Nutrition and dietetics

Dietitians help people make informed and practical decisions about food and lifestyle, offering advice in both health and disease.

Dietitians are trained to at least degree level and have an expert knowledge of science, food and nutrition. They are skilled in translating this knowledge into every day terms.

The department is made up of dietitians, dietetic assistants and a clerical support team. We see patients with a variety of health needs and conditions, including:

  • Malnutrition
  • Weight management
  • Diabetes
  • Gastroenterology
  • Home enteral feeding
  • Oncology
  • Paediatrics
  • Renal
     

Please contact your GP or hospital consultant for a referral to the Nutrition and Dietetic service. 

Royal Derby Hospital

Location

Dietetic Department
Royal Derby Hospital
Uttoxeter Road
Derby
DE22 3NE

Telephone: 01332 785 573

Queen's Hospital Burton

Location

Dietetic Department
Queen's Hospital Burton
Belvedere Road
Burton on Trent
DE13 0RB

Telephone: 01283 566 333

Florence Nightingale Community Hospital

Location

Dietetic Department
Florence Nightingale Community Hospital
London Road
Derby
DE1 2QY

Telephone: 01332 258 214

Oral nutritional supplements for adults in Staffordshire and Stoke-on-Trent

From 27 January 2025, the way oral nutritional supplements (ONS) are prescribed to patients in Staffordshire and Soke-on-Trent will be changing; impacting communities and patients who visit UHDB but have a Staffordshire GP. 

 

ONS are commercially produced medicinal products that you can buy over the counter from a community pharmacy or get on prescription. They are used in addition to a fortified diet (adding extra calories to your food and drinks) and give you more nutrients to improve your health if you are malnourished or have a reduced appetite.

 

We want people to be able to enjoy the food and drinks that they enjoy, instead of relying on supplements. Evidence tells us that supplements are only useful for certain clinical conditions. GP's are being asked to stop prescribing these supplements to adults aged 18 and over in Staffordshire and Stoke-on-Trent, because the same clinical results could be achieved by using normal food and drink. This means that GPs can only prescribe them to you if they have referred you to a dietitian, and the dietitian has assessed and agreed that you would benefit from having a supplement.  

 

If your loved one is receiving end of life/palliative care, we want them to also to be able to enjoy the foods and drinks they enjoy, instead of them having to take supplement drinks.

 

This change is only for patients over 18 years of age, who would have supplements to drink. Please note that this policy change does not affect people who have a feeding tube or children and young people under 18 years of age.

Access recipe sheets to make fortified and nutritious meals at home and access FAQs about this change >.

 

If you have any questions, queries or complaints, you can contact the Patient Advice and Liaison Service (PALS) on freephone 0808 196 8861 or via email PatientServices@staffsstoke.icb.nhs.uk.

 

Coeliac disease

Coeliac disease is an autoimmune disease that requires a lifelong gluten free diet to treat the condition.   

On diagnosis you will be offered an appointment with a specialist dietitian who can help advise on how to make the necessary changes to your diet to make it gluten free and ensure it remains healthy. 

After this, we advise on the use of an annual self-assessment quiz called the Coeliac Dietary Adherence Test (CDAT), to review how you are feeling and whether there is indication that you require further dietary support.

Download Coeliac Dietary Adherence Test (CDAT) (opens in new window) [pdf] 52KB


There are online colelic disease patient webinars (opens in new window) > that we encourage you to watch to keep your knowledge up to date.

For further detailed diet information there are helpful pages about diet on the Coeliac UK website (opens in new window) >.


GPs and health care professionals

This document provides relevant links to support the management of patients with Coeliac disease in Southern Derbyshire.

Download Southern Derbyshire Coeliac Information for GPs and health professionals [pdf] (opens in new window) 109KB

Liver disease

The liver has a variety of functions within the body, relating to the digestion of food. When the liver becomes damaged, these functions can be disrupted, leading to malnutrition and weight loss.


Importance of nutrition in liver disease

This video explains the importance of nutrition in liver disease.


Management of liver disease

Malnutrition can worsen the symptoms associated with liver disease, such as muscle wasting, weakness, infection, confusion and fluid retention. Eating regular meals and snacks and including a variety of foods in your diet can help to manage some of these symptoms.

This video explains the key messages about food and the management of liver disease.


Managing liver disease with carbohydrates and protein

Carbohydrates and protein can help manage liver disease; these videos go into more detail about these nutrients.


Reducing salt intake

Avoiding lots of salt in your diet is particularly important if you have fluid building up in your legs or tummy area. 

This video explains how you can reduce the amount of salt you eat in your diet.


Hand grip strength

The aim of nutritional treatment is to help manage liver disease, prevent muscle wastage and improve strength. Your dietitian will measure your ‘hand grip strength’ to see how strong your muscles are and will repeat this measurement at future reviews. 

Watch this video to see how a hand grip strength is measured.