Nutrition and Dietetics: Children

Haringey

Haringey’s community provider for Nutrition and Dietetics is Whittington Health

Community Dietitians

They provide a dietetic assessment and advice for children over 18 months, who have non-complex health needs. 

Who can access Nutrition and Dietetic services?All children over 18 months registered with a Haringey GP and who meet the referral criteria. The Community Dietetic service offer one-to-one dietary counselling sessions and use a patient centred collaborative approach. The service offers care packages for a range of clinical conditions including:

  • Obesity
  • Type 2 Diabetes
  • Hyperlipidaemia
  • Hypertension
  • Gastrointestinal disorders 
  • Malnutrition (weight loss/ underweight/ poor appetite)
  • Vegetarian and vegan advice
  • Nutritional deficiencies (anaemia)
  • Children with Fussy/Faddy eating
  • Single Food allergy (diagnosed only) and food intolerance

Inappropriate referrals

  • Young babies (<18months) - Refer to CDC Dietitian.
  • Children with undiagnosed allergy
  • Children with Autism with very restrictive diets. - Refer to CDC Dietitian. 
  • Children with Eating Disorders should be referred directly to a Specialist Eating Disorder Service.
  • Children with 2 or more food allergies or intolerances. Please  refer these cases directly to the Paediatric allergy service (see Paediatric allergy service referral form in downloads box)
  • Children with Complex Disabilities (often for children who are non orally fed)- Refer to CDC Dietitian.

 

Eating Disorders - Royal Free Hospital

The service aims to help young people with Anorexia Nervosa, Bulimia Nervosa or atypical variations of these disorders, to recover fully in the community.

The service consistently achieves excellent clinical outcomes and satisfaction ratings from our patients and their parents.

A key aim for is to try and help young people avoid admissions into Eating Disorder Units. While Eating Disorder Units should always have a place in the treatment options for young people with eating disorders, they believe that they should be for the minority and as a last resort.

Research suggests that in-patient care for eating disorders offers no advantages over community treatment and has more disadvantages. The vast majority of our patients make full recoveries with RFH in the community.

Eating disorder referrals are accepted from GPs, local CAMHS teams, and other NHS medical professionals.

There isn't a waiting list for new referrals. The service aims to see emergencies the same day and urgent referrals within one week. They aim to see all other referrals within 4-6 weeks.

Useful information to help prioritise referrals includes:

  • Current height and weight
  • Rate of any weight loss (e.g. 3kg in three weeks)
  • Current estimated food/calorie intake
  • Any other physical or mental health concerns
  • Telephone numbers (to enable us to arrange urgent appointments)

They do not need referrers to organise blood tests or any other investigations in advance, especially where young people may be rapidly losing weight.

To refer to the Eating Disorders Service please use the Referral Form in Downloads (top, right).

 

Child Development Centre Paediatric Dietitians (CDC)

Who can access Child Development Centre Dietitian Service

Referrals will be accepted for children with complex special needs, require enteral feeding or have a life-limiting illness who:

  • Reside in Haringey
  • are 0 – 18 years of age (unless in a special school)
  • meet one or more of the following criteria:

                - Enteral feeding requirements

                - Faltering growth: falling of weight for age through two standard centiles

                - Nutritional inadequacy: A diagnosis of syndrome/neurodevelopmental disorder or life-limiting illness, including dysphagia complications, which requires oral nutrition support (ONS).

                - Restrictive diets:  Referrals for children with autism with very restricted diets will be given an initial assessment. If following an initial assessment, nutritional supplementation is not initiated, they will be discharged.

Referrals will be accepted for infants who do not have complex special needs or do not require enteral feeding who:

  • Reside in Haringey
  • are < 18 months old
  • meet one or more of the following criteria:

Faltering growth

  • Falling of weight for age through two standard percentiles

Unresolved reflux

  • Reflux silent or otherwise which has not responded to first-line advice and medication

 

We do not accept referrals for children requiring weight-loss management

How to refer

Any health professions, school nurses or health visitors may refer. Referrals using the CDC dietitian referral form should be sent via whh-tr.CDCReferrals@nhs.net

Location

Child Development Centre dietitian service see children at the Child Development Centre, children’s homes or Haringey Special Schools.

Child Obesity

Child obesity pathway - HaringeyThe following documents are available in the downloads section on the right hand side of the page:

  • Children's and young people's healthy weight care pathway 0-18 years (agreed by the CCG's clinical cabinet in July 2014)
  • Supporting document to accompany the pathway

UK-WHO growth charts, 0-18 years. Click here for link to the growth charts.

 

Haringey programmes that support healthy weight in the early years

HENRY Healthy Families – Right From The Start Programme

The HENRY Healthy Families programme is a group programme for Haringey parents with children under 5.  The face-to-face course is usually delivered from children’s centres in Haringey, but sometimes during the Covid-19 pandemic this has been facilitated virtually.  The course runs across 8 weeks, for 2 ½ hours per week.  A creche is provided for children accompanying their parents, and healthy snacks are included.

The HENRY approach provides a unique and holistic approach of working with families, and uses proven behaviour change models.  The approach is underpinned by evidence on risk and protective factors for whole-family nutrition, healthy weight and child development.

The ‘HENRY approach’ brings together support for parenting efficacy, family emotional wellbeing and behaviour change with information about nutrition, physical activity, oral health and more.  For more information or if you are interested in referring a child please email: 
e: whh-tr.henryreferrals@nhs.net.

Click here for the HENRY website.

 

HENRY Healthy Families is delivered as part of the Healthy Child Programme and is coordinated within the Haringey Health Visiting service.

Haringey Breastfeeding Network (BfN) Peer Support Service 

The Haringey BfN provides a peer support service to support Haringey families with feeding their babies and toddlers.  Peer support is delivered across a number of settings in Haringey, including postnatal wards at North Middlesex and Whittington hospitals and in the community. Virtual support is also available.

You can email for further service info.
e: haringeysupport@breastfeedingnetwork.org.uk

 


How to refer

Editable PDF / Word document Download Form

Referral methods: Email

Any health professions, school nurses or health visitors may refer. We accept the single referral form or the Dietetic referral form, in the referrals box. All referrals should be sent to Central Referral Assessment Team (CRAT) by email haringey.adult-referrals@nhs.net

Paediatric referrals should be sent to CRAT (see above) where they will be triaged into our paediatric clinics. We no longer see patients at GP Practice locations.


Downloads


General Services

Adult Safeguarding

Child Safeguarding

Community Services

Self-refer

Urgent and Emergency Care

Urgent and Emergency Care for Children


Review date: Friday, 02 December 2022