Growth and Nutrition Advisory Service referrals

We accept non urgent requests for assistance via Emis Web inbound referrals for:

Cases of suspected weight faltering
Overweight/obesity
Suspected non IgE cow’s milk allergy
Faddy eating

Please follow Infant Feeding Guidelines for breast fed infants under 6 months.

The Growth and Nutrition Advisory Service will support the health visitor/ family nurse to manage problems in the community for the nutritional issues.

How to make a referral

Guidance on making a referral to Community Children's Services (which includes the GNA Service) via Emis Web can be found here.

Specific guidance on completing the referral documentation for GNAS can be found here.

Specific questions to consider when making your referral

Add related information
- Birthweight
- Recent weights and lengths or heights
Feeding difficulties (including observations from witnessed feed if available) - eg slow to feed, aversion, distress etc.
Symptoms
- Reflux
- Constipation
- Diarrhoea, mucus in stools, blood in stools
Family history of obesity and parental BMI if available
Any other health or social concerns as well as listing any other professionals involved

Referral exclusions

If the child is acutely unwell, they should be seen by a GP and referred acutely in the usual way
Children currently attending paediatrics and dietetics – unless requested directly from these services