference number K0005-25-0037 Job locations Princess Elizabeth Hospital Le Vauquiedor St. Martin Guernsey GY4 6UU Job description Job responsibilities Main Duties and Responsibilities: To manage a highly complex and varied caseload of service users. To provide highly specialised expert dietetic support to patients, advising implementing evidence based treatment plans including provision of nutrition support where relevant to a highly complex and diverse set of patients with a wide range of diagnoses and comorbidities. This covers both medical and surgical specialities including upper gastrointestinal, hepatopancreato-biliary, gynaecology-oncology, lung and all other cancers. This will require using advanced clinical reasoning skills in complex and highly emotionally distressing situations and including advising on, and, within in-patient settings, prescribing nutritional supplements once a food first approach has been explored. The post holder will have to be physically able to move between a variety of settings and to deliver appropriate nutritional supplements and resources. The use of advanced nutritional assessment tools will be necessary to determine the nutritional status of patients. To establish an empathetic therapeutic relationship with patients and carers so to effectively assist them to improve their nutritional care using advanced behavioural change and motivational interviewing skills. To empower patients and care givers by teaching them skills including food modification techniques and/or training in the use of enteral feeding equipment. To actively assist in setting up home enteral feeding discharges from hospital or from off island as required. Provide a regular out-patient clinic for oncology patients and their families including telephone support and electronic support as required. To provide the regular Dietetic service for patients attending Bulstrode House and the Wards as required to provide highly specialised dietetic support for a wide range of conditions and circumstances requiring advanced problem solving and clinical reasoning skills. To liaise with Dietitians from tertiary treatment centres in the UK or elsewhere to ensure continuity of care for patients returning to Guernsey. To engage with Guernsey cancer charities and to support them with highly specialised nutrition advice as required. To cover for the rest of the Dietetic team when annual leave and/or sickness mean gaps in essential services as requested by the Dietetic Service Manager. Communication: To have difficult and complex conversations as part of the clinical management of patients where the service user may be experiencing high levels of distress due to their diagnosis or from the side effects of treatment or disease- this will include conversations about end of life care. To communicate plans of care in a clear and concise manner, taking account of the level of understanding and adjusting accordingly to minimise patient distress using tact, empathy and persuasive skills. To develop effective working relationships and communicate effectively and appropriately with all members of the multidisciplinary team and other agencies involved in the care of the patient/client both verbally and in writing, e.g. medical notes, reports and letters. To produce timely medical notes and communications to patients, minimizing jargon and writing in a manner that is consistent with policy and procedure. To maintain electronic clinical records across HSC using the systems required, and to maintain skills as new systems are implemented. To communicate clearly with colleagues, referrers and other HCPs to ensure that patient care is consistent and safe. Assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment, acting as an expert in nutrition when working within the MDT. To liaise closely with dietetic colleagues and attend and contribute to relevant departmental meetings and continued professional development meetings i.e. presenting at audit, journal club and clinical supervision. To work closely with the Dietetic Service Manager and with colleagues in different Dietetic Specialities to provide joined up and cohesive optimal patient care. This involves liaising with MDT colleagues as required including Catering and Speech therapy colleagues on the correct provision of diets, Pharmacy colleagues for enteral products and a wide range of Specialist Nursing colleagues. Work collaboratively across professional and organisational boundaries, managing complex situations and an often highly complex workload Actively participate in MDT meetings related to Oncology as appropriate including the weekly Bulstrode House MDT and the monthly palliative care MDT. Training and Professionalism: To undertake in-house annual mandatory training. To maintain competency to practice through CPD activities, maintaining a personal portfolio which reflects professional development and is HCPC compliant. To work as an active member of the Dietetic Department in line with the Department objectives and relevant strategic plans. To organise as required and deliver education sessions to professional and non-professional groups e.g. Medical, nursing, support staff, students, volunteers, patients and patients panel members. To maintain an up-to-date knowledge of research findings and new practices within nutrition and dietetics and apply this knowledge to improve practice. Engage in CPD activities in areas identified through regular appraisal of the post. Comply with professional codes of practice and guidelines. To actively engage in Dietetic student training and work experience programmes. To record and submit clinical activity data as required by the Department in an accurate and timely manner. Audit/Information Technology/Research Activity: In conjunction with the audit department, initiate and undertake clinical audits to monitor and maintain standards of practice. To utilise the critical incident reporting system to document actual or potential risks impacting on the quality of patient care. To actively promote evidence-based practice in own and the practice of other members of staff involved in the care of the patient/client. Actively audit and improve the Oncology dietetic provision within the Bailiwick of Guernsey. This will include seeking opportunities to be involved in research and to participate with research programmes as they arise. Job description Job responsibilities Main Duties and Responsibilities: To manage a highly complex and varied caseload of service users. To provide highly specialised expert dietetic support to patients, advising implementing evidence based treatment plans including provision of nutrition support where relevant to a highly complex and diverse set of patients with a wide range of diagnoses and comorbidities. This covers both medical and surgical specialities including upper gastrointestinal, hepatopancreato-biliary, gynaecology-oncology, lung and all other cancers. This will require using advanced clinical reasoning skills in complex and highly