Nutrition Team

Who we are and what we do!

The Nutition Team

Dr Burch

Consultant Consultant Gastroenterologist and Gastroenterologist and clinical lead in Nutrition clinical lead in Nutrition

50% of Dr Burch’s work 50% of Dr Burch’s work load is nutrition, this load is nutrition, this includes clinics, includes clinics, endoscopy and spending endoscopy and spending time with the rest of the time with the rest of the team. team.

Specialist Dietitian’s

Individual Nutritional assessment and specialised nutritional care plans Extensive knowledge and highly skilled, provide teaching across the trust.

Nicky Wyer and Bekki Ford are the nutrition teams specialist dietitian’s

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.

Community Dietitian

Joy Hattersley is the nutrition team Community DietitianJoy 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.

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.

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 homesLiaise with Community Dietitian, SALT, GP’s acute services.Insert gastrostomy tubes/NG tubes and provide care.

A Multi-Disciplinary Approach

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 issuesEthical issues regarding feeding routeComplex GI problems where enteral feeding still possible e.g. high output stoma, bowel fistula, severe malnutritionPatients 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

Who to refer to Dietitian’s

For every other nutritional concern Dietitian should be contacted for:

Enteral NutritionMalnourished or high risk on screeningRenal failure needing assessmentLiver diseaseDysphagiaDiabetes – newly diagnosed or problemsPancreatitisFood allergy/intolerancesComplex dietary requirements This is not an exhaustive list.

How to Refer

CRRS Bleeps

Nurse – 2613/2803Dietitian – 2139Pharmacist - 4041

Extension260742717726094

Please ensure all patients have recent weights and MUST tools filled out prior to referral to the

team or dieticians