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Job overview
An opportunity has arisen for an ambitious band 7 Dietitian to take leadership of an award winning hepatology service at the Royal London Hospital. This internationally recognised service has demonstrated the vital role of specialist dietetic involvement in the management of patients with advanced liver disease. The service has demonstrated improvements in recompensation rates, improved suitability for TIPSS and transplant, as well as reduction in paracentesis requirements and A&E admissions. The Trust has recognised the invaluable role of dietetics within Hepatology by way of this funding. This unique opportunity also provides introduction to research opportunities through links established through Queen Mary University of London.
The successful candidate will be responsible for the dietetic assessment and intervention for all patients with advanced liver disease across the inpatient and outpatient settings. The post holder will work closely with a MDT of Consultants, Resident Doctors, Specialist Nurses and Pharmacists. The post holder will advocate for nutritional interventions to support decision making during weekly hepatology team meetings and MDT clinics.
There will be a requirement to liaise with Specialist Dietitians at the Royal Free Hospital for patients on a liver transplant pathway, and to liaise with Community Dietitians for patients discharged home with enteral feeding tubes.
Main duties of the job
- To be the lead Dietitian for dietetic interventions for patients with liver disease at the Royal London Hospital and to review provision, performance and development of the service with support from the Clinical Lead Dietitian
- Responsible for providing expert dietetic assessment, treatment and advice to a specialist caseload of hepatology patients, including complex nutrition support, dietary modifications and weight management advice. This will include enteral nutritional support.
- To work alongside the wider multidisciplinary team (MDT) to provide an effective service including attending and contributing to ward rounds, board rounds and MDT meetings.
- Advocate for nutrition for patients with complex needs. This includes initiating and engaging in best interests discussions for patients who lack capacity.
- To use advanced clinical reasoning skills to provide specialist support and advice to dietetic and other clinical staff within Barts Health.
- To be responsible for planning and delivering specialist training to medical staff, nurses, students and other health care professionals
- Partake in the development of trust wide policies, protocol and guidelines
- To ensure that research and audit is undertaken on a regular basis to ensure that practice is evidence based
Detailed job description and main 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
Knowledge
Essential
- In-depth knowledge in complex nutritional support
- Understanding of treatment interventions and pathways for patients with advanced liver disease
- Knowledge of the importance of diet and lifestyle in the reversal and prevention of liver disease
Experience
Essential
- Extensive experience in complex nutrition support.
- Experience working with patients with advanced liver disease
- Extensive experience in enteral nutrition
- Extensive experience in decision making, advocacy, organization and implementation of home enteral feeding (NG or NJ)
- Experience in taking part in project work that supports improvement in service or supports a change in practice
- Experience in developing a service and establishing/maintaining a dietetic presence within an MDT
- Experience collecting and analyzing data for service improvement purposes
- Experience measuring relevant anthropometry and using the results to influence dietetic decision making
Desirable
- Experience in working in a liver transplant centre
- Experience writing a business case
- Experience in working with other specialist dietitians from other trusts to undertake service review/improvement
- Experience in provision of parenteral nutrition
Qualifications
Essential
- BSc Nutrition & Dietetics or relevant postgraduate qualification
- Qualification in area of specialisation or evidence of experience in speciality area
- HCPC registered
Desirable
- Post graduate training in area of specialty
- Non-medical prescribing qualification
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Applying for this NHS job
This advert is for Senior Specialist Dietitian with Barts Health NHS Trust in London, London, England. It is listed as a Band 7 Dietitian role. The advertised salary is £58,133 - £65,261 per annum inc (pro rata). The contract type is Permanent: Although this position is a 10 months fixed-term contract, the actual contract duration will be adjusted to account for the time taken to advertise the post, complete the hiring process, and finalise pre-employment checks. This means the contract will begin when the candidate starts the role and may be slightly shorter than 10 months.. The application deadline is 19 Jul 2026.
Before you apply, compare the job description with the person specification and mirror the employer's essential criteria in your supporting information. Use the vacancy title, employer, location, salary, contract type, closing date and posted date (03 Jul 2026) to decide whether this role fits your current NHS job search. If the employer can close applications early, prepare the application before the stated deadline rather than waiting for the final day.
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