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Nutrition and Dietetic Services

The Nutrition and Dietetic Service is available for all inpatients and outpatients during their treatment. The department consists of a team of qualified specialist Registered Dietitians, all of whom are registered with the Health and Care Professions Council (HCPC), members of the British Dietetic Association (BDA), and are Registered Providers with medical insurance companies. 

Dietitians are the only healthcare professionals licensed to assess, diagnose and treat nutritional problems. They are a key part of the healthcare team, translating complex scientific nutritional information into practical dietary advice and devising eating plans for patients to treat medical conditions.

Dietitians will evaluate and monitor dietetic intervention to help ensure a positive effect on patients' nutritional status, aid the recovery process, improve symptoms and promote wellbeing. Nutritional treatment plans will be individualised, realistic and agreed with the patient or their carer. Dietitians work co-operatively with other members of the multidisciplinary team to integrate the patients' nutritional treatment into their over-all care.

The inpatient service now includes a multidisciplinary Nutrition Support Team who do regular ward rounds of patients with complex nutritional needs; for further information click on the Parenteral and Enteral Nutrition tab on this page. The Dietetic department works closely with the catering department to offer a range of specialist therapeutic menus to meet our patient’s needs.

The outpatient service includes specialist irritable bowel syndrome (IBS) clinics, with a team of dietitians trained and accredited in the low FODMAP diet; The department also offer sports nutrition clinics with Accredited Sports Nutrition Experts. Outpatient clinics are held at The Shard , and at Sevenoaks Medical Centre.

The Dietetic department runs a Hydrogen Breath Testing (HBT) service, a simple non-invasive diagnostic tool for people with IBS and food intolerances. For further information please contact the department.

The department works alongside London universities to provide clinical placements for dietetic students, and therefore is unable to offer training or shadowing placements for independent students.

The dietetic service offer expert nutritional advice on the following specialities:

  • Allergy
  • Anaemia
  • Bloating/abdominal discomfort
  • Cancer
  • Constipation
  • Critical Care
  • Diabetes
  • Dysphagia (swallowing difficulties)
  • Eating disorders
  • Gastrointestinal disorders
  • Gout
  • Gynaecological disorders (PCOS)
  • HIV/AIDS
  • Hyperlipidaemia (high blood fats)
  • Heart disease and high blood pressure
  • Inflammatory bowel disease (IBD)
  • Irritable bowel syndrome (lBS)
  • Kidney disease
  • Liver disease
  • Malnutrition
  • Neurological disorders (stroke, MND etc.)
  • Pre/post operation dietetics
  • Vitamin and mineral deficiencies
  • Renal disease
  • Sports nutrition
  • Weight gain
  • Weight loss
  • Parenteral Nutrition (PN) ward rouds (every Tuesday).

Referrals are accepted in writing by a Consultant or GP (with consulting rights). GP and self-referrals are welcome; however, these consultations may not be covered by your medical insurance company. We welcome clients who are self-paying or sponsored by their company, organisation or embassy, as well as patients with private medical cover from all major insurance companies.

For information on the low FODMAP diet, which has been implemented by the Dietetics Department at the hospital, please click here.

Useful links:

www.bda.uk.com
www.bhf.org.uk
www.eatwell.gov.uk
www.nutrition.org.uk

 

London Bridge Hospital is continuing its dedication to provide a consistent high standard of care, with the introduction of a Nutrition Support Team. We offer expert advice and support to inpatients requiring intravenous feeding (parenteral nutrition) or those with complex artificial nutrition needs.  The team enables the hospital to comply with National Confidential Inquiry into Patient Outcome and Death (NCEPOD), British Association of Parenteral and Enteral Nutrition (BAPEN) and National Institute of Health and Care Excellence (NICE) recommendations for the management of these patients.

The Nutrition Support Team - Dr Jason Dunn (Consultant Gastroenterologist), Katherine Van Den Broek (Clinical Nurse Specialist), Evelyn Toner (HCPC Registered Dietitian) and Seema Vithlani (Pharmacist) – work in conjunction with the patient’s admitting Consultant to provide a multidisciplinary approach to each patient’s nutritional care.  The Nutrition Support Team, dietetic and nursing team co-ordinate the nutritional care of patients, particularly when there are clinical indications for complex artificial nutritional support, and / or parenteral nutrition. The team’s main focus is the safe provision of artificial nutrition which includes the provision of wider education to health professionals and patients. 

This service is focused on inpatients but is open to receiving referrals for outpatient consultations. A referral or request for the service can be made by any healthcare professional working with the patient via telephone, email or post. 

For more information or to refer a patient to the Nutrition Support Team, 

Please call: 020 7234 2282.

Email: evelyn.toner@hcahealthcare.co.uk

 

Meet the team

 The Dietetic Team at London Bridge Hospital

Our dietetic department consists of a team of qualified Registered Dietitians who are registered with the Health & Care Professions Council (HCPC) and are members of the British Dietetic Association. Dietitians are a key part of the healthcare team, and whilst working within their professional code of conduct are committed to providing a quality service to patients, carers and colleagues. 

