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Checked: 28-05-2023 by Vicky Ryan Next Review: 28-05-2024

Sirona Community Nutrition & Dietetics Service - Overview & Advice and Guidance

Please see:

Diabetes Advice and Guidance & COVID-19

Dietetic Advice & Guidance Service

Nutrition & Dietetics Service - Sirona

The Sirona BNSSG dietitians provide nutrition advice to patients in BNSSG.

They also provide specialist dietetic support and advice to the Community Learning Disability Service, They offer tailored advice and treatment to help improve patients’ health and lifestyle. They also provide some nutrition training to healthcare professionals and work closely with other professionals to provide care in the community.

Please see the attached Sirona Care & Health - Nutrition and Dietetics Referral Pathway for Adults within BNSSG. This covers Nutritional support, Weight Management, Gastroenterology, and Cardiovascular Disease

MUST score is required for referral for Nutritional Support. Malnutrition Universal Screening Tool score (MUST). MUST can be used by any professional in any setting without specific training.

Referral - Sirona

Referrals should be made through managed referrals on EMIS.

Referral target:

Sirona – DANS – GP referral

Clinical Term:

Referral to community dietetics service for all non-diabetes related referrals

Alternatively, referrals can be made on the Referral form and emailed to: sirona.dans@nhs.net

The Sirona Diabetes and Nutrition Services are moving to one central telephone line – 0300 124 5908 and email sirona.dans@nhs.net for all patient appointment bookings and referral queries across the BNSSG area.

Dietetics - NBT

See the NBT website and NBT Dietetic Service Referral Criteria for further details. Contact for queries: 0117 4145428

Referrals should include:

PMH
List of medications
Weight/height/BMI
Weight history
Confirmed diagnosis
Previous relevant investigations and results

Referrals should be emailed to: Outpatients.Appointments@nbt.nhs.uk

Dietetics - UHBW

This service hosted in Bristol Royal Infirmary, South Bristol Community Hospital and Weston General Hospital. For details on accessing the service please see UHBW Adult Nutrition & Dietetic Service referral criteria.

Refer by letter or the service’s standard referral form (word doc).

Please note that UHBW offer dedicated Nutrition in Cancer Dietetic Clinics which are open to any patient with a cancer diagnosis. Please see the Cancer Support section of Remedy for details.

Adult Nutrition & Dietetic Department BRI – Telephone: 0117 342 7360

Adult Nutrition & Dietetic Department Weston General Hospital – Telephone: 01934 647031

Enteral tube feeding

If an adult is at home, on long term enteral tube feeding, they will usually be looked after by the Home Management Service (HMS). HMS provides dietetic care for tube fed adults who have a GP within the BNSSG area. However, if the patient is looked after by a specialist team, or the tube is only required for a short period (less than 4 weeks) their care may remain with the dietitian team. HMS is based at the Central Health Clinic in Bristol and will visit their patient’s in their homes. More information about their service can be found at: http://www.uhbristol.nhs.uk/patients-and-visitors/your-hospitals/central-health-clinic/home-management-service-(hms)/

Referrals to HMS

Referrals should be made to Dietetic services in the first instance, who can refer into HMS services if long term tube feeding is appropriate (please note HMS do not start tube feeding in the community). For any queries relating to existing tube fed patients please contact the service on HMS@UHBW.nhs.uk or ubh-tr.hmsbristol@nhs.net

Resources

Additional Services

To find additional services within BNSSG please use your MiDoS Login: Login - MiDoS Admin - 2019 (midosweb.co.uk) If you need your password resent, or be issued with one, please contact: Dosteam.southwest@nhs.net

Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.