Home Enteral Feeding Service
This service provides domiciliary, care home and out-patient
based specialist eating, drinking and swallowing assessment, intervention,
support, supervision and training on a close to home basis, for clients with
a Percutaneous Endoscopic Gastrostomy (PEG).
The priority, in the first instance, will be to review and
assess all clients in the community who have a PEG in situ and input to
Nursing Homes has already begun. Any further identified clients who have a
PEG in situ, in the community, who require assessment, should be referred to
These are the main issues relevant to the service:
Referrals must be from a general/medical practitioner, in writing, either
on the standard Speech and Language Therapy referral form or by letter.
referral must contain information regarding the presenting swallowing
difficulty, along with relevant medical history.
aim to respond within two weeks of receipt of referral.
will be seen either at the hospital as an out-patient, or at their place
of residence, whichever is more appropriate.
Assessment may include videofluoroscopy, to be arranged by the
and recommendations will be sent following our assessment.
the patient requires a thickening agent, we will telephone the patientís
GP to organise an urgent prescription. This will be formalised as a
written request in the initial report.
assessment indicates that oral feeding can be commenced, the
Speech/Language Therapist will endeavour to notify the GP of the
management within 24 hours of assessment such that medical status can be
will also offer Dysphagia Awareness Training and dates and venues have been
organised throughout the year.
If you wish to
discuss any issues regarding the above, please do not hesitate to contact
the Speech/Language Therapy Department.
Tombs Head of Adult Speech/Language Therapy
Team Leader for Community Adults (City)
Speech/Language Therapy Service
Stoke on Trent
Tel: 01782 555677/8
Fax/24 hr answer phone: 01782 555679