Job Description

Bridge View Medical is merged Practice and operates from four sites - Marksbury, Southville, Malago & Gaywood House surgeries with c 38,000 patients, cared by our friendly and professional team of 150 plus dedicated Partners and staff, delivering efficient healthcare to a diverse population. We are a Primary Care Network in our own right and take an active involvement in the South Bristol Locality.

We have a total of 14 partners with high aspirations of building greater employee and patient satisfaction levels supported by a range of clinicians including Salaried GPs, Pharmacists, Nurse Practitioners, Physiotherapists and Paramedics and a skilled Nursing Team efficient Management and robust Administrative & Reception teams.

We pride ourselves on being a learning Practice and this was recognised with an Academy GP Teaching Practice Award in 2022. We take pride in offeringour staff regular targeted educational sessions, delivered by external & internal learned speakers. We embrace the diversity of our workforce and will always be a compassionate and inclusive employer providing outstanding clinical leadership, mentoring and training.

We are looking for an experienced Dietitian, who can diagnose and treat diet and nutritional problems for individuals as well as groups of patients.

The post holder will be working as part of the wider multi-disciplinary team in the Practice, networking with the local dietitians. There are currently 3 other PCN Dietitians in the local area who liaise regularly to provide peer support. The developing connections with the acute trusts and community Dietitian services ensure smooth transition of patient care. You will be provided a dedicated GP Supervisor at BVM with regular allocated mentoring sessions.

The Bridge View Medical Dietetic service has been established over the past 16 months. You will continue with the service whilst also developing and tailoring it with new ideas. The current Dietitian offers a range of services including 1:1 review for weight management, diabetes, coeliac disease, IBS and nutrition support, annual reviews for coeliac disease and post-bariatric surgery patients, diabetic reviews and a weekly weight management group.

The post holder will be supported to work through their ‘First Contact Practitioner’ portfolio.

You will get 6 weeks annual leave in addition to 8 Bank holidays and 1 week study leave, pro-rata per annum. The role offers flexible working and opportunity to join NHS pension scheme.

Responsible to: Executive Manager, PCN Manager

Accountable to: PCN Clinical Director

Hours of work: 37.5 Hours, Monday – Friday

Salary: £41,659 - £44,500 depending on Experience

Job Description

The dietitian will be a highly skilled, senior practitioner able to operate at an advanced level of practice, with expert knowledge in the management of patients’ dietary issues and conditions. They will work as an integral part of the MDT within the PCN whilst also completing their FCP portfolio.

The dietitian will provide interventions for the patient from initial clinical assessment, diagnosis, treatment and evaluation of their care within set patient groups. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the general practice multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures, providing dietetic leadership as required.

Key duties and responsibilities

1. Provide specialist nutrition and diet advice to patients, their carers and healthcare professionals through treatment, education plans, and prescriptions.

2. Independently manage a caseload of complex patients with a broad range of conditions, using evidence-based interventions to assess, plan, implement and evaluate interventions.

3. Educate patients with diet-related disorders on how they can improve their health and prevent disease by adopting healthier eating and drinking habits.

4. Provide dietary support to patients of differing ages in a variety of settings including, patient homes and care homes.

5. Develop, implement and evaluate a seamless nutrition support service across the PCN, working with community and secondary care where appropriate, and aimed at continuously improving standards of patient care and wider multi-disciplinary team working.

6. Work with clinicians, multi-disciplinary team colleagues, community and secondary care, and external organisations to ensure the smooth transition of patients discharged from elsewhere back into primary care, to continue their diet plan.

7. Make recommendations to PCN staff regarding changes to medications for the nutritional management of patients, based on interpretation of biochemical, physiological, and dietary requirements.

8. Always ensure safe practice through the recognition and appreciation of clinical governance.

9. Implement all aspects of effective clinical governance for own practice, including undertaking regular audit and evaluation, supervision, and training.

10. Where necessary, recommend and authorise changes to prescribed products, ensuring appropriate monitoring of nutritional status by other members of themulti-disciplinary team.

11. Ensure the prescribing of dietetic- related products is clinically and cost effective, by organising regular sip-feed audits.

12. If appropriately trained, authorise prescriptions as a Supplementary Prescriber for patients to support achieving dietetic management goals.

13. Use behaviour change techniques including active listening, motivational and negotiating skills to support clients /patients with difficult dietary and lifestyle changes as well as helping them to recognise and overcome any barriers to these changes.

14. Plan, organise and undertake nutritional assessments and provide highly specialised advice and education within the care home and other clinical settings for patients with multiple conditions to determine the appropriate nutritional intervention or treatment.

15. Make judgements and decisions based on several components including consideration of clinical justification, prescribing decision, family and carer beliefs and financial / budgetary constraints where a range of options may be appropriate.

