The Enfield Nutrition and Dietetics Service offers a range of services aimed at improving the health of patients and public in the local community. Care, assessment, and equipment are available for clinically related nutritional problems (such as swallowing problems or dysphagia), as well as telephone support and contributions to health promotion initiatives on obesity and diabetes.

The service offers:

• practical dietary advice
• community dietetic clinics
• training on obesity, diabetes and healthy eating for health, social care, education, and voluntary sector staff 
• public education sessions targeted at specific sectors of the community, in line with ECS and national guidance
• specialist nutritional advice, dietetic support and equipment for dysphagic patients and those requiring enteral feeding in non-acute settings
• specialist nutritional assessment and dietetic support for oncology/palliative care and learning difficulty patients
• specialist diabetes dietetic advice.

Eligibility Criteria

Inclusions

• Diabetes, all newly diagnosed with Type 2 or with poor blood glucose control (>58 mmol/mol)
• Obesity, one or more co-morbidity (e.g. hypertension, high cholesterol) and BMI ≥ 35kg/m2
• Cardiovascular, 10 year CVD risk above 20%
• Nutritional support, Malnutrition screening tool of  ≥ 3 or Malnutrition screening tool of  ≥ 2 and on supplements for at least 3 months
• Dysphagia, Reduced swallow function and change in safe consistency of food or fluid recommended
• Nasogastric Tube or gastrostomy in place, home enteral feeding
• Gastrointestinal autoimmune problems, including Inflammatory Bowel Disease, Crohn's Disease, Ulcerative Colitis, Irritable Bowel Syndrome, Coeliac Disease
• Food intolerances and allergies
• Nutritional deficiencies e.g. anaemia

Exclusions

• Patients with continued treatment from Acute Dietetic Services
• Classified Eating Disorder
• Diabetic patients requiring insulin (refer via diabetes service)

How to Refer

Locations

St Michael's

Forest Primary Care Centre