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Children's Community Dietitian Band 6

Employer
Bromley Healthcare CIC
Location
Beckenham, London (Greater)
Salary
£37,152 - £43,994 per annum pro rata inc HCAS
Closing date
19 May 2022

Job Details

Job overview

Children's Community Dietitian Band 6 full time/part time

£37,152 - £43,994 per annum pro rata inc HCAS

Would you like to work for an organisation that is progressive, innovative and provides quality care for families in Bromley?  To find out what it's like to work for Bromley Healthcare, please view our videos on YouTube, search for Bromley Healthcare and get a flavour of the organisation.

We are looking to recruit additional support for our small friendly team of band 7 Children's Dietitians and band 4 Dietetic Assistants. 

As a band 6 children's dietitian, you will deliver paediatric dietetic clinics and groups in the community. 

The ideal applicant will have experience in general paediatric dietetics. However, an applicant with a keen interest in working with children would still be considered, and training can be provided for the right applicant.  

We are open to applications from a variety of applicants, whether you wish to work full time, part time or job share with another applicant. Informal enquiries about the post are welcomed. 

 

Main duties of the job

You will see a variety of children including those with food allergies, poor weight gain, fussy eating, feeding problems and obesity.   You may also be required to provide cover for some home enteral feeding patients, supported by experienced band 7 dietitians.

Please see the attached JD for full details

 

Working for our organisation

Bromley Healthcare is a community interest company providing a wide range of services including community nursing services such as district nursing, health visiting to specialist nurses, as well as therapy services for children, young people and adults. Being born from NHS Bromley’s community provider unit we have been providing community services to the people of Bromley for many years and we have a wealth of experience.

Bromley Healthcare is a great place to work. The unique way we deliver services and offer everyone who works here a voice, means that your career with us will be rewarding. Social Enterprises are a fairly new and exciting way to deliver healthcare, offering many of the traditional advantages of the NHS (such as excellent training and development) with the freedom for innovation by being able to reinvest any surpluses we make into the community.


Salary is dependant on NHS experience and current banding/pay point, applicants from outside the NHS will receive the start point of the salary scale in line with NHS terms & conditions.


Excellent benefits package available including various pension schemes, discounted gym membership, cycle to work scheme, discounted electronics, access to EAP, high street discounts, Blue Light Card eligibility, opportunity to apply for low interest personal loans and an excellent lease car scheme and we are constantly looking to expand our staff benefits.

 

Detailed job description and main responsibilities

MAIN DUTIES AND RESPONSIBILITIES
CLINICAL / PATIENT CARE 

•    To manage a complex clinical caseload within the Children’s Dietetic Service, primarily in a clinic setting, and including patients with allergies, faltering growth and obesity. 
•    To work as an independent practitioner and be responsible for managing and prioritising a clinic caseload including patients with highly complex needs.
•    To provide a broad range of expert nutrition and dietetic advice to children and their carers for a wide range of multiple medical conditions, to meet varying needs.  Advice on treatments may need to be given where there is no national or professional consensus to assessment and treatment.
•    To undertake comprehensive dietetic assessments, including patients who have barriers to communication, using a range of methods, including interview skills, interpretation of blood biochemistry, calculation of nutrition requirements and anthropometrical measurements.
•    To make independent clinical judgements and diagnoses (such as nutrient deficiencies, allergies and food intolerance) based on these assessments, in settings where access to other health professionals for professional support is not immediately available
•    To undertake nutritional counselling in a broad range of specialist clinical areas with children and their families and carers including: 
o    The communication of complex nutritional information and to adapt the presentation of this information to be appropriate for a wide range of learning ability. 
o    The giving of sensitive, unwelcome and difficult to accept information e.g. commencing tube feeding, use of alternative therapies, long term implications of condition.
o    The use of motivational interviewing and psychological behaviour management techniques for motivation, empowerment, and negotiation of a treatment plan, to attain sustained dietary and lifestyle changes.  
o    Adapting all of the above for children and their families with complex needs and disabilities including mental health problems, complex communication problems, and learning disabilities and challenging behaviour.
•    To plan, deliver and review treatment programmes through: 
o    Providing timely information and advice to referring agencies regarding treatment plans and dietetic recommendations; 
o    Effective communication and liaison with a wide range of other health professionals, within Bromley Healthcare and other agencies (to ensure continuity of care, and/or joint management), contributing to a multidisciplinary approach to care. 
o    Organising, providing information for, and participating in case conferences. 
o    Instructing and advising on the prescribing of nutritional supplements and specialised enteral feeds listed as ACBS (Advisory Committee on Borderline Substances), vitamins and minerals.
o    Advising on the safe and appropriate use of different products available over the counter e.g. vitamins, minerals, specialist dietary products. 
o    Making recommendations to medical practitioners regarding the need for diagnostic tests, e.g. blood tests 
o    Making recommendations to medical practitioners regarding the need for invasive procedures e.g. nasogastric or gastrostomy feeding tube placements.
•    To evaluate outcomes of dietetic interventions through the monitoring and review of nutritional care plans, and adjusting care plans to facilitate achievement of goals.
•    To ensure that all assessments, communication techniques, advice and treatments are appropriate to the patient’s age, level of knowledge, social, cultural and religious needs.  
•    To utilise developed communication and teaching skills to initiate, develop, deliver and evaluate group education, training and support for patients, families and carers in groups of various sizes e.g. milk free weaning
•    To produce, develop, monitor and evaluate evidence-based, written information and resources to support nutritional interventions and teaching.
•    To work with colleagues within Bromley Healthcare and Social Services to protect vulnerable children.  To have a full knowledge and understanding of and work within the procedures for Safeguarding Children.
•    To provide cover for the home enteral feeding service including ordering enteral feeding equipment and products and arranging for their delivery to the patient’s home. Training of patients/families/carers, including other health professionals on various equipment used for home enteral feeding.

