Clinical Responsibilities: Have an awareness of the impact of head and neck cancer and its treatment on nutrition To demonstrate knowledge and expertise in the use of Oral Nutritional Supplements (ONS) for HNC patients To actively assist Dietitians with information gathering and performing routine measurements (such as Malnutrition Universal Screen Tool (MUST), hand grip strength, dietary intake and symptoms) to assess patients nutritional status To screen and review nutritional status and oral intake of non-complex patients, raising referrals to Dietetics or other disciplines as appropriate. To use judgement to modify and adapt nutritional interventions, whilst maintaining the direction of the supervising Dietitians aim, to promote compliance and success To negotiate and implement appropriate nutrition support interventions, e.g. additional snacks, meals and supplements as appropriate in liaison with the Dietitian. To use encouragement, reassurance, tact and sensitivity to support patients in overcoming barriers and achieve mutually agreed goals. To support patients in understanding their dietary recommendations with provision of dietary literature, under guidance from the Dietitian. To communicate nutrition-related information to the supervising Dietitian and wider MDT After training, to triage incoming telephone calls from HNC patients, relatives and carers and to liaise with HNC MDT members as required To draft GP letters requesting ONS using templates under supervision of the Dietitian To liaise with Dietetic teams and other allied health professionals from across the Thames Valley Cancer Network regarding patient care To help with organisation of feeding tube referrals, enteral feeding pump training, registration of patients on the Abbott Hospital to Home Service, electronic patient records (EPR), completion of handover forms to community staff, Dietetic and Nursing colleagues, and to ensure that patients have supplies of enteral tube feed and/or nutritional supplements under the direction of the Dietitian Provide training to others (patient and healthcare staff) in either 1 to 1 or group settings on specific nutrition-related topics or health promotion, under Dietitian guidance To provide patients with information from Macmillan and local charities, (e.g. signposting to Maggies Cancer Information Centre and the Heads2Gether patient support group) To help collect and analyse patient experience feedback data to identify HNC Dietetic Service development needs Contribute to departmental collection of patient related outcome measures To provide cover for other colleagues during planned or unplanned leave as required.