Total 102 Health / Beauty / Fitness job vacancies in Chertsey, KT16 0PZ

Job responsibilities Successful candidates need to hold MBBS or equivalent medical qualification, with evidence of 12 months experience in Emergency Medicine (6 months of which working in an Emergency Department in the UK). Candidates will be eligible for full registration with the GMC and hold a current license to practice. Candidates will need to have evidence of achievement of Foundation competences from a UKFPO affiliated Foundation Programme or equivalent by time of appointment in line with GMC standards/Good Medical Practice and will have need to have passed their MRCEM and Life Support Courses. Emergency Department operates 24 hours a day, seven days a week; therefore successful candidates need to be able to work a variety of shifts, including days, lates, twilights and nights.

Please check the job description & person specification document for more information on the requirements for this job. There will also be an opportunity to attend a fully funded Supervision training (Supervision of Therapeutic Practice) at either Sussex or Southampton University for clinicians who meet the course entry requirements. We are a fast growing service, with multiple teams across Surrey, enabling us to draw on a wider variety of skills and clinical experience. We have many opportunities for staff development and training, and welcome staff who are seeking an opportunity to be part of a growing, supportive, exciting and innovative service.

We are committed to our staffs future development and offering training opportunities.These includebut isnt exhaustive, Professional Nurse Advocate training, Nurse Prescriber training and access to APT accredited courses. Please check the job description and personal specification document for more information on the requirement for this job.

To work and gain experience in all sections of the pharmacy department on a rotational basis, under the supervision of the Section Manager. Sections to include Distribution, Dispensary, Procurement and Medicines Management To read and adhere to the Trusts and Pharmacys Standard Operating Procedures (SOPs) and Policies. To attend Mandatory Trust and Regional Pharmacy training and education study days. To attend Section/Departmental meetings as appropriate. To attend a designated college of further education on a day-release basis or login virtually depending on the education provider selected. Meet with the Principal Pharmacy Technician regularly. To participate in the late night, weekend, and Bank Holiday rota as required. Dispensary: To perform reception duties in the absence of pharmacy support workers. To dispense prescriptions for hospital inpatients and outpatients, discharge prescriptions, and Controlled drugs for all service users. To undertake stock management in the dispensary e.g., daily stock checks, checking expiry dates To ensure that all activities carried out in the Dispensary follow departmental Standard Operational Procedures (SOPs) To assist with maintaining accurate patient & stock records and information by correctly using the Ascribe computer system. To assist in the maintenance of adequate stocks and stock rotation within the dispensary To undertake counselling of patients on the use of their outpatient medication (after a suitable period after other competencies are met) To undertake the Accredited Checking Pharmacy Technician theory and practical training - which must be completed within the two-year contract. Distribution: To participate in the ward stock, top up scheme regularly including audit of stock. To assist in maintaining stocks of ready-packed items in the distribution area and in issuing stocks to wards and clinics. To assist in the receipt, unpacking, and storage of incoming stock. To assist in the maintenance of adequate stock levels and stock rotation in the stores. To use the computer stock control system effectively and accurately for the issue of pharmaceuticals from a ward profile and ad-hoc stock requests. To assist in the disposal of waste products within the department. Prepare and maintain work areas in a clean and tidy fashion and to the required standard as requested. Medicines Management To understand the basic principles of the workings of a Medicines Management Service Assess the suitability of patients own drugs (PODs) for re-use during admission and on discharge according to Trust Policy. To support the medicines management technicians with Drug History taking being supervised at all times. To complete the internal medicines optimisation modules during the medicines management rotations To complete the medicines optimisation training within the two-year contract. Procurement Assisting with the invoicing team Mail Assisting with the management of Wholesaler Invoice Trays Filing of signed Pharmacy Purchase Orders Processing Homecare prescriptions according to the procedure Assisting with Supplier Statements Processing the Insulin Pump Homecare invoices Assisting the Pharmacy Purchasing Manager by chasing suppliers for information on to- follows. Raising and Sending Purchase Orders to suppliers Process Eye Spreadsheets and recharges at patient level Payment of miscellaneous invoices including Direct Suppliers and Homecare General Responsibilities To support the department and organisation by carrying out any other duties that reasonably fit within the broad scope of a job of this grade and type of work.

