Job summary We are looking for a specialist dietitian to continue to develop and provide evidenced based, collaborative and effective clinical pathways, interventions and processes for a number of key health conditions and presentations prevalent within the current dietetic learning disability and adult caseload. The postholder will work alongside our current dieticians and will focus on delivering outcomes for specifically agreed health conditions as well as offering more specialist support for those on the dietetic caseload presenting with highly complex nutritional needs. In the Neurodevelopmental service the successful candidate will also be responsible for setting up and running an exciting new health and well-being intervention that has been designed to meet the specific needs of people with learning disabilities. In the Adult Community Service ( 6.75 hours a week) the post holder would primarily be offering a domiciliary service and also supporting the current postholder in duties associated with the Neurology Team and the 25 bed in-patient rehabilitation unit at Teddington Memorial Hospital. Main duties of the job The Neurodevelopment (NDS) service provides a service for adults with learning disabilities living in Kingston and Richmond boroughs. You would work independently in the community but also be an integral part of a well-established and dynamic multi-disciplinary team. We can offer flexibility in working schedule (15 hours a week). In our Adult Community Service the postholder would primarily provide to patients referred from the local acute hospital, other community AHPs and GPs. These patients could present with the range of conditions of Care of the Elderly and of the general Adult caseload. As specialist clinician within the both services you may also be asked to contribute more generally to multidisciplinary interventions and developments provided by our service and so excellent communication and clinical skills are required as well as emerging leadership skills. The postholder would be supported by current postholders in each service and by the line management of each service. There would be joint working on personal development and training. Hours for this post can be flexible in discussion with the relevant services. The Organisation has a Flexible Working Policy and this post would be provided under this guidance in discussion with the Service Leads About us The Organisation works as part of the NHS service provision, We support personal development and we actively link to other organisations that work with us locally to provide our services.. If you would like to discuss any aspects of this role please contact: Deborah Green, Principal speech and language therapist ( NDS), Tel: 0208 339 8005 or email Deborah.Greenyourhealthcare.org or Andy Hamilton, Principal Therapist, Adult Community Services, Tel 07974 945859 or email andrew.hamiltonyourhealthcare.org Due to the post including clinical contact with vulnerable adults the successful candidate will be required to undertake or evidence an Enhanced DBS check. If you are successful at interview, please note we will take up references covering your last 3 years work history. CLOSING DATE: 2nd February 2025 SHORTLIST: 3rd February 2025 INTERVIEWS: 13th February 2025 Your Healthcare is an equal opportunities employer and positively encourages applications from suitably qualified and eligible candidates regardless of sex, race, disability, age, sexual orientation, gender reassignment, religion or belief, marital status, or pregnancy and maternity. Date posted 09 January 2025 Pay scheme Agenda for change Band Band 6 Salary £42,939 to £50,697 a year Inclusive of HCAS per annum pro rata Contract Permanent Working pattern Part-time Reference number B9811-25-0000 Job locations Hollyfield House, 22 Hollyfield Road Surbiton KT5 9AL Job description Job responsibilities 2. Job Purpose The post holder will provide a specialist dietetic service within the Neurodevelopmental Service for adults with learning disabilities and Adult Community Therapies services based at Hollyfield Road Surbiton covering adults with living in both Richmond and Kingston boroughs. They will act as a source of expertise and training in the specialist dietetic care of their learning disability and adult caseload and co-occurring health conditions to carers and other health professionals. They will be an integral part of their services providing specialist dietetic input and contribute to the development of relevant clinical pathways and protocols. 3. Dimensions This post will establish and provide specialist assessments and interventions within key clinical areas in the dietetic service for people within their services in Your Healthcare. The post will contribute on the whole to the activity of their teams working across Richmond and Kingston boroughs. 4.1. Clinical To provide a specialist dietetic service to the Neurodevelopmental service for adults with learning disabilities and Adult Community Therapies which includes the independent provision of specialist dietetic assessment and interventions for a complex caseload. Within the Neurodevelopmental service to take a designated lead on managing the weight management pathway for adults with a learning disability. To provide a community service in liaison with other related dietetic posts in partner organisations e.g. Kingston Hospital, Home enteral feeding services, Nutricia, GPs To communicate effectively with service users and carers to maximise specialist advice taken by the service user including information that is both complex or sensitive. This includes, where necessary, using interpreters for service users where English is not a first language and methods of effective communication adjustments for people with learning disabilities and expressive and