1. Nutrition Team
Who we are and what we do!

2. The Nutition Team

3. Dr Burch Consultant Gastroenterologist and clinical lead in Nutrition
50% of Dr Burch’s work load is nutrition, this includes clinics, endoscopy and spending time with the rest of the team.

4. Specialist Dietitian’s
Nicky Wyer and Bekki Ford are the nutrition teams specialist dietitian’s
Individual Nutritional assessment and specialised nutritional care plans
Extensive knowledge and highly skilled, provide teaching across the trust.

5. Specialist Pharmacist
Reena Parmar Specialist Gastroenterology and Nutrition Pharmacist .
Provides extensive knowledge and support to the wards and the team
Responsible for the formulation of TPN
Assists in modifying patients treatments to meet nutritional requirements.

6. Community Dietitian
Joy Hattersley is the nutrition team Community Dietitian
Joy provides nutrition support to community patients
Enteral feeding - rotas for NG, PEG, NJ, Jej tubes
Works closely with Community Nutrition CNS’S in assessing patients and creating care plans.

7. Nutrition Nurse’s
Joe Colby Senior CNS Nutrition and Rebecca Whitefield CNS nutrition.
Provide access to nutrition in the acute hospital setting, assess patients for PEG tubes, insert PEG tubes. Assess and facilitate the insertion of lines for TPN. Provide support in NG placement and nasal bridles. NJ and RIG assessments. Provide education and support across the trust.

8. Community Nurse’s
Gayle Read and Jamie Hanford are the Community Nutrition CNS’S.
Provide Education and training to patients/carers/family when going home. Education and training for Nursing homes
Liaise with Community Dietitian, SALT, GP’s acute services.
Insert gastrostomy tubes/NG tubes and provide care.

9. A Multi-Disciplinary Approach

10. Who To Refer Parenteral Nutrition:
Patients with non functioning GI tract i.e. intestinal
failure e.g. fistula, anastamotic leak, short bowel, ileus
Inaccessible GI tract e.g. Obstruction
Complex issues
Ethical issues regarding feeding route
Complex GI problems where enteral feeding still possible e.g. high output stoma, bowel fistula, severe malnutrition
Patients where there is evidence of failure of enteral feeding
...And patients where advice is required on –
Appropriate feeding route,
Long term enteral feeding routes or parenteral feeding line management or assessment for a nasal bridal is required

11. Who to refer to Dietitian’s
For every other nutritional concern Dietitian should be contacted for:
Enteral Nutrition
Malnourished or high risk on screening
Renal failure needing assessment
Liver disease
Dysphagia
Diabetes – newly diagnosed or problems
Pancreatitis
Food allergy/intolerances
Complex dietary requirements
This is not an exhaustive list.

12. How to Refer CRRS Bleeps Nurse – 2613/2803 Dietitian – 2139
Pharmacist
Extension
26074
27177
26094
Please ensure all patients have recent weights and MUST tools filled out prior to referral to the team or dieticians