Community dietitians

Check your appointment letter for details of where you will see the community dietitian.

Our community dietitians work in the following healthcare locations:

• Brookside Clinic in Aylesbury
• Amersham Hospital
• Wycombe Hospital
• Buckingham Hospital

If necessary, you may request your appointment to be online or a home visit.

If you need to cancel or reschedule an appointment please contact us as soon as possible. We will need to know your name, NHS number and the details of the booked appointment you wish to reschedule from your letter.

Please call us on: 01296 831990

Home Enteral Feed Patients

Talkback – Learning Disability and Autism support 

Weight management for those with a learning disability

BDA Food Facts- IBS

NHS Patient Webinar

Please contact your GP for referral if your symptoms are not improving.

Diabetes information provided by Be Healthy Bucks

The Patient Association Nutrition Checklist

First food videos that demonstrate how to add extra calories and protein to your meals without adding any extra volume.

• How to prepare Fortified milk
• How to prepare fortified milkshake drink
• How to make fortified fruit juice drink

If you have any concerns about your feeding tube please contact us.

If your feeding tube should fall out, please follow the guidance below:

If your feeding tube is a:

1. PEG tube, for example, Freka 15 french:
   Attend A&E urgently.
2. Balloon gastrostomies/low profile devices, for example, mic-key buttons and Radiologically Inserted Gastrostomies (RIG):
   Contact your Abbott Nurse or District Nurse or GP (ie your local healthcare professional) for further advice.
   If you are unable to make contact with the health care professional, then please attend the A&E Department at your local hospital. Take your spare tube with you.
3. Jejunostomies:
   Attend A&E urgently

Information and resources to help with healthy eating and support weight loss.

Way Forward Bucks – information for patients

Websites and apps 

• Patient webinars Overview of Weight Management | patientwebinars.co.uk Recommended webinars on the dieting cycle, regular eating, triggers to eating, diet myths and balanced eating.
• Change4life  – Ideas, recipes and games for families to help them lose weight and be healthy. Also Change4life Food Scanner App to scan foods and see how many cubes of sugar or fat it contains.
• Be Healthy Bucks Be Healthy Bucks – Home (maximusuk.co.uk) Weight management information.
• OneYou nhs.uk/oneyou – information on diet, drinking, sleep, stress and more.
• NHS Food scanner app NHS Food Scanner app – Healthier Families – NHS (www.nhs.uk) -allows you to scan the barcodes of food and drink to identify sugar and fat content and suggests healthier alternatives.
• Other on-line NHS endorsed weight management programmes Lose weight – Better Health – NHS (www.nhs.uk)

Food and activity Trackers:

• Nutracheck App nutracheck.co.uk Allows you to record food intake and track exercise and can be used to follow a well balanced, lower carb, 5:2, higher protein, lower fat or lower sugar diet.
• Mynetdiary mynetdiary.com Log meals, exercise and weight. Bar code scanner.
• Drinkaware App drinkaware.co.uk Track and calculate units of alcohol drunk and calorie from alcohol.

Healthy Recipes ideas:

• Change4life nhs.uk/Change4Life  – Recipes and Meal Mixer app.
• One You EasyMeals / meal mixer App Eat Better | For Your Body | One You (www.nhs.uk) – Over 150 healthy meals with recipes and shopping lists to save for later.
• BBC Good Food bbcgoodfood.com

Physical Activity and Exercise:

• Leap with us- Home | Leap (leapwithus.org.uk) – Ideas and information on physical activities in Buckinghamshire and Milton Keynes. Enter your postcode and sport/ activity you’d like to get involved in to find out what’s available.
• Active Bucks Active Bucks | Buckinghamshire Council– supporting people to get more active across Bucks. If you want to try something new and would like to get a little more active register on Active Bucks.  Get your first session free.
• Simply walk Simply walk | Buckinghamshire Council (buckscc.gov.uk)– A programme of walks for all ages and abilities across Buckinghamshire.
• Cycle Bucks Route maps | Buckinghamshire Council (buckscc.gov.uk) Nine colour coded routes in Aylesbury
• Fitness blender fitnessblender.com Access free workout videos online
• NHS 10 minute workouts 10-minute workouts – NHS (www.nhs.uk)
• Couch to 5K App nhs.uk/live-well/exercise/couch-to-5k-week-by-week Move off the couch and run 5K in just 9 weeks. Grab your trainers and follow the step-by-step audio instructions. Free to download from the app store.
• Active 10 App Active 10 – Home (www.nhs.uk) NHS walking tracker

Reading material:

Help with emotional or non-hungry eating:

• The diet trap: Feed your psychological needs and end the weight loss struggle using Acceptance and Commitment Therapy by Jason Lillis
• Overcoming weight problems by Jeremy Gauntlett-Gilbert & Clare Grace
• The Weight Escape: How to stop dieting and start living by Ann Bailey and Russ Harris
• 50 ways to soothe yourself without food by Susan Albers

Tuning into appetite and mindful eating:

• How to Retrain your Appetite by Dr Helen McCarthy

Structured weight loss programmes:

• Be Healthy Bucks Be Healthy Bucks – Home (maximusuk.co.uk) Weight management information.
• Slimming world slimmingworld.co.uk free 10 weeks available on referral from your GP/ health professional.
• WW (Weight Watchers) weightwatchers.com/uk/ Customised weight loss programme.

