Skip to content

View navigation

COVID-19 service update:

We are accepting all appropriate referrals into the service. Most consultations will be delivered remotely, however where it is deemed clinically appropriate support will be offered face to face with you at home.

You may find the following website pages useful:

Or you can watch a summary of what to expect from different types of appointment in the following animations:


Adult Home Enteral Feeding (HEF) Service

What is the Home Enteral Feeding (HEF) service?

We are a community based service which provides dietetic and specialist nurse support for patients who have a feeding tube.

The HEF team includes:

  • Dietitians
  • Dietetic Assistants
  • Feeding company Specialist Nurse Advisors

We work closely with the company who provide your feeds and feeding equipment that you need. We also work alongside the Hospital, District Nurses and other health care agencies in order to provide ongoing, high quality care.

What does the Home Enteral Feeding (HEF) service provide?

  • Support and monitoring of your feeding needs
  • Training to set up your feed and equipment
  • Advice on looking after your feeding tube and stoma site
  • Support on discharge from hospital
  • Support with any emotional and social aspects of enteral feeding

Who's it for?

Adults with feeding tubes - if you are the parent/carer of a child with a feeding tube, please visit the Children’s Nutrition and Dietetics page.

When will I see a member of the Home Enteral Feeding (HEF) team?

Your first contact will usually be with the feeding company specialist nurse advisor who may arrange to visit you within five working days of discharge from hospital. The feeding company specialist nurse advisor will inform the Dietitian what you discussed during the consultation and the Dietitian will then arrange to assess you. After this, a member of the team will review your progress every 3-6 months or sooner if required - this could be by visiting you at home or by telephone.  We can also use text messaging, video call or email as a way of communicating with you if you prefer.

Please note: If your initial assessment is in person it may last between 60 - 90 minutes. Future visits will usually be shorter.

Please note that we may need to rearrange your appointment at short notice if an emergency arises.

What will happen during a review?

By agreeing to be seen by the HEF team we will assume that you are consenting to treatment from us. We will always discuss any treatment with you and agree on an appropriate treatment plan to best suit your needs.

Things we will monitor and discuss with you:

  • Feeding regimen through your tube
  • Weight
  • Any food or fluid taken by mouth
  • Bowel habits
  • Lifestyle changes
  • Tube and feeding equipment support
  • Your stoma site (skin surrounding your tube)

To help us monitor any treatment it may also be useful for us to take a photograph of your stoma site.  We will ask for your consent before doing this.

What will happen when I’ve seen a member of the Home Enteral Feeding (HEF) team?

Information gathered during your consultation will usually be put into a report which will be sent to you and all healthcare professionals involved in your care.

Please inform us if you do not wish for your information to be shared with other healthcare professionals.

After a review, your next planned visit will be recorded on the report or verbally agreed with you. A member of the team will contact you in the days beforehand to arrange a date and time that is convenient for you.

When to contact us?

It is important to contact us as soon as you become aware of any problems or changes relating to;

  • Your feed
  • Your feeding tube
  • Your stoma site
  • Being admitted to hospital - please ask someone to let us know
  • Being discharged from hospital - we will see you at your next scheduled appointment unless your hospital Dietitian contacts us to advise that you need to be seen before this.

Please contact us if you feel that you need to be seen sooner than your next scheduled appointment.

Referrals 

We only accept referrals directly from hospital dietitians after tubes have been placed.

How to contact the Home Enteral Feeding (HEF) team:

Telephone on 0113 8430892. Please leave a message on our answer machine with your name, contact number and reason for your call.

Email at efadminleedscommunity@nhs.net

Please be aware that email is not a secure means of communication.  If you require a secure means of communication or need to speak to someone urgently, please contact us by telephone.

Answer machine messages and emails are checked regularly during office hours and someone will get back to you as soon as possible.  

Our service is available Monday to Friday (except bank holidays) from 8.30am to 4.30pm.

Out of hours:

If you need help outside of the HEF team office hours, please call Fresenius-Kabi Homecare 24 help line on 0808 100 1990 for telephone advice/support from specialist nurse advisors.

If you have a complaint , concern, comment or compliment, please let us know by speaking to a member of staff at your health centre, clinic or home. You can also call the Patient Experience team (PET). Call 0113 220 8585 (9:30am - 4:30pm, Monday – Friday) or email lch.pet@nhs.net

Nutrition & Dietetics  -  Home Enteral Feeding Team 2020

A questionnaire was sent out [to a group of patient’s] requesting feedback relating to the Home Enteral Feeding Dietetic service they received during lockdown and, if lockdown were to happen again, how we could improve.

Feedback from a sample of Home Enteral Feeding Dietetic service patients has been collated, following March 2020 Covid19 lockdown, to help guide service improvements

Response Rate: 30%

"Excellent service during Covid 19"

"A Dietitian has been in regular contact  by phone... this works well for me"

"I think the service has still been accessible and my needs met throughout the pandemic"

"Nothing needs to change if it happens again. The care has still been first class"

"Excellent considering the current situation”

"Only drawback has been the inability to get weighed. I think I am losing weight but  I have no way of knowing"

You said…

  • That you would like to have your weight measured
  • That you wanted to be contacted by a particular method
  • That you require ongoing support from the Enteral Nurses
  • "The support has still been first class and I have never felt alone or distressed"

We did…

  • We are making hoist scales available so that patients can be weighed at home
  • We continue to contact patients by their preferred contact method, either phone, video consultations, email or text messages
  • The Enteral Nurses have continued to provide remote and in person support for all HEF patients "I ring if I need help and the nurses are very good and have always sorted my problems out"

 

Continuing to listen to you…from 2021 we are still keen to hear your views and will continue to share them on this website. Please use QR code or click on the link below to have your say…

Internet QR code

or click on link here 

Tel: 0113 843 08 92

efadminleedscommunity@nhs.net
Mon to Fri 9:00am to 4:30pm (excluding Bank Holidays)

We offer home visit or telephone appointments and can also provide support via email where communication difficulties exist.

If you are having issues with tube equipment or delivery please call Fresenius Kabi on 0808 100 1990

We are currently reviewing our website to make all content accessible. If you are looking for a download, such as a leaflet or booklet that you can no longer find, please contact the service on the details above.

What to do if you need to speak to someone urgently...