Nutrition and dietetics specialties

Promoting a healthy diet and treating nutrition-related problems

Our nutrition and dietetics service has a number of specialist teams.

  • Adult Integrated Care

    Our community dietitians work with adult patients in Lambeth and Southwark, services include:

    Lambeth and Southwark action on malnutrition project (LAMP)

    Our specialist dietitians provide support to adult patients who are under-nourished and requiring support.

    This includes patients who are malnourished or at risk of malnutrition, those with pressure ulcers and patients requiring nutritional support due to illness, long-term conditions or social factors.

    We work closely with members of the health and social care teams, and the voluntary sector to ensure malnourished patients receive the appropriate care and support in the community.

    We visit housebound patients at their home and also visit care homes and intermediate care centres.

    General Practice dietitian clinics

    Our dietitians provide a number of clinics in GP practices across Lambeth and Southwark.

    These clinics see patients who are malnourished, prescribed nutritional supplement drinks or seek dietetic advice relating to weight reduction, diabetes or other diet related concerns may be seen in these clinics.

    Please ask your GP practice if you can access a dietitian clinic or contact our department for further advice (tel: 020 3049 5422). The referrals page has more information on how to refer to this service.

  • Catering

    Our catering dietitian works with the catering team, clinical staff and patients to improve the nutrition of the hospital’s food and beverage services.

  • Critical care

    Our critical care dietitians help to ensure patients with complex needs receive nutrition in the most appropriate way. This is often via a feeding tube into the gastrointestinal tract or an intravenous feed.

    They are also responsible for providing nutrition education and training to the wider critical care team and are involved in research.

  • Diabetes

    Our diabetes dietitians provide advice, support and group education sessions to patients with all type of diabetes, both inpatients, outpatients and in the Lambeth and Southwark community.

  • Epidermolysis bullosa

    St Thomas’ Hospital is one of four centres in the country providing advice and support for people with epidermolysis bullosa, a group of genetic skin blistering conditions.

    Our epidermolysis bullosa dietitians see outpatients at the Rare Diseases Centre as part of our multidisciplinary and nurse-led clinics.

    We also offer an inpatient service and run telephone clinics to support people in the community.

    Advice is given on nutritional support, anaemia, bone health and vitamin D, trace element deficiencies, obesity and constipation and aims to optimise wound healing, prevent deficiencies and improve quality of life. Advice is tailored depending on the type and severity of the epidermolysis bullosa.

    We work closely with the Dystrophic Epidermolysis Bullosa Research Association (DEBRA) and are actively involved in research.

  • Gastroenterology

    Our gastroenterology dietitians work alongside consultants and see patients with a wide range of digestive conditions including coeliac disease, inflammatory bowel disease (IBD), irritable bowel syndrome (IBS) and other functional gastroenterology conditions.

    They provide advice and written resources on any special dietary requirements, supporting patients to manage their condition alongside medical treatment.

  • Gastrointestinal surgery

    Our gastrointestinal (GI) surgery dietitians work as part of the surgical team and provide tailored nutritional advice to patients before and after they undergo GI cancer and non-cancerous surgery.

  • HIV

    Our HIV care dietitians work with inpatients and outpatients at Guy's Hospital and Evelina London Children’s Hospital.

    Infants, children and adolescents who are living with HIV are seen by a dietitian trained in both paediatric and HIV care.

    At the Guy's Hospital HIV clinic, dietitians provide a range of services, including care for young adults and a ‘living well’ service for those with, or at risk of, multiple chronic conditions.

    Care provided includes:

    • preventing and treating HIV-related heart, bone and kidney diseases, anaemia, high blood pressure and diabetes
    • supporting patients with a weak immune system who may experience the consequences of opportunistic infections, such as painful swallowing and diarrhoea
    • treating weight loss and malnutrition
    • supporting patients who need to take their HIV medicines with particular amounts of food
    • treating obesity associated with certain HIV medicines
    • counselling patients dealing with HIV stigma.

    Patients registered at the HIV clinic at Guy's Hospital can self-refer to the dietitian.

  • Inherited metabolic diseases

    Our inherited metabolic diseases dietitians work alongside consultants and clinical nurse specialists. They provide individualised dietary plans to support patients and ensure nutritional needs are met if following a specialised diet for their condition.

  • Obesity and bariatric

    Our obesity and bariatric dietitians provide advice to patients before and after weight-loss surgery.

    This includes:

    • nutritional education
    • gastric band adjustment service
    • managing nutritional deficiencies after surgery
    • weight management and behaviour change
    • support groups after surgery
    • tier 3 weight management group and support for the south east London healthy weight programme.

    Find out more about our obesity and bariatric service.

  • Oncology, head and neck oncology and haematology

    Our oncology and haematology dietitians provide nutrition advice to people who have cancer.

    This can include advice on:

    • poor appetite and weight loss
    • managing nutrition with side-effects of treatment such as nausea and vomiting, sore/dry mouth, diarrhoea or constipation
    • the use of nutritional supplements
    • the use of feeding tubes
    • weight management
    • late-effects of treatment (side-effects that are still present months or years after treatment).

    Read more about the role of oncology dietitians from the British Dietetic Association (PDF 460Kb).

  • Renal (kidney)

    Our renal dietitians are specialists in diet management of all stages of kidney disease, including dialysis and kidney transplants.

    We provide nutrition advice and education to help patients manage the progression and symptoms of their disease.

  • Stroke and older persons

    Our dieticians work with patients in the stroke or older persons assessment unit to reduce the risk of malnutrition.

    A tailored plan will be put in place and will include support to eat well if you have:

    • a poor appetite
    • have experienced unintentional weight loss
    • dementia or delirium
    • problems with your swallowing (also known as dysphagia)
    • pressure ulcers
    • been recommended for oral nutritional supplements
    • a feeding tube, or are considering one.

    Read more about malnutrition from the British Dietetic Association (PDF 320Kb) and on the Malnutrition Taskforce website.