Health Trainers:

• Be Healthy Bucks Be Healthy Bucks – Home (maximusuk.co.uk)

Dietitian Appointments:

• Individual appointments with a Registered Dietitian– ask your GP for a referral.

Products:

• Healthy portion plate – helps with portion guidance
  www.healthyportionplate.comMatalan www.matalan.co.uk

Referrals to see a community dietitian must be submitted by a registered health care professional. GPs, primary care, community health and social care professionals can refer.

Self-referrals are not accepted.

Please complete the relevant referral form and email it to bht.communitydietitians@nhs.net

•  Community dietitians referral form
•  Care home dietitian referral form
•  Community enteral referral form

There are many factors which can cause malnutrition including poor appetite and poor intake of food and drink. This commonly results in weight loss as well as increased risk of infections and other illnesses.

It therefore essential that staff working in care homes are able to recognise the signs of malnutrition and initiate treatment as early as possible.

We have developed resources and videos to help improve your resident’s eating and drinking to reduce risk of malnutrition or treat it once diagnosed.

Malnutrition Universal Screening Tool (MUST) training webinar

View or download a copy of the webinar slides: MUST training for care home staff webinar slides

Who is it for? All staff members working in Care Home environment that support residents with eating and drinking.

Duration of training: 45 mins

Learning objectives:

• To be able to understand and complete MUST screening accurately
• Understand how to use the BAPEN MUST online screening tool BAPEN online MUST calculator
• Understand and familiarise yourself with the Bucks care home MUST management guidelines
• How to complete a nutrition and hydration care plan – know what to include.
• Understand a food first approach and the benefits for this.
• Understand when it is appropriate to refer to a dietitian
• To be confident in screening for malnutrition risk and implementing good nutrition and hydration practices for all residents.

Nutrition and Hydration in dementia training webinar

View or download a copy of the webinar slides: nutrition and hydration in dementia

Who is it for? All staff members working in Care Home environment that support residents with dementia with their eating and drinking.

Duration of training: 20 mins

Learning objectives:

• Have a better understanding of how to support the nutritional needs of a resident with dementia.
• Feel confident in using the information provided with residents with the aim of improving quality of life and reducing malnutrition risk.
• Spotting and troubleshooting barriers to good nutrition and hydration.
• To know when to seek more specialist nutrition support from the dietetic team

Food Fortification

The training webinars make reference to an approach called food fortification.

What is food fortification? Adding household ingredients to normal food to increase its nutritional content without increasing the amount of food which needs to be eaten

What is the aim of food fortification? To increase the nutritional intake by 500 calories a day. This can be achieved by fortifying meals, taking 2-3 small nutritious snacks in between meals and fortified milky drinks.

• Eating and drinking at end of life
• Food First: Advice for eating well if you have lost weight or are underweight
• Food first: guide to fortifying food
• Food first: high calorie snacks
• Food First: Homemade supplement record sheet
• Food first: homemade supplements
• Food first: how to prepare a pint of fortified milk
• Food first: making mealtimes easier
• Food First: Over the counter supplements
• Food First: Quick guide to eating an extra 500 calories per day
• Palliative feeding for comfort guidelines

How to prepare homemade supplement drinks

Buckinghamshire Healthcare NHS Trust Community Dietetic Service, have made a series of YouTube videos that outline how to prepare fortified milk and homemade supplements

Who are they for? Chefs, Catering Assistants, Care Assistants, Nurses, Hostesses and Nutrition Champions working in Care Homes whose role is central to supporting residents to meet their nutritional needs, including preventing and treating malnutrition

Duration of training: Each video is 2-4 minutes long

Watch a video on how to make …

Fortified milk

Fortified milkshake

Fortified fruit juice

• Way Forward Bucks – information for healthcare professionals.
• Way Forward Bucks – referral form
• Way Forward Bucks – information for patients.

• Weight management for people with learning disabilities, British Dietetic Association (BDA)
• BDA discussion: Learning disabilities and healthy weight management  – watch on YouTube
• Obesity and weight management for people with learning disabilities: guidance available on GOV.UK (www.gov.uk)
• MacMillan referral form