Bedfordshire Hospitals NHS Foundation Trust
Senior Dietitian

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Senior Dietitian
NHS AfC: Band 6
Main area
Band 6 Specialist Dietitian Grade
NHS AfC: Band 6
Contract
Permanent
Hours
Full time
Flexible working
37.5 hours per week
Job ref
418-DTO7828-KA
Site
Luton & Dunstable Hospital
Town
Luton
Salary
£39,959 - £48,117 per annum
Salary period Yearly
Closing
18/09/2026 23:59
Interview date
05/10/2026
Job Overview
To provide a specialist gastroenterology dietetics service to patients on the gastroenterology ward, on the endoscopy unit and in weekly outpatient clinic. This role includes presenting specialist talks to patients (The Low FODMAP diet and Coeliac disease). You will be trained to cover parental nutrition to be able to provide cover, if required.
Main duties of the job
- To manage a complex caseload of gastroenterology inpatients and outpatients on the endoscopy unit, coordinate service improvement projects in conjunction with the clinical lead in this area.
- To manage a complex caseload of gastroenterology outpatients and contribute to service improvement projects in conjunction with the clinical lead in this area.
- With support and training, to contribute to the management of a complex caseload of patients requiring parenteral nutrition and patients with a diagnosed eating disorder and contribute to service improvement projects in these areas in conjunction with the clinical lead in these areas.
- To provide dietetics cover for patients requiring parenteral nutrition and for patients with a diagnosed eating disorder.
Working for our organisation
Bedfordshire Hospitals NHS Foundation Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Both hospital sites offer key services such as A&E, Obstetrics-led Maternity and Paediatrics. You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.
Our values
We not only recruit based on qualifications and experience - we recruit individuals who demonstrate the behaviours which underpin our Trusts core values. We achieve this by using values based recruitment. We are dedicated to making our recruitment practices as inclusive as possible for everyone, we are committed to promoting equality and diversity and creating a culture that values differences.
Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. All new staff will be subject to a probationary period covering first 6 months in post. Travel between hospital sites may be required. Please review all documents attached to ensure you familiarize yourself with all requirements of the job.
Key Responsibilities
Detailed job description and main responsibilities
- To manage a complex caseload of gastroenterology inpatients and outpatients on the endoscopy unit, coordinate service improvement projects in conjunction with the clinical lead in this area.
- To manage a complex caseload of gastroenterology outpatients and contribute to service improvement projects in conjunction with the clinical lead in this area.
- With support and training, to contribute to the management of a complex caseload of patients requiring parenteral nutrition and patients with a diagnosed eating disorder and contribute to service improvement projects in these areas in conjunction with the clinical lead in these areas.
- To provide dietetics cover for patients requiring parenteral nutrition and for patients with a diagnosed eating disorder.
- To have a very good understanding of and contribute to the effective running of the gastroenterology service.
- To take appropriate action using advanced problem solving skills to assist patients, health/social care professionals and members of the public with queries regarding the gastroenterology dietetics service.
- To accept clinical responsibility for a designated caseload of patients within your own scope of practice and organise this effectively and efficiently with regard to clinical priorities and use of time.
- To work as an autonomous practitioner by planning and prioritising own workload according to locally agreed priority coding and supporting dietetic assistant practitioners and less experienced dietitians to do the same.
- To develop and maintain a specialist knowledge of evidence-based practice, the common conditions you come across and national and local standards within your clinical areas.
- To undertake a comprehensive assessment (interpretation of biochemistry, anthropometrics, clinical condition and diet history) of patients including those with complex presentations/multi pathologies and use clinical reasoning skills to set nutritional goals for each patient.
- To give expert opinion on complex nutrition related issues where numerous social, ethical, psychological and medical factors have to be considered and where there may be conflicting ideas from the multidisciplinary team.
- To negotiate and agree dietary interventions with patients and their carers, using appropriate counselling and motivational skills to optimise their nutritional status.