16. Provide relevant and timely specialist advice and guidance on own portfolio of projects relating to dietetic and nutritional issues i.e. coeliac disease & post-bariatric surgery annual reviews.

17. Be involved in the development and implementation of relevant policies, formulary updates and clinical management plans.

18. Provide relevant and timely specialist advice and guidance on dietary modification, nutritional supplements, and their use.

19. Continue to develop the weekly weight management group, facilitating behaviour change and promoting exercise & lifestyle changes.

20. Support student training – this may be medical, pharmacy or dietitian students.

21. Assist the PCN in diabetic reviews.

Functional Responsibilities

22. Undertake detailed information analysis of both practice and patient level reports including biochemistry, medication, clinical condition and nutritional supplement records requiring high levels of concentration

23. Update, maintain, organise, gather and analyse information to predict/meet future organisational and team needs by identifying best professional practice

24. Monitor and tracking risks and issues allowing proactive resolution and escalation as appropriate

25. Contribute to the information management of performance, taking a lead for nutritional supplements to support evaluation of clinical outcomes

26. Accurately maintain records with patient identifiable and sensitive data including clinical observations, anthropometric and biochemistry results and financial data as required

27. Undertake a range of administrative tasks such as ensuring stock levels are maintained and securely stored, and equipment is kept in good working order

28. Ensure delivery of best practice in clinical practice, caseload management, education, research, and audit, to achieve corporate PCN and local population objectives

Supervision

The postholder will have access to appropriate clinical supervision and an appropriate named individual in the PCN to provide general advice and support on a day to day basis.

They will also be allocated a roadmap supervisor that will support them through their First Contract Practitioner pathway.

Person Specification

Qualifications

Essential

• BSc in Dietetics under a training programme approved by the British Dietetic Association (BDA)
• Health & Care Professions Council (HCPC) registration
• able to operate at an advanced level of clinical practice
• 5 years experience in clinical practice
• Can demonstrate working at Level 7 (masters level) [within the ACP framework] including either a master level course, or experience in practice at masters level in a subject relevant to at least one of the core conditions (diabetes, obesity, frailty or functional bowel disorder)

Desirable

• Pre-reg MSc in Dietetics under a training programme approved by the British Dietetic Association (BDA)
• completed or working towards a Supplementary Prescribing or non-medical prescribing qualification
• physical assessment and clinical reasoning qualification
• FODMAP Training

Knowledge

Essential

• significant experience in applying the dietetic process to include dietetic assessment, interpretation, individual care planning, motivation, monitoring and evaluation of highly specialized dietetic treatment
• working knowledge of Microsoft and GPIT systems, alongside prescribing data monitoring systems
• experience of senior level decision making and delivery in a changing environment

Desirable

• working towards advanced clinical practitioner status
• previous supervisory experience
• experience of working with a diverse range of stakeholders
• cognitive behavioural and motivational interviewing approaches / skills
• Paediatric experience would be advantageous.
• Awareness of diabetic medications, and NICE/local guidance of management of diabetes, hypertension and cholesterol

Analytical skills

Essential

• able to understand and analyse complex issues and balance competing priorities in order to make difficult decisions
• ability to analyse and interpret complex/ often incomplete information, preempt and evaluate issues, and recommend and appropriate course of action to address the issues

Desirable

• experience of working within a primary care setting
• evidence of working across organisational boundaries within health and social care
• independent thinker with demonstrated good judgement, problem-solving and analytical skills

Communication skills

Essential

• excellent interpersonal and organisational skills
• ability to evidence a sound understanding of the NHS principles and values
• excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information
• ability to facilitate group sessions with patients

Desirable

• evidence of inspiring and motivating teams with the ability to communicate passionately, effectively and persuasively across a diverse set of stakeholders
• ability to negotiate effectively
• build effective relationships with a range of stakeholders which are based on openness, honesty trust and confidence

Personal attributes & abilities

Essential

• strong and inspirational leadership
• ability to co-ordinate and prioritise workloads – able to multi-task as well as be self-disciplined and highly motivated
• demonstrates a flexible approach in order to ensure patient care is delivered

Desirable

• high degree of personal credibility, emotional intelligence, patience and flexibility
• ability to cope with unpredictable situations
• confident in facilitating and challenging others

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.

Job Types: Full-time, Permanent

Salary: £41,659.00-£44,500.00 per year

Benefits:

• Additional leave
• Company pension
• Cycle to work scheme
• Sick pay

Flexible Language Requirement:

• English not required

Schedule:

• Day shift
• Monday to Friday

Ability to commute/relocate:

• Bristol: reliably commute or plan to relocate before starting work (required)

Work Location: In person

Application deadline: 05/05/2023

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