To recognise and escalate a deteriorating patient and take initial action where appropriate. To ensure children and adults are protected from abuse and avoidable harm and report any safeguarding concerns in accordance with Trust policies and procedures. Carry out formal assessments and treatment plans identified on pathway and provide detailed documented and verbal feedback on patients performance Communication skills of persuasion, motivation, explanation and gaining informed consent will be used with a variety of patients, occasionally those with emotional, physical and psychological conditions. To understand and overcome barriers to effective communication e.g. loss of hearing, affected perception, expressive and receptive dysphasia, pain, fear and language barriers To use a range of verbal and non-verbal skills to establish a professional rapport with patients and encourage their interest and participation in interventions by communicating with them in a way that reflects their views, autonomy and culture. To have an understanding of acute conditions, long term conditions and common pathologies and the role of diet and nutrition in treating them To undertake visits and/or assessments in a variety of settings as required by the need of the service, including the ward, department, home or other community environment To be able to identify own limitations and seek advice from a senior registered practitioner when appropriate. Assist in the implementation, evaluation and modification of care plans. Work effectively as a member of a team to undertake delegated tasks to contribute to the safe and smooth running of the service. To be in line with role specific Band 4 competencies To be responsible for planning and prioritising own day-to-day allocated workload and resources To work across the whole service to support the needs of the Nutrition and Dietetics service To be responsible for maintaining Home Enteral Feeding equipment spreadsheets, advising on resources and checking monthly invoices To understand and act appropriately on, written and verbal instruction from a practitioner to carry out specific treatment and interventions. To liaise with other agencies e.g. multidisciplinary team and referral to other specialist services as deemed appropriate. To be responsible for the recording of up to date, accurate information concerning any intervention in line with Trust guidelines. To be proficient in the use of all appropriate electronic systems required to perform role To participate in both service and trust development plans. To participate in specific projects or departmental working parties as directed by the practitioner As a competent practitioner, teach and provide supervision to appropriate staff. As part of the team, incorporate up-to-date techniques and ideas of positive working into your own practice To participate in team audit and data collection and evaluation activities as agreed and directed To support the Dietetic Lead for Diet sheets, including acting as liaison between the dietitians and Print Room