receptive communication needs To provide a specialist dietetic service to the clients on their caseloads with clinical needs that maybe distressing in nature including end of life care, disease progressions, nutritional neglect, complex health needs. To communicate with referring agents and other agents as necessary such as nursing staff, therapists and social workers through personal, written or telephone contact To undertake comprehensive assessments of all service users diets and lifestyles to formulate individualised management and treatment plans. This will include anthropometric measurements, interpreting biochemical data and evaluating nutritional information using quantitative and qualitative methods including in the field of enteral feeding and other complex dietetic needs. To attend and contribute to team meetings and case conferences as necessary and to take the role of complex care navigator or transition co-ordinator when clinically appropriate To be a key member of the integrated dietetic service for Your Healthcare with a responsibility to develop and promote nutritional awareness and knowledge across the organisation To work autonomously with day/day support and management from their management lead in that area of work To work with periods of sustained high-level concentration, in a range of different and variable and occasionally unpleasant working conditions. To provide domiciliary visits to service users as required To accept clinical responsibility for the specialist dietetics service user caseload and to plan and deliver this effectively with regard to clinical priorities and use of time. To be responsible for the updating of diet sheets, information and other literature for the care of service users within the Neurodevelopmental service and with required communication adjustments. To maintain accurate and up to date service user records which meet the service standards as monitored within care record audits. To enter information onto data systems e.g. Advance Care Notes as detailed by the immediate line manager and to maintain an effective data collection system. To demonstrate a level of physical skill through practice e.g. Use of wheelchair scales, other weight measurement equipment, use of a keyboard all which may require light physical effort. 4.2. Service Delivery To take a designated lead when required on the development of agreed policies and protocols for the dietetic service within the relevant service with the guidance and support of line managers and the highly specialist dietician. Ensure that any future designated Dietetics staff implement policy and service development changes. Deliver services in line with codes of practice, professional guidelines from the British Dietetics Association and HCPC and other universal health policies and relevant legislation. To provide services in a variety of community sites as required and to be able to travel between sites using suitable transport. Along with other clinicians in the relevant clinical service to draw upon specific professional and specialist knowledge and skills to establish effective joined up working Support multidisciplinary team working, by facilitating colleagues to effectively prioritise, plan and manage their caseloads in light of nutritional priorities. Contribute to the development and implementation of guidelines, protocols and service user care pathways for use across the relevant clinical service Be responsible for ensuring the effective selection and use of all treatment resources available. Be actively involved in the collection of appropriate data and statistics for the use of the service. 4.3. Management Train, supervise and performance manage technical instructors, assistants and students on the specialist area of work. This may include the use of formal appraisal documents. To cascade information to staff within area of responsibility. To participate in clinical supervision and through the supervisory framework, support other junior staff in effective decision making with regard to caseload management To attend any team briefing meetings and other meetings as requested by the relevant line manager of the service and provide input in relation to dietetics on day to day issues and clinical matters as indicated. With other members of the Multidisciplinary Team contribute to the prioritisation of referrals to the relevant clinical service. To promote and develop quality improvements through supervision, audit and other CPD activities as appropriate to the needs of dietetics as part of the relevant clinical service. To be responsible for own personal professional development, and maintaining a CPD portfolio demonstrating awareness of new clinical practices To act as clinical educator for undergraduate students as requested. 4.4. Quality Be responsible for ensuring appropriate risk assessments are undertaken and reported Contributes to meeting national and local performance measures contributing to reports as necessary. Supports the collection of relevant data sets to demonstrate performance of the Dietetics service against agreed measures as requested by the relevant clinical service. Takes a designated lead in the development and completion of audits around specialist dietetic interventions as agreed Contributes towards a culture in which Equality, Diversity and inclusivity is embedded within the organisation Job description Job responsibilities 2. Job Purpose The post holder will provide a specialist dietetic service within the Neurodevelopmental Service for adults with learning disabilities and Adult Community Therapies services based at Hollyfield Road Surbiton covering adults with living in both Richmond and Kingston boroughs. They will act as a source of expertise and training in the specialist dietetic care of their learning disability and adult caseload and co-occurring health conditions to carers and other health professionals. They will be an integral part of their services providing specialist dietetic input and contribute to the development of relevant clinical pathways and protocols. 