Nutrition & Dietetics Diabetes

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At North Bristol Trust, the diabetic service consists of a multi-disciplinary team including two dietitians.

NBT diabetes dietitians see patients which require input from the entire diabetes team. If dietetic input is required, but input from the whole diabetic team is not necessary, consider community services.

If you are a clinician looking to refer a patient, please see indications for referral to North Bristol Trust’s Multi-disciplinary Diabetes Clinics.

For more info see the Diabetes & Endocrinology page.

Useful links:

Diabetes UK

Type 2 Diabetes and Diet

Type 1 Diabetes and Diet

Gestational Diabetes

Contact Nutrition & Dietetics

Kendon House
Kendon Way
Southmead Hospital
Bristol

Telephone:  0117 414 5428 or 0117 414 5429

Neurosurgery Team

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13 Consultant Neurosurgeons cover all aspects of Neurosurgical practice.

The team also consists of 11 Specialist Registrars, 6-8 Senior House Officer Grade doctors, 9 Neurosurgical Nurse Practitioners and 2 Neuro-oncology Specialist Nurse Practitioners.

Dedicated trained nursing staff and invaluable Allied Health Professionals working alongside the team ensure that the care received by all Neurosurgical patients is of the highest standard.

Dietetic Students

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At North Bristol Trust, we supervise Plymouth University dietetic students for A, B and C placements, as well as overseeing placements for MSc Dietetics students from Birmingham City University.

We aim to offer our students a varied experience when they are on placement with us. Areas which students typically gain experience in include:

  • ICU
  • Stroke and Neurosurgery (inpatient)
  • Outpatient Bariatric Services
  • Renal disease (inpatient and outpatient)
  • Gastroenterology (inpatient and outpatient)
  • Complex care (inpatient)
  • Surgery (inpatient)
  • Respiratory (inpatient)
  • Burns & plastics (inpatient)
  • Diabetes (outpatient)
  • Metabolic disease (outpatient & learning)

We offer students a combination of home learning, face-to-face patient contact and virtual clinic experience. The home learning often comprises of case studies and tutorials to support learning in each speciality.

The dietetic team here comprises of approximately 30 dietitians. Each student will be assigned a key worker and mentor but will likely spend some time with most of the dietitians over the course of the placements.

Contact Nutrition & Dietetics

Kendon House
Kendon Way
Southmead Hospital
Bristol

Telephone:  0117 414 5428 or 0117 414 5429

What is a Dietitian?

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Dietitians are uniquely qualified to translate scientific information about nutrition and food into practical dietary advice. As well as providing impartial advice about nutrition and health, dietitians also advise about food related problems and treat disease and ill health.

Many dietitians work in the National Health Service (NHS) and may work in one or more specialist areas e.g. diabetes, children's health, cancer, renal, public health. Others work with people in the community, sometimes visiting them in their own homes. They are a key part of the healthcare team and have an important role training other Allied Health Professional’s (AHP’s) and the public about nutritional issues.

Dietitians have the only legally recognised graduate qualification in nutrition and dietetics that is registered with the Health Professions Council (HPC). This is a national regulatory body, which was created following the Health Professions Order, 2001. Dietitians are one of 13 healthcare professions regulated by the HPC, which ensures rigorously maintained standards of training, professional skills, behaviour and client safety. The title Dietitian/Dietician can only be used if the individual is appropriately qualified and registered with the HPC. Verification can be achieved by checking the Dietitians Register on the HPC website www.hpc-uk.org.

How does a dietitian differ from a nutritionist?

The title ‘nutritionist’ is not protected. Some may have attended degree level courses in nutrition, and upon qualification, many register as nutritionists (RNutr) or as public health nutritionists (RPHNutr) with The Nutrition Society. However, there are many who will not have a recognised qualification. Nutritionists work in government, industry, sports, education, media and for charities, supporting the collection and communication of information about food and health. Some nutritionists provide general guidance about eating to support good health, however, as they are not regulated by a governing body, information given does not have to comply with scientifically based evidence.

Want to become a dietitian?

There are two types of programme available to qualify as a dietitian:

• Full-time undergraduate BSc (Hons) programme - these are either three or four years in length.

• Full-time postgraduate programme - these are two years in length and can either lead to a Postgraduate Diploma (PgDip) in dietetics or a Masters (MSc) qualification in dietetics.

Find out more on The Association of UK Dietitians website.

