Tube feeding is started in hospital, therefore referrals to HMS
come from the Dietitian managing this during initiation of feeding
from the local acute trusts (University Hospital Bristol, North
Bristol, RUH or Weston General).
In addition, referrals are received from trusts outside the
area. This happens when a patients has received inpatient care from
an alternative NHS provider (but the patient is registered with a
local GP) or where a patient is moving to the local area. In these
cases, the Dietitian in the Multi-Disciplinary Team associated with
the patient care makes the referral.
Only a Dietitian can refer to HMS due to clinical
governance.