Planning and organisational tasks / duties To plan effectively the daily management of a caseload of patients by prioritising clinical work, responding to urgent referrals and occasionally unpredictable work patterns. To be able to prioritise clinical work and managerial work, and balance other patient related and professional activities as the department requires. Patient Care Responsibilities To undertake specialist assessments of patients including those with diverse or complex presentations/multipathologies and to assess patients jointly with other members of the multidisciplinary team. To use sound clinical reasoning skills, assessment techniques and diagnostic procedures to assess and develop treatment programmes. To devise individualized Speech and Language therapy management and / or treatment plans, using a range of treatment/ management options, to include patient education. To formulate accurate prognoses and recommend best course of intervention, developing comprehensive, timely discharge plans, liaising with ESD and community rehabilitation teams. To evaluate patient progress, reassess and alter treatment programmes if required. To evaluate the outcomes of your interventions. Communication / Relationship Skills To communicate effectively with all disciplines involved in a patients care, both those from within the organisation and those outside, to ensure effective multidisciplinary working. This will include discussion of patient care, patient progress and involvement in discharge planning. To communicate complex and sensitive information to patients, carers and other staff including imparting unwelcome news relating to their rehabilitation potential and gaining consent for treatment. To communicate any changes in care plan or treatment approach to the multi disciplinary team as necessary. To ensure timely and effective communication with the Band 7 Speech and Language Therapist and senior staff on all professional matters. To maintain accurate records in line with the Royal College of Speech and Language Therapy standards and Trust and service standards and policies. To attend relevant board rounds, meetings and case conferences as appropriate in order to ensure appropriate management and effective and timely discharge of patients. To attend staff meetings and actively participate ensuring understanding of information imparted. Assess patients understanding of treatment proposals, gain valid consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment. To use a range of verbal and non-verbal communication tools to communicate effectively with patients in order to progress rehabilitation and treatment programmes. This may include patients who will have difficulties in understanding or communicating, e.g. patients who may be deaf, blind, or be unable to accept diagnosis or presenting condition or who have cognitive and behavioural problems. To appreciate cultural differences and take these into account when agreeing treatment plans with patients. To manage frequently highly stressful conditions To manage patients who maybe occasionally aggressive or confused. To be able to manage potentially stressful, upsetting or emotional situations in an empathetic manner Analytical / Judgmental Skills To undertake comprehensive assessments of patients including those with diverse or complex presentations/ multipathologies. To use investigative and analytical skills to assess complex patients and support other more junior Speech and Language therapy staff with their patients as required. To devise individualised Speech and Language Therapy management and / or treatment plans, using clinical reasoning skills. To keep up to date with developments, analysing current research and discussing and implementing changes to your clinical practice. Personal and people development To work as part of the Speech and Language Therapy team and Multi disciplinary team to provide an efficient and effective service. To supervise junior Speech and Language Therapy staff where appropriate or therapy assistants. To evaluate own and others practice and identify own and others development needs. To participate in the appraisal scheme as an appraisee and appraiser. Participate in the supervision of students. Deputise for the team leader when required. To provide training of junior staff, students, or assistants/technicians, other therapists, nursing staff and care workers within the clinical area. To ensure professional competence is maintained by participating in all CPD opportunities and maintaining a portfolio. To participate in training sessions as a recipient and facilitator. To disseminate any training received to other staff and health care professionals. To be responsible for and actively record your own personal development. This may include active participation in journal clubs, clinical reasoning and joint problem patient sessions. Health, safety and security To monitor and maintain health, safety and security of self and others. Take responsibility for identifying and assessing potential risks involved in work activities and processes for self and others To ensure completion of relevant risk assessments and associated documentation. To take appropriate action, reporting actual or potential problems that may put health and safety and security at risk. To be aware of risks involved as part of delivering clinical care and manage this within own patients caseload. To demonstrate a good understanding of clinical governance and clinical risk, actively participating in clinical governance groups. Policy and Service Improvement/ Development To implement, within your clinical practice, standards and policies in each specialty and where applicable propose changes to working practice. To assist the Team Leader and Clinical Lead in setting and monitoring of standards and policies of clinical practice for the team and evaluate outcomes. Audit/Research & Development To participate in appropriate work related evaluation projects and to be aware of current research relevant to the specialty. To undertake and present relevant evidence based projects. To participate in any relevant clinical governance projects and audits. To evaluate your own clinical effectiveness. Quality To maintain the high standards of the service by contributing towards individual, team and service objectives. To maintain a high standard of clinical care using evidence-based practice by keeping up to date with clinical developments, analysing current research and discussing and implementing changes in your clinical practice. To achieve and maintain a high standard of clinical care using evidence-based practice, keeping up to date with clinical developments, analysing current research, discussing and implementing changes in your clinical practice and encouraging throughout the team. Freedom to Act To be professionally and legally responsible and accountable for all aspects of your professional activities working within the codes of practice and professional guidelines. To work as an autonomous practitioner to undertake a significant clinical caseload, working without direct supervision. Access to a Band 7 Speech and Language Therapist is available if required and clinical work is not routinely evaluated. Equality, diversity and rights Responsible for supporting a culture which promotes equality and diversity Responsibility for financial and other physical resources Responsible for the safe and effective use of equipment and resources that are used in the course of work. Responsibilities for information resources To maintain accurate and timely statistical information as required by senior staff and managers. To be responsible for the accurate in of clinical information onto the Trust IT system. Further information and general responsibilities: To have responsibility for the health, safety and welfare of self and others at work. This includes being conversant with relevant trust safety policies and procedures. To report incidents and near misses at work; take part in the risk management process; attend all mandatory training courses in the agreed duration as defined by trust policy and carry out tasks and use equipment only when competent to do so. To ensure confidentiality at all times, only releasing confidential information obtained during the course of employment to those acting in an official capacity. To comply with the requirements of the Data Protection act. To support the department and organisation by carrying out any other duties as qualified and able. To comply with the trusts corporate and local policies and procedures on such subjects and clinical management and human resources. To ensure that patients, clients and members of the public are consulted and involved in decisions about local health service developments. As a trust employee to be mindful of this and do what is appropriate to the role and level meet this duty of responsibility. To undertake such other duties as may be required from time to time and are consistent with the responsibilities of the role. To comply with the trusts policies on equal opportunities, the consumption of alcohol and smoking. To support the department and organisation by carrying out any other duties as qualified and able. General responsibilities To support the department and organisation by carrying out any other duties that reasonably fit within the broad scope of a job of this grade and type of work.

