Senior Specialist Dietitian
The closing date is 19 July 2026

Job summary
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

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.

Person Specification
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

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

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

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).

Employer name: Barts Health NHS Trust
Address: Royal London Hospital, London, E1 1FR, United Kingdom
Employer's website: https://www.bartshealth.nhs.uk

For questions about the job, contact:
Clinical Lead Dietitian, Sarah Phillips, sarah.phillips82@nhs.net