CLCH's Nutrition Support Service offers dietary assessments and nutrition advice to support healthier lifestyles, oral nutrition supplements for malnutrition, and a Home Enteral Tube Feeding Service for those unable to meet dietary needs orally. The service also includes dietetic clinics focused on weight management and obesity.

The Barnet team assesses patients in their own home, in nursing homes or in outpatient clinic settings. Assessments can also be carried out virtually, by telephone or video call.

Eligibility Criteria

Inclusions

Please note, the NSS follows a strict commissioning criterion and will only accept patients that meet this. These services are only suitable for patients that live in Barnet, are registered with a Barnet GP and are aged 18+.

Home Enteral Tube Feeding

• patients who has a feeding tube in situ

Nutrition Support

• has a BMI <18.5kg/m² (no diagnosis of eating disorder)
• BMI 18.5-20kg/m² and unplanned weight loss >5% within the last 3-6 months (with evidence)
• unplanned weight loss >10% within the last 3-6 months (with evidence)
• prescribed oral nutritional supplements required ongoing with review
• mid-upper arm circumference (MUAC) <23.5cm and unplanned weight loss >5% (with evidence)

Weight Management

White and European population

• BMI 40+
• BMI >35 plus two co-morbidities*   

Black, Asian and minority ethnic population

• BMI 37.5+
• BMI >32.5 plus two co-morbidities*

*These may include: hyperlipidaemia, diabetes (not newly diagnosed), metabolic syndrome, hypothyroid, PCOS, hypertension, poor mobility (resulting in disability), sleep apnoea, infertility.

Exclusions

Home Enteral Tube Feeding and Nutritional Support Services

• patients undergoing active cancer treatment should be seen under their Cancer team
• patients with a neurology diagnosis such as MS and MMD will need to be referred to Royal Free Hospital  
• patients with active eating disorder, including if being tube fed to be managed by eating disorder team
• patients prescribed oral nutritional supplements (ONS) in an acute setting, with a stop date where ongoing review is not requested or indicated
• ONS patients on insulin

Weight Management

• patients being referred for weight loss injections or medication (WLI). Please ensure you have had this discussion with the patient before referral. We only offer conservative weight management support (diet and lifestyle).
• patients with current WLI prescribed for diabetes should be referred to their diabetes (prescribing) team for ongoing management 

How to Refer