For more information on Silverwood and the Job Role and Responsibilities please find the appropriate attachments on this job listing.

MAIN DUTIES AND RESPONSIBILITIES OF THE POST:Over view of ResponsibilitiesCommunications and Relationships To develop and sustain partnership working with individuals, groups, communities and agencies. To work autonomously by accepting responsibility for own patient caseload, ensuring all patients have an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made, and ensuring clear documentation in the patients records. Providing detailed baseline patient assessment and education and support to patients and their families. To maintain appropriate channels and styles of communication to meet the needs of patients, relatives and carers, consultants, managers, peers and other profession / agencies. To continue to develop existing and establish new effective working relationships with other services within the hospital, community, clinical commissioning group, voluntary and public sector and actively participate in partnership working across all organisations. To communicate in a sensitive and professional manner with individuals with MS their relatives and carers in highly emotive or distressing circumstances taking into consideration their privacy, cultural values and beliefs. To act as an advocate for the patient when appropriate. To facilitate independence and empower patients in managing their own lives using educational strategies and motivational techniques.Personal & Professional development To keep up to date with current developments in nursing and ensure evidence-based practice. To conduct oneself in accordance with NMC code of conduct and local policies. To update and maintain own specialist knowledge through critical self-appraisal, participation in clinical supervision and networking with other health care professionals locally and nationally, through a planned approach to continuing professional development. Ensure all mandatory training is up to date. To act as a resource for people with MS and health care professionals and workers within a variety of settings, providing highly specialist advice, support, and education in the management of the diverse problems relating to MS. Divisional ChiefNurse, GSMMultipleSclerosisSpecialist NurseClinical responsibilities Provide nurse-led clinics and support the neurologist in MS MDT clinics Provide Ward visits and domiciliary visits where appropriate. Manage the group of MS patients using the infusion suite at Ashford hospital for their MS therapies. Maintain effective communication and relationship with the infusion suite staff. Undertake a holistic nursing assessment, implementation and evaluation of patient together with an awareness of their support network. To work autonomously by accepting responsibility for own patient caseload, ensuring all patients have an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made, and ensuring clear documentation in the patients records. Providing detailed baseline patient assessment and education and support to patients and their families. Manage all patients on any disease modifying therapy (DMT) including DMTs for highly active rapidly evolving RRMS that require complex monitoring and preparation pre-treatment. To ensure patients are given all the information required about each DMT and the risks to enable them to consent to the treatment choice. To facilitate independence and empower patients in managing their own lives using educational strategies and motivational techniques. Requesting and monitoring of blood tests, MRI scans and other investigations as appropriate for particular treatments ensuring patients/ families are aware of the purpose of these and keeping medical colleagues aware of results. Maintain a support network and contact link for patients and/or families/carers. Accurate, contemporaneous record keeping in medical records and relevant databases.Managerial Communicate effectively and maintain a harmonious environment. Complex case management in both hospital and community in association with MS team. Maintain a safe and healthy environment ensuring health and safety guidelines are Implemented and adhered to. To participate in the management of change to improve standards and communication links between primary, secondary and tertiary care. To comply with measures to actively manage and reduce risk to patients. Ensuring the formal reporting and recording of adverse incidents in line with Trust policy. Network with the team of clinical nurse specialists within the Trust, area wide and nationally to evaluate, develop and promote the specialist-nursing role Organise cover for infusion suite when MS nurse is not availableEducation of patients and staff To identify and meet the educational needs of the patient and their family and carers Act as a specialist resource and first line contact for patients and their carers providing relevant education, advice, support and information Support with patient education groups and to other health and social care professionals To ensure all patients are fully informed of the risks and benefits of proposed procedures / treatments, contributing to the process of securing informed consent. To help organise and contribute to patient education events including newly diagnosed course, digesting science and participate in the delivery of other programmes of education and training according to the identified care needs of patients and carers. To attend meetings and conferences as appropriate ensuring that you are fully conversant with current issues both within the Trust and within specialist services locally and nationally. To promote and facilitate evidence-based practice and clinical audit within the Trust, raising the profile and enhancing the contribution of nursing to patient care and informing business and service development plans. To participate and assist with any appropriate/relevant Trust approved research projects conducted within the department.

Working as a Bank Registered Nurse in a variety of wards / departments within the hospital setting. Carry out assigned tasks involved with direct patient care whilst maintaining the privacy and dignity of patients. This will be whilst demonstrating excellent care, compassion and communication, working alongside the multidisciplinary team, incorporating: Delivering high quality direct patient care. Following patient admission/transfer/discharge processes. Medication administration. Care planning and evaluation. Wound management. Accountable to nurse in charge of each shift and supporting junior colleagues. See full job description for full details

To be responsible for the implementation of processes for the effective management of patients with long-term conditions using evidence-based practice including care for elderly and housebound patients. Working as a senior member of the practice multidisciplinary team, the post holder will ensure nursing services are delivered effectively to the entitled patient population. The Practice Nurse will be responsible for a number of clinical areas such as infection prevention and control, health promotion, chronic disease management, as well as actively supporting the practice management team in the reviewing and delivery of clinical policy and procedure.

Our MHSTs support children and young people with emerging or mild-moderate mental health difficulties and Getting Help within the Thrive Framework by delivering targeted evidence-based interventions in schools. The MHSTs also work together with their schools to co-produce and deliver whole school approach work and offer ongoing professional consultation and advice to School Professionals, being the link between the school and wider EWB and MH services within Surrey. Please see the attached job description for more details. Please note: You will be required to travel between various sites within Surrey for this role so having a driving licence and access to a car is desirable. Although we work in schools, the team operates all year around.