Shadowing a dietitian

At North Bristol NHS Trust, we don’t routinely offer opportunities to shadow dietitians. Instead, we run virtual allied health professional events. This will give you the opportunity to find out more about what working as a dietitian in a hospital is like.

To find out more about when our next event is, follow us on Twitter @nbt_dietitians or email dieteticenquiries@nbt.nhs.uk

Contact Nutrition & Dietetics

Kendon House
Kendon Way
Southmead Hospital
Bristol

Telephone:  0117 414 5428 or 0117 414 5429

Nutrition & Dietetics Service

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Dietitians at North Bristol NHS Trust (NBT) provide both an inpatient and outpatient service.

Inpatient services

Our inpatient team is made up of dietitians who work within North Bristol NHS Trust providing a dietetic service to all wards.

The service is available between 8:30am - 4:30pm Monday to Friday.

  • If you are an inpatient and your care team thinks you would benefit from seeing a dietitian, they will refer you directly.
  • If you are an NBT health care professional and want to refer an inpatient to the nutrition and dietetic service, please do so via ICE.

Malnutrition is common in hospital patients and it’s important that it’s identified and treated early to reduce recovery time and complications. Each patient should be screened for malnutrition risk on admission to hospital and weekly throughout their stay. At NBT, we use the BAPEN Malnutrition Universal Screening Tool (MUST).

We use a range of assessment techniques to devise and review nutritional plans for patients. The aims of treatment are to improve nutritional status or symptoms to aid recovery.

Outpatient Services

Outpatient clinics are run at Southmead Hospital Bristol and Cossham Hospital where adult patients can be treated for conditions under a range of different specialties including:

For more information click on the relevant specialty above to find out more.

If you are a clinician and want to refer a patient to a specialist outpatient clinic please view Nutrition & Dietetics – For Clinicians.

Community Services

  • Patients who continue to need support to increase nutritional intake following discharge from hospital will be referred to the Community Nutrition and Dietetic team if appropriate. Read more information about their services.
  • Patients who are being fed through a feeding tube (enteral feeding) will be referred to the Home Management Service (HMS). HMS will make arrangements to deliver feed products at home and to monitor progress. This service covers all of Bristol, South Gloucestershire and North Somerset.
  • If a patient requires specialist dietetic input, the ward dietitian will arrange follow up through the GP or book directly into clinic.
  • If you have never seen a dietitian and think that you need to, you can ask your GP, practice nurse or hospital consultant to refer you depending on the nature of your condition.
  • If you have seen a dietitian at North Bristol Trust in the past, you can telephone the dietetics department directly and ask if you would need a referral.

Patient Handover for Clinicians

Inpatient handovers

If you are a dietitian and your patient has been transferred to NBT, please ring the department on 0117 4145428 to hand over.

Please note that University Hospitals Bristol also provide inpatient care to patients in the Bristol area.

Community handovers

If a patient has been discharged to the Bristol community, please contact the community team to handover.

If the patient has been discharged to the Bristol community and is receiving enteral nutrition, please contact the Home Management Service to handover.

Contact Nutrition & Dietetics

Kendon House
Kendon Way
Southmead Hospital
Bristol

Telephone:  0117 414 5428 or 0117 414 5429

Neuro-Rehabilitation

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Outpatient services

Outpatient services for Neuro-Rehabilitation include clinics in:

  • General neurological rehabilitation
  • Spasticity
  • Head injury
  • Intra-thecal Baclofen

Clinics will be delivered at Neurosciences Outpatients, Level 1, Brunel building, Southmead Hospital, as well as satellite clinics at:

  • BraMS Unit
  • West of England MS Therapy Centre, Bradley Stoke
  • Portishead Marina Health Centre
  • Knowle Clinic, Broadfield Road, Knowle

Inpatient Management

Frenchay Brain Injury Rehabilitation Centre is a regional/supra-regional unit for the management of patients with neuro-physical and/or neuro-behavioural consequences following acquired brain injury who need intensive in-patient neurological rehabilitation. Frenchay Brain Injury Rehabilitation Centre remains at the Frenchay Hospital Site.

