Home > Services > Therapies > Nutrition and dietetics > Adult Nutrition and Dietetic service

On this page:

For any acute paediatric nutrition and dietetic enquires click here.

Main telephone number

Tel: 020 8725 3049 and 020 8725 0485
Extension: 3049 and 0485

Address

Acute Nutrition and Dietetic Services 
St George’s Hospital
1st Floor Lanesborough Wing
St George’s Hospital
Blackshaw Road
Tooting
SW17 0QT

Tel: 020 8725 3049 or 020 8725 0485

Email: SGH.Dietitians@stgeorges.nhs.uk

For community Nutrition and Dietetic services information please click here.

Staff/team profile

The adult dietetic team based at St Georges Hospital consists of 40 dietitians, providing acute hospital and outpatient services over a variety of specialties.

Open Hours

St George’s Hospital Dietetic Team operate a 9-5pm Monday-Friday service with some evening clinics in certain specialities.

There is no dietetic weekend service available for adults or paediatrics.

Treatments and services offered by service

St George’s Hospital dietetic team provides inpatient and outpatient services integrated within different specialist areas including renal disease, diabetes, acute medical, gastroenterology, neurology, stroke, haematology, oncology, HIV, infectious diseases, cardiology, trauma, bariatric and general surgery.

Referrals:

Outpatients:

Acute dietetic outpatient referrals (based at St George’s hospital)

  • Adult dietetic appointments are not currently available on the Choose and Book system
  • A letter from a GP/Consultant/Specialist nurse or other health care professional – please post this to the Department of Nutrition and Dietetics, Lanesborough Wing

– Please address to dietetic department

– Send to:

the referral addresses at the top of this page

put in the internal post to dietetic department Lanesborough wing

or email to dietitians.stgeorgeshospital@nhs.net

Please see the table below for our referral criteria, please note this is not an exhaustive list:

Reason Inclusion Criteria  Exclusion Criteria
Weight loss – high BMI Specialist Bariatric Dietitians:

  • Patients with BMI 45+ under the St George’s hospital bariatric team
  • Patients with  BMI 30-45 with co-morbidities
  • Post Bariatric dietary therapy

General clinic:

  • Patients with BMI > 25 with co-morbidities (e.g. diabetes, CVD)
 · Active eating disorders – binge eating, compulsive eating disorder, bulimia, night eating disorder etc. All of the above require specialist psychology treatment prior to accessing diet therapy service.

· Local counselling services can be found through IAPT in your borough. This is a self-referral process.
Diabetes  Specialist Diabetes Dietitians will review the following if patient is under the care of Diabetes Consultant at Thomas Addison Unit:

  • Patients with type 1 diabetes
  • Patients with type 2 diabetes requiring specialist team support
  • Patients new to or on insulin pump therapy
  • Gestational Diabetes

General clinic

  • T2DM for education
Cardiovascular and Metabolic
  • Modification of CV risk factors including hyperlipidaemias(TG>2. 2mmol/l, Total cholesterol>5mmol/l)
  • Metabolic conditions
  • Dietary education
  • Weight loss
Nutrient Deficiencies
  • Dietary assessment for suspected nutritional deficiencies including anaemia, vitamin D and Calcium and other micronutrients
Pregnancy 
  • With special dietary needs e.g. restricted diets, nutritional deficiencies
  • BMI> 30 or BMI <18.5kg/m2
  • Healthy eating during pregnancy
  • Pre-conception advice
  • Morning sickness
  • Breastfeeding
Nutrition Support
  • grade 2+ pressure ulcers,
  • high risk of malnutrition (MUST 2+)
  • Acute/unexplained weight loss greater than 10% body weight (or anticipated e.g. malignancy).
  • Dysphagia if investigated by SaLT
  • Eating disorders – require specialist multidisciplinary service (NICE) so GP to refer to specialist centre
Gastrointestinal  General:

  • Irritable Bowel Syndrome including FODMAPs  advice
  • Food allergy/intolerance
  • Diverticular disease
  • Coeliac Disease
  • Crohn’s Disease
  • Oesophageal stents
  • Liver disease
  • Dumping syndrome

Specialist Gastro Dietitians:

All of the above if under a St Georges Hospital Gastroenterologist
Surgery Patients under a GI surgeon requiring nutrition support and dietary manipulation for GI symptom management. Patients not under a St Georges Hospital GI surgeon
Renal If under a Renal Consultant clinic at St George’s Hospital AND:

  • Receiving haemodialysis or peritoneal dialysis
  • Recent Transplant recipient or transplant recipients requiring specialist renal dietetic input
  • CKD 4-5 (eGFR =<30) AND requiring specialist renal dietetic input including:
  • Nutrition support
  • Dietary advice – phosphate, potassium or sodium restrictions
  • Bone mineral management (abnormal serum calcium, phosphate and/or parathyroid hormone levels)
  • Fluid restriction or high requirement for fluid
  • Weight management or healthy eating complicated by renal dietary restrictions
  • Lipid management complicated by renal dietary restrictions
  • Diabetes management if unable to be seen in the Thomas Addison Renal Diabetes Dietetic Clinic
 Exclusions

  • Patients not under a Renal Consultant clinic at St George’s Hospital
  • Receiving haemodialysis at Kingston Manorgate unit (refer to St Helier Hospital Renal Dietitians)
  • Patients of the joint Heart Failure/Renal clinic (refer to general/community dietetic services)
  • Weight reducing/lipid lowering uncomplicated by renal dietary restrictions (refer to general /community dietetic services)
  • Diabetes management under the care of Thomas Addison Unit (refer to diabetes dietitians)
Oncology If under a St Georges Hospital Oncologist

  • Nutrition support
  • Symptom management
  • Dietary education
  • Home enteral feeding
  • MDT working for patient centred care
  • Pre-operative assessment (including Macmillan Get Set 4 Surgery)
  • Post-treatment rehabilitation
Head and Neck If under the St George’s Hospital Head and Neck team

  • Nutrition support
  • Dietary education
  • Home enteral feeding
  • Pre-operative assessment
  • Post-treatment rehabilitation
  • Management of symptoms and treatment related side effects
  • MDT working for patient centred care
  • Macmillan Outreach Service providing rehabilitation jointly with Speech and Language Therapy closer to home across 7 boroughs
Infectious Diseases
  • Nutrition Support
  • Weight loss advice
  • Lipid and cholesterol control
  • Calcium and Vitamin D Dietary advice
  • Management of symptoms and treatment related side effects
Other
  • PCOS
  • COPD
  • Neutropaenia
  • Gout
  • Renal stones,
  • Migraine (Tyrosine, Tryptophan modification)
  

 

St George’s Hospital Acute Dietetic Team accept referrals for patients of all ages provided they are registered with a G.P in the U.K.

EATING DISORDERS: 

Please note that both our community and hospital dietetic services do not accept referrals for eating disorders. Referrals for eating disorders should be addressed to Springfield Hospital if you require a Dietitian for this purpose.

Eating Disorders Service: 

South West London & St. George’s Mental Health NHS Trust
Ground Floor, Building 1, Springfield University Hospital
61 Glenburnie Road, London SW17 7DJ

Website: http://www.swlstg-tr.nhs.uk/
Information for GP’s and AHP’s: https://www.swlstg.nhs.uk/health-professionals