Dietician | Royal Free London NHS Foundation Trust

Provide a comprehensive Nutrition and Dietetic service to the Integrated Diabetes Specialist Service at the Royal Free London NHS Foundation Trust – North Middlesex.

Explore and support the continuation of patient care within available workload capacity. Contribute to the development and delivery of education programmes for Enfield residents, primary care teams, and Trust staff. Work collaboratively with the clinical lead to develop, implement, and regularly update departmental policies, guidelines, and procedures. Lead and actively participate in projects, research, and audits within the wider diabetes service.

Actively contribute to the Diabetes Team and support the day-to-day running of the service. Plan, organise, and coordinate health promotion events both within the service and in the community.

Promote effective multidisciplinary working, ensuring close collaboration between acute and community teams.

Use advanced communication skills to engage effectively with colleagues, patients, carers, and other service users.

Be responsible for the supervision of allocated junior staff, with ongoing daily support and regular supervision provided by team leads.

To work flexibly in response to service needs, to provide cover to across Northmid and community.

Aims of the Integrated Diabetes Community Service

• To improve the quality of life for people with diabetes
• To facilitate and support the management of people with diabetes in a primary care setting
• To empower the person to take control of their diabetes
• Support to GP with patients seen in primary care.
• To support the service, primary care, the acute sector and community services in providing case management for people with diabetes who are at risk of unplanned admission and facilitate timely discharge from hospital
• To provide advice and support to social services and residential & nursing homes.
• To reduce waiting times and contribute to meeting the 4-week Referral to treat pathway

The Integrated Diabetes Service is a nurse-led service supported by a multidisciplinary team, including a diabetes consultant, clinical nurse lead, diabetes specialist nurses, dietitian, psychologist, healthcare assistant, and a health and wellbeing coach.

The service delivers specialised care for adults with Type 1 and Type 2 diabetes, including support for pregnancy, renal, and preconception clinics. Care is provided through a fully integrated model, with close collaboration between community and acute teams.

The service adopts a multidisciplinary team (MDT) approach. Clinical activities include assessment, diagnosis, shared decision-making, and the delivery of personalised treatment and management plans, focusing on achieving the three treatment targets and completing the nine key diabetes care processes.

This includes comprehensive assessment of patient history and pathology, management of diabetes-related complications, and review of dietary and lifestyle interventions. The service also provides structured education programmes for individuals newly diagnosed with diabetes.

Duties and Responsibilities

• To be professionally and legally responsible and accountable for all aspects of your own work including the management of patients under your care.
• To ensure a high standard of clinical care for patients under your management and support junior staff to do likewise.
• To be responsible for the strategic provision of specialized dietetic service to the Diabetes clinics, peer support groups and structured group programme.
• To have overall accountability for the planning and management of a complex specialist caseload of patients and to organize this effectively and efficiently regarding clinical priorities and use of time.
• To provide expert advice to the team based on interpretation of nutritional status, biochemical and physiological parameters.
• To develop and support delivery of care pathways for Diabetes.

This advert closes on Wednesday 23 Sep 2026