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Active Together is a pioneering service offering nutrition, fitness and wellbeing support following a cancer diagnosis.
Going through cancer treatment can feel like a marathon and you would not run a marathon without preparing for it. Preparing for your cancer treatment and surgery by being nutritionally, physically, and mentally prepared has shown to help with:
We are based in the community at different centres across the city to improve accessibility to individuals.
We offer face to face, telephone and online support.
We currently work with individuals who have been diagnosed with a curative colorectal, upper gastro-intestinal, lung, gynaecological, urology, hepatobiliary, haematology and head and neck cancer. We are always expanding into new tumour groups so please speak with your clinical team to check whether you are eligible for the service.
The bariatric surgery dietitians work closely with the specialist nurse, psychologist, and consultant surgeons to ensure patients have safe and successful weight loss following bariatric surgery. They work closely with patients both before and following their surgery at routine intervals for 2 years via the dietitian and specialist nurse-led clinic. Patients are provided with personalised dietary advice regarding texture modification, weight management and symptom management, as required.
The dietitians in the bariatric surgery service can request radiology assessments specific to this area to ensure any symptoms are managed and treated promptly. We also routinely request micronutrient bloods post-operatively and will provide patients with detailed advice on diet and suggest supplementation, should any deficiencies develop.
We are based at NGH with most of our patients being reviewed in the outpatient setting but also provide cover to inpatient areas for those who have recently had their weight loss surgery, or those readmitted with problems relating to their bariatric surgery.
For new referrals into the service please see Overview | Overweight and obesity management | Guidance | NICE for referral criteria. These referrals should be sent either directly from local tier 3 weight management services or via the patient’s GP with the tier 3 summary attached to the consultants’ secretary.
Other outpatient referrals should be directed via the NHS e-Referral Service.
For inpatient referrals, please refer via Lorenzo to NGH Acute Dietetics.
The Cystic Fibrosis Specialist Dietitians work with the CF Multidisciplinary team to provide ongoing nutritional support for people with CF. We support all adults with CF that attend the Sheffield Adult CF Centre at the Northern General Hospital, from areas covering Derbyshire, South Yorkshire, Lincolnshire, and beyond.
We can see you during your regular clinic visit, annual review, ward drop in or during inpatient admission to the specialist CF ward and can offer additional support by phone.
We aim to provide individualised information and advice on all aspects of your CF nutritional needs; healthy eating and weight management; CF diabetes; assessment of pancreatic enzyme replacement therapy; supplementary nutrition support, fat soluble vitamin therapy and bone health.
The colorectal and PN dietitians provide support to patients who have had surgery to remove part of their bowel. This could be due to cancer, Crohn’s and colitis or blockages. These patients may have had a colostomy or ileostomy formed. We provide disease specific advice and nutrition support. This may be oral (including modifying fibre content of the diet), enteral feeding via a tube that goes into the stomach or bowel, or parenterally via a vein to bypass the gut. They are based at the Northern General Hospital.
Please click here for the Community Dietetic pages
Our community dietetic service aims to support the health and wellbeing of Sheffield residents through nutrition and diet advice. Our service is available to adults and children. The Dietitian works with the individual alongside family members and carers to empower them to identify practical dietary changes to manage their health condition.
We deliver evidence based dietary advice for health needs including:
We do not provide a weight loss service. This is provided by Morelife Sheffield for adults over 18 years old. For more information, please speak to your GP practice.
We can offer an appointment in various settings, including in clinic, by video or telephone call and if required, by a home visit. We do not currently offer a service to care homes. We also provide group education as part of the cardiac rehab programme.
Your GP or health care professional can refer if you have a dietary problem that meets our referral criteria.
As part of the community dietetics service, we work with the Active Programmes team to provide a session on nutrition and health to the cardiac rehabilitation course. During the 6-week programme we offer a one-off group session around improving diet for heart health in those who have experienced heat attacks or undergone recent cardiac surgery.
Our focus is not only on explaining dietary changes such as salt reduction, carbohydrate awareness and understanding fats but also practical tips to help implement these changes on a day-to-day basis.
