Nutrition support service: CLCH

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Our nutrition and dietetic teams assess dietary intake and provide nutrition advice to help people understand the impact of diet on their health and wellbeing, helping people live longer, healthier lives.

Depending on need, clients are seen in home visit, nursing home or outpatient clinic setting.

The nutrition support service provides advice and support to patient’s requiring oral nutrition support for malnutrition and home enteral tube feeding for patients unable to meet their requirements orally. The service also provides weight management dietetic clinics for obesity.

All services run from Monday to Friday, 09:00 to 17:00 unless otherwise stated.

Referrals for home enteral tube feeding will generally come via the acute hospital dietetic service when the patient is discharged with a feeding tube in situ-feeding may be short or long-term. Our community team will accept referrals from GPs and other healthcare professionals to assess if a patient is appropriate for tube placement and initiation of feeding in hospital.

Referrals can be made to the malnutrition service by GPs, other healthcare professionals, hospital dietitians and care home staff, providing they meet the appropriate criteria.

Referrals can be made to our specialist weight management and obesity dietetic clinics by GPs and other healthcare professionals, providing they meet the appropriate criteria.

Eligibility criteria


For the home enteral tube feeding:

  • any patient who has a feeding tube in situ
  • registered with a Barnet GP 
  • Underweight BMI < 18.5 kg/m2 (no diagnosis of eating disorder)
  • Unplanned weight loss > 10% of body weight within last six months
  • BMI 18.5–20 kg/m2 & unplanned weight loss > 5 % within last six months
  • Mid-upper arm circumference (MUAC) < 23.5cms and unplanned weight loss >5%
  • MUST (Malnutrition Screening Tool ) Score two or more
  • Prescribed oral nutritional supplement.

For the obesity service:

  • BMI 40+
  • BMI > 35 plus two co-morbidities*

*Examples of co-morbidities include: hyperlipidaemia, diabetes (not newly diagnosed), metabolic syndrome, hypothyroid, PCOS, hypertension, poor mobility (resulting in disability), sleep apnoea, infertility.

How to refer

The following clinicians can refer to this service: GPs, hospital dietitians, care home staff and other healthcare professionals

EMIS form

Referral methods: Email, EMIS managed referral

EMIS form tite:

For adult malnutrition & Obesity Dietetic service referral

Dietetics Referral Form for GPsHCPS

For Non mobile patients

Malnutrition Referral Form (Care Home) CLCH

Malnutrition Referral Form (Patients Own Home) CLCH


EMIS Location:

Bar Global Documents > Referral Forms (BAR GLOBAL)

External Links