Neuro-Rehabilitation

Neuropsychology Useful Links

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www.brainandspine.org.uk The Brain & Spine Foundation website contains information resources for people with neurological conditions.

www.bps.org.uk Free leaflets aimed at the general public. More topics will appear over the next few months, so please revisit the site.

www.encephalitis.info The Encephalitis Society website provides evidence based information on all aspects of the condition in printed, electronic, video and audio formats .

www.epilepsy.org.uk Epilepsy Action was set up in 1950, and since then the Association has changed dramatically, but their aim is still the same - to raise awareness of epilepsy.

www.headway.org.uk Headway, the charity that works to improve life after brain injury.

www.neurosymptoms.org NeuroSymptoms is a website about symptoms that are neurological (such as weakness, numbness or blackouts), real (and not imagined), but not due to neurological disease. The website is written by a neurologist with a special interest in these problems and aims to give you a better understanding of these symptoms. It has no advertising and does not make any money for the author.

What My Neuropsychology Report Means

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What Does My Neuropsychology Report Mean?

Your neuropsychology report might include words that are unfamiliar. This guide explains some of the common terms in simple, everyday language to help you understand what they mean.

Attention and Concentration

This is about how well you can focus on something, stay focused, and shift your attention when needed. It’s like your brain’s ability to “tune in” and stay on task.

Divided Attention

This means doing more than one thing at the same time—like listening to someone while writing something down. It shows how well your brain can manage two tasks at once.

Verbal Intelligence

This refers to what you’ve learned through life and education, especially using language. It helps give an idea of how your brain worked before any illness or injury.

Visuospatial Skills and Non-Verbal Reasoning

These are your brain’s visual and problem-solving abilities. They don’t rely on words. They show how well you can understand shapes, patterns, and space.

Working Memory and Mental Flexibility

  • Working Memory is like a mental sticky note. It helps you hold and use information for a short time—like remembering a phone number long enough to dial it.
  • Mental Flexibility is your ability to switch between tasks or ideas, like changing plans when something unexpected happens.

Anterograde Memory

This is your ability to learn and remember new things. It includes remembering things you hear (like names) and things you see (like faces or places).

Language Function

This includes how easily you can find the right words, speak clearly, and understand what others are saying. A speech and language therapist may also help assess this.

Verbal Fluency

This is how easily and quickly you can come up with words. For example, naming as many animals as you can in one minute. It shows how well your brain can find and use words.

Processing Speed

This is how quickly your brain can take in and respond to information. It’s like how fast your brain’s “engine” runs when doing tasks.

Psychomotor Speed
This is how quickly your brain can send signals to your body to move. For example, how fast you can press a button when you see a light.

Executive Function

These are your brain’s “manager” skills. They help you plan, stay organised, solve problems, and control your behaviour. These skills are important for everyday life.

Percentiles

These show how your scores compare to other people of a similar age. For example, if you’re in the 60th percentile, it means you did better than 60 out of 100 people.

Extra Terms You Might See in Your Report

These terms may appear in your neuropsychology report or be mentioned during your assessment. Here’s what they mean in simple language.

Cognitive Functioning

A general term for how well your brain is working in areas like memory, attention, language, and problem-solving.

Insight

How well someone understands their own condition or difficulties. For example, whether they are aware of changes in their memory or thinking.

Judgement

Your ability to make good decisions and understand the consequences of your actions.

Mood and Affect

  • Mood is your emotional state over time (e.g. feeling low or anxious).
  • Affect is how your emotions appear to others (e.g. flat, tearful, or cheerful).

Fatigue

Mental tiredness that can affect thinking, memory, and concentration. It’s common after brain injury or illness.

Confabulation

When someone unintentionally fills in memory gaps with made-up or incorrect information. They’re not lying—they believe it’s true.

Perseveration

Repeating the sam word, idea, or action even when it’s no longer helpful. This can happen after brain injury.

Inhibition

Inhibition is the ability to stop yourself from doing or saying something that might not be appropriate or helpful. It helps you pause and think before acting. If someone has difficulties with inhibition, they might act or speak without thinking, which can lead to impulsive behaviour.

Concrete Thinking

Thinking in a very literal way. People with this difficulty may struggle with jokes, metaphors, or abstract ideas.

Abstract Reasoning

Your ability to understand complex ideas, spot patterns, and think about things that aren’t directly in front of you. It’s important for problem-solving and flexible thinking.

Orientation

Being aware of time, place, and person. For example, knowing the date, where you are, and who you’re with.

Sensory-Motor Function

How well your brain and body work together to control movement and respond to touch or other sensations.