Community Dietitian Service - Adult referral guidance
Our paediatric referral criteria
Email address - Sht-tr.communitydietitians@nhs.net
Access to the cardiac rehabilitation programme is through Active Programmes and can be made by GP, hospital consultant or any other health professional via SPA (Single Point of Access).
Critical care dietitians work with people who have serious illnesses and injuries, on intensive care. They ensure that patients receive the right amount of nutrition, at the right time and in the best way to support recovery.
Dietitians estimate the nutritional needs of patients and develop individualised care plans to meet these needs. Patients on critical care are often sedated and ventilated (unconscious) and require liquid nutrition (usually by a tube from nose to stomach, but occasionally through their blood supply).
Patients who are recovering and awake may be able to eat and drink, and the dietitian works with them to meet their nutritional needs, either by continuing the tube feed alongside diet, or often prescribing high energy nutritional supplements to ensure adequate nutrition. Many patients experience problems with reduced appetite, taste changes or swallowing difficulties, and dietitians are trained to support with this. Providing optimum nutrition for critical care recovery helps provide energy for rehabilitation and rebuilds strength.
The Sheffield Diabetes Dietitians, who work mostly at Sheffield Hospitals, are experts in helping people with various kinds of diabetes and who have different treatments.
The Sheffield Diabetes Dietitians, who work mostly at Sheffield Hospitals, are experts in helping people with various kinds of diabetes and who have different treatments.
We work with other diabetes experts and doctors to support pregnant women and young adults. We also support people using technology like continuous glucose monitors (CGM) and insulin pumps to help manage diabetes.
Sheffield Diabetes Dietitians give you information and advice to help you manage your glucose levels and overall health. We help you understand how food affects your glucose levels.
We offer many ways to help you, like in-person appointments, phone calls, online appointments, and visits to some local clinics. We also have information leaflets, workshops, and education programmes at the hospital and in the community.
Our goal is to help you feel confident and able to live a healthy life with diabetes. We want to help you reach your health goals .
Gastroenterology dietitians can help you to eat the right food if you have a digestive disorder. They are the experts in the nutritional management of gastroenterology conditions.
We cover multiple areas in gastroenterology within a range of settings including inpatients and outpatients. This includes irritable bowel syndrome, inflammatory bowel disease, coeliac disease, liver disease and nutrition support for patients with gastrointestinal cancers.
We also have dietitians working in advanced clinical practice roles within the service.
The senior dietitian for haematology supports patients who are in hospital and being treated for blood cancers. Many of these patients undergo stem cell transplantation, which can be a challenging journey, particularly with regards to nutrition. The dietitian in this role will support patients to minimise weight loss, work around barriers to good nutrition and provide nutrition support. This could be oral, enteral (tube feeding) or parenteral (IV) nutrition support. Dietitians often work closely with other healthcare professionals to ensure that patients are given the best possible care.
Patients who undergo stem cell transplant are currently referred automatically, as they are likely to need dietetic support and monitoring.
The Head and Neck Dietitians see patients undergoing all types of treatment for head and neck cancer including radiotherapy, chemotherapy, and/or surgery. Having treatment for Head and Neck Cancer is highly likely to affect your ability to eat and drink.
As Head and Neck Specialist Dietitians we work closely with your treating team to help guide you through the different stages of your treatment. We aim to support you by recommending assistance and advice concerning eating and drinking, recommending prescribed supplements and tube feeding if required.
Good nutrition is essential from the moment you are diagnosed to aid recovery of any head and neck cancer treatment option. Side effects of head and neck cancers can cause difficulties with swallowing meaning eating and drinking enough can be challenging at times. We work closely with Speech and Langue therapists to understand what food and fluid textures would suit you best. We also work closely with community Dietitians to guide you if
Specialist Dietitians we work closely with your treating team to help guide you through the different stages of your treatment. We aim to support you by recommending assistance and advice concerning eating and drinking, recommending prescribed supplements and tube feeding if required.
