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Services

Home enteral feeding support.

Long-term tube feeding, blended diets, complex needs. This is the area I've stayed in across the NHS, and where many private dietitians don't go. If your child is tube-fed, I understand the daily reality of it.

Child enjoying a healthy meal
Colourful fresh food for children
Parent and child preparing food together
Baby exploring food during weaning
Fresh fruit and vegetables
Family mealtime with healthy food
Child with a balanced plate
Healthy ingredients for children's meals
Baby-led weaning with finger foods
Mother feeding infant
Happy family eating together
Child enjoying a healthy meal
Colourful fresh food for children
Parent and child preparing food together
Baby exploring food during weaning
Fresh fruit and vegetables
Family mealtime with healthy food
Child with a balanced plate
Healthy ingredients for children's meals
Baby-led weaning with finger foods
Mother feeding infant
Happy family eating together
What I cover

Specialist support for tube-fed children.

Long-term gastrostomy & NG feeding

Ongoing dietetic management for children on gastrostomy or nasogastric tube feeds. Feed selection, volume and rate adjustments, growth monitoring, and troubleshooting when things aren't working.

Blended diets

Supporting families who want to use blended food through a gastrostomy. Safe preparation, nutritional adequacy, practical recipes, and balancing blended feeds with commercial formulas.

Tolerance issues & feed planning

When a child isn't tolerating their feed - retching, vomiting, dumping, bloating, pain. Systematic assessment of what's going wrong and adjustments to make feeds more comfortable.

Neuro-disability nutrition

Children with cerebral palsy, genetic conditions, acquired brain injury, and other neuro-disabilities have complex nutritional needs. I work across the full range - oral feeding adaptations, supplementation, tube feeding, and growth monitoring.

Why this matters

Complex feeding needs specialist input.

Home enteral feeding is an area where many families feel under-supported once they leave hospital. NHS community dietetic services are stretched, appointments are infrequent, and when something goes wrong with a feed at 10pm on a Tuesday, there's often nobody to ask.

I continue to work in the NHS community supporting complex tube-fed patients, so I'm current with the latest evidence and practice. Privately, I can offer more frequent, more flexible input - and the kind of detailed troubleshooting that time-limited NHS appointments don't always allow for.

Whether your child has been tube-fed since birth or has recently had a gastrostomy placed, whether you're managing tolerance issues or want to explore blended diets, I can help. This is the work I find most rewarding, and it's where I've built the deepest experience.

Common questions

Things parents ask about enteral feeding.

There are many reasons - difficulty swallowing safely (dysphagia), inability to take enough nutrition orally for adequate growth, neurological conditions affecting feeding, severe reflux, or conditions requiring supplemental nutrition. A tube is a tool to support growth and health when oral feeding alone isn't enough.
Yes. Many families I see have an NHS team but want additional or more frequent dietetic input, or they've been discharged and still need ongoing support. I'm happy to work alongside hospital teams and can communicate with them if that's helpful.
An NG (nasogastric) tube goes through the nose into the stomach - it's usually shorter-term. A gastrostomy is a tube placed directly into the stomach through the abdominal wall, typically for longer-term feeding. The choice depends on how long tube feeding is expected to be needed and other clinical factors.
When done properly, yes. It needs careful planning to make sure it's nutritionally adequate, the right consistency for the tube, and prepared safely. I help families do this well - it's one of the areas where private dietetic input can really add value beyond what NHS services typically offer.
This is one of the most common things I see. There are many possible causes - feed rate, volume, osmolality, positioning, underlying reflux, the formula itself. A systematic review usually identifies what needs to change.
Yes, though this is often a multidisciplinary process involving speech and language therapy alongside dietetics. I can support the nutritional side - managing the transition safely so growth is maintained while oral intake builds.
It depends on the child. It might be growth monitoring using condition-specific charts, calorie and micronutrient assessment, texture modification for safe swallowing, supplementation, tube feed management, or all of the above. Every child with a neuro-disability has different needs.
Book a consultation

A clear plan,
built around your little one.

All consultations are online and you can self-refer directly. You'll receive a written plan after every appointment.

How it works
Initial consultation · £90

Thorough assessment & plan

Your first appointment is 60 minutes. It includes a full clinical and dietetic assessment, and you'll receive an agreed, written plan to take away.

Follow-up · £60

Review & adjust

Follow-ups are 30 minutes. We review the plan, problem-solve anything that's come up, and adjust guidance as your child progresses.

What's included
Full dietary and clinical history
Growth chart review and interpretation
Assessment of current intake and feeding patterns
Identification of any nutritional gaps or concerns
A clear, written plan with specific recommendations
Guidance on next steps and when to come back

Currently self-pay only. All fees are VAT-exempt as registered healthcare services. I provide receipts with my HCPC registration details which you can submit to your insurer.