Lateralisation

Which side of the brain is more active or responsible for certain tasks. For example, in right-handed people language is usually controlled by the left side of the brain.

Dysexecutive 

A group of difficulties linked to problems with executive function. It can include poor planning, impulsivity, trouble switching tasks, and difficulty managing emotions.

Functional Impact

How your cognitive difficulties affect your everyday life—like work, relationships, or daily tasks.

Neuropsychology Frequently Asked Questions

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Before Your Appointment

How do I get referred?

You can be referred to our service through your GP or other medical professional. Please note we only accept NHS referrals. 

How will I know when my appointment is?

We will send you your appointment details by text message once your appointment has been made. We will often call you to make sure the time works for you before booking. 

You can find more information about online letters Digital communications at North Bristol NHS Trust.

Can someone come with me?

Yes, you’re welcome to bring a family member, friend, or carer. They may be asked to wait in the waiting room or return later during cognitive testing sessions to limit distractions.

What if I need accessibility support?

  • British Sign Language (BSL) interpreters
  • Communication aids
  • Extra time during the appointment
  • Easy-read materials

We want to make sure your visit is as comfortable and accessible as possible.

Mobility support: The Rosa Burden Centre has level access and is wheelchair accessible. Please bring any mobility aids you normally use (such as a wheelchair, walker, or stick)

Communication support: If you have difficulty speaking, understanding, or hearing, we can provide support. This may include:

 If English is not your first language, we can arrange for a professional interpreter to support you during your appointment. We can also provide translated versions of important documents or appointment information in your preferred language, where possible.

To arrange this, please contact us as soon as you receive your appointment letter. Let us know:

  • The language you need
  • Whether you need an interpreter in person or by phone/video
  • If you need any written materials translated

If you need any of these services, or if you're unsure what support might help, please contact us before your appointment. We're here to help.

Preparing for Your Visit

What should I bring with me?

Please bring your glasses or hearing aids if you use them, any previous psychological or neuropsychological assessment reports, and your appointment letter.

Do I need to prepare or study beforehand?

You don’t need to study or prepare before your assessment. Just get a good night’s sleep, eat beforehand, and bring anything you normally use like glasses or hearing aids.

What if I feel anxious about the appointment?

It’s completely normal to feel nervous. The neuropsychologist will explain everything clearly and make sure you’re comfortable. You can take breaks if you need to.

I’m worried about my memory, should I be worried? 

It’s very common to have concerns about memory, many people notice changes, especially during times of stress or illness. A neuropsychological assessment can help understand what’s going on.

During the assessment, we’ll look at your memory and other thinking skills. This helps us see whether your memory is working as expected. If it isn’t, we’ll explore possible reasons and suggest next steps to support you.
 

Arriving at the Clinic

Where is the clinic located?

Our clinic is based in the Rosa Burden Centre, which is part of the Southmead Hospital site in Bristol.

The Rosa Burden Centre is located near the Dorian Way entrance, separate from the main Brunel Building. It’s a short walk from the main hospital car parks.

If you're unsure where to go when you arrive, staff at the main entrance of Brunel building can help direct you.

Is there parking or public transport nearby?

Yes. Southmead Hospital has several public car parks, including multi-storey and accessible parking areas. Charges apply 24/7, and you can pay by card or phone. Spaces can be limited, so please allow extra time.

The hospital is also well served by public transport, with over 12 bus routes stopping on or near the site. The nearest train stations are Bristol Parkway, Filton Abbey Wood, and Temple Meads, all with bus connections to the hospital.

For full travel and parking details, visit Southmead Hospital | North Bristol NHS Trust

What happens when I arrive?

Please check in at reception and wait in the quiet reception area. A member of the team will come to meet you and guide you through the next steps.

During the Assessment

What will I be asked to do?

When you attend the appointment(s):

  • You may be asked to discuss your difficulties with a neuropsychologist.
  • You may be asked to do some tests of your thinking skills, like memory.
  • You may be asked to complete some questionnaires about your emotions, for example stress and worry, or feelings of unhappiness.

If appropriate, you will have an assessment of your thinking skills, such as your memory ability, and of how you are feeling emotionally. This will be done either face to face or by video-call, through questionnaires and cognitive tests. The assessment requires concentration and effort, and some people may feel tired afterwards.

Will the assessment be painful?

No, the assessment is not painful. It involves talking and doing pen and paper tasks, there are no needles, scans, or physical procedures.

How long will it take?