Diet and nutrition are an integral part of preventing disease and maintaining optimum health. With an increased public awareness, more people are taking an interest in, and responsibility for, their personal wellbeing. Registered Dietitians have the professional knowledge and experience to assess nutritional needs and to recommend appropriate nutritional treatments to help ensure a positive effect on patients’ nutritional status, aid the recovery process, control symptoms and improve wellbeing.

Our department work closely with Consultants and the wider multidisciplinary team to provide a comprehensive inpatient and outpatient service, offering expert nutritional advice on a wide variety of specialities.

London Bridge Hospital dietetic department works directly with London universities to provide training placements for dietetic students, and is therefore unfortunately unable to facilitate independent work placements.

For more information on our service, please contact the Department on 02074073100 ext 42762.

Louise

Louise
Gankerseer-Hodgson

Head of Dietetics

Louise

Louise Gankerseer-Hodgson

Head of Dietetics

Louise began her journey towards a career in dietetics at the University of Southampton, where she gained her BSc hons in Physiology with nutrition in 2005.

Following her undergraduate degree, Louise went onto study at London Metropolitan University, and successfully gained her post- graduate dietetics diploma in 2008. In her first role Louise worked in a busy Kent NHS trust, which facilitated her work experience within a range of clinical specialities, and also enabled her to focus and develop her own expertise within the field of gastroenterology, working in the acute and outpatient setting. Her career continued to be directed towards the gastroenterology field as she accepted a position in Cambridge as an outpatient specialist dietitian, where she successfully created a gastro-specialist service within their community sector. 

Louise has worked at London Bridge Hospital for over 4 years, leading the outpatient department and managing the team as the head of dietetics.  Louise continues to hold regular outpatient clinics, whilst fulfilling her managerial responsibilities and leading the dietetic team in new initiatives.  Her clinical role involves working with clients to help manage symptoms of functional bowel disorders (i.e. IBS), upper GI conditions (i.e. GERD), food intolerances and eosinophilic oesophagitis. Louise runs specialist low FODMAP clinics, which help clients to achieve symptom relief from IBS and improve quality of life. Louise has also been instrumental in the creation and ongoing running of the Hydrogen Breath Test (HBT) service. The HBT service compliments the gastroenterology department and its outcomes direct the conservative dietary management of gastro – related symptoms.  Louise alongside her colleagues and supporting gastroenterologist intend to commence clinical reviews on assessment of their HBT and symptom improvement data.  

Louise’s interests have recently expanded into the area of adult food allergy and she continues to develop her skills and knowledge within this field. 


 
Evelyn

Evelyn
Toner

Acting Dietetic Manager

Evelyn

Evelyn Toner

Acting Dietetic Manager

Evelyn qualified as a dietitian in 2008 from University of Ulster in Northern Ireland with a BSc Hons degree. In her first role in the NHS in Belfast she covered a variety of clinical specialities, and gained a strong foundation in acute clinical dietetics. She found her specialist interest in gastroenterology – both surgical and medical, and developed a passion for sports nutrition. Evelyn then completed a PgCert in Sports and Exercise Nutrition, which she practices alongside her more clinical work.

Evelyn joined London Bridge Hospital in 2011 where she continues to work in the fields of Gastroenterology and Sports Nutrition, alongside her managerial responsibilities. She works with clients to help them reach their goals, whether that is preparing for, and recovering from, surgical procedures, improving symptoms of IBS, achieving weight loss, optimising body composition, improving general health and wellbeing or enhancing sporting and training performance. She runs specialist low FODMAP outpatient clinics to help clients who’ve been suffering with IBS, often for years, obtain significant symptom improvement and improved quality of life. Evelyn enjoys media work and regularly contributes to magazine articles and assists journalists with their research

Contact Details

Tel:  (+44) 2072342282

Email: evelyn.toner@hcahealthcare.co.uk


 
Kate

Kate
Willoughby

Senior Specialist Dietitian – ITU

Kate

Kate Willoughby

Senior Specialist Dietitian – ITU

 Kate qualified as a Registered Dietitian from the University of Nottingham in 2006, with a Masters Degree in Nutrition (MNutr). She is registered with the Health Care & Professions Council & is a member of the British Dietetic Association. In 2008 she specialised in the area of nutritional support, working predominantly in gastroenterology, gastrointestinal surgery & intensive care.  Her passion lies in the area of artificial nutritional support, particularly in complex enteral & parenteral feeding. After 9 years of working for the NHS, Kate relocated to London & joined the Dietetics Team at London Bridge Hospital, working as a Senior Specialist Dietitian in Intensive Care.  