For a more detailed job description and main responsibilities, please see Job Description and Person Specification: Clinical & Professional Responsibilities: Provide nursing support and advice, especially after hours, for patient care and referral to medical staff. Perform clinical interventions and teach procedures to ward staff. Ensure effective communication regarding patient care and management. Maintain theoretical knowledge and ensure safe equipment use. Promote infection prevention and reduce hospital-acquired infections. Develop and maintain clinical skills and implement evidence-based practice. Management Responsibilities: Assist in hospital operations and provide leadership for patient care. Coordinate emergency responses and manage bed resources effectively. Foster good relationships with staff, patients, and multidisciplinary teams. Redeploy staff as needed and ensure adherence to standards. Act as a role model and maintain professionalism. Capacity Management: Participate in capacity meetings and maintain accurate bed state information. Coordinate with personnel to optimise bed utilisation. Ensure timely and safe discharge and transfer of patients. Troubleshoot issues in the patient pathway and escalate infection control concerns. Support site management 24/7 and collect capacity data for audits. Education Responsibilities: Teach and create a positive learning environment. Assist in training programs for staff. Maintain research-based practice and participate in nursing initiatives. Continuously enhance own knowledge through education and training. Clinical Governance Responsibilities: Participate in clinical benchmarking programs. Ensure adherence to infection control practices. Support staff in acquiring clinical competencies. Supervise staff for professional development and patient safety. Maintain comprehensive and timely record keeping. Proactively address complaints and incidents and identify own development needs.

Providing high standard of care to neonates and their families under clinical supervision of NCOS Support parents and staff with preparation of discharge of the neonate in special care and the transitional care based on the postnatal ward. Teach and assess parents craft skills Maintained high standards of care both in hospital and community settings Support "Baby Friendly Initiative" To provide support and on-going assessment of the neonate post discharge as delegated by NCOS.