Good nutrition is essential from the moment you are diagnosed to aid recovery of any head and neck cancer treatment option. Side effects of head and neck cancers can cause difficulties with swallowing meaning eating and drinking enough can be challenging at times. We work closely with Speech and Langue therapists to understand what food and fluid textures would suit you best. We also work closely with community Dietitians to guide you if you require a tube to support your nutritional intake before during or after treatment.
The Head and Neck Dietitians are here to:
The Home Enteral Feeding (HEF) service support patients in the community who have had an enteral feeding tube placed. This includes patients in their own homes and in care homes. This can include patients undergoing treatment for head and neck cancer, stroke, long term neurological conditions including motor neurone disease, patients with a learning disability and patients under gastroenterology management who require enteral nutrition.
The HEF team includes Dietitians, Dietetic Assistant Practitioner, Dietetic Apprentice and a HEF administrator who offer a dynamic set of skills to support our patients.
We work with patients to ensure they have a patient centred nutritional care plan in place to meet their nutrition and hydration needs. We work closely with enteral nurse specialist service who support training and tube management in the patients home as well as the enteral nutrition team in the hospital who support tube placement and tube / stoma complication management.
Mobile - 07817 017190
Home Parenteral Nutrition may be required when a person’s bowel is not capable of absorbing enough nutrients. This is called intestinal failure. This may be because of their bowel being blocked, shortened, or damaged due to disease or following surgery.
The specialist dietitian works with a team of Gastroenterologists, Specialist nurses and Nutrition pharmacists to provide an individualised feed that is given directly into the blood stream. The specialist dietitian carries out dietary consultations with patients to ensure nutrition is optimised.
The team has a role in supporting the transition of patients on parenteral nutrition from hospital to home and continues to support, monitor and review patients in the outpatient setting.
The dietetic service for infectious diseases covers in-patients on ward E1 and E2 at the Royal Hallamshire Hospital and outpatients attending the HIV service at the Stonegrove Clinic.
Inpatients with infectious diseases may need nutritional support for a variety of reasons including those who are being treated for TB, people with newly diagnosed or un-treated HIV and those on long term antibiotics or recovering from severe infections.
The role of the specialist dietitian in the HIV service is varied. HIV is a life-long chronic condition and people have a wide variety of nutritional needs. People living with HIV have a higher risk of diabetes and cardio-vascular disease and many referrals to the dietitian are to encourage healthy diets and weight management to reduce these risks. The dietitian also supports people who struggle to maintain their weight or have a poor appetite.
The neonatal dietetic team is a highly specialist team of dietitians that provide an in-patient service to the Jessop Wing Neonatal Intensive Care Unit. The Jessops’ Neonatal Intensive Care Unit is one of the regional intensive care level units in the Yorkshire and Humber region. The unit provides care to babies born premature (too early) or that are sick.
Neonatal Dietitians and are skilled at assessing, diagnosing and managing the nutritional needs of these babies and work very closely alongside a wide team of professionals from various disciplines. Neonatal dietitians work closely with each family to ensure that all interventions not only optimise a baby's growth, but protect and promote brain development as well.
Neonatal dietitians are involved in all stages of a baby’s journey on the neonatal unit, from those requiring parenteral nutrition (liquid nutrition into the veins), enteral nutrition (liquid nutrition into the digestive system) to those that are feeding by breast or bottle.
The neonatal dietitians contribute to education of medical, nursing and other healthcare professionals locally and nationally in order to optimise nutritional outcomes as well as participating in ongoing research, audit and service development.
Dietitians in neuroscience support patients with Motor Neurone Disease, Parkinson’s Disease, Multiple Sclerosis, epilepsy, Guillain–Barré syndrome, Myasthenia Gravis, brain tumours, haemorrhagic strokes, and traumatic brain injury to meet their nutritional requirements. This may be achieved either through nasogastric tube feeding (a tube via the nose to the stomach) or through a gastrostomy (a PIGG or PEG tube which goes straight to the stomach).
