Dietitians

Our team of dietitians offers advice, education and support to you and those who care for you. Bromley Healthcare also deliver the Bexley Community Dietetics service, if you are a Bexley GP or Healthcare Professional please see details on how to refer under the 'using this service' tab.

Find out more about Dietitians

Using this service

We assess your needs and work with you to help you manage your diet and nutrition – including those who are fed by a tube, under weight due to an illness or disease, or need dietary advice for a diagnosed condition.

We can also provide training and information for other health professionals.

You can be referred by your GP or another qualified health professional. You must be registered with a Bromley GP.

Children’s Team – we work with parents and carers of babies and children who are tube fed

Adult Team – we offer dietary advice and support to help manage your condition. We provide advice and support to those of you who are tube fed.

Clinics

We hold clinics throughout Bromley at the following locations, all having wheelchair access.  An appointment will be given as near to your home as possible.

Adult Clinics

Take place at St Paul’s Cray Clinic, Willows Clinic and Beckenham Clinic

Children’s Clinics

Take place at St Paul’s Cray Clinic and Community Vision

Appointments

Your first appointment

The dietitian will assess what you usually eat and drink by asking a series questions (called a diet history), or discuss your child’s current eating pattern if the appointment is for your child. The dietitian will discuss and agree a plan with you to suit your (or your child’s) individual needs.You and the dietitian will then agree if you will be seen again and if so book an appointment.

Changing or cancelling an appointment

If you need to change an appointment you should phone us as soon as you can so that we can offer the appointment to someone else. This helps to reduce the time you might have to wait for your appointment.

If you miss an appointment and do not tell us you may not be given another appointment. We will write to  whoever referred you to let them know.

More information

Dietitians work with people who have special dietary needs, inform the general public about nutrition, give advice and provide ongoing support when needed. We work with you, your doctor, nurses, health professional and community groups.

Healthy Eating – Five a day
Malnutrition
Weight management

Other advice and information

British Dietetic Association
The British Dietetic Association is the professional association for dietitians. This website includes a section called Food Facts and web links and information on a wide range of nutrition related matters.

Leaflets

Leaflets

Leaflets for adults

Adult out patient leaflet

Food for energy

Snacks for small appetites

Improving your fluid intake

Adding extra calories and protein

Leaflets for children

Children’s out patient leaflet

Is your child constipated?

Does your child need more iron?

Does your child need more calcium?

Does your child have toddler diarrhoea?

Overview

Dietitians in Bexley

Our team offers advice, education and support to you and those who care for you if you have a feeding tube or if you require dietetic support and are housebound.

We assess your needs and work with you to help you manage your diet, nutrition and enteral feeding tube.

We can also provide training and information for other health professionals.

If you are a GP or Healthcare professional based in Bexley, please click here  to make a referral and visit the tables on the right-hand side for further information and resources.

Using this service

You can be referred by your discharging hospital or another qualified health professional. You must be registered with a Bexley GP.

Adult Team – We provide advice and support to you if you are tube fed and help manage your condition.

We also provide a domiciliary service for those that need nutritional advice and clinically need to be seen in their place of residence whether this be their own home or care home.

We provide regular training to care homes in Bexley on identifying and treating malnutrition through MUST training (Malnutrition Universal Screening Tool training) and the food first approach through food fortification techniques.

Children’s Team – We work with parents and carers of babies and children who are tube fed or have complex needs and underweight.

Appointments

Your first appointment

The dietitian will assess your nutritional needs by asking a series of questions including foods eaten where applicable. The dietitian will discuss and agree a plan with you to suit your (or your child’s) individual needs. You and the dietitian will then agree on your next appointment.

Changing or cancelling an appointment

If you need to change an appointment you should phone us as soon as you can so that we can offer the appointment to someone else. This helps to reduce the time you might have to wait for your appointment.

Patient Information

Dietitians work with people who have special dietary needs, inform the general public about nutrition, give advice and provide ongoing support when needed. We work with you, your doctor, nurses, health professionals and community groups.

Other advice and information

British Dietetic Association
The British Dietetic Association is the professional association for dietitians. This website includes a section called Food Facts and web links and information on a wide range of nutrition related matters.

Leaflets

Bexley Children Dietetic Service Leaflet Oct 2015

Bexley adult tube feeding dietitians

Videos

The FreeGo Enteral Feeding Pump is simple to set up and use. By watching the series of training videos that follow, you will learn how to set up the pump, you’ll see a full explanation of all the controls, how to load and prime the feed, general care and maintenance as well as a sequence on trouble shooting.