1. Communication and relationship skills Excellent communication skills are essential. To work in close liaison with the oncology/community dietitians and other dietitians transferring patients as required, and providing a seamless care between settings To assess, advise and liaise with patients and their carers in providing up to date dietary information. To review and update dietary information for patients and carers. Will be required to offer constructive feedback to support development of others To establish rapport with a wide range of patients and carers, working in a non-discriminatory fashion To liaise regularly with nursing, medical and other health professionals regarding the treatment of patients e.g. on appropriate use of nutritional supplements and enteral feeds To use motivational interviewing techniques to overcome barriers to change To deliver difficult or upsetting information in a compassionate manner To translate complex scientific information into an easily understood format To provide nutrition counselling, using advocacy services or interpreters when appropriate, to communicate with the diverse multicultural population where there are barriers to communication. To review, prepare, present and evaluate education and training programmes for other organisations, health care professionals and patient groups. To attend multi-disciplinary team meetings as appropriate 2. Knowledge, training and experience The post holder requires a degree/ postgraduate diploma in nutrition and dietetics. They need to have an interest in and exhibit specialist dietetic skills in oncology. To be registered with, and work at all times within the professional codes of practice stipulated by the health care professions council Is expected to take responsibility for self-development on a continuous basis, undertaking on-the-job and other training and study days as required. To be able to effectively manage time and work to deadlines. To review and update dietary information for patients and parents/carers. To exhibit supportive and supervisory skills for juniors members of the team to aid professional development. 3. Analytical and judgement skills Will be involved with clinical supervision and also provide support to junior members of staff. This includes clinical guidance and assisting with project work where necessary. To continuously assess and reflect on current practices and identify changes in clinical and working practices to ensure that recognised best practice is implemented. To complete a yearly audit as required To demonstrate good time management skills and an ability to prioritise own workload. To translate complex scientific information into easily understood format To interpret biochemical data and use to formulate dietary requirements and advice. 4. Planning and organisational skills To review, prepare, present and evaluate education and training programmes for other organisations, health care professionals and patient groups. To undertake a yearly audit as deemed appropriate To submit data in a timely fashion and achieve deadlines as set by team lead To develop a CPD plan and personal objectives with the team lead To demonstrate good time management skills and an ability to prioritise own workload To organise self and work independently without supervision 5. Physical skills To use a wide range of computer software at a high level and have good keyboard skills. To review, prepare, present and evaluate education and training programmes for other organisations, health care professionals and patient groups. To demonstrate an ability to use additional equipment as required for role e.g. skin fold callipers To work in a range of clinical environments which may be subject to frequent interruptions To follow procedures for moving and handling 6. Responsibility for patient / client care To be responsible for providing specialised advice to adult clients within the community and outpatient setting (including outpatient clinics, nursing homes and own homes as needed) including nutritional assessment, dietary counselling, motivational interviewing, negotiating targets, developing care plans and communicating these with relevant health care professionals and other care agencies. Will be required to advise and assess community and oncology patients within the community setting To delegate responsibility for patients to other junior members of staff as appropriate. Must at all times respect patient confidentiality and, in particular, the confidentiality of electronically stored personal data in line with the requirements of the data protection act. To remain patient focused at all times by providing high quality and responsive healthcare services in the hospital and outpatient setting To work closely with patients, their families, carer groups, local communities and other organisations ensuring care is co-ordinated. To develop a safe caseload management plan by evaluating the condition of patients, the volume of caseload and workload within the role to prioritise work, thus decreasing clinical risk and achieving deadlines. These decisions will be taken without consulting the line manager. To prescribe nutrition related products for patients, dependent upon clinical condition e.g. enteral feeds, sip feeds, gluten free foods and advise medical staff on recommended prescriptions for intravenous nutrition and related products e.g. parenteral nutrition bags. To recommend prescription of pharmacological medications wherever necessary e.g. IV pabrinex and/or B vitamins to prevent refeeding syndrome To be responsible for the safe discharge planning/setup of patients requiring home enteral nutrition, including liaising with and coordinating numerous outside agencies, such as home enteral feeding companies, community budget holders and clinical community staff. To liaise with dietetic colleagues locally and nationally and other experts to ensure nutrition care, standards, advice and information are consistent with current evidence base. To ensure that services are planned, implemented and evaluated within the framework of clinical governance i.e. demonstrate that working practices are up to date through the application of best practice, and reporting of incidents and risks and follow through to prevent recurrence To attend multi-disciplinary team meetings as appropriate To volunteer for link roles within the department as required, for example infection control link/ safeguarding link 7. Responsibility for policy and service development implementation To liaise with dietetic colleagues locally and nationally and other experts to ensure nutrition care, standards, advice and information are consistent with current evidence base. To ensure that services are planned, implemented and evaluated within the framework of clinical governance i.e. demonstrate that working practices are up to date through the application of best practice, and reporting of incidents and risks and follow through to prevent recurrence To observe the rules, policies and procedures of Medway community healthcare CIC. To lead and collaborate in the development of standards, protocols and pathways of care for the nutrition support of patients. To lead and participate in audit activities relevant to the service as agreed in the service strategy and in association with key stakeholders in the service/organisation. To share any incidents or quality service with colleagues and report through appropriate sources. May be required to undertake duties at any location within the organisation in order to meet service needs. Must at all times carry out duties and responsibilities with due regard to the organisations equal opportunities policies and procedures. To work alongside the community macmillan oncology specialist dietitian and other community dietitians to produce policies and guidance in the area of oncology 8. Responsibilities for financial and physical resources To make the most efficient use of departmental resources and be mindful of budgetary limitations. To provide best practice and value for money by reviewing and evaluating services and sharing information internally and externally To ensure that costs of prescribing nutrition related products are considered whilst formulating treatment plans and long term dietetic input To consider the financial implications dietetic intervention may have on a patient and their family and whether it is feasible and sustainable within the patients environment. 9. Responsibilities for human resources (HR) To actively participate in the planning and delivery of the departments student training programme on a regular basis. To actively participate in the education of all staff (this includes dietetic staff & students) with dietetic advice. To maintain an up-to-date knowledge of research findings and new practices within nutrition and dietetics, and apply this knowledge to improve practice, thus ensuring national standards are being met. To participate fully in the departments Individual performance development system through portfolio-based assessment, in line with national legislation. To contribute to the development of own CPD plan in liaison with team lead. To supervise junior members of staff to enable them to prioritise and manage their workload. To appraise students positively and constructively. This may involve discussing performance or competency issues. To be innovative and proactive by encouraging staff to initiate new ideas in working practices and ensuring a process of continuous improvement in the way services are provided. Please see the JD attached for further information.

Please check the job description and personal specification document for more information on the requirement for this job. For further details / informal visits contact: Name Sophie Makanbu m. 07979777204 For further details / informal visits contact: Name Sophie Makanbu Job title Advanced Practitioner Email address Sophie.Makanbu@sabp.nhs.uk Telephone number 07979777204

Are you an enthusiastic, self-motivated and experienced dietitian?



Can you work flexibly as an effective part of a team?



Would you like to develop your skills?



If so, we’d love to hear from you!



This role provides a dietetic service to adult community and oncology patients in the Medway and Swale area through the assessment, treatment and management of adult patients in the community, outpatient clinics and in their own homes. You may also be required to provide a clinical service to our inpatient rehab units including the local hospice. This is an exciting opportunity for someone to work in a varied role while gaining experience in adult oncology.

