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Community Nutrition Support Dietitians

Community Nutrition Support Dietitians

About the service

The Community Nutrition Support Dietitians 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.

Referrals

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 you are making an internal referral please complete and upload the referral form to EMIS and email nscpdietetics@nhs.net including the patient's NHS or EMIS number.
  • If you are making a referral from an external organisation, please complete the referral form and email it to the above address.
  • If you are a GP, please use EMIS to make your referral.
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Who is this service for?

Referral criteria

Condition:

Malnutrition

Criteria:

  • 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. 

AND:

  • 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.



Condition:

Skin Integrity

Criteria:

  • 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.

Exclusion Criteria: 

  • 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).
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