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Nottingham CityCare are excited to be adding an Advanced Diabetes Specialist Dietitian to our established and forward thinking integrated Diabetes team. We are seeking an individual who is motivated, a team player and can relate with CityCares values and behaviours to form part of our high performing, highly skilled team. The successful candidate will play a crucial clinical role in the person-centred assessment, planning, and coordination of care and support for people in Nottingham City with diabetes. The aim of this role is to promote engagement with appropriate services, contribute to more effective specialist management, and prevent potential negative health outcomes of diabetes, including avoiding unnecessary diabetes-related hospital admissions.
Job Responsibility:
To act as lead dietitian for the dietetic management of Type 1 & 2 Diabetes and related co-morbidities
To act as lead dietician providing expertise within the community specialist diabetes nursing team and to other healthcare professionals within Nottingham City in relation to nutrition and diabetes advice.
To support strategic developments within the community diabetes nursing team and the Nottingham City Diabetes Service
To maintain, develop and provide education and training on diabetes and related co- morbidities to health care professionals, other relevant professions, students, patients and the public.
To be the dietetic lead within the integrated community diabetes team providing knowledge and expertise for evidence-based dietary guidelines, practice and education, working within the service as appropriate.
To work collaboratively and across organisational boundaries to provide evidence-based practice and holistic care to people with diabetes in a variety of settings.
Support diabetes patients registered with Nottingham City GP Practices, as defined by inclusion criteria for the service.
To offer a specialist resource to health care professionals working in Nottingham City.
Receiving, interpreting and prioritising relevant referrals from a variety of health and social service professionals for patients with diabetes
To be an expert source of knowledge, therapeutic dietary advice and treatment recommendations for patients with diabetes and health professionals
To develop individual patient centred care plans based on nutritional requirements including interpretation of biochemistry, anthropometry, clinical conditions, medication, diet history, family and social history.
Provide appropriate dietary counselling, therapeutic, lifestyle advice to patients and carers. This will include domiciliary settings where appropriate
To undertake patient facing work within various venues across Nottingham city, including joint clinics with other members of the diabetes team e.g. Consultant and Diabetes Specialist Nurse, this may also include domiciliary visits
To deliver DAFNE structured education programme to the citizens of Nottingham City.
Attending clinical and multi-disciplinary team meetings as required.
Maintaining accurate and comprehensive patient records. Managing own clinical caseload
Undertaking data collection e.g. the use of SystmOne and other packages to collect patient data statistics and undertake audit.
Be competent in the use of Information Technology and its application to Dietetics
using Microsoft Word, Excel and PowerPoint effectively, as well as Clinical System Programmes for the accurate review, updates and documentation of patient care plans
Regularly undertakes performance management data collection and interpretation of the data in accordance with relevant service outcome measures and key performance indicators
Demonstrate knowledge of national and local guidelines, ensuring the service is fully compliant.
To support the wider team in implementing the strategic direction for diabetes.
Keep up to date with current evidence-based diabetes dietary knowledge, dietetic practice and the DAFNE curriculum
To actively lead on the education and clinical updating of diabetes colleagues and health professionals including dietetic students
Identifying the need for, developing, delivering and evaluating diabetes patient education programmes for specialist dietary and lifestyle management of people with Type 1 and 2 diabetes. e.g. Desmond, Dafne.
Delivery will include communicating effectively with patients and carers to ensure understanding of the condition in one-to-one or group education settings.
Developing, organising and delivering evidence-based training, incorporating the provision of relevant educational materials and evaluation. Empowering front line professionals to give dietary and lifestyle modification advice to their patients with diabetes.
Responding to requests from relevant community groups and patient support groups for dietary education on the prevention and management of diabetes and related co morbidities.
Support the ongoing professional development of diabetes dietitians/educators and carry out line management
Provide clinical supervision and mentoring of dietetic staff and students in collaboration with the community dietitian leads and dietetic service manager
Be responsible for managing own professional development and participate in the appraisal process in order to deliver evidence based best practice
Actively participate in multi-disciplinary and multi-agency work and liaise with all key stakeholders as appropriate e.g. GPs, Non-medical prescribers, Community Matrons, District Nurses, Care Homes staff, Medicines Management and Commissioning teams
Working closely with the community diabetes specialist nursing team, primary care teams and other professional groups to ensure consistent, appropriate and evidence based dietary advice for the management of diabetes and related co morbidities
Using negotiation and motivational skills, advise patients, community and health professionals to identify and overcome barriers to make changes with regards to diet and diabetes
Meet the requirements of the Health and Care Professions Council and maintain professional registration
Work within the Health and Care Professions Council, British Dietetic Association and local codes of conduct
Initiate and / or contribute to professional or diabetes nutrition research, evaluation and audit
Commit to continuing professional development, including the undertaking of mandatory and essential training and collection of evidence of competency to practice
Complete risk management assessments as required. Comply with policies, procedures and statutory regulations
Lead in the recruitment and selection of clinical staff within the department.
Lead with the induction, supervision and individual performance management of clinical and non-clinical staff within the department.
Undertaking appraisals, one to ones, sickness and authorise expenses for clinical staff.
Requirements:
Advanced knowledge and expertise in Type 1 and Type 2 diabetes and related co-morbidities acquired through in-depth experience and/ accredited post graduate study/formal training
Experience of advising diabetes patients on dietary advice for oral therapies, injectables and on different insulin regimes
Experience in planning, delivering, and evaluating education and training programmes to patients, students and a variety of staff groups.
Experience of working in a multidisciplinary health care setting
Experience in project development, audit, implementation, and evaluation
Registered Dietitian (Health and Care Professions Council)
Degree in Nutrition and/or Dietetics (or equivalent diploma)
Post graduate teaching certificate or appropriate teaching experience
Knowledge of national targets and reports relevant to food, and nutrition and other relevant guidelines for diabetes e.g. Nice guidelines
Knowledge of the nutritional requirements of different population groups, with emphasis on adults with diabetes. Appreciation of health inequalities in relation to food
Experience in communicating effectively with staff from a variety of professions on a one to one or group basis
able to do presentations to large groups.
Experience in communicating complex information in an understandable form to patients and carers on a one to one or group basis.
Experience of using behavioural change and counselling techniques to promote lifestyle changes with groups and individuals
Awareness of communication needs of people from differing cultures and with differing physical and learning abilities.
Experience in leadership and management of clinical staff including appraisals, supervision, sickness
Ability to react sensitively and professionally to unforeseen clinical and non-clinical situations.
Ability to manage own work diary/caseload as part of a team using effective time management skills in order to meet deadlines
Demonstration of commitment to professional and personal development
Confident, self-motivated and adaptable
Ability to reflect and appraise own and peer performance
Accurate keyboard and IT skills for record keeping, data inputting, word processing, internet access and dietary analysis
Ability to be flexible over hours worked within contracted hours to meet the needs of the service.
Full driving licence and the ability to travel between locations
Will be required to transport, set up and use appropriate equipment e.g., display stands, flip chart stands, PowerPoint projectors, IT equipment, nutritional aids/resources, anthropometric equipment
Nice to have:
Experience of working in specialist diabetes clinics, MDT clinics and knowledge/experience of insulin pumps
Experience delivering diabetes education e.g. Dafne, Desmond
Experience of working in primary care, community settings, working in partnership with local authority and other non-NHS agencies
Published reports and papers
Research Skills
Postgraduate accredited dietetic courses for diabetes e.g. British Dietetic Association diabetes course
Advanced counselling skills
Motivational interviewing skills
Clinical Supervisory Skills course
Experience working with Clinical systems i.e., SystmOne