- To make recommendations for appropriate prescription of nutritional products according to local guidelines regarding the use of nutritional supplements and enteral feeding products.
- To ensure adequate monitoring and review of patients.
- To assess the suitability of incoming referrals according to the agreed referral criteria, liaise with the dietetic assistant practitioner if further information is required prior to acceptance and participate in the outpatient triage rota.
- To coordinate appropriate follow up, discharge arrangements and outward referrals to other services in order to facilitate the safe and timely discharge/transfer of care.
- To be responsible for safe discharge planning including coordination of patients requiring home enteral feeding.
- To have insight to recognise and act appropriately if vulnerable patients are at risk or deemed to be in need.
- To be responsible for maintaining accurate and comprehensive patient records in line with BDA, Trust and department standards and provide statistics of patient contacts in a timely fashion.
- To liaise with healthcare professionals at ward level and the wider community and across the network.
- To communicate complex, specialised and sensitive information with empathy and understanding to patients and their carers or other family members where appropriate.
- To take appropriate action using advanced problem solving skills to assist patients, health and social care professionals and members of the public with queries relating to your own clinical areas.
- To work as an integral part of the gastroenterology and surgical dietetics team, support the critical care and respiratory dietetics team and work alongside the wider multi-disciplinary team.
- To plan, deliver, evaluate and develop training and education sessions to patient and multi-disciplinary staff groups in conjunction with the clinical lead if outside your own clinical area.
- To represent the dietetics department at multi-disciplinary meetings and ward rounds to ensure delivery of high quality co-ordinated multi-disciplinary care.
- To work within Trust, departmental, HCPC and BDA clinical and professional guidelines, policies and procedures.
- To contribute to the development and updating of policies, guidelines, patient information and other resources related to your clinical areas in conjunction with the clinical lead for that area.
- To support the clinical lead in ensuring guidelines relating to your clinical areas are fully implemented across the department/MDT.
- To report and review information required for managing and monitoring the service such as referral numbers, waiting list management, prioritisation of caseloads, DNA rates, outcome measures and user satisfaction surveys.
- To plan and deliver audit, research and service evaluations to help deliver improvement in in service delivery and clinical practice following discussion with the clinical lead for your clinical areas.
- Work with colleagues to help the Trust meet the CQC standard for nutrition.
- To liaise with dietetic assistant practitioners, pharmacy and nursing staff to ensure the availability and provision of appropriate specialised nutritional products.
- To coordinate the provision of suitable meals for patients on therapeutic diets through liaison with the catering department and the dietetic assistant practitioners.
- To be responsible for maintaining own development and competency to practice through CPD activities.
- To participate in and contribute to the organising and delivery of the department's CPD programme in collaboration with senior staff.
- To be an active member of the department by the attendance and presenting at staff meetings, attending and facilitating tutorials and training sessions.
- To participate in the department appraisal scheme and be responsible for complying with agreed Personal Development Plans to meet knowledge and competencies.
- To participate in regular supervision and provide supervision and support for less experienced dietitians and dietetic assistant practitioners.
- To support the induction and recruitment of new staff members within the gastroenterology dietetics team.
- To contribute to the upskilling of less experienced dietitians and dietetic assistant practitioners within your clinical areas in order to maintain staff skill mixes and ensure adequate resilience across the dietetics team.
- To be responsible for the supervision and assessment of students during their placement. This will include the role as practice educator and weekly supervisor.
- To work flexibly to support the gastroenterology dietetics team.
- To provide cover for other wards/departments at short notice to cover unplanned and planned absences within the post holders competency and skill level.
- To undertake any other duties as identified by the team lead as required for the successful delivery of the gastroenterology dietetics service.
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Person specification
Qualifications
Essential criteria
- Degree or equivalent in Nutrition & Dietetics
- HCPC registration
Desirable criteria
- Post graduate relevant training
Experience
Essential criteria
- Experience of complex assessment including enteral
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