About the service
The Community Nutrition Support Team look after the dietetic needs of housebound or institutionalised adult patients.
The team aim to ensure all individuals are able to receive adequate and appropriate nutrition and dietetic advice as a fundamental part of their health care to aid healing and recovery and reduce their risk of readmission, falls, and pressure ulcers.
Self-referrals and referrals directly from care home staff will not be accepted.
Referrals will be accepted from GPs and health and social care professionals within North Somerset for housebound individuals, including those living in care homes, who meet the criteria below.
How to refer
If you are a healthcare professional and wish to refer a patient to the Community Nutrition Support Team, please review the referral criteria below and, if the patient meets the criteria, complete the referral form. If you are a GP, please use EMIS to make your referral.
Who is this service for?
- Body Mass Index (BMI) below 18.5kg/m2
- Unintentional weight loss of 10%* or more over a three to six month period.
- Body Mass Index (BMI) of 18.5 - 20kg/m2 and unintentional weight loss of 5 - 10% over a three to six month period
- MUST score of 2 or higher.
- Food First advice has been followed for two - four weeks without improvement.
* % weight loss = Amount of weight lost (kg) divided by original weight (kg) x 100.
- Delayed wound healing and / or presence of a grade one - to pressure sore accompanied by two or more identified risk factors e.g. decreased mobility, incontinence, previous pressure damage
- Presence of a grade three - four pressure sore with delayed wound healing.
- Individuals under 18 years of age
- Individuals not registered with a North Somerset GP
- Individuals with an oncology or neurology diagnosis requiring nutrition support as a result of that diagnosis who live independently. (Please refer to the Macmillan and Neurology Dietetic Services at Weston General Hospital respectively).
- Patients enterally fed in the community. (Please refer to Home Management Services at Bristol Royal Infirmary).
Find out more
- 100 Calorie Boosters
- A Carers Guide - Nutrition and Dementia - Information for Clients and Service Users
- Eat Well to Heal Well
- Finger Foods
- Hydration Boosters
- Dietary advice if you are having problems eating enough
- Keeping Healthy on a High Calorie Diet
- Keeping Hydrated
- Making Every Mouthful Count
- Making Mealtimes Manageable
- Nourishing Drinks
- Super Shakes
- Food Diary - Keep track of what you eat and drink
- Nutrition Care Plan - Low Risk of Malnutrition (MUST Score 0)
- Nutrition Care Plan - Medium Risk of Malnutrition (MUST Score 1)
- Nutrition Care Plan - High Risk of Malnutrition (MUST Score 2+)
- Map of Medicine
- BNSSG Formulary
- National Institute for Health and Care Excellence (NICE) - Nutrition Support in Adults
- National Institute for Health and Care Excellence (NICE) - Prevention and treatment of pressure sores guidance
- Malnutrition Universal Screening Tool Explanatory Information