We welcome applications from band 6 dietitians or from experienced band 5 dietitians who are able to show a commitment to developing their knowledge and skills within oncology care.

The post holder will be an autonomous practitioner within the Community Team of Dietitians and will provide a clinical dietetic service through the assessment, treatment and management of adult community and oncology patients in the community, outpatient clinics and in their own homes.

The post holder will also be involved in the supervision of junior staff members and students and will have the opportunity to develop their skills and knowledge in enteral feeding in the community.

So what else?

· This is your chance to join a progressive and innovative service in a social enterprise that is patient and staff focused - you’ll even have the opportunity to become an MCH shareholder.

· We encourage staff to get involved in exploring new ways of working and service development.

· We’ll provide well established, in-service training, one to one supervision, and appraisals with regular support.

· You’ll be able to develop your skills in a friendly and supportive team.

Would you like to work flexibly? In the NHS, we are reminded every day of how important work life balance is. As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us, for our patients and for you. Speak to us about how we might be able to accommodate a flexible working arrangement.

The small print

· Informal visits can be arranged on request.

· We will offer you the choice of two pension schemes; the NHS Pension scheme and the scottish widows group pension scheme.

· MCH encourages all staff to be double COVID vaccinated to protect themselves, their colleagues, their family and their patients.

1. Communication and relationship skills
• Excellent communication skills are essential.
• To work in close liaison with the oncology/community dietitians and other dietitians transferring patients as required, and providing a seamless care between settings
• To assess, advise and liaise with patients and their carers in providing up to date dietary information.
• To review and update dietary information for patients and carers.
• Will be required to offer constructive feedback to support development of others
• To establish rapport with a wide range of patients and carers, working in a non-discriminatory fashion
• To liaise regularly with nursing, medical and other health professionals regarding the treatment of patients e.g. on appropriate use of nutritional supplements and enteral feeds
• To use motivational interviewing techniques to overcome barriers to change
• To deliver difficult or upsetting information in a compassionate manner
• To translate complex scientific information into an easily understood format
• To provide nutrition counselling, using advocacy services or interpreters when appropriate, to communicate with the diverse multicultural population where there are barriers to communication.
• To review, prepare, present and evaluate education and training programmes for other organisations, health care professionals and patient groups.
• To attend multi-disciplinary team meetings as appropriate



2. Knowledge, training and experience
• The post holder requires a degree/ postgraduate diploma in nutrition and dietetics. They need to have an interest in and exhibit specialist dietetic skills in oncology.
• To be registered with, and work at all times within the professional codes of practice stipulated by the health care professions council
• Isexpected to take responsibility for self-development on a continuous basis, undertaking on-the-job and other training and study days as required.
• To be able to effectively manage time and work to deadlines.
• To review and update dietary information for patients and parents/carers.
• To exhibit supportive and supervisory skills for juniors members of the team to aid professional development.



3. Analytical and judgement skills
• Will be involved with clinical supervision and also provide support to junior members of staff. This includes clinical guidance and assisting with project work where necessary.
• To continuously assess and reflect on current practices and identify changes in clinical and working practices to ensure that recognised ‘best practice’ is implemented.
• To complete a yearly audit as required
• To demonstrate good time management skills and an ability to prioritise own workload.
• To translate complex scientific information into easily understood format
• To interpret biochemical data and use to formulate dietary requirements and advice.



4. Planning and organisational skills
• To review, prepare, present and evaluate education and training programmes for other organisations, health care professionals and patient groups.
• To undertake a yearly audit as deemed appropriate
• To submit data in a timely fashion and achieve deadlines as set by team lead
• To develop a CPD plan and personal objectives with the team lead
• To demonstrate good time management skills and an ability to prioritise own workload
• To organise self and work independently without supervision



5. Physical skills
• To use a wide range of computer software at a high level and have good keyboard skills.
• To review, prepare, present and evaluate education and training programmes for other organisations, health care professionals and patient groups.
• To demonstrate an ability to use additional equipment as required for role e.g. skin fold callipers
• To work in a range of clinical environments which may be subject to frequent interruptions
• To follow procedures for moving and handling