Appointments can range from 1 to 4 hours, depending on the reason for your referral. You’ll be told in advance how long to expect.

The cognitive testing session typically does require a lot of concentration and effort. The reason it takes a long time is because there is a lot that the brain can do, and we want to ensure we have given you every opportunity to demonstrate what abilities you have and what things are a problem for you.

Can I take breaks if I get tired?

Yes, absolutely. There is the opportunity to have breaks and take rests should you find the assessment tiring. There are times during the assessment where it might be difficult to stop immediately to take a break but if you let the clinician know when you need a break, they’ll create space for a break as soon as possible.  

What if I can’t finish the assessment?

That’s okay. If you feel unwell or too tired to continue, we can stop the session and make a plan to complete the assessment on another day. 
 

After the Assessment

What happens after the assessment?

The neuropsychologist will review your results and write a report, considering your medical history and referral reason.

You may be invited back to go over the results of your assessment, their implications and any potential ways forward to improve things. Sometimes this will involve further appointments for rehabilitation / therapy as appropriate.

When and how will I get the results?

The results of the neuropsychological assessment are typically described in a report that goes to the referring doctor and any other professionals involved in your care. Often, but not always, the report is also copied to you. When this does not happen, it is because it would be more helpful for the referring doctor to describe the neuropsychological assessment results to you together with other test results and clinical information. In this way, the referring doctor can formulate a diagnosis or plan with you.
The length of time for a report to be completed can vary depending on the service you are under within neuropsychology. If you would like more information about the timeline for your report, please ask the psychologist/neuropsychologist that you are seeing.

Will the results affect my ability to work or drive?

The assessment itself doesn’t make decisions about work or driving. However, if the results show difficulties that could affect safety or performance, your healthcare team may discuss this with you and offer guidance or support.

Can I ask questions about the report later?

Yes. If you have questions or need help understanding the report, you can contact the team. We’re happy to explain the results and what they mean for you.

Who will I see during my appointment?

In most cases, your cognitive testing session will be carried out by an assistant psychologist —a trained member of the team who works under the supervision of a qualified clinical neuropsychologist/psychologist.

You may also meet a neuropsychologist or clinical psychologist, especially during your first appointment, for feedback, or if further sessions are needed. Everyone you meet will be experienced, supportive, and there to help you feel at ease.

What is a neuropsychologist?

A neuropsychologist is a psychologist who specialises in how the brain affects thinking, memory, emotions, and behaviour. They use this knowledge to assess how your brain is working and to help understand any changes you may be experiencing.
Neuropsychological assessments are a way of describing and measuring the effects that changes in the brain can have on thinking skills, behaviour, and emotion.
Changes in thinking skills and behaviour may be caused by aging, brain damage or disease, and sometimes by stress or low mood.  
Neuropsychologists also commonly provide rehabilitation and treatment to help people manage and work around any difficulties they might have. 

Find out more about the Neuropsychology Team
 

Follow-Up and Next Steps

Will I have more than one appointment?

It depends on your needs and reason for referral. Many people only need one appointment for assessment. However, you may be invited back for a feedback session or further appointments if more support or information is needed.

What happens if I need further support after the assessment?

If your assessment shows that you would benefit from extra help, we’ll make recommendations. This might include referrals to other services, strategies to support your daily life, or follow-up appointments with our team.
 

Why have I been referred for a neuropsychological assessment?

You might be referred to see a neuropsychologist for a number of reasons including:

  • To help you and/or your healthcare providers understand more about how your thinking skills are working, to assist with making a medical diagnosis, or assess the impact of a neurological condition/illness on your thinking skills, mood, and coping.
  • To help evaluate your suitability for surgery or to monitor the effects of surgery or medical treatment.
  • To try and identify what might help with any changes to thinking, emotions, or behaviour you are experiencing.
  • To help you cope with the effects of a neurological illness or injury and/or provide advice on cognitive strategies or psychological treatments that may be useful to you.

If you have been sent this appointment for cognitive testing:

  • To see how your brain is working and/or how you are coping with a neurological injury/condition.
  • To try to identify what would help you cope better with your difficulties.
  • The primary purpose of your assessment will be explained to you at your appointment.

How will this assessment help with my treatment or care?

The assessment helps build a clearer picture of your strengths and any areas where you might need support. This information can guide your treatment, help with diagnosis, and support decisions about work, daily life, or rehabilitation.