Kate works as an integral member of the Intensive Care Multi-Disciplinary Team, reviewing all patients on the Intensive Care Unit on a daily basis. She provides dietetic support to all patients requiring nutritional support within the Intensive Care setting, often in the form of artificial feeding. In addition, she is an active member of the Nutrition Team, ensuring the safe delivery of parenteral nutrition within the hospital. Kate acts as a source of expertise in the area of feeding within the Critical Care setting & is responsible for service development within this area. 


 
Helen

Helen
Dellow-Findlay

Specialist Dietitian

Helen

Helen Dellow-Findlay

Specialist Dietitian

Helen graduated from King’s College London University in Nutrition and Dietetics in 2011 and has since been practicing as a HCPC registered dietitian. She has a varied background of experience, having spent time in rotational posts as a graduate before eventually deciding on her areas of specialism. She is dedicated to continuing professional development, attends regular clinical updates and training events and is a member of the British Dietetic Association.



At London Bridge Hospital, Helen specialises in Oncology and is the lead Dietitian on the Oncology ward and Chemotherapy Day Unit. Her main goal  is to optimise the nutritional status of her patients, ultimately improving wellbeing, resilience to treatment and reducing the incidence of malnutrition. Her role involves tailoring nutritional advice to patient preferences, lifestyles and medical needs. In addition to her work in Oncology, she runs specialist IBS clinics, which often involves advising on a low FODMAP diet to help manage IBS-related symptoms. She also supports the Hydrogen Breath Testing service, helping to diagnose sugar intolerances and small bowel bacterial overgrowth. 



 
Agnese

Agnese
Kuci

Specialist Dietitian

Agnese

Agnese Kuci

Specialist Dietitian

 Agnese joined London Bridge Hospital in 2014 as the Specialist Dietitian in Renal, Cardiothoracic and Women’s Health Dietetic services. She leads regular outpatient PCOS and Diabetes outpatient clinics and offers regular dietetic support to the Haemodialysis unit. Prior to joining London Bridge Hospital, Agnese worked at various NHS Hospitals where she built extensive clinical skills across a number of areas, including Gastroenterology, Cardiology, Weight Management, Nutritional support, Women’s Health, Neurology, Upper GI and Colorectal Surgery and Oncology. 

Agnese qualified as a Dietitian in 2011 from London Metropolitan University with a BSc Hons degree. She is a member of the British Dietetic Association and enjoys media work, and regularly contributes to magazine articles. She is passionate about all aspects of nutrition and has facilitated a number of workplace wellbeing and nutrition talks.


 
Sascha

Sascha
McMeekin

Specialist Dietician

Sascha

Sascha McMeekin

Specialist Dietician

Sascha is a specialist dietitian in the areas of functional gut disorders, cardiovascular disease and kidney health. She supports the department’s functional bowel disorder clinics and is skilled in the implementation of the low FODMAPs diet. Sascha is leading the cardiovascular service offered to both inpatients and outpatients and she supports the renal service for inpatients and patients receiving haemodialysis. Alongside these roles, Sascha contributes to the Hydrogen Breath Test service, and supports the dietetics service in the areas of coeliac disease, and weight management.

Sascha completed her Bachelor of Health Science majoring in Nutrition and Dietetics in Australia, where she specialised in research by completing an Honours degree in the area of childhood obesity prevention. While practicing in Australia, Sascha gained extensive and varied experience in the private practice setting in the areas of irritable bowel syndrome, coeliac disease, weight management, cardiovascular disease, type 2 diabetes, sports dietetics, paediatric nutrition, and nutrition in the elderly. Since relocating to the United Kingdom Sascha has developed her clinical skills in the acute care setting. She has become competent in providing nutrition support in the form of both oral and enteral feeding and safely managing refeeding risk while further building on her skills in the areas of weight management, coeliac disease and type 2 diabetes. Sascha is passionate about supporting her patients to improve their nutritional intake in a way that optimises their health and wellbeing. 


 
Abnash

Abnash
Puaar

Dietetic Assistant

Abnash

Abnash Puaar

Dietetic Assistant

As a Dietetic Assistant my role involves leading the outpatient hydrogen breath test clinics, by working as part of a multidisciplinary team of registered Dietitians, consultants or their secretaries, outpatient nurses and pharmacy. The remainder of my role is providing administrative support to the team, to ensure efficient operation of the department, alongside aiding dietitians in certain project work, e.g. catering projects/MUST.

Prior to joining London Bridge hospital, I have completed a BSc in Human Nutrition from the University of Westminster in 2014. My interest in human nutrition led me to taking up a role as a dietetic assistant to gain a richer insight to dietetics, and to continue my love of working with patients, food and science. 


 

Opening Hours: Inpatient hours: Monday - Friday 9am - 5pm. Outpatient hours: Monday - Friday: 8am - 7pm
Contact:Evelyn Toner - Acting Dietetic Manager
Telephone:+44 (0) 20 7234 2359

Email: info.lbh@hcahealthcare.co.uk

We are committed to delivering a world class experience throughout our patient journey, whilst providing exceptional dietetic care.