HNY Policy and Pathway Repository - Humber

When requiring a referral to Nutrition and Dietetics in the community.

Consider investigations for any referrals with unexplained unplanned weight loss with associated red flag symptoms.

Any child with a suspected IgE mediated allergy requires referral to a paediatrician 

Exclude Red Flag symptoms

Any referral whereby enteral feeding maybe a consideration as a treatment option.

Dysphagia resulting in minimal diet and fluid intake

First line advice available for a range of clinical areas which can be directed to patient’s

Food Facts - British Dietetic Association (BDA)

Children

• Faltering Growth – Malnutrition
• Non IgE mediated allergy
• Confirmed Nutritional deficiency

Adults

• Malnutrition MUST score >2
• Enteral feeding
• Coeliac Disease
• Confirmed Irritable Bowel Syndrome (IBS)

• Dysphagia with associated nutritional risk

Referrals

Referral form required. These can either be sent through E-Referral system (RAS) or by e mail to CHCP.247111@nhs.net

Do Not Refer

Exclusions Children

• Enteral feeding
• Suspected IgE mediated allergy
• Infant reflux
• Eating Disorders
• Confirmed diagnosis of Avoidance Restrictive Food Intake Disorder (ARFID)
• Fussy eating
• Constipation
• Weight Management
• Coeliac disease
• Confirmed inflammatory Bowel disease
• Cystic Fibrosis
• Diets for Metabolic disease i.e. PKU/Ketogenic diet
• General Health eating

Exclusions Adults

• Total Parenteral Nutrition (TPN)
• Cystic Fibrosis
• Nasogastric or Nasojejunal enteral feeding
• Eating Disorders

• Confirmed diagnosis of Avoidance Restrictive Food Intake Disorder (ARFID)
• Active Inflammatory Bowel Disease
• Renal Diets under the renal team
• Diabetes
• Weight Management
• Referrals for end-of-life care
• All in patient mental health units
• Non confirmed food allergies
• Metabolic diets i.e. PKU/Ketogenic diets
• Breast feeding Mothers
• Hyperlipidaemia

First line advice available at: Food Facts - British Dietetic Association (BDA)