To be clinically responsible for a highly complex area of work, as agreed with the dietetic manager and independently plan, organise and prioritise patient related and professional demands. To develop the lung and SAO dietetic service alongside the lung teams with the support of the dietetic manager. To work closely with the Senior Adult multidisciplinary oncology team to enhance the persons health, wellbeing and quality of life and contribute to the management of frailty syndromes, prior, during and post-treatment. To nutritionally assess lung / SAO oncology patients by interpreting and evaluating anthropometric, biochemical, clinical, and dietary data, whilst considering the patients social and ethnic circumstances, prognosis and treatment. To convey complex specialised dietary advice and lifestyle changes to patients and carers using advanced counselling and communication skills. To attend appropriate multidisciplinary meetings and outpatient clinics in order to provide expert advice to clinicians regarding provision of nutritional support to lung oncology patients and carers based on clinical evidence To diagnose malnutrition and to liaise with the appropriate consultant, with an aim of optimising treatment outcome, by recommending the appropriate method of nutrition intervention and reducing risk of Refeeding Syndrome. To communicate, liaise and advise the lung team, key workers, nursing staff, AHPs and other health care professionals on the appropriate evidence based nutrition care plan. To prescribe the appropriate dietary regimen for lung oncology patients using evidence-based practice and to manage, monitor and reevaluate the treatment plan as necessary. To refer patients to other services for monitoring and therapeutic support following discharge. To work with the catering department to ensure suitable meal provision to meet the special needs of the oncology patient in line with national standards. To initiate, facilitate and coordinate the setting up of a home enteral feed to ensure a safe discharge. To be responsible for the ordering, delivery and monitoring of specialist nutritional supplements (ACBS endorsed) for individual client needs. To write, deliver and evaluate internal and external education and training sessions on nutrition and specialist dietetics in relation to lung and SAO to medical staff, nursing staff, AHPs, dietitians, other health care professionals, patients, and carers. To act as a clinical educator by participating in student dietetic placements. To provide supervision to allocated band 6 dietitians daily, carrying out regular one to one meetings, and carrying out annual PDR process. To take an active role in the research and audit. To maintain accurate, comprehensive and up to date documentation on individual patients in line with local and national standards and be responsible for the appropriate storage of d with the Health Care Professions Council (H.C.P.C) and trust policy on confidentiality. To record and submit patient data and statistics as required by the manager and provide information for annual reports and service development and planning. To attend and participate in departmental, professional update meetings and trust nutrition related meetings leading them when required. To attend and contribute to the trust nutrition steering committee. To be responsible for own clinical professional development (CPD) to maintain competency and to ensure best practice.