6. Responsibility for patient / client care
• To be responsible for providing specialised advice to adult clients within the community and outpatient setting (including outpatient clinics, nursing homes and own homes as needed) including nutritional assessment, dietary counselling, motivational interviewing, negotiating targets, developing care plans and communicating these with relevant health care professionals and other care agencies.
• Will be required to advise and assess community and oncology patients within the community setting
• To delegate responsibility for patients to other junior members of staff as appropriate.
• Must at all times respect patient confidentiality and, in particular, the confidentiality of electronically stored personal data in line with the requirements of the data protection act.
• To remain patient focused at all times by providing high quality and responsive healthcare services in the hospital and outpatient setting
• To work closely with patients, their families, carer groups, local communities and other organisations ensuring care is co-ordinated.
• To develop a safe caseload management plan by evaluating the condition of patients, the volume of caseload and workload within the role to prioritise work, thus decreasing clinical risk and achieving deadlines. These decisions will be taken without consulting the line manager.
• To prescribe nutrition related products for patients, dependent upon clinical condition e.g. enteral feeds, sip feeds, gluten free foods and advise medical staff on recommended prescriptions for intravenous nutrition and related products e.g. parenteral nutrition bags.
• To recommend prescription of pharmacological medications wherever necessary e.g. IV pabrinex and/or B vitamins to prevent refeeding syndrome
• To be responsible for the safe discharge planning/setup of patients requiring home enteral nutrition, including liaising with and coordinating numerous outside agencies, such as home enteral feeding companies, community budget holders and clinical community staff.
• To liaise with dietetic colleagues locally and nationally and other experts to ensure nutrition care, standards, advice and information are consistent with current evidence base.
• To ensure that services are planned, implemented and evaluated within the framework of clinical governance i.e. demonstrate that working practices are up to date through the application of best practice, and reporting of incidents and risks and follow through to prevent recurrence

· To attend multi-disciplinary team meetings as appropriate

· To volunteer for link roles within the department as required, for example infection control

link/ safeguarding link



7. Responsibility for policy and service development implementation
• To liaise with dietetic colleagues locally and nationally and other experts to ensure nutrition care, standards, advice and information are consistent with current evidence base.
• To ensure that services are planned, implemented and evaluated within the framework of clinical governance i.e. demonstrate that working practices are up to date through the application of best practice, and reporting of incidents and risks and follow through to prevent recurrence
• To observe the rules, policies and procedures of Medway community healthcare CIC.
• To lead and collaborate in the development of standards, protocols and pathways of care for the nutrition support of patients.
• To lead and participate in audit activities relevant to the service as agreed in the service strategy and in association with key stakeholders in the service/organisation.
• To share any incidents or quality service with colleagues and report through appropriate sources.
• May be required to undertake duties at any location within the organisation in order to meet service needs.
• Must at all times carry out duties and responsibilities with due regard to the organisation’s equal opportunities policies and procedures.

· To work alongside the community macmillan oncology specialist dietitian and other community dietitians to produce policies and guidance in the area of oncology





8. Responsibilities for financial and physical resources
• To make the most efficient use of departmental resources and be mindful of budgetary limitations.
• To provide best practice and value for money by reviewing and evaluating services and sharing information internally and externally
• To ensure that costs of prescribing nutrition related products are considered whilst formulating treatment plans and long term dietetic input
• To consider the financial implications dietetic intervention may have on a patient and their family and whether it is feasible and sustainable within the patient’s environment.



9. Responsibilities for human resources (HR)
• To actively participate in the planning and delivery of the department’s student training programme on a regular basis.
• To actively participate in the education of all staff (this includes dietetic staff & students) with dietetic advice. To maintain an up-to-date knowledge of research findings and new practices within nutrition and dietetics, and apply this knowledge to improve practice, thus ensuring national standards are being met.
• To participate fully in the departments Individual performance development system through portfolio-based assessment, in line with national legislation.
• To contribute to the development of own CPD plan in liaison with team lead.
• To supervise junior members of staff to enable them to prioritise and manage their workload.
• To appraise students positively and constructively. This may involve discussing performance or competency issues.
• To be innovative and proactive by encouraging staff to initiate new ideas in working practices and ensuring a process of continuous improvement in the way services are provided.



Please see the JD attached for further information.


This advert closes on Tuesday 5 Nov 2024

Proud member of the Disability Confident employer scheme