Complex Nutritional Support Dietitian within Specialist Medicine
Job summary An opportunity has arisen for a Band 7 Specialist Medicine Dietitian to join our friendly and enthusiastic Adult Dietetics Department at the Royal London Hospital. The position offers an exciting opportunity for a highly organised and ambitious Dietitian to lead the Dietetics service for Specialist Medicine and provide complex nutritional support on the specialist medicine wards. This includes a number of specialist areas including infection and immunity, complex endocrinology and respiratory. The successful candidate should have expert knowledge and experience within the area complex nutrition support and should be able to provide advice for parenteral nutrition. Preferably the successful candiate will also have experience working with people with complex mental health and social needs including exposure to people with eating disorders. We are looking for applicants who are extremely motivated and hard-working with previous experience of managing a very busy caseload along with experience of leadership and successful line management. There is scope to expand and develop the services and the successful candidate is expected to engage and lead in service development. Excellent communication skills and multidisciplinary working is required. Evidence of undertaking quality improvement initiatives and service development is also essential. This contract for this role will end on 31st December 2029. Main duties of the job To be the lead dietitian for dietetic interventions within specialist medicine - this includes infectious diseases and immunity, endocrinology, respiratory medicine and care of the elderly. To support the Clinical Lead Dietitian with provision, performance and development of the specialist medicine dietetic service. To be responsible for providing expert level dietetic assessment, treatment and advice to a specialist caseload with complex nutritional support requirements including complicated endocrinology, infection and immunity, HIV, respiratory diseases and cardiology. This may include enteral and parenteral nutritional support. To support junior dietitians in the provision of dietetic support within these clinical areas, and to assist their development and career progression through supervision, one to ones and training. To use advanced clinical reasoning skills to provide specialist support and advice to dietetic and other clinical staff within Barts Health. Working within the multidisciplinary team to provide an effective dietetic service to a variety of medical patients. This includes initiating and engaging in best interest discussions for patients who lack capacity. To be responsible for planning and delivering specialist nutrition training to medical staff, nurses and students and other health care professionals on intensive care. Partake in the development of trust wide policies, protocol and guidelines. About us Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers. Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together. We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment. Details Date posted 06 October 2026 Pay scheme Agenda for change Band Band 7 Salary £58,133 to £65,261 a year per annum inc. Contract Fixed term Duration 40 months Working pattern Full-time, Flexible working Reference number 259-8340188RLH Job locations Royal London Hospital London E1 1FR United Kingdom Job description Job responsibilities The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience, and knowledge required. For both documents, please view the attachment/s below. Job description Job responsibilities The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience, and knowledge required. For both documents, please view the attachment/s below. Person Specification Qualifications Essential BSc Nutrition & Dietetics or relevant postgraduate qualification. Qualification in area of specialisation or evidence of significant experience in speciality area. HCPC registered. Desirable Post Graduate training in advanced nutritional support. Supplementary prescribing qualification Experience Essential Extensive experience in the area of specialist medicine and complex nutrition support. Experience in taking part in project work that supports improvement in service or supports a change in practice Understanding team dynamics and maintaining a strong inclusive dietetic presence within an MDT Provision of parenteral nutrition Desirable Experience working within the NHS Experience working within mental health including working with people with eating disorders. Experience in service review and evaluation to identify the area most in need of development evidence of a project that delivers this. Experience in working with other specialist dietitians from other trusts to undertake service review/improvement. Skills Essential Able to interpret a variety of complex clinical information to make dietetic diagnosis in area of speciality. Ability to implement dietetic care plan and provide highly specialised advice concerning the care of patients in area of speciality. Able to undertake accurate anthropometric measurements e.g. weights, heights, skinfold thickness, MUAC, HGS to support the assessment of patient's nutritional status and takes initiative to do so. Ability to use behavioural change/ motivational interviewing techniques to facilitate change. Ability to problem solve, analyse complex clinical problems and create practical solutions to provide best clinical care. Advanced communication skills including being able to communicate life threatening/complex medical conditions in a sensitive and easily understandable language. Experience of delivering undergraduate student supervision and clinical education to postgraduate standard in area of speciality. Experience of supervision and line management of staff including completing appraisals, 1:1 meetings and objective setting and able to work within Trust policy and support line reports to do the same. Ability to work effectively single handedly with individuals and groups and deliver complex nutritional information. Able to demonstrate and effectively utilise leadership skills. Regularly undertakes R&D activity e.g. Critical Appraisal, Audit and is confident in the audit process. Person Specification Qualifications Essential BSc Nutrition & Dietetics or relevant postgraduate qualification. Qualification in area of specialisation or evidence of significant experience in speciality area. HCPC registered. Desirable Post Graduate training in advanced nutritional support. Supplementary prescribing qualification Experience Essential Extensive experience in the area of specialist medicine and complex nutrition support. Experience in taking part in project work that supports improvement in service or supports a change in practice Understanding team dynamics and maintaining a strong inclusive dietetic presence within an MDT Provision of parenteral nutrition Desirable Experience working within the NHS Experience working within mental health including working with people with eating disorders. Experience in service review and evaluation to identify the area most in need of development evidence of a project that delivers this. Experience in working with other specialist dietitians from other trusts to undertake service review/improvement. Skills Essential Able to interpret a variety of complex clinical information to make dietetic diagnosis in area of speciality. Ability to implement dietetic care plan and provide highly specialised advice concerning the care of patients in area of speciality. Able to undertake accurate anthropometric measurements e.g. weights, heights, skinfold thickness, MUAC, HGS to support the assessment of patient's nutritional status and takes initiative to do so. Ability to use behavioural change/ motivational interviewing techniques to facilitate change. Ability to problem solve, analyse complex clinical problems and create practical solutions to provide best clinical care. Advanced communication skills including being able to communicate life threatening/complex medical conditions in a sensitive and easily understandable language. Experience of delivering undergraduate student supervision and clinical education to postgraduate standard in area of speciality. Experience of supervision and line management of staff including completing appraisals, 1:1 meetings and objective setting and able to work within Trust policy and support line reports to do the same. Ability to work effectively single handedly with individuals and groups and deliver complex nutritional information. Able to demonstrate and effectively utilise leadership skills. Regularly undertakes R&D activity e.g. Critical Appraisal, Audit and is confident in the audit process. 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 (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) . From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) . UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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 (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) . From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) . UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
