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An exciting opportunity has arisen for an experienced Dietitian with clinical and team working skills, to join the Multidisciplinary Team (MDT) at the new Learning Disability and Autism inpatient service for adults with a treatable mental health condition opening in Bristol, as part of Avon and Wiltshire Mental Health NHS Partnership Trust.

If successful you will work as a Highly Specialist LD Dietitian to provide a safe, effective and evidence based dietetic service to the service users in this 10 bedded inpatient service. You will also be part of the trust wide nutrition and dietetic service and have support and line management responsibilities for a Dietetic Assistant.

AWP are working provide a new inpatient service with an integrated outreach team, as part of the southwest region transformation of end-to-end pathways. The service is being designed and developed with clinicians and people with lived experience and aims to bring care closer to home. We expect to open in 2026.

Whilst this is role is 0.5 WTE, if you are looking for additional hours this may be possible across other services, please discuss with Gemma.

To provide highly specialist dietetic assessments and interventions to the service users with complex physical, psychological and mental health or learning disabilities needs, working as a member of the multi- disciplinary team in various settings as part of an integrated service.

To utilize extensive and highly specialist knowledge within this specialist dietetic field and demonstrate the application of a wide range of behavioural skills in the one to one and group context as required.

To develop and deliver pathways and protocols for service users across the Learning Disability and Autism pathway in line with Trust Wide Dietetic pathways.

To lead on an area of specialty within Mental Health services or Learning Disability.

To provide specialist liaison and advice to collaborate organisations.

To be an essential member of the LDA service MDT.

To link in with the wider Nutrition and Dietetics team.

We are AWP (Avon and Wiltshire Mental Health Partnership NHS Trust):a diverse organisation with over 5,000 dedicated staff providing inpatient and community-based mental health care.

We provide services from a range of locations to approximately 1.8 million people living in Bath and North East Somerset (B&NES), Bristol, North Somerset, South Gloucestershire, Swindon, across the county of Wiltshire and in parts of Dorset.

Our outstanding people promote mental health and wellbeing. The expertise and resources within AWP are dedicated to a person-centred approach for those who use our services and for all employees. We recognise that happy and fulfilled employees give better care.

AWP is committed to support and create a positive research and evidence-based environment and culture, which can have a beneficial impact on everyone who works for the organisation and the care we provide to those who use our services.

At AWP we actively encourage applicants from all backgrounds; we are particularly keen to encourage applications from people from Black, Asian and minority ethnic backgrounds, those with disabilities and from the LGBTQ+ community. We want people to bring their unique blend of experiences, backgrounds, perspectives and knowledge to AWP, as diversity makes us stronger.

CLINICAL

To be the clinical expert in your specialist field within this setting. To be responsible for the development and provision & evaluation of a comprehensive and effective, evidence based dieteticservice in the Mental Health setting.

To have a working knowledge of national & best practice guidelines.

To work as an autonomous practitioner. This includes working in the hospital setting and working closely with patients, carers and other members of the multidisciplinary team.

To undertake detailed dietetic assessments (some highly complex in specialty area) to include: calculation of nutritional requirements, formulation of nutritional goals based on the interpretation ofbiochemical, anthropometric, physiological and psychosocial parameters. To monitor and change treatment plans based on new evidence.

To provide highly complex nutritional counselling and behavioural therapies to patients where there are significant barriers to change.

To demonstrate clinical effectiveness using evidence based outcomes and to be able to deliver safe clinical outcomes where there is conflicting information or expert opinion differs.

To make recommendations to the medical and pharmacy teams on the prescription of nutritional supplements and products for patients requiring nutritional support and therapeutic diets. To workwith prescribing advisors as required.

Required to accurately use anthropometrical equipment on a regular basis for dietetic assessment and research.

To organise, implement and evaluate group education sessions for different client groups e.g. clients, healthcare professionals.

To actively participate in general health promotion, in line with government policies and local priorities, liaising closely with the public health departments.

To actively participate in health promotion activities as required for the specialist area and oversee the provision a health promotion/ public health activities/ projects appropriate to the needs of thelocal community and in support of the Trust's health improvement priorities.

To be responsible for the operational departmental standards and policies within your specialist area.

To undertake audit work within this setting to improve clinical care.

To maintain accurate client records and activity statistics in accordance with departmental & Trust policies and procedures.

To ensure that targets & outcomes are set and met in line with trust and departmental objectives and contractual requirements.

To carry out good office practice in accordance with the departments policies and procedures.

To work as a team member in Nutrition and Dietetics team, which may involve providing leave cover and any other duties commensurate with the post, as requested by the Head of Nutrition and Dietetics.

