Herts Valley – Contact Hertfordshire Independent Living Service Nutrition Support Team

Additionally complete the referral form and send to for the Nutrition and Dietetics team from Hertfordshire Community NHS Trust.

EN Herts- Referral via your GP for the Hertfordshire Community NHS Trust Nutrition and Dietetics Team.

Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition

This guideline covers identifying and caring for adults who are malnourished or at risk of malnutrition in hospital or in their own home or a care home. It offers advice on how oral, enteral tube feeding and parenteral nutrition support should be started, administered and stopped. It aims to support healthcare professionals identify malnourished people and help them to choose the most appropriate form of support.

Prescribing, policies & pathways

The integrated care board (ICB) is the local NHS organisation that ensures that health services work well together to improve health and wellbeing. The ICB have put together clinical and prescribing information including decisions, guidance, pathways and policies to healthcare workers within Hertfordshire.

Please ensure you use this website to stay up to date with the latest information and guidance. Prescribing, Policies and Pathways (

You can view specific Nutrition documents here for Primary Care, Care homes, relatives, and friends.

Documents include:

  • Guides on Oral nutritional supplement (ONS), including thickeners and thickened guidance for Primary Care, Care homes, relatives and friends.
  • Malnutrition
  • Dysphagia
  • Coeliac disease
  • Vitamin insufficiency and vitamin deficiency
  • Eating and drinking at end of life
  • Eating well and eating well for for small appetites
  • Guidance on food fortification and homemade supplements
  • Managing nutrition
  • Position statements on the use of ONS, prescribed nutritional products, end of life and dessert style ONS.

Nutrition Support in Adult Pathway – NICE

Natasha’s Law on care homes

This useful article from our partner apetito, reminds care homes of the importance of managing food allergies.

Read the article here

Nutrition and Dementia

Click the resource name to download

2020 improving the provision of nutritional care for people with dementia in care homes
Nutrition and Dementia guide for staff
Family, friends guide

Other resources

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Helping older adults keep well
Burwood Nursing Home – A guide to nutrition for the elderly
The eat well guide
Prescription Request Form

Nutrition and Learning Disabilities

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Social care staff briefing on the Mental Capacity Act in learning disabilities 
Social care staff supporting diet and exercise in learning disabilities