Team Lead Dietitian - (Intestinal Failure & Transplant)

Oxford University Hospitals NHS Foundation Trust; Oxford; Hybrid; GBP 49,000 - 57,000; Full time

Benefits offered by this job

Flexible working

Clinical supervision

Dedicated time for development

Personalised development plan

CPD opportunities

Job summary

Oxford University Hospitals NHS Foundation Trust in Oxford is seeking a Band 7 Team Lead Dietitian to oversee a specialist service for intestinal failure and transplantation. You will lead a team of three dietitians, work within MDTs and deliver advanced nutrition care for IF/ITx patients.

The role offers flexible working, clinical supervision and protected development time to advance professional practice and service development within the OUH Dietetic Department.

Qualifications

• Band 7 dietitian with leadership responsibilities.
• Provide highly specialist dietetic input to IF and ITx.
• Lead and supervise a dietetics team of 3 within MDT.
• Support service development and quality improvement.

Responsibilities

• Provide a specialist, evidence-based dietetic service to IF and ITx patients, including assessment, inpatients and follow-up.
• Lead, supervise and develop the dietetic service in IF/ITx and PN pathways.
• Coordinate MDT activities and liaise with medical, nursing and pharmacy leads.
• Drive audits, research and service improvement with the Nutrition Support Team.

Skills

Team leadership

Clinical dietetics

Intestinal failure

Transplant nutrition

Job description

Band 7

Main area Team Lead Dietitian (Intestinal Failure and Transplant) Grade Band 7 Contract 12 months (Fixed Term / Secondment) Hours Full time - 37.5 hours per week Job ref 321-MRC-8205254-B7

Site John Radcliffe Hospital Town Headington, Oxford Salary £49,387 - £56,515 per annum/pro-rata Salary period Yearly Closing 30/09/2026 23:59

Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.

The Trust comprises of four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call thisDelivering Compassionate Excellenceand its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.

Many of our recruitment programmes useValue Based Interviewingto identify those who have the skills we seek, who share our values and who are able to deliver compassionate excellence from the outset. We know that this makes a significant difference to your job satisfaction and above all the outcomes and experience of our patients and their families. For more information about our Values and Value Based Interviewing please visit www.ouh.nhs.uk/about/vision-and-values

Job overview

This position has arisen to backfill a staff member who has been successful in a predoctoral NIHR award for 12months. If you are a Band 7 dietitian looking to gain more leadership experience, or an experienced Band 6 looking to advance your career, we would love to hear from you.

This post offers great MDT working and the ability to advance knowledge and skills in intestinal failure and transplantation. You will also lead the team of 3 dietitians with support from fellow Team Lead Dietitians and MDT members.

This is an exciting opportunity to join one of the best teaching hospitals in the UK and offers the successful candidates the opportunity to gain valuable training so that they cannot only advance their careers but join a team that offers the very best in nutritional care.

We encourage every Band 7 to protect 30% of their time within the role to development, both individually and as a service. This can include quality improvement projects, clinical audit and CPD, as well as service development alongside the MDT.

As a valued member of ourteam,you will receive:

• Flexible working, including opportunities for home working
• Clinical supervisionand support from experienced and specialist dietitians
• Dedicated timefor professional and service development
• Regular appraisals andpersonalised development plan
• Access to a range ofCPD opportunities, the Oxford AHPs Research & Innovation Unit, and Bodleian Library collection.

Main duties of the job

Provide a specialist, evidence based dietetic service to patients with intestinal failure (IF) who are referred for intestinal transplant (ITx) including their assessment, acute transplant period and long term follow up.

Provide a specialist dietetic service to patient with IF who may require parenteral or complex nutrition support plans.

Support colleagues to deliver dietetic care to patients at all phases of the intestinal failure patient pathway, within the trust, locally, nationally or internationally.

Lead, supervise and support a team of dietitians in the areas of parenteral nutrition (PN), IF and ITx. To initiate and lead discussion on organisational, professional and clinical issues relevant to the team.

Along with the Service Manager, be responsible for the dietetic service provided to their clinical area and its development. Along with the Nutrition Support Team medical, nursing and pharmacy leads to be responsible for the IF service and its development.

Working as an integral member of the multidisciplinary teams to provide a flexible, prioritised service based on clinical need. To act as a source of expertise for local and national dietetic and MDT colleagues and regarding the nutritional management of these patient groups.

Participate in and initiate audits and research as appropriate for the clinical area, Dietetic and NST services.

Work closely with the other Dietetic Team Leads to support the running and development of the whole Dietetic Department

Working for our organisation

Oxford University Hospitals NHS Foundation Trustis one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.

The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.We call thisDelivering Compassionate Excellenceand its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel .

Detailed job description and main responsibilities

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 Council’s 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 patient’s 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,