3. Dimensions This post will establish and provide specialist assessments and interventions within key clinical areas in the dietetic service for people within their services in Your Healthcare. The post will contribute on the whole to the activity of their teams working across Richmond and Kingston boroughs. 4.1. Clinical To provide a specialist dietetic service to the Neurodevelopmental service for adults with learning disabilities and Adult Community Therapies which includes the independent provision of specialist dietetic assessment and interventions for a complex caseload. Within the Neurodevelopmental service to take a designated lead on managing the weight management pathway for adults with a learning disability. To provide a community service in liaison with other related dietetic posts in partner organisations e.g. Kingston Hospital, Home enteral feeding services, Nutricia, GPs To communicate effectively with service users and carers to maximise specialist advice taken by the service user including information that is both complex or sensitive. This includes, where necessary, using interpreters for service users where English is not a first language and methods of effective communication adjustments for people with learning disabilities and expressive and receptive communication needs To provide a specialist dietetic service to the clients on their caseloads with clinical needs that maybe distressing in nature including end of life care, disease progressions, nutritional neglect, complex health needs. To communicate with referring agents and other agents as necessary such as nursing staff, therapists and social workers through personal, written or telephone contact To undertake comprehensive assessments of all service users diets and lifestyles to formulate individualised management and treatment plans. This will include anthropometric measurements, interpreting biochemical data and evaluating nutritional information using quantitative and qualitative methods including in the field of enteral feeding and other complex dietetic needs. To attend and contribute to team meetings and case conferences as necessary and to take the role of complex care navigator or transition co-ordinator when clinically appropriate To be a key member of the integrated dietetic service for Your Healthcare with a responsibility to develop and promote nutritional awareness and knowledge across the organisation To work autonomously with day/day support and management from their management lead in that area of work To work with periods of sustained high-level concentration, in a range of different and variable and occasionally unpleasant working conditions. To provide domiciliary visits to service users as required To accept clinical responsibility for the specialist dietetics service user caseload and to plan and deliver this effectively with regard to clinical priorities and use of time. To be responsible for the updating of diet sheets, information and other literature for the care of service users within the Neurodevelopmental service and with required communication adjustments. To maintain accurate and up to date service user records which meet the service standards as monitored within care record audits. To enter information onto data systems e.g. Advance Care Notes as detailed by the immediate line manager and to maintain an effective data collection system. To demonstrate a level of physical skill through practice e.g. Use of wheelchair scales, other weight measurement equipment, use of a keyboard all which may require light physical effort. 4.2. Service Delivery To take a designated lead when required on the development of agreed policies and protocols for the dietetic service within the relevant service with the guidance and support of line managers and the highly specialist dietician. Ensure that any future designated Dietetics staff implement policy and service development changes. Deliver services in line with codes of practice, professional guidelines from the British Dietetics Association and HCPC and other universal health policies and relevant legislation. To provide services in a variety of community sites as required and to be able to travel between sites using suitable transport. Along with other clinicians in the relevant clinical service to draw upon specific professional and specialist knowledge and skills to establish effective joined up working Support multidisciplinary team working, by facilitating colleagues to effectively prioritise, plan and manage their caseloads in light of nutritional priorities. Contribute to the development and implementation of guidelines, protocols and service user care pathways for use across the relevant clinical service Be responsible for ensuring the effective selection and use of all treatment resources available. Be actively involved in the collection of appropriate data and statistics for the use of the service. 4.3. Management Train, supervise and performance manage technical instructors, assistants and students on the specialist area of work. This may include the use of formal appraisal documents. To cascade information to staff within area of responsibility. To participate in clinical supervision and through the supervisory framework, support other junior staff in effective decision making with regard to caseload management To attend any team briefing meetings and other meetings as requested by the relevant line manager of the service and provide input in relation to dietetics on day to day issues and clinical matters as indicated. With other members of the Multidisciplinary Team contribute to the prioritisation of referrals to the relevant clinical service. To promote and develop quality improvements through supervision, audit and other CPD activities as appropriate to the needs of dietetics as part of the relevant clinical service. To be responsible for own personal professional development, and maintaining a CPD portfolio demonstrating awareness of new clinical practices To act as clinical educator for undergraduate students as requested. 