{"id":645,"date":"2017-08-07T10:05:56","date_gmt":"2017-08-07T10:05:56","guid":{"rendered":"https:\/\/www.nhslref.scot.nhs.uk\/?p=645"},"modified":"2017-08-07T10:05:56","modified_gmt":"2017-08-07T10:05:56","slug":"dietetics-service-referral","status":"publish","type":"post","link":"https:\/\/www.nhslref.scot.nhs.uk\/?p=645","title":{"rendered":"Dietetics Service Referral"},"content":{"rendered":"

NHS Lanarkshire Dietetics Service<\/h2>\n

Adult Nutritional Support<\/strong> – Only patients who are at risk of malnutrition should be referred to this service. These will be patients with a MUST score of 2 and above (see below for detailed explanation).<\/p>\n

Paediatric Dietetics<\/strong> – should be used for all paediatric referrals<\/p>\n

Adult Dietetics<\/strong> – All other adult dietetic referrals should be completed here<\/p>\n

Guidelines for Adult Oral Nutrition Support Referrals<\/h3>\n

The Community Dietetic Service will accept referrals which conform to our referral criteria.
\nFor proposed referrals which do not fit these referral criteria please use the links to our First Line Advice Documentation provided.<\/p>\n\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t
Medical or Dietary Condition <\/th>Referral Criteria <\/th>\n<\/tr>\n<\/thead>\n
Adult Obesity <\/td>BMI of 35kg\/m\u00b2 or greater ,
\nBMI 30kg\/m\u00b2 or greater with co-morbidities or requiring advice to support use of anti obesity medication e.g. Orlistat
\n
\nPatients who do not fit these criteria can receive advice from the following websites:
\n
\nBritish Dietetic Association Weight Wise<\/a>
\nBritish Dietetic Association Food Fact Sheets\t<\/a>
\n
\nFor patients with a BMI of 25 or higher, who do not fufill the referral criteria, a self referral can also be made to the Weigh To Go weight management\/lifestyle initiative run in North and South Lanarkshire leisure venues :
\n
\nWeigh To Go<\/td>\n<\/tr>\n
Hyperlipidaemia <\/td>Total Cholesterol of 6.0mmol\/l or greater and\/or Serum Triglycerides > 2.0mmol\/l will be accepted in the community
\n
\nPatients who do not fufill these criteria can receive advice using these websites:
\n
\nBritish Heart Foundation Publication Search<\/a>
\nBritish Dietetic Association Food Fact Sheets\t<\/a><\/td>\n<\/tr>\n
Hyperlipidaemia
\nFood Allergy\/Intolerance <\/td>		Single Adult Food Allergy\/Intolerance can be seen in the community setting following a confirmed medical diagnosis from a specialist in allergy medicine.
\n
\nAdult Multiple Food Allergy can be seen by community dietetics following a confirmed allergy specialist diagnosis.
\n
\nPaediatric Single or Multiple Food Allergy\/Intolerance should be referred via the SCI Gateway Paediatric Referral page.<\/td>\n<\/tr>\n
Coeliac Disease <\/td>Patients will have received a confirmed diagnosis of Coeliac Disease following blood anti body tests and small bowel biopsy and\/or a diagnosis of Dermatitis Hepetiformis
\n
\nIn addition patients should be directed to: Coeliac UK website <\/a><\/td>\n<\/tr>\n
Gastrointestinal Diseases
\nIrritable Bowel Syndrome
\nDiverticular Disease <\/td>		Referrals will be accepted for patients who have been unsuccessful in improving or settling their IBS symptoms following use of first line advice provided on the British Dietetic Association Food Fact Sheets<\/a> website
\n
\nReferrals will be accepted for patients with a confirmed diagnosis of Crohn's Disease, Ulcerative Colitis and Diverticular Disease<\/td>\n<\/tr>\n
Therapeutic Diets
\n
\nLow Iron Levels
\nLow Vitamin B12 Levels
\nLow Vitamin D levels
\nLow Calcium Levels
\nConstipation <\/td>		Please use first line advice information located on the British Dietetic Association Food Fact Sheets<\/a> website
\n
\nPlease only refer to the service if first line advice has proved unsuccessful <\/td>\n<\/tr>\n
Texture Modification <\/td>Referrals should be made in conjunction with a referral to a Speech and Language Therapist for confirmation of the required texture before dietary advice can be provided.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n

Additional Information<\/h3>\n

All patients will be seen in an outpatient clinic setting in a health centre within or near their home locality.<\/p>\n

Domicilliary Visits will only be accepted by the service for patients who are permanently confined to their home and meet the referral criteria laid out above.<\/p>\n

The department will aim to see urgent referrals from receipt of the referral within 1 month and routine referrals within 9 weeks.<\/p>\n

Guidelines for Paediatric Dietetic Referral<\/h3>\n

Please consider whether it is appropriate to refer to dietetics in the first instance from the guidance provided below:<\/p>\n

Medical paediatric referrals<\/h3>\n

The following conditions require initial referral to a Paediatrician who will then make onward referral to dietetics where appropriate:<\/p>\n

Allergy – unconfirmed multiple and\/ or severe including anaphylaxis
\nCystic Fibrosis
\nDiabetes
\nEndocrine
\nEnteral feeding
\nGastroenterology – suspected Crohns\/ colitis\/ IBS\/ liver disorders
\nNeonatology – feeding difficulties, poor growth
\nNeurodisability
\nRenal<\/p>\n

Child and Adolescent Mental Health Service (CAMHS) referrals<\/p>\n

If a child or young person is suspected of having an eating disorder they should be referred directly to the local CAMHS team:<\/p>\n

 <\/p>\n

Airdrie\/Cumbernauld Child and Family Clinic,<\/strong><\/p>\n

Glendoe Building,<\/p>\n

Coathill Hospital,<\/p>\n

Hospital St,<\/p>\n

Coatbridge,<\/p>\n

ML5 4DN<\/p>\n

01236 707774<\/p>\n

 <\/p>\n

Bellshill\/ Coatbridge Child and Family Clinic,<\/strong><\/p>\n

Coatbridge Health Centre,<\/p>\n

1 Centre Park,<\/p>\n

Coatbridge<\/p>\n

ML5 3AP<\/p>\n

01236 438402<\/p>\n

 <\/p>\n

Clydesdale, East Kilbride and Hamilton Child and Family Clinic,<\/strong><\/p>\n

194 Quarry Street,<\/p>\n

Hamilton,<\/p>\n

ML3 6QR<\/p>\n

01698 426753<\/p>\n

 <\/p>\n

Motherwell\/Wishaw\u00a0Child & Family Clinic,<\/strong><\/p>\n

49\/59 Airbles Rd,<\/p>\n

Motherwell,<\/p>\n

ML1 2TJ<\/p>\n

01698 269651<\/p>\n

 <\/p>\n

First Line Advice<\/h3>\n

Please use first line advice for simple conditions as listed below. Public health nurses and Integrated Children’s Services may also be able to offer support. If the situation has not improved within 2 to 3 months then a referral can be made to dietetics.<\/p>\n

Constipation
\nFussy eating
\nHealthy eating (including vegetarian)
\nInfant feeding
\nIron deficiency anaemia
\nLow Vitamin D
\nWeaning<\/p>\n

The first line advice is available via two routes:<\/h3>\n

Email – Public Folders\/ Paediatric dietary help sheets
\nFirstport\/ Intranet – Clinical services\/ Child health\/ General paediatrics\/ dietetic advice for children<\/p>\n

Dietetic Referrals:<\/p>\n