Team Lead Dietitian - (Intestinal Failure & Transplant)


Company:	NHS Jobs
Salary:	£49,387 to £56,515 a year
Hours:	Full-time
Location:	Headington, Oxford, OX3 9DU
Job type:	Contract
Posting date:	17 Sept 2026
Closing date:	30 Sept 2026

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Summary

CLINICAL To be be professionally and legally accountable for all aspects of your own work, including sole responsibility for the dietetic management of patients in your care, working within the professional, ethical and legal framework for dietetics set out in the Health and Care Profession Councils Dietitians Standards of Conduct Performance and Ethics and the British Dietetic Associations Professional Standards for Dietitians and Code of Professional Conduct. Work autonomously and have responsibility for delivery a highly skilled dietetic service within the multidisciplinary team as part of the whole care pathway for patients diagnosed with intestinal failure (IF), including intestinal transplant candidates and recipients. Lead and coordinate dietetic provision to ensure a comprehensive specialised dietetic service is provided to IF and transplant patients. This will include: Providing a highly specialised clinical service to IF and transplant inpatients, including those requiring TPN within the OUH To support the multidisciplinary nutrition team in facilitating the planning and discharge of PN fed patients, coordinating and arranging appropriate follow-up remotely or at the consultant led multidisciplinary nutrition clinic for HPN and complex enterally fed patients being discharged both locally and out of area. Lead and support the dietetic service provided to OUH HPN patient and complex nutrition caseload for outpatients, and support the NST to assess and provide nutritional input, including requesting additional information, investigations, blood tests, vitamins and trace elements, review TPN prescription based on nutrient requirements and biochemistry. Providing a highly specialised clinical service to intestinal transplant patients including candidates assessment, work up, acute transplant period and long term follow up both locally and out of area, including satellite clinic. Provision of a dietetic service includes the following aspects: To judge and determine appropriateness of referrals made by members of the multidisciplinary team to ensure effective use of time and resources; Obtain and analyse relevant information from different sources including: medical notes, nursing notes, the client, ward staff and/or carers, in order to make a comprehensive assessment of the patients condition, prognosis and treatment plans so that a decision on the most appropriate dietetic treatment to support this can be made in the short and long term; To assess the nutritional status of individual patients based on anthropometric measurements e.g. weight, height, weight history as well as biochemical parameters, diet history and other validated methods of nutritional assessment as appropriate; Calculate nutritional requirements based on: 1) anthropometric data 2) current nutritional and hydration status 3) current clinical state 4) established guidelines on requirements based on weight and age 5) previous dietary intake; Discussion and negotiation of treatment options to individualise and establish the most appropriate methods of treatment, in an attempt to encourage compliance with and acceptance of the dietetic management plan; To formulate individualised patient care plans, artificial feeding regimens, taking into consideration factors which may affect requirements or help/hinder provision of nutrition support such as: prescribed drugs, biochemical derangements etc; Evaluate the effectiveness of nutritional goals and modify as necessary based on ongoing analysis and assessment of information available and changing patient needs and medical condition. To communicate effectively with patients, carers and other health professionals. Skills of negotiation, motivation, explanation and gaining consent are used in a wide variety of sometimes sensitive situations. The ability to communicate complex information at an appropriate level to enable understanding is important. Barriers to communication may be evident e.g. loss of hearing, receptive and expressive problems with the formulation and understanding of language, difficulties with speaking. Work as an integral member of the multidisciplinary team (MDT) to ensure a holistic approach to patient care. Attend regular team meetings when patient care is reviewed, liaison meetings with other multi-disciplinary teams where patients joint care is planned and reviewed, case conferences, ward rounds and governance meetings. Liaise and communicate with healthcare professionals in acute and community settings, ensuring seamless continuation of dietetic treatment. This involves: 1. Detailed handover to dietetic colleagues in local hospitals; 2. Key role in the planning, coordinating, training and community follow-up for patients requiring on-going dietetic input both locally and out of area. 3. Provide the continued dietetic support via telephone for selected patients To be actively involved with the development of evidence-based, trust-wide guidelines, for example feeding protocols and other resources such as diet sheets in liaison with dietetic colleagues, senior nurses or clinicians. Participate in research and audit undertaken by the Nutrition, Transplant and/or Dietetic team. Presentation of audit or research results at national or international conferences to promote practise and share expertise with colleagues. TEAM LEADER RESPONSIBILITIES To work as part of the team of team leads to support the smooth running and quality service delivery of the Dietetics department, within OUH Therapies CSU. To lead on service planning within the identified clinical area. To ensure that all team members receive clinical supervision in conjunction with clinical specialists. Monitoring and allocating work load / distribution including overseeing annual and study leave requests and cover in clinical team. Monitoring and managing sickness / absence of team members. Ensuring that all team members have an annual appraisal Leading on recruitment to vacant posts in clinical team (in conjunction with the Dietetic Services manager) Act as an advisor to managers as to likely changes and requirements as a result of developments within clinical area. Lead on the development of new services within clinical area. To organise and lead the clinical team including: 1) Provision of reports/documentation on clinical service as required in a timely manner. 2) To be responsible for authorising and recording annual leave for the clinical team and agree annual leave as required for other dietetic colleagues 3) Ensure regular clinical team meetings involving CPD and team objectives 4) To be responsible for developing a training program for the Band 5 and/or Band 6 dietitians on rotation in the clinical area To represent the Dietetic Team at Divisional/Directorate Clinical Governance and business meetings Along with the Nutrition Support Team medical, nursing and pharmacy leads to be responsible for the intestinal failure service and its development. PROFESSIONAL Be accountable for own actions working within the professional, ethical and legal framework for dietetics set out in the Health Profession Councils Dietitians Standards of Conduct Performance and Ethics and the British Dietetic Associations Professional Standards for Dietitians and Code of Professional Conduct. To take responsibility for own continuing professional development (CPD) and provide evidence for this by maintaining a CPD portfolio. CPD involves critical evaluation of scientific papers, attending professional development meetings, working as a reflective practitioner and attending relevant internal/external courses. Participate in own annual appraisal, identifying own development and training needs and setting personal development objectives with line manager. Undertake all relevant statutory and mandatory training, maintaining up to date compliance. To participate in departmental audits and initiate audit within own work area in order to monitor and evaluate whether local/ national standards are being met and make recommendations for change. To be involved with the planning of departmental clinical effectiveness and audit strategies. To have responsibility to provide input into own clinical area policies and guidelines. Be involved with the dietetic student training programme, facilitating the development of skills and knowledge and participate in the assessment process. To provide specialist advice, teaching and training to all members of the multidisciplinary team regarding the nutritional management of patients in the identified clinical area. This involves regular participation in in-house training courses. Participate in external training /teaching when requested to do so for example teaching undergraduate nursing students at local university. To demonstrate risk management skills and a sound understanding of clinical governance and apply to the work situation. To be involved in clinical governance, including investigating and shared learning of incidents. ORGANISATIONAL To determine priorities for own work based on clinical need and balance patient caseload with professional demands. To provide cover for other colleagues patient caseloads, this requires time management and excellent organisational skills. To be an active member of the bank holiday on-call service To collect and record activity data daily as required by the department, clinical teams, trust and outside agencies. Collation and sharing of audit data including via in house databases or national data repositories, as appropriate. To maintain accurate and legible documentation of patient interventions on electronic patient records. To communicate any changes in nutritional care to appropriate members of the multidisciplinary team by documentation within nursing/medical notes or by letter/report/secure email.

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