4.4. Quality Be responsible for ensuring appropriate risk assessments are undertaken and reported Contributes to meeting national and local performance measures contributing to reports as necessary. Supports the collection of relevant data sets to demonstrate performance of the Dietetics service against agreed measures as requested by the relevant clinical service. Takes a designated lead in the development and completion of audits around specialist dietetic interventions as agreed Contributes towards a culture in which Equality, Diversity and inclusivity is embedded within the organisation Person Specification Experience Essential Experience of working with adults and or children with a range of nutritional problems including PEG /NG. Experience of working in community and in-service user environments as part of undergraduate and post qualification experience. Experience of contributing to clinical education of staff and service users Experience of working within and contributing to development of operational organisational policies. Personal Qualities Essential Able to work as part of a complex multi-disciplinary and multi agency service Evidence of skill around clinical reflection and practise-based evidence Skills and Ability Essential Ability to work independently and flexibly to manage own caseload and prioritise workload pressures. Ability to negotiate and influence, and collaborate across professions. Ability to analyse and interpret data and information. Excellent IT skills (word, Email and Excel) and Report writing skills, use of online platforms such a s Microsoft teams Excellent oral and written communication skills. Awareness and acceptance of the rights and needs of service users Understanding of governance and the implications for services, including audit, risk etc. Desirable Ability to work independently on complex communication issues where required Qualifications Essential BSc in Nutrition & Dietetics or relevant Science plus and graduate diploma in Dietetics At least 18 months post graduate experience in a dietetic role across either adult with learning disabilities and/ or adult community patients, each with complex health needs. Evidence of continued CPD development HCPC registration, Desirable Registered Member of the British Association of Dietetics Knowledge Essential Understanding of national policy governing the delivery of specialist dietetic care to adults with physical and learning disabilities and the adult community., Expertise in treating complex service users in community environments. Knowledge of the range of dietetic assessment protocols and interventions relevant and effective for people with learning disabilities, diabetes, enteral feeding, weight management Desirable A working knowledge of critical health and safety legislation Person Specification Experience Essential Experience of working with adults and or children with a range of nutritional problems including PEG /NG. Experience of working in community and in-service user environments as part of undergraduate and post qualification experience. Experience of contributing to clinical education of staff and service users Experience of working within and contributing to development of operational organisational policies. Personal Qualities Essential Able to work as part of a complex multi-disciplinary and multi agency service Evidence of skill around clinical reflection and practise-based evidence Skills and Ability Essential Ability to work independently and flexibly to manage own caseload and prioritise workload pressures. Ability to negotiate and influence, and collaborate across professions. Ability to analyse and interpret data and information. Excellent IT skills (word, Email and Excel) and Report writing skills, use of online platforms such a s Microsoft teams Excellent oral and written communication skills. Awareness and acceptance of the rights and needs of service users Understanding of governance and the implications for services, including audit, risk etc. Desirable Ability to work independently on complex communication issues where required Qualifications Essential BSc in Nutrition & Dietetics or relevant Science plus and graduate diploma in Dietetics At least 18 months post graduate experience in a dietetic role across either adult with learning disabilities and/ or adult community patients, each with complex health needs. Evidence of continued CPD development HCPC registration, Desirable Registered Member of the British Association of Dietetics Knowledge Essential Understanding of national policy governing the delivery of specialist dietetic care to adults with physical and learning disabilities and the adult community., Expertise in treating complex service users in community environments. Knowledge of the range of dietetic assessment protocols and interventions relevant and effective for people with learning disabilities, diabetes, enteral feeding, weight management Desirable A working knowledge of critical health and safety legislation 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. 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. 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 Your Healthcare CIC Address Hollyfield House, 22 Hollyfield Road Surbiton KT5 9AL Employer's website http://www.yourhealthcare.org (Opens in a new tab)