emotionally distressing situations and including advising on, and, within in-patient settings, prescribing nutritional supplements once a food first approach has been explored. The post holder will have to be physically able to move between a variety of settings and to deliver appropriate nutritional supplements and resources. The use of advanced nutritional assessment tools will be necessary to determine the nutritional status of patients. To establish an empathetic therapeutic relationship with patients and carers so to effectively assist them to improve their nutritional care using advanced behavioural change and motivational interviewing skills. To empower patients and care givers by teaching them skills including food modification techniques and/or training in the use of enteral feeding equipment. To actively assist in setting up home enteral feeding discharges from hospital or from off island as required. Provide a regular out-patient clinic for oncology patients and their families including telephone support and electronic support as required. To provide the regular Dietetic service for patients attending Bulstrode House and the Wards as required to provide highly specialised dietetic support for a wide range of conditions and circumstances requiring advanced problem solving and clinical reasoning skills. To liaise with Dietitians from tertiary treatment centres in the UK or elsewhere to ensure continuity of care for patients returning to Guernsey. To engage with Guernsey cancer charities and to support them with highly specialised nutrition advice as required. To cover for the rest of the Dietetic team when annual leave and/or sickness mean gaps in essential services as requested by the Dietetic Service Manager. Communication: To have difficult and complex conversations as part of the clinical management of patients where the service user may be experiencing high levels of distress due to their diagnosis or from the side effects of treatment or disease- this will include conversations about end of life care. To communicate plans of care in a clear and concise manner, taking account of the level of understanding and adjusting accordingly to minimise patient distress using tact, empathy and persuasive skills. To develop effective working relationships and communicate effectively and appropriately with all members of the multidisciplinary team and other agencies involved in the care of the patient/client both verbally and in writing, e.g. medical notes, reports and letters. To produce timely medical notes and communications to patients, minimizing jargon and writing in a manner that is consistent with policy and procedure. To maintain electronic clinical records across HSC using the systems required, and to maintain skills as new systems are implemented. To communicate clearly with colleagues, referrers and other HCPs to ensure that patient care is consistent and safe. Assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment, acting as an expert in nutrition when working within the MDT. To liaise closely with dietetic colleagues and attend and contribute to relevant departmental meetings and continued professional development meetings i.e. presenting at audit, journal club and clinical supervision. To work closely with the Dietetic Service Manager and with colleagues in different Dietetic Specialities to provide joined up and cohesive optimal patient care. This involves liaising with MDT colleagues as required including Catering and Speech therapy colleagues on the correct provision of diets, Pharmacy colleagues for enteral products and a wide range of Specialist Nursing colleagues. Work collaboratively across professional and organisational boundaries, managing complex situations and an often highly complex workload Actively participate in MDT meetings related to Oncology as appropriate including the weekly Bulstrode House MDT and the monthly palliative care MDT. Training and Professionalism: To undertake in-house annual mandatory training. To maintain competency to practice through CPD activities, maintaining a personal portfolio which reflects professional development and is HCPC compliant. To work as an active member of the Dietetic Department in line with the Department objectives and relevant strategic plans. To organise as required and deliver education sessions to professional and non-professional groups e.g. Medical, nursing, support staff, students, volunteers, patients and patients panel members. To maintain an up-to-date knowledge of research findings and new practices within nutrition and dietetics and apply this knowledge to improve practice. Engage in CPD activities in areas identified through regular appraisal of the post. Comply with professional codes of practice and guidelines. To actively engage in Dietetic student training and work experience programmes. To record and submit clinical activity data as required by the Department in an accurate and timely manner. Audit/Information Technology/Research Activity: In conjunction with the audit department, initiate and undertake clinical audits to monitor and maintain standards of practice. To utilise the critical incident reporting system to document actual or potential risks impacting on the quality of patient care. To actively promote evidence-based practice in own and the practice of other members of staff involved in the care of the patient/client. Actively audit and improve the Oncology dietetic provision within the Bailiwick of Guernsey. This will include seeking opportunities to be involved in research and to participate with research programmes as they arise. Person Specification Experience Essential A wide range of post qualification experience in Dietetics including demonstration of significant clinical experience of working with a complex caseload of patients with a variety o cancer conditions. Qualifications Essential State Registered Dietitian fully registered with HCPC in the UK. Degree or Post graduate Diploma in Dietetics, member of the British Dietetic Association. Desirable Post Graduate Study (Diploma or Masters Level) in a relevant discipline. Person Specification Experience Essential A wide range of post qualification experience in Dietetics including demonstration of significant clinical experience of working with a complex caseload of patients with a variety o cancer conditions. Qualifications Essential State Registered Dietitian fully registered with HCPC in the UK. Degree or Post graduate Diploma in Dietetics, member of the British Dietetic Association. Desirable Post Graduate Study (Diploma or Masters Level) in a relevant discipline. 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. Certificate of Sponsorship 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. Certificate of Sponsorship 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). Employer details Employer name States of Guernsey Address Princess Elizabeth Hospital Le Vauquiedor St. Martin Guernsey GY4 6UU Employer's website https://www.gov.gg/ (Opens in a new tab)