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How to Refer to the Swindon Nutrition Support Community Dietitians
Who are we?
Registered Dietitians (RDs) are the only qualified health professionals that assess,
diagnose and treat diet and nutrition problems at an individual and wider public health
level. Uniquely, Dietitians use the most up to date public health and evidence based
research on food, health and disease, which they translate into practical guidance to
enable people to make appropriate lifestyle and food choices.
When should people be referred to the Nutrition Support Community Dietitians?
As a guide, people who have a ‘MUST’ (Malnutrition Universal Screening Tool) score of 2
(high risk) or more should be started on 2 x 1.5kcal/ml oral nutritional supplements (using
Ensure Plus first-line, as per current community contract). If after one month no progress
has been seen, a referral to the Dietitians should be made, either for an outpatient clinic
appointment or for a home visit as appropriate.
Care homes: Please note that the care homes in Swindon have had ‘MUST’ training and
have been instructed to refer anyone with a ‘MUST’ of 2 or more to the GP to start on oral
nutritional supplements (ONS) as detailed above. ‘Food first’ (nourishing snacks and
nourishing drinks in between meals, and food fortification) should also be encouraged.
Residents with ‘MUST’ score of 1 (medium risk) or 2 (high risk) should be weighed weekly
in the care home.
How to refer
Outpatient clinics:
A list of dietetic clinics is available on request from:
The Dietetics Department, The Betjeman Centre, The Great Western Hospital,
Marlborough Road, Swindon SN3 6BB Tel: 01793 605149
Home visits (including care homes):
We offer a home visit service for patients who are unable to attend a clinic. To refer a
patient for a home visit, please use the dietetic referral form below and send to:
Community Dietitians, Eldene Health Centre, Colingsmead, Eldene, Swindon,
SN3 3RZ Tel: 01793 439974
Fax: 01793 487435
Please contact us with any queries:
Natalie Kominek, Heather Daniels, Lindsey Ratledge
(Nutrition Support Community Dietitians)
CARE HOME & HOME VISIT ONLY
Referral Form: Community Dietitians
Referrer name:
Community Dietitians
Eldene Health Centre
Eldene
Swindon
SN13 3RZ
Tel: (01793) 439974 Fax: (01793) 487435
Contact details:
Referral date:
‘MUST’ Score:
Malnutrition Risk: low / medium / high
Current Weight:
Height:
BMI:
For more information on how to calculate the ‘MUST’ score and first line malnutrition
management guidelines please refer to the 3T’s Formulary under 9.4.2 Enteral Nutrition
http://nww.gwh.nhs.uk/SMNHS/Departments/Pharmacy/FormularyRelatedGuidelines.aspx
Name:
D.O.B:
NHS no:
Hospital no:
Address:
Tel no:
GP Name:
Post code:
GP Practice:
Diagnosis:
Reason for referral:
Relevant Past Medical History:
Current Medications:
Reported/ documented recent weight changes:
Additional Information: