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