Support ward staff to competently undertake malnutrition screening and nurse led swallow screen for patients. Refer patients to dietetic and speech and language teams appropriately to enable a holistic approach to nutritional support for patients. Provide support to ward teams in the delivery of high standards at mealtimes and for all aspects of food and hydration. Provide support to ward teams caring for patients with enteral and parenteral artificial nutrition Provide support to patients who have enteral feeding tubes in situ providing education, overseeing best practice and providing troubleshooting where required Work independently within context of clinical competency framework developed specifically for specialist band 4 role Act as the patient advocate at all times. Liaise with all members of the multidisciplinary team to ensure high quality nutritional care for patients, including medical staff, nurse colleagues and therapists. Provide support to the Nutrition Support Team by attending the Nutrition MDT ward round and completing the documentation required. Work with Ward staff to ensure patients requiring assistance with eating and drinking are safely identified and supported, whilst maintaining patient dignity. Working in collaboration with other specialist team, for example mouth care, dementia, tissue viability Assist in the maintenance and monitoring of agreed standards, ensuring any shortfall is escalated to the Clinical Nurse Specialist for Nutrition and Hydration.