Scottish Dietetic Placement Profile

SCOTTISH DIETETIC PLACEMENT PROFILE

NHS Trust/PCT: Trust Code: NHS Dumfries and Galloway 03

Placements offered (tick all that apply)

A X

B X

C X

Workforce profile Consultant Managers Dietitians Dietitians Dietetic Administrative Other Dietitians (AfC (AfC Band 5 Assistants Band 6&7 equivalent) equivalent) 1.0 11.6 2.4 1.0 1.44

Residential student accommodation Our accommodation officer holds a list of local bed and breakfast residences within the town of Dumfries that will accommodate short and long term students at a reasonable rate. For information, contact: Margaret McVittie, Staff Residences, Dumfries and Galloway Royal Infirmary (01387 241343).

Summary of service and health care provision NHS Dumfries and Galloway is a unified Health organisation which serves a population of approximately 147,930 across a predominantly rural area. The main town, Dumfries is in the East of the region with a population of 35,000. Stranraer is in the West of the region and has the second largest population of 11,000. There are several smaller town and villages within the region.

Health Services are delivered through 35 General Practices, the District General Hospital in Dumfries, the Galloway Community Hospital in Stranraer and a network of 10 Cottage hospitals throughout the region. Acute Mental health services are delivered from the Midpark Hospital site, Diabetes and Weight management outpatient services are delivered from the Crichton Royal Hospital, which is situated next to the Infirmary. There are developments underway to tranfer acute care to a new hospital build which is scheduled to open in 2018.

The Infirmary currently has 13 acute inpatient wards (medical, surgical, acute rehabilitation, ENT, coronary care, orthopaedics, care of the elderly and paediatrics). There is also a Renal unit, ICU/HDU, maternity unit and an oncology unit. Within the Infirmary, the Dietetics department delivers:

 1 general dietetic clinic per week (nutrition support, allergy, problem eaters)  1 Gastroenterology clinic per week  2 Paediatric dietetic clinics, multidisciplinary paediatric diabetes and cystic fibrosis clinics. Paediatric clinics are undertaken in the community setting across the region in addition to those held on the DGRI site. There is a Mental Health service for adult Eating Disorders, and multidisciplinary Renal clinics. The adult Community Nutrition Support Dietetic service operates throughout the region, with Out patient clinics being held in various locations including health centres and GP surgeries, in addition to home visits undertaken as part of this service. This service is also provided into Care Homes across the region. Type 2 Diabetes group education sessions (DESMOND) are held in local Health Centres, GP Practices and Community Hospitals. For Type 1 Diabetes we deliver a Dose Adjustment for Normal Eating (DAFNE) programme. The clinical Weight Management service delivers regular weight management sessions on the Crichton Royal Hospital site and at the Galloway Community Hospital.

The Department has various Clinical Governance resources and regularly monitors the quality of the service through patient feedback surveys and benchmarking against a range of Quality Indicators. We are revising the regional Enteral and Parenteral Feeding Guidelines. It is an ongoing activity to develop, revise and review clinical guidelines / protocols which are required as part of multi-disciplinary working groups e.g. gastrostomy protocol, nutritional care plan, starter feeding regimen. The department operates as part of the wider Allied Health Professions (AHP) directorate and participates in joint AHP events.

The Department has good IT access with systems such as Topas (patient booking system), Dietplan, on line labs results, e-library, Nutmeg as well as access to the catering system (MANNA). IT development is an on going activity to facilitate effective patient management. The education and training suite within Dumfries and Galloway Royal Infirmary has a wide range of facilities including intra/internet access, photocopying, training on literature searching etc.

Placement A The learning experience Students are encouraged to make contact with the trainer at an early stage in order to highlight any particular requirements for the placement and to confirm a start date. Students are sent a welcome pack and draft programme prior to starting placement.

The 2 week placement can be provided for a single student or as part of the Peer Assisted Learning (PAL) model. The placements include opportunities to visit and participate in many different areas of NHS work. The placement programme includes regular feedback sessions with the Dietitians and the students are encouraged to provide the trainer with feedback both on the information pre-placement and a formal evaluation at the end of the placement.

Placement B The learning experience Students are encouraged to make contact with the trainer at an early stage in order to highlight any particular requirements for placement B and to confirm a start date. Students are sent a welcome pack and draft programme prior to starting the placement.

On starting the placement, students are asked to sign an expectation agreement. Students are encouraged to keep a portfolio and reflective diary throughout the placement. It is also the responsibility of the student to ensure that an adequate volume of assessment tools are collected for evidence towards meeting Learning Outcomes. These can be accessed from the Dietetic shared drive.

The 12 week placement is made up of themed weeks and involves all settings including inpatients, outpatients (hospital and community) and domiciliary visits. Clinical areas include general medicine, surgery, elderly, stroke & rehabilitation, renal, diabetes, paediatrics and mental health. Although students have theoretical knowledge of clinical conditions seen on placement B, learning based activities and tutorials on various clinical topics have been developed and can be used as required.

A supervising dietitian is assigned to the student for each placement week. At the beginning and end of the week, the student and supervisor will meet to plan and review the learning activities as well as monitoring progress with meeting the learning outcomes. Weekly feedback sessions are undertaken by the supervisors, in addition to a Midway review and the final review, which are undertaken by the Student coordinator and the Head of Service

As well as direct clinical experience, students are required to participate in the delivery of talks such as cardiac rehabilitation and stroke group. Interaction within the Diabetes and weight management group teaching sessions. They must complete and deliver a presentation on a case study and an audit in addition to undertaking a health promotion project

Students are encouraged to provide the trainer with feedback both on the information pre-placement and a formal evaluation at the end of the placement.

Placement C The learning experience Students are encouraged to make contact with the trainer at an early stage in order to highlight any particular requirements for placement C and to confirm a start date. Students are sent a welcome pack and draft programme prior to starting the placement.

On starting the placement, students are encouraged to sign up to an expectation agreement. Students are encouraged to keep a portfolio and reflective diary throughout the placement. It is also the responsibility of the student to ensure that an adequate volume of assessment tools are collected for evidence towards meeting Learning Outcomes. These can be accessed from the Dietetic shared drive.

Students are encouraged to provide the trainer with feedback both on the information pre-placement and a formal evaluation at the end of the placement.

Quality Assurance Link University for approval and monitoring:

The Robert Gordon University

Queen Margaret University

Glasgow Caledonian University x

Most recent approval date: 2012

Maximum number of student learners who can be supported at any one time:

Placement A: 2

Placement B: 2

Placement C: 2

NOV 2014