EDUCATION & TRAINING
•    To provide training, supervision and assessment of undergraduate and post-graduate student dietitians as part of a continuing programme for student dietetic training.
•    To respond promptly to any new published research, Department of Health initiatives relating to specialist clinical area, identifying any required changes in practice locally and translating complex technical information to communicate at appropriate levels to other professionals and patients.
•    To utilise developed communication and teaching skills to develop, deliver and evaluate group education, training and support for health professionals and professionals from other agencies in both formal and informal settings on a wide range of nutrition and dietetic issues including new guidelines, complex nutritional information.
•    To develop, implement and evaluate multi-disciplinary/multi-agency health promotion activities and campaigns that promote the importance of nutrition and health for adults and families in Bromley, such as talks to groups in the community.

RESEARCH AND AUDIT
•    To regularly review and audit clinical practice e.g. allergy outcomes.
•    To be responsible for specific projects which include audit and research.  To pilot and assess new treatment methods and/or service delivery.
•    To implement changes to practice that result from the findings of research or audit projects.
•    To communicate results of audits and research as presentations and written reports to the Community Dietetic Service, Bromley Healthcare, and nationally as appropriate.

MANAGEMENT
•    To work with the Lead for Children’s Dietetics and Band 7 Dietitians to ensure effective service provision.  To provide information on clinical data and reports for the Children’s Dietetic Service business plan and development of the service.
•    To contribute to the development, implementation, monitoring and evaluation of evidence based policies, guidelines and procedures on matters relating to nutrition and dietetics which affect own practice and impact on the practice of other healthcare professionals and patients.  To participate in implementation throughout Bromley Healthcare and with other agencies.
•    To review practice and implement change in line with Department of Health guidelines, initiatives and National Service Framework.

PROFESSIONAL
•    To maintain professional status and competence as a specialist practitioner and work within professional codes of conduct and standards in line with requirements of the Health and Care Professions Council.
•    To accurately record all assessments and interventions, maintain appropriate documentation, data collection and entry in accordance with Bromley Healthcare and Dietetic Service Policies and Procedures and Health and Care Professions Council guidance.
•    To ensure any equipment used is safe for clients and complies with health and safety procedures and Medical Devices Agency directives, and to be responsible for ensuring patients and carers are trained in its safe use.
•    To be responsible for own CPD and professional and personal development.  To maintain a high degree of expertise in nutrition and dietetics and undertake post graduate training as required. To participate fully in Continual Professional Development, through portfolio based assessment, in line with national legislation by the Health and Care Professions Council.
•    To be aware of and work in accordance with the Children’s Dietetic Service and Bromley Healthcare policies and procedures.
•    To work closely with dietetic colleagues within the Children’s Dietetic Service including participating in relevant team, service and clinical meetings.

OTHER FACTORS
•    The work requires high levels of concentration whilst managing an unpredictable work pattern and interruptions within the working environment.
•    A proportion of the work includes accessing homes of clients who are unable to maintain themselves and/or their homes in a hygienic manner.
•    The work requires exposure to distressing or emotional circumstances, e.g. working with terminally ill patients.
•    To be aware that some clients/carers may demonstrate antisocial or abusive behaviour and to know how to act accordingly.
•    Driving is an essential component of the post.
•    Comply with the duties placed on employees by Bromley Healthcare’s Health and Safety Policy related procedures.  Act in accordance with all instruction, information and training required in relation to those duties
•    Any other duties as designated by senior staff and as required within the post.

Company

Excellent benefits package available including various pension schemes, discounted gym membership, cycle to work scheme, discounted electronics, opportunity to apply for low interest personal loans and an excellent lease car scheme.

Bromley Healthcare CIC is an NHS community provider and part of the NHS family.

But we are a little different; we like to think that we stand out from typical NHS organisations as Bromley Healthcare CIC is actually a co-owned social enterprise, co-owned by its employees. This means that our staff remain on NHS Agenda for Change Terms and Conditions and are members of the NHS pension scheme (providing you are eligible), if not we can offer the Nest or Scottish Widows pension schemes.

What difference does this make?

Because our Nurses, therapists and support staff co-own Bromley Healthcare CIC and have a real say in how our services are run, this has created a greater sense of ownership, responsibility & motivation among our staff which in turn creates better quality for our patients & families.

If you are keen to work for a dynamic, forward thinking but different type of NHS employer then Bromley Healthcare could be for you!

From health visiting to district nursing, school nurses to specialist nurses, our nursing services help new parents to care for new born children and older people to continue living at home through care and support. We also have a wide range of therapy services for adults and children, including speech and language therapy, physiotherapy and occupational therapy whilst our specialist services focus on preventing diseases and supporting those living with specific conditions such as Chronic Obstructive Pulmonary Disease (COPD) or diabetes.

 

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