Other training materials are available, including a DVD, printed manuals in Welsh, Polish, Chinese, Arabic, Urdu, Bengali, Hindi, Gujarati and Punjabi.  There also audio files and Braille documents for sight impaired patients. If you require any of these materials, please contact your Health Care Professional.

Click here for training videos

 

 

Care Homes Information

We can come to your Care Home to provide training and there is a rolling programme in place to deliver training

Criteria for Referral

•Malnutrition identified as high risk with a MUST score of 2 or more
•Underweight identified as BMI< 18.5 kg/m² or unintentional weight loss of >10% in previous 3-6 months

Any referrals that do not meet the criteria will be returned to the referrer.

Nutritional Support Pathway (Management Guidelines)

Low Risk – MUST score 0: repeat screening monthly

Medium Risk – MUST score 1:

•Weekly weights
•Encourage and assist with intake of food and fluids
•Offer additional high energy snacks
•Offer 2 x fortified milk drinks per day (see Fortified Milk leaflet)
•Record intake on food and fluid chart for at least 7 days
•If improving, continue until low risk
•If no improvement after 1 month, consider treating as high risk

High Risk – MUST score 2:

•Weekly weights
•Recommend high protein/high energy diet
•Encourage regular meals and high energy puddings
•Encourage 2-3 high energy snacks per day (see leaflet ‘Snacks for small appetites’)
•Fortify all meals, snacks and drinks as able (see Food Fortification Protocol)
•Offer 2 x fortified milk drinks per day (see Fortified Milk leaflet)
•Record intake on food and fluid chart for at least 7 days
•If improving, continue until low risk
•If no improvement after 14 days, refer to Dietitian

Please note for all new admissions into Nursing/Care Homes that it takes a while for new residents to settle into their new surroundings so please follow the Nutritional pathway initially and refer to the Dietitian when appropriate

Care Home referral form here.

To refer, please complete enclosed referral form and email to: bromh.bexleycommunitydietitians@nhs.net

Information for care homes

GP and Health Professionals

Bromley Healthcare’s Community Dietetic Service provides a domiciliary service to patients requiring enteral feeds within their place of residence in Bexley.

The service includes:

A community based dietetic service for non-ambulatory patients within their residential setting (residential/care/housebound/nursing/learning disability) implementing the ‘Food First’ program. The Food First program uses dietary methods as a first line approach to treat malnutrition before using prescribed oral nutritional supplements

A rolling training program will be established and delivered to Bexley care homes on ‘’Food First’’ and the Malnutrition Universal Screening Tool “MUST”. The MUST tool is a five step screening tool for those at risk of malnutrition leading to the development of a care plan

A nutrition and dietetics telephone advice line for Health Care Professionals including GP’s will be available Monday to Friday 9.00am – 5.00pm. The contact number is 0208 662 6689

Dietitians who will work with GPs help support the appropriate prescription of ONS (oral nutritional supplements) to ensure these are prescribed and used appropriately.

Click here for the referral form

 

Useful Contacts

Team Lead for Adults: Ebele Nze, (02086626689), e.nze@nhs.net

Children’s Dietitian: Donna McCaughan 020 3319 7668 BROMH.CommunityDietitians@nhs.net

Abbott Nutrition (Tel: 0800 018 3799, email: ukh2h@abbott.com) (If you have an enquiry about your home delivery or a problem with your pump please contact Abbott Hospital to Home Service)

Queen Elizabeth Hospital Accident and Emergency Department Telephone: 020 8836 4360/1

Darent Valley Hospital Accident and Emergency Department Telephone: 01322 428100

District Nurses – Oxleas Telephone: 020 3260 5153

Children’s Community Nursing Team 020 3004 0092

For any Enteral Feeding Tube issues or queries please contact your Dietitian on the numbers below (if out of hours, please contact Abbott Nutrition). If your tube has fallen out or is blocked and you have been unable to contact our team or Abbott, please seek medical attention immediately.

 

 

 

 

Overview

Since April 2013 our team of dietitians has been offering advice, education and support to people in Lewisham.

We assess your needs and work with you to help you manage your diet and nutrition – including those with conditions such as high cholesterol, diabetes, irritable bowel syndrome, food allergies,and those who are over or under weight.

We can also provide training and information for other health professionals.

Using this service

You can be referred by your GP. You must be registered with a Lewisham GP.

