If you change one food or nutrient, your whole diet and nutritional intake changes with it. This could put you at risk of nutrient deficiency or excess. This is why expert dietary advice is needed if you plan to make significant changes to your diet.
Dietitians can work with both healthy and sick people in any setting. They are the only qualified health professionals that assess, diagnose and treat dietary and nutritional