Dietetics - Eastern services

Dietitians are educated to degree standard and are registered with the Health and Care Professions Council (HCPC). Th organisation regularly audits members to make sure they provide appropriate evidenced-based advice. You can check if your dietitian is registered at www.hcpc-uk.org.

Depending on your health concerns, your consultant, GP or other healthcare professional might suggest that you are referred to a dietitian.  Dietitians have many important roles in healthcare.  They work closely with other specialties to provide holistic care to patients (both adults and children), dealing with illnesses such as, kidney disease, cystic fibrosis , gastrointestinal illnesses, cancer, eating disorders, diabetes and obesity.

(Note: Dietitians are different from nutritionists. Nutritionists might not be regulated by a governing body, so the information given does not have to comply with scientifically-based evidence.)

The Acute and Oncology Dietetic teams please call 01392 402044 and our admin team will help you.

The Renal Dietetic team please call 01392 402524

The Paediatric Dietetic team please call 01392 406063

The Community Dietetic team please call 01392 402576

Each of the above specialist teams carry individual bleeps/mobile phones and can be contacted via the main hospital switch board (01392 411611)

Dietitians provide a range of treatments, depending on your condition.

Examples of treatments include:

• Nutrition support - to help support appetite and food intake.
• Artificial nutrition - to provide forms of nutrition when a patient is unable to take food orally.
• Dietary manipulation - to treat conditions such as irritable bowel syndrome and coeliac disease.

The team is split into several specialist teams:

The acute team

We provide input to all the main adult wards in the hospital and covers areas such as gastroenterology, surgery, intensive care, health for older people, cardiology, orthopaedics, neurology, oncology, haematology, maternity and intestinal failure.

The team run general and specialist outpatient clinics. Patients are referred by the hospital consultants for advice on nutrition support, weight loss, specialist therapeutic advice for certain conditions such as IBS, crohns disease, coeliac disease, liver disease and IBS.

The oncology team

We can support you to eat and drink well if you have a diagnosis of cancer. Good nutrition can help your treatment and quality of life. Your oncology dietitian will work with you, the oncology team and community teams. They can assess what nutrition advice you need at each stage of your care and you can be seen as an inpatient or an outpatient. This might include making the most of what you are eating, supporting you with your weight and strength, or using artificial nutrition support if required. At the RD&E we have specialist dietitians working within the head and neck, upper GI, living with and beyond cancer and enhanced supportive care teams.

The renal team

This team is made up of specialist renal dietitians and a renal diet and exercise assistant practitioner. We work as an integral part of the hospital's renal team, supporting patients with advanced chronic kidney disease (CKD). We also help dialysis and transplant patients, both inpatients and outpatients. Patients with CKD are at increased risk of becoming malnourished for various reasons and often need to restrict many elements in their diet including salt, potassium and fluid. The renal dietitians cover the haemodialysis satellite units in Heavitree (Exeter), Torbay, Honiton, Barnstaple and Taunton providing advice and support to patients receiving dialysis in these units.

The paediatric team

We work with children from 0-18 years of age. We work closely with health professionals within the hospital but also other members of the wider health care community. These include community consultant paediatricians, GPs, health visitors, specialist nurses and child and adolescent mental health teams. We see children with a wide variety of different conditions. We  provide advice to help manage their conditions through dietary changes. Examples of the types of conditions we might advise on include:

• Food Allergies
• Childhood Cancers
• Cardiac conditions
• Coeliac disease
• Cystic fibrosis
• Developmental delay
• Inflammatory Bowel Disease
• Diabetes
• Eating disorders
• Faltering growth
• Healthy lifestyle
• Tube feeding at home
• Restrictive diets /Autism

The community team

The community team includes specialist dietitians and a dietetic support worker. The team covers community hospital inpatients in Exmouth, Sidmouth and Tiverton plus supporting stroke rehabilitation patients. We offer outpatient clinics in different localities in the community for patients referred for dietary advice by GPs as well as visiting enterally fed patients in their own homes.

The cystic fibrosis (CF) Team

Food and nutrition play a vital part in the on-going management of cystic fibrosis. The specialist CF dietitians support children, young people and adults. We also help individuals and families to make the most appropriate lifestyle and food choices to suit their needs. For more information please see the cystic fibrosis pages.

RD&E Wonford, Barrack Rd, Exeter EX2 5DW

Dietetic Department, Area J

A Low Fibre Diet

A practical guide for carers: Supporting eating and drinking for those with Dementia

Crohn’s disease and a liquid diet

Dietary advice for Bowel obstructions

Dietary advice for patients with Ulcerative Colitis and Crohn’s disease

Dietary Advice for People with a Colostomy

Dietary Advice for People with Cholecystitis or Gallstones

Dietary advice for people with Chronic Kidney Disease

Dietary Recommendations for Patients with Gastroparesis

Eating Well Before, During and After Your Stem Cell Transplant

Feeding your Child on Bramble Ward

Guide to Eating Well with a Respiratory Disorder

Guide to Using Your Pancreatic Enzyme Replacement Therapy (PERT)

How to have a nourishing diet

How to have a Nourishing Vegan or Dairy-Free Diet

Inflammatory bowel disease and a liquid diet: Guide to reintroducing foods

Kidney Stones and How to Avoid Them

Radiologically Inserted Gastrostomy (RIG): Helping you decide

Tips for a small appetite

Tips on Fluid

• Kidney Care UK
• National Kidney Federation
• British Heart Foundation
• Diabetes UK
• The Child Feeding Guide
• The Caroline Walker Trust
• FORCE
• Macmillan Cancer Support
• Cancer Research UK
• GUT UK
• The British Dietetic Association food facts

For specialist areas, out patient referrals are made via the Consultants and specialist nurses. For paediatric and community referrals, GP’s can refer via the e-referral system.