Clinics

There are two strands within the Dietetic service, the practice-based clinics and the weight management service.

The practice-based clinics are for those people with conditions such as high cholesterol, diabetes, irritable bowel syndrome, food allergies, and malnutrition. These clinics are based at each of the 44 GP surgeries across the borough either fortnightly or monthly.

The weight management clinics are for those people with a BMI of 35 or higher, or BMI 30+ with co-morbidities. As Lewisham is divided into 4 neighbourhoods, the weight management clinics are held in 4 host site GP surgeries across the borough – Kingfisher Medical Centre, St Johns Medical Centre, Baring Road Medical Centre and the Vale Medical Centre.

 

 

 

Appointments

Your first appointment

The dietitian will assess what you usually eat and drink by asking a series questions (called a diet history). The dietitian will discuss and agree a plan with you to suit your individual needs. You and the dietitian will then agree if you will be seen again and if so book an appointment.

Changing or cancelling an appointment

If you need to change or cancel an appointment you should phone your GP surgery (or the host site surgery if for the weight management clinic) as soon as you can so that we can offer the appointment to someone else. This helps to reduce the time you might have to wait for your appointment.

If you miss an appointment and do not tell us you may not be given another appointment. We will write to whoever referred you to let them know.

More information

Dietitians work with people who have special dietary needs, inform the general public about nutrition, give advice and provide ongoing support when needed. We work with you, your doctor, nurses, health professional and community groups.

Healthy eating and five a day
Malnutrition
Type 2 diabetes
Weight Management

Useful information and websites

British Dietetic Association
The website of the British Dietetic Association – the professional association for dietitians. This website includes a section called Food Facts and web links which have links and information on a wide range of nutrition related matters.

Using this service

We assess your needs and work with you to help you manage your diet and nutrition – including those who are fed by a tube, under weight due to an illness or disease, or need dietary advice for a diagnosed condition.

We can also provide training and information for other health professionals.

You can be referred by your GP or another qualified health professional. You must be registered with a Bromley GP.

Children’s Team – we work with parents and carers of babies and children who are tube fed

Adult Team – we offer dietary advice and support to help manage your condition. We provide advice and support to those of you who are tube fed.

Clinics

We hold clinics throughout Bromley at the following locations, all having wheelchair access.  An appointment will be given as near to your home as possible.

Adult Clinics

Take place at St Paul’s Cray Clinic, Willows Clinic and Beckenham Clinic

Children’s Clinics

Take place at St Paul’s Cray Clinic and Community Vision

Appointments

Your first appointment

The dietitian will assess what you usually eat and drink by asking a series questions (called a diet history), or discuss your child’s current eating pattern if the appointment is for your child. The dietitian will discuss and agree a plan with you to suit your (or your child’s) individual needs.You and the dietitian will then agree if you will be seen again and if so book an appointment.

Changing or cancelling an appointment

If you need to change an appointment you should phone us as soon as you can so that we can offer the appointment to someone else. This helps to reduce the time you might have to wait for your appointment.

If you miss an appointment and do not tell us you may not be given another appointment. We will write to  whoever referred you to let them know.

More information

Dietitians work with people who have special dietary needs, inform the general public about nutrition, give advice and provide ongoing support when needed. We work with you, your doctor, nurses, health professional and community groups.

Healthy Eating – Five a day
Malnutrition
Weight management

Other advice and information

British Dietetic Association
The British Dietetic Association is the professional association for dietitians. This website includes a section called Food Facts and web links and information on a wide range of nutrition related matters.

Leaflets

Leaflets

Leaflets for adults

Adult out patient leaflet

Food for energy

Snacks for small appetites

Improving your fluid intake

Adding extra calories and protein

Leaflets for children

Children’s out patient leaflet

Is your child constipated?

Does your child need more iron?

Does your child need more calcium?

Does your child have toddler diarrhoea?

Community Dietetics - Adult

0300 330 5777

bromh.cccpod3refs@nhs.net

Sarah Belaon

Service Lead (Adults)

Community Dietetics - Children

0300 330 5777

bromh.cccpod3refs@nhs.net

Debra Drazen

Service Lead (Children)

Overview

Dietitians in Bexley

Our team offers advice, education and support to you and those who care for you if you have a feeding tube or if you require dietetic support and are housebound.

We assess your needs and work with you to help you manage your diet, nutrition and enteral feeding tube.

We can also provide training and information for other health professionals.