COMMUNICATION

With Patients

To communicate highly complex medical and nutritional information to patients, carers and healthcare professionals in a clear and easy to understand manner.

To effectively engage with patients to help them understand, accept and overcome difficult diagnoses and complex dietary changes.

To communicate sensitively and effectively with patients and carers particularly where there aresignificant barriers to understanding such as mental illness, hearing/ sight impairment, cognitive impairment, behavioural problems, dementia etc.

To negotiate patient care plans with patients and carers, overcoming barriers to change & using persuasion and motivational interviewing techniques to achieve client compliance. Post-graduate training in Behavior Change or similar, is required.

With Colleagues

To effectively communicate complex nutritional information to healthcare professionals.

To effectively liaise with multidisciplinary teams regarding client care and to actively participate in multi-agency work and liaise with statutory and voluntary agencies as appropriate. To work collaboratively with ward teams to maintain existing assessment standards and systems, meetingpatients needs with collaboration with Hotel Services.

To produce timely and accurate client related correspondence in line with local and national guidelines.

To communicate effectively in highly complex situations where sensitive information is to be discussed e.g. dealing with complaints to avoid escalation, client medical conditions.

To use negotiation & persuasion skills to manage conflict across a range of situations.

To present clinical and service data in a formal setting to a large group of people e.g. an invited speaker on an external accredited course.

To support the Head of Nutrition & Dietetic Services when representing the department at internal and external forums. This involves regularly presenting service information, formulating & delivering plans to various size groups of professionals, peers, senior managers and client groups.

To have a high level of keyboard skills and working knowledge of computer packages (e.g. excel, windows, power point & nutrition analysis software) for the production of patient and service reports and information on a daily basis.

MANAGEMENT

To effectively and efficiently prioritise and time manage a workload. To ensure safe practice through caseload management taking into account risk management.

To work as an autonomous practitioner and as part of a multidisciplinary team.

To set up, chair and/ or attend meetings as required by the post, including support existing programmes of development/change.

To effectively supervise junior staff and students as required.

To support staff in client care in your related specialty.

To participate fully in the appraisal process and develop a strategy for continuing professional development encompassing a portfolio-based assessment in line with HCPC legislation.

To contribute to operational and strategic planning for the dietetic service, with an annual service review.

To document and report critical incidents and near misses as outlined in the Trust policy.

To undertake any other duty, appropriate to the post, as requested by the Head of Nutrition and Dietetics.

To work closely with the Head of Nutrition and Dietetics, especially concerning clinical governance, staffing, cover and service provision.

• Recognised degree level qualification in Nutrition and Dietetics
• Health and Care Professions Council (HCPC) registered Dietitian
• Masters / Post Graduate diploma level qualification in relevant clinical field or equivalent knowledge developed through evidenced experience
• Member of the British Dietetic Association
• Member of Specialist Interest Group Relevant to the post i.e. Mental Health Specialist Group or similar

• Significant post registration experience in a wide range of clinical nutrition areas
• Evidence of working in specialist field of learning disability, autism and mental health
• Experience of using electronic patient records and IT systems. To be fully IT literate, including accurate keyboard, word processing and data inputting skills
• Experience of producing and reviewing patient information leaflets / resources
• Excellent knowledge of clinical guidelines and governance
• Experience of delivering education sessions to other dietitians, patients or healthcare professionals, to be able to engage others to learn
• Experience of supervising, facilitating and mentoring student dietitians
• Experience of clinical audit / research
• Understanding of professional ethics and their application in practice
• Experience of working closely within the MDT and have the necessary team-working skills to do this effectively
• Experience of facilitating patient centred MDT meetings and having holistic understanding of the clinical, social and ethical considerations of complex chronic conditions
• Published clinical audit / research
• Evidence of regional / national policy and practice development

• Excellent communication skills and interpersonal skills - articulate in all forms
• Experience of supervising more junior dietitians, assistants and or students
• Able to adapt in the role to changing priorities
• Ability to work well within a team and on your own
• Good organizational skills and ability to work to deadlines
• Experience of communicating regularly and effectively with teams and individuals at al levels
• Understands the importance of listening and listens effectively
• Experience of communication complex information
• Experience of report writing and presenting
• Motivation and enthusiasm to use opportunity for personal development and service development
• Integrity and honest; to ensure practice is always inline with the HCPC code of conduct

• Empathy for individuals who have experienced mental health problems and ability to cope with behaviour that may be challenging at times
• Demonstrates an understanding of social and cultural issues and their relevance to mental health care
• Builds relationships with staff and service users based on compassion, dignity and respect
• Actively seeks feedback and evaluation

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 (formerly known as CRB) to check for any previous criminal convictions.