Dietitian inLiverpool inLiverpool PUBLISHED 3 DEC 2023

MANAGERIAL/LEADERSHIP
1. To monitor MUST screening and manage new admissions to the trust, providing regular support to the medical staff and via input at care-team. To audit the MUST and patient care-plans and outcomes on a quarterly basis.2. To support the lead Dietitian in design and implementation of nutritional policies and standards in line with evidenced based practice and in disseminating and reinforcing information across all the sites.3. To regularly liaise with staff from Catering, looking at ways to improve the service user experience. To support the catering staff and Catering Dietitian in implementing these changes and to keep staff updated via the trust wide Nutrition and Hydration and Hospital Food Strategy meetings.4. To support the Lead Dietitian with the role of the Assistant Dietitians, including their supervision process. To be responsible for any student dietitians for a day at their manager's request to give them some insight into Special Hospitals and the specialist dietetic problems encountered there.
ORGANISATIONAL
1. To liaise with Catering Department and Catering Dietitian regarding the provision and clear coding of therapeutic diets.2. To adhere to the nutrition and Enteral Feeding Policies3. To work collaboratively with dietitians from the other Special Hospitals in the development of dietetic services within this highly specialised area.4. To be responsible for attending mandatory courses annually including C&R Breakaway techniques, CPR, Security and safeguarding etc.5. To participate in annual individual performance review agreeing and achieving objectives.6. Empathetic towards people with mental health needs and a forensic history.
PROFESSIONAL
1. To be professionally and legally responsible and accountable for all aspects of own work, including the management of patients in your care.2. To liaise with dietetic colleagues outside the trust to co-ordinate patient nutritional care.3. To adhere to Trust and national security guidance for recording, storage, and communication of confidential records.4. To be responsible for keeping up to date on relevant legislation e.g., restructuring of Allied Health Professions, changes to Mental Health Act, Clinical Governance issues and Nice Guidelines.5. To meet with pharmaceutical representatives to keep up to date with the development of new products and to avail of professional services e.g., loan of feeding pumps, samples of new dietary products with their nutritional specifications.6. To be responsible for remaining up to date in mental health dietetics, maintaining competence to practice, ensuring Health Professions Council registration and engaging in continuous professional development.7. To attend relevant courses, both in-house and external, to enhance knowledge base and to keep up to date with both dietetic and mental health fields.Quality1. To deliver education on nutrition-related topics to groups of patients and staff to manage diet-related illnesses and to promote nutritional wellbeing.2. To report and highly complex dietary situations to.3. To participate in regular professional supervision.4. To provide expert advice to Health Promotion Management Team on nutrition issues.5. To advise Catering staff on suitability of food provision to meet nutritional, therapeutic, cultural, religious and ethical needs of patients.6. To communicate complex information to patients, overcoming barriers to understanding such as cognitive impairment, to ensure effective collaborative working between patient and healthcare team for achievement of treatment plan.7. To participate in research and development for nutrition and dietetics.8. To contribute to the development of evidence-based clinical standards and guidelines.9. To develop computer skill by accessing in-house training.10. To contribute to reviewing the nutritional advice and literature used in the hospital to ensure it is in line with current research, professional practice and consistent with other dietetic departments in the UK.

GENERIC RESPONSIBILITIES FOR ALL STAFF
All post holders will agree to: Commit to the vision of supporting Mersey Care in becoming a leading organisation in the provision of community services, mental health care, addiction services and learning disability care, and in doing so fully utilise their skills and experience to support the objectives of the Trust. Role model the values of the Trust Continuous Improvement, Accountability, Respectfulness, Enthusiasm and Support in all activities and interactions with employees, service users and other stakeholders. Challenge the stigma associated with mental health and learning difficulties. Comply with the Duty of Candour, defined by Francis as: 'The volunteering of all relevant information to persons who have or may have been harmed by the provision of services, whether or not the information has been requested and whether or not a complaint or a report about that provision has been made. Work across professional and organisational boundaries to improve services for all. Maintain their specific knowledge base and develop new skills. Value the contribution of the patient/ service user voice. Operate within any organisational codes of practice or those from a relevant professional body. Respect equality and diversity across all areas of working practice and communications with staff, service users and other stakeholders. Take responsibility for the accurate and timely collection and recording of data and ensuring all personally identifiable information is protected and used only for the purposes for which it was intended. Comply with all health and safety legislation and local policies and procedures. Adhere to all organisational policies. Have knowledge and understanding of technology in the workplace which is sufficient to maintain their efficiency and also how technology can empower service users in a digital environment. Comply with the NHS Constitution in relation to the staff responsibilities that it sets out for NHS employees. Attend a one day Just and Learning & Civility and Respect training workshop. Be an ambassador for Just & Learning and Civility & Respect following the training. Positively advocate the just and learning culture within your team. Be a confident supporter and implementer of the Trust CARES Values including Civility & Respect within your team. Support their team/ services to create a positive environment for Just and Learning Culture. Participate in Just and Learning Culture events. Bring Just and Learning Culture updates/ information to the attention of team members and other MCT colleagues they work with. Support and encourage the sharing of concerns about the safety and quality of care with senior leaders with the aim of improving safety and quality. Actively participate in creating an open culture within your team so that concerns and difficulties can be discussed safely and respectfully. Speaking up in the event that they are exposed to incivility between colleagues in the workplace #iwillspeakup. Listening and understanding others who have concerns and taking a collaborative approach to work towards a solution to improve civility and respect.

To provide specialist clinical Dietetic and nutritional expertise for highly complex patients acrossa diverse and challenging mental healthcare setting. This will include working across the high,medium, low secure division, including the Specialist Learning Disabilities services (Ashworthhospital, Rowan View, Rathbone and Whalley). To support the Principal Dietitian and contributeto the development and delivery of Dietetic services, including the trust wide Nutrition andHydration and Obesity StrategyStrategy, Hospital Food Standards, and other health promotion activities linked with CQUIN andresearch. Contribution to production and review of relevant trust wide policies, procedures andguidelines and strategic planning and directions. To deliver regular training across all sites to allmedical and catering staff. The role will involve liaising regularly with other healthcareprofessionals including nursing staff, doctors, Allied Health Professionals and visiting consultants.

Professionally accountable for their own caseload. To deliver regular clinics and wardvisits and group education sessions. To work autonomously making clinical decisions in avariety of secure mental health settings within a broad professional standards (HealthProfessions Council and Professional bodies)To complete and implement full dietary plans for the service user using the appropriateanthropometric, biochemical and medical screening and advice to identify theirnutritional requirements. To ensure that the advice is tailored to the service usersindividual needs.To give expert advice around MUST in conjunction with appropriate care-planning.To make clinical and responsive decisions working across all the Secure services.To use advanced communication skills to motivate and negotiate with patients to complywith treatment programs and use empathy, reassurance and analysis to uncover social orpsychological factors which may affect compliance in order to facilitate long term lifestylechanges.To provide nutritional expertise at multidisciplinary meetings including Patient Care Teammeetings, case conferences and in discharge planning. (This includes advice on methodsof feeding, e.g., naso-gastric tube feeding, enteral sip feed supplements.) To educate andsupport the care-team about the patients' diets and recommend appropriate remedialmeasures to correct nutritional deficiencies and achieve therapeutic goals.