If you are a GP or Healthcare professional based in Bexley, please click here  to make a referral and visit the tables on the right-hand side for further information and resources.

Using this service

You can be referred by your discharging hospital or another qualified health professional. You must be registered with a Bexley GP.

Adult Team – We provide advice and support to you if you are tube fed and help manage your condition.

We also provide a domiciliary service for those that need nutritional advice and clinically need to be seen in their place of residence whether this be their own home or care home.

We provide regular training to care homes in Bexley on identifying and treating malnutrition through MUST training (Malnutrition Universal Screening Tool training) and the food first approach through food fortification techniques.

Children’s Team – We work with parents and carers of babies and children who are tube fed or have complex needs and underweight.

Appointments

Your first appointment

The dietitian will assess your nutritional needs by asking a series of questions including foods eaten where applicable. The dietitian will discuss and agree a plan with you to suit your (or your child’s) individual needs. You and the dietitian will then agree on your next appointment.

Changing or cancelling an appointment

If you need to change an appointment you should phone us as soon as you can so that we can offer the appointment to someone else. This helps to reduce the time you might have to wait for your appointment.

Patient Information

Dietitians work with people who have special dietary needs, inform the general public about nutrition, give advice and provide ongoing support when needed. We work with you, your doctor, nurses, health professionals and community groups.

Other advice and information

British Dietetic Association
The British Dietetic Association is the professional association for dietitians. This website includes a section called Food Facts and web links and information on a wide range of nutrition related matters.

Leaflets

Bexley Children Dietetic Service Leaflet Oct 2015

Bexley adult tube feeding dietitians

Videos

The FreeGo Enteral Feeding Pump is simple to set up and use. By watching the series of training videos that follow, you will learn how to set up the pump, you’ll see a full explanation of all the controls, how to load and prime the feed, general care and maintenance as well as a sequence on trouble shooting.

Other training materials are available, including a DVD, printed manuals in Welsh, Polish, Chinese, Arabic, Urdu, Bengali, Hindi, Gujarati and Punjabi.  There also audio files and Braille documents for sight impaired patients. If you require any of these materials, please contact your Health Care Professional.

Click here for training videos

 

 

Care Homes Information

We can come to your Care Home to provide training and there is a rolling programme in place to deliver training

Criteria for Referral

•Malnutrition identified as high risk with a MUST score of 2 or more
•Underweight identified as BMI< 18.5 kg/m² or unintentional weight loss of >10% in previous 3-6 months

Any referrals that do not meet the criteria will be returned to the referrer.

Nutritional Support Pathway (Management Guidelines)

Low Risk – MUST score 0: repeat screening monthly

Medium Risk – MUST score 1:

•Weekly weights
•Encourage and assist with intake of food and fluids
•Offer additional high energy snacks
•Offer 2 x fortified milk drinks per day (see Fortified Milk leaflet)
•Record intake on food and fluid chart for at least 7 days
•If improving, continue until low risk
•If no improvement after 1 month, consider treating as high risk

High Risk – MUST score 2:

•Weekly weights
•Recommend high protein/high energy diet
•Encourage regular meals and high energy puddings
•Encourage 2-3 high energy snacks per day (see leaflet ‘Snacks for small appetites’)
•Fortify all meals, snacks and drinks as able (see Food Fortification Protocol)
•Offer 2 x fortified milk drinks per day (see Fortified Milk leaflet)
•Record intake on food and fluid chart for at least 7 days
•If improving, continue until low risk
•If no improvement after 14 days, refer to Dietitian

Please note for all new admissions into Nursing/Care Homes that it takes a while for new residents to settle into their new surroundings so please follow the Nutritional pathway initially and refer to the Dietitian when appropriate

Care Home referral form here.

To refer, please complete enclosed referral form and email to: bromh.bexleycommunitydietitians@nhs.net

Information for care homes

GP and Health Professionals

Bromley Healthcare’s Community Dietetic Service provides a domiciliary service to patients requiring enteral feeds within their place of residence in Bexley.

The service includes:

A community based dietetic service for non-ambulatory patients within their residential setting (residential/care/housebound/nursing/learning disability) implementing the ‘Food First’ program. The Food First program uses dietary methods as a first line approach to treat malnutrition before using prescribed oral nutritional supplements

A rolling training program will be established and delivered to Bexley care homes on ‘’Food First’’ and the Malnutrition Universal Screening Tool “MUST”. The MUST tool is a five step screening tool for those at risk of malnutrition leading to the development of a care plan

A nutrition and dietetics telephone advice line for Health Care Professionals including GP’s will be available Monday to Friday 9.00am – 5.00pm. The contact number is 0208 662 6689

Dietitians who will work with GPs help support the appropriate prescription of ONS (oral nutritional supplements) to ensure these are prescribed and used appropriately.

