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We see inpatients on Dolphin High Dependency Unit, Dolphin Ward, Puffin Ward, Sunflower Ward and the Neonatal Unit at Royal Derby Hospital. We also run regular outpatient clinics at the Children's Hospital and telephone clinics. A service is also funded for children attending Bladon House School.
We see children from birth to 18 years of age with a varying range of conditions. For example;
We are acute dietitians and therefore only take referrals for children under the care of a Derbyshire Children's Hospital consultant. The exceptions are children attending Bladon House, where we will accept referrals for residential students under a Derbyshire GP, and infants under 1 years with a diagnosed cows' milk allergy. These infants can be referred directly by the GP using the agreed Derbyshire CCG pathway.
If you feel your child needs to see a dietitian please ask your hospital paediatrician. If they are not under a paediatrician please see your GP for advice.
Telephone: 01332 785233
Below you will find general information to help with children’s nutritional needs and some common difficulties we come across. If you are concerned about whether this is appropriate for your child speak with your dietitian, GP, health visitor or paediatrician.
Children require a varied and balanced diet to ensure they receive all the necessary nutrients for good growth and health. As they grow their nutritional needs may change slightly but a routine of regular meals and snacks will always be essential. Healthy eating means food from the four main food groups should be offered daily, these groups are;
Food and drink high in fat and/or sugar such as biscuits, crisps, cakes, fried foods and sugary drinks are high in energy but low in other beneficial nutrients. These foods should only be offered occasionally as a treat. Salty foods such as processed items and ready meals should also be limited, do not add any salt to children’s foods, use herbs and spices for flavour instead.
The healthy options for drinks are water or milk. If you choose to offer your child any sweet drinks, including fruit juice or squash, they should be diluted with water and offered at mealtimes only.
The Department of Health recommends that all children aged 6 months to 5 years are given vitamin supplements containing vitamins A, C and D every day.
Packed lunches are a great way to ensure your child has a healthy meal to hand whether it is for a school day or day out.
They can also be useful if your child has any food allergies or intolerances as you can ensure the content is appropriate for their diet. When making a packed lunch ensure it contains healthy options (see information on healthy eating section). Some schools have specific guidelines on what should or shouldn’t be included in a packed lunch so please stick to these whilst keeping the packed lunch varied. Be sure to keep the packed lunch cool in a fridge or cool box/bag to help make it more palatable for your child.
Portion sizes for children vary dependent on their age, here are a few top tips to help you to incorporate a healthy eating pattern at home;
Fussy eating and food refusal is a phase that most children pass through. It is common for children to refuse foods that are new to them, but it is equally important that you persist with offering it them again as they often need to experience tastes repeatedly to learn to like them.
Children also refuse food if they are full or have eaten enough. Children of similar ages vary in the quantity of food they eat due to the differences in rate of development. If your child is growing and developing normally then try to be reassured that they are eating the right amount of food for their needs.
Remember the amount of food children eat may change day-to-day. It is often very stressful for parents when their child is refusing food. It is important to try not to become too anxious around meal times, as your child will be very quick to pick up on this and their intake may reduce further.
Despite fussy eating usually being just a phase, if the problem persists or you have concerns speak with your GP, health visitor or paediatrician. Below are some helpful websites and information to help with overcoming this phase.
Generally, the process of introducing a baby to solid foods should start around the age of 6 months. Waiting until this age ensures that babies have had time to start developing the skills needed to move food around their mouth and to swallow it. This may mean that they will be able to progress onto a range of tastes and textures more quickly. There are three key signs which, in combination, show that your baby is ready for weaning. These are;
If your baby was born prematurely, ask your health visitor or GP for advice on when is the best time to start introducing solid food.
At first, weaning is about getting your baby used to new tastes and textures and developing eating skills, rather than getting a lot of nutrition from food. At this time they will still be getting most of their energy and nutrients from breast milk or formula. As time goes by you can increase the amount, texture and variety of food your baby eats and by the time they are 1 year of age, most children will be eating chopped or mashed family meals.
Some useful sources of information about weaning are listed below;
Becoming overweight and obese is a more widespread problem for children and teenagers in today’s society. Simply put, weight gain is caused by energy intake being higher than energy expenditure, however losing weight is often more complicated and difficult than we think.
A lot of children have an unhealthy diet and easy access to foods higher in fat and sugar, this combined with the lack of exercise, contributes to on-going weight gain.
The Children's Dietetic service at Derbyshire Children’s Hospital is able to accept referrals for overweight and obese children from a paediatrician at the hospital if they have additional co-morbidities as a result of their weight. GP’s are not currently able to refer children directly to our service for weight management advice.
If you would like some additional advice and support with regards to weight management you can self-refer to some community services within your local area. They are outlined below;
Please ensure that you live within their catchment areas, this information can be found on their website.
If you are continuing to struggle with your child’s weight or obesity, please seek additional support from your GP as they may be able to redirect to other local services. In the meantime, here are a number of useful websites with information about healthy eating and exercise recommendations for children;
Cows' milk protein allergy is the most common food allergy in childhood. The good news is that most children that get this diagnosis will outgrow it by the time they're 5 years old.
The children’s dieticians work with the medical team in managing children who have a formal diagnosis of cows' milk protein allergy and other food allergies.
Following a diagnosis your child can be referred to us by your GP via Choose and Book if they are under 1 year of age or by your consultant in the hospital.
Below are some useful websites and resources which are sometimes given out in clinic;