In other cases, patients can eat and drink but have an impaired swallow function (dysphagia) or poor appetite and need support to meet their calculated nutritional requirements through high energy and protein nutritional supplements or additional catering options.
Where appropriate, ketogenic diet therapy may be offered to patients with epilepsy as an alternative treatment.
Ongoing care or rehabilitation may be necessary, and dietitians liaise with these services, where needed, to ensure nutritional needs can be continually met.
The Weston Park Hospital Dietetic Team manage nutritional problems for patients who have a diagnosis of cancer and are under the care of a Weston Park Oncologist. This is regardless of whether the patient is undergoing an oncological treatment or not.
Cancer treatments and cancer itself and can negatively impact nutritional intake, some treatments can also impact on swallowing where a feeding tube may be recommended ahead of or during treatment. This is more common for upper gastrointestinal or head and neck cancers (see separate sections).
The dietetic team run face to face clinics in radiotherapy and telephone clinics for outpatients. They also provide an inpatient service for the oncology wards at Weston Park Hospital. The dietitians work closely with the multidisciplinary team and dietitians from different teams within Sheffield Teaching Hospitals and South Yorkshire and Bassetlaw. Our aim is to help optimise patient’s nutritional status whether this is by mouth or a feeding tube.
Renal (Kidney) dietitians help educate and empower people living kidney disease to make food and drink choices to support their health and prevent malnutrition.
We care for people living with kidney disease with hospital and at home. This can include chronic kidney disease, kidney stones, haemodialysis and peritoneal dialysis, kidney transplant or polycystic kidneys.
We provide a service for all kidney patients who have a Sheffield kidney consultant across Sheffield, Chesterfield, Barnsley, and Rotherham.
A specialist dietitian works closely the Princess Royal Spinal Cord Injuries Centre and is responsible for monitoring and supporting the nutritional needs of all patients on the unit.
It common for spinal injury patients to lose weight when they are first injured due to loss in muscle mass and being on bed rest. Dietitians can work to help ensure individual nutritional needs are met, ensure patients are weighed weekly and identify those most likely to require additionally assistance.
During rehabilitation patients can see an increase in appetite and which may require a dietitian to help with health weight.
Commonly, some patients are unable to swallow safely so liquidised feeding is needed this can be via a tube from nose to stomach, and sometime long-term liquid nutrition is established from a tube directly to the stomach from the surface of the abdomen.
Another key area within this specialist area is pressure ulcer repairs where people can have increased protein needs which needs a dietitian to be met to help with recovery.
Finally, bowels are another key aspect where a dietitian can ensure patient bowels are well managed as this can be a short term or long-term complications of spinal cord injuries.
Dietitians work across the Stroke pathway, covering the regional HASU (Hyper-Acute Stroke Unit), ASU (Acute Stroke Unit) and SPARC (Stroke Pathway Assessment and Rehabilitation Centre). If required, an onward referral can be made to our Community Team via the CSS (Community Stroke Service) pathway.
Dietitians within the pathway focus primarily on nutrition support, working to maximise the nutritional status of patients who require clinically assisted nutrition and hydration via the use of enteral feeding tubes (SPARC do not accept patients with NGT however). Dietitians also work closely with patients requiring modified texture diet and fluids using the IDDSI Framework and may use oral nutritional supplements to improve the nutritional adequacy of these diets.
The upper gastro-intestinal (UGI) and hepato-pancreato-biliary (HPB) dietitians work as part of the surgical service and provide support to patients who have had surgery to remove cancer of the oesophagus, stomach, pancreas or liver, patients with pancreatitis or patients with oesophageal dysmotility to name a few.
We provide advice on nutrition support whether this is oral or enteral. We provide advice for patients after an oesophageal or duodenal stent has been inserted and support with texture modification. We also provide advice around symptoms after surgery or because of a condition you have, for example education on pancreatic enzyme replacement therapy.
We work closely with the multidisciplinary team to ensure patient centred care.
We are based at the Northern General Hospital. We offer an inpatient service where we review patients on the ward and an outpatient service where we review patients in consultant / nurse led clinics or telephone clinics.