Click here for the referral form

 

Useful Contacts

Team Lead for Adults: Ebele Nze, (02086626689), e.nze@nhs.net

Children’s Dietitian: Donna McCaughan 020 3319 7668 BROMH.CommunityDietitians@nhs.net

Abbott Nutrition (Tel: 0800 018 3799, email: ukh2h@abbott.com) (If you have an enquiry about your home delivery or a problem with your pump please contact Abbott Hospital to Home Service)

Queen Elizabeth Hospital Accident and Emergency Department Telephone: 020 8836 4360/1

Darent Valley Hospital Accident and Emergency Department Telephone: 01322 428100

District Nurses – Oxleas Telephone: 020 3260 5153

Children’s Community Nursing Team 020 3004 0092

For any Enteral Feeding Tube issues or queries please contact your Dietitian on the numbers below (if out of hours, please contact Abbott Nutrition). If your tube has fallen out or is blocked and you have been unable to contact our team or Abbott, please seek medical attention immediately.

 

 

 

 

Community Dietetics - Adult

0300 330 5777

bromh.cccpod3refs@nhs.net

Angela Gibb

Service lead (adults)

Community Dietetics - Children

0300 330 5777

bromh.cccpod3refs@nhs.net

Debra Drazen

Service lead (children)

Overview

Since April 2013 our team of dietitians has been offering advice, education and support to people in Lewisham.

We assess your needs and work with you to help you manage your diet and nutrition – including those with conditions such as high cholesterol, diabetes, irritable bowel syndrome, food allergies,and those who are over or under weight.

We can also provide training and information for other health professionals.

Using this service

You can be referred by your GP. You must be registered with a Lewisham GP.

Clinics

There are two strands within the Dietetic service, the practice-based clinics and the weight management service.

The practice-based clinics are for those people with conditions such as high cholesterol, diabetes, irritable bowel syndrome, food allergies, and malnutrition. These clinics are based at each of the 44 GP surgeries across the borough either fortnightly or monthly.

The weight management clinics are for those people with a BMI of 35 or higher, or BMI 30+ with co-morbidities. As Lewisham is divided into 4 neighbourhoods, the weight management clinics are held in 4 host site GP surgeries across the borough – Kingfisher Medical Centre, St Johns Medical Centre, Baring Road Medical Centre and the Vale Medical Centre.

 

 

 

Appointments

Your first appointment

The dietitian will assess what you usually eat and drink by asking a series questions (called a diet history). The dietitian will discuss and agree a plan with you to suit your individual needs. You and the dietitian will then agree if you will be seen again and if so book an appointment.

Changing or cancelling an appointment

If you need to change or cancel an appointment you should phone your GP surgery (or the host site surgery if for the weight management clinic) as soon as you can so that we can offer the appointment to someone else. This helps to reduce the time you might have to wait for your appointment.

If you miss an appointment and do not tell us you may not be given another appointment. We will write to whoever referred you to let them know.

More information

Dietitians work with people who have special dietary needs, inform the general public about nutrition, give advice and provide ongoing support when needed. We work with you, your doctor, nurses, health professional and community groups.

Healthy eating and five a day
Malnutrition
Type 2 diabetes
Weight Management

Useful information and websites

British Dietetic Association
The website of the British Dietetic Association – the professional association for dietitians. This website includes a section called Food Facts and web links which have links and information on a wide range of nutrition related matters.

Community Dietetics - Adult

0300 330 5777

bromh.cccpod3refs@nhs.net

Karen Wahed

Service lead (adults)

Our Dietitians clinic locations

Beckenham Clinic is the base for all the dietitians. Please note the number below which is the main reception of the clinic and not the service number.

BROMLEY
Phone: 020 8662 6681
Email: BROMH.CommunityDietitians@nhs.net.

BEXLEY
Adult service phone: 020 8662 6689
Adult service Email: bromh.bexleycommunitydietitians@nhs.net
Children's service phone: 020 8302 2678 Ext: 2533
Children's service Email: BROMH.CommunityDietitians@nhs.net

LEWISHAM - adults only
Phone: 020 8662 6690
Email: BROMH.lewishamdietetics@nhs.net