The nutrition and dietetics department comprises of a team of specialist dietitians. We are a dynamic and enthusiastic team of over 50 dietitians working in acute and community settings.
We assess and treat diet and nutrition related problems, providing effective, evidence based nutritional assessment, dietary intervention and tailored advice to patients, their carers and all staff involved in patient care. We also provide training and education to patients and health care professionals.
We have extensive knowledge and experience of the diverse foods and diets in our multi-cultural community.
We promote adequate nutrition and hydration for all patients. Our role includes identification and prevention of malnutrition using screening tools and education of staff.
Acute hospital services
Central Middlesex, Northwick Park and St Mark's Hospitals
We provide nutrition and dietetic services for:
- Intensive Treatment Unit (ITU) - enteral and parental nutrition, head and neck cancer and maxillofacial surgery
- Diabetes - Type 1 and Type 2 diabetes, gestational diabetes, advanced pump therapy, carbohydrate counting and structured diabetes education sessions
- Stroke - working closely within the multidisciplinary team in the Hyper Acute Stroke Unit (HASU) and Regional Rehabilitation Unit (RRU)
- Collaborative Care Team - ensuring safe discharge with complete package of care
- Palliative Care - offering inpatient and outpatient services as well as domiciliary visits when required
- Mental health
- Gastrointestinal including coeliac disease and inflammatory bowel disease
- Paediatrics - Inpatient and outpatient services
- Catering services - working to ensure that individual nutritional needs are met
- Elderly care.
In addition, St Mark's Hospital offers:
- Management of complex intestinal failure patients requiring specialised enteral and parenteral nutrition
- Research in to nutritional and immune function of patients on home parenteral nutrition.
The small acute team of dietitians is part of a much larger community team. We provide inpatient, small outpatient, advisory and training function in the hospital for adults and children.
Ward based dietetic service:
- Patients screened and deemed to be at risk of malnutrition e.g. patients with swallowing problems and having inadequate diets
- All patients on Intensive Care Unit including High Dependency Unit (HDU)
- Severe failure to thrive and babies in Special Care Baby Unit (SCBU) requiring supplementation
- Prescription of enteral feeding and setting up discharge feed package in collaboration with nursing colleagues
- Assessment and advice on prescription for patients on parenteral nutrition
- Patients with GI tract disorders, liver or renal conditions requiring nutrition support including continued prescription of food supplements on discharge
- Diabetic patients requiring nutrition support / advise on wards
- Patients with food allergies and intolerances.
- Renal patients prior to replacement therapy and diabetic patients
- Gestational diabetic and pregnant diabetic patients
- Food allergies and intolerance
- Severe weaning problems
- Impaired nutritional status due to disease related malnutrition e.g. IBD
Training and advisory role
- Clinical updates to nursing staff and student nurses
- Induction talks to medical staff
- Talks to patient groups e.g. gestational diabetic patients
- Dietetic student training
- Liaising with contract caterers on ensuring nutritional adequacy of hospital menus
Take a look at the community services that we offer in: