Please note: this information is intended for Healthcare Professionals
The Paediatric Dietitians are based at Kingston Hospital and Raynes Park Health Centre (Kingston Hospital satellite clinic). We accept outpatient clinic referrals from GPs, Health Visitors, School Nurses and SLTs in Kingston and Richmond. Some GP practices within the Kingston Borough have in-house Dietitians who provide a local service and referrals can also be made to these clinics. Please check with your relevant GP dietitian regarding which patients they are able to see.
We also accept referrals from internal services based at Kingston Hospital e.g. NNU, Paediatricians and specialist nurses.
Unfortunately, in view of the increased demand and waiting lists we have had to review our referral criteria and redefine who we will see, to ensure that we prioritise dietetic care for those who need it the most. Therefore, we regret we can no longer accept referrals for selective/fussy eating with no associated growth faltering or nutritional/serious medical complications, and are also unable to accept referrals for patients with an out of area GP.
Email the dietetic service (email@example.com) with the patient’s name, DOB, NHS or Hospital (MRN) number and clear reason for referral. We do not have a specific form to be completed, to ensure the referral process is user friendly, but please do include weight and height history (with centiles) and clearly documented any evidence of growth faltering. If you do not specify clear centiles/measurements, there is a chance that your referral will be rejected.
Paper referrals are no longer accepted.
We will not accept new referrals for patients whose care already falls under another local hospital (West Middlesex, St George’s or Epsom/St Helier’s).
Referrals for food allergies:
We accept all referrals for single milk allergies (both IgE and non- IgE mediated) and egg allergy.
Referrals for other food allergies or multiple food allergies should be made to the Paediatric Consultants at Kingston Hospital or Paediatric Allergy Clinic at Kingston Hospital.
We will continue to accept referrals for multiple food allergies from our Kingston Hospital Paediatricians once the appropriate assessment and testing has been conducted by them.
We will not see patients for allergy testing or food challenges purposes only.
Home enteral feeding (HEF) patients:
We provide a Home enteral feeding dietetic service to families registered with a Kingston or Richmond GP. The Paediatric HEF Dietitians are based at Kingston Hospital (Fiona Bryant provides the service for the Kingston area and Louisa Fogg the service for the Richmond area).
Cancellations, rescheduling and non-attendances (DNAs):
Given increasing waiting times for our clinics, patients will be allowed to reschedule an appointment a maximum of 2 times whilst under our care. Rescheduling on the day will be allowed once (unless there are exceptional circumstances). Patients will be discharged back to the referrer after this and will need to be referred back to dietetics.
Patients who DNA with no notice will be discharged back to their GP/ referrer after one missed appointment. In the case of children who are considered at risk or have a child in need/ child protection plan, the social worker/health visitor/GP will be contacted and an attempt to reschedule with the patient will be made a second time. If they DNA again, we will discharge them back to the care of the GP.
This will apply to both new patients and follow ups.
Allergy UK is also an excellent source of fact sheets for various food allergies and intolerances and information regarding allergy testing and how to proceed with introduction of common allergens when weaning: https://www.allergyuk.org/
The Infant and Toddler Forum has helpful information about weaning, toddler diets and fussy /restrictive eating and is also a good resource for professional education: https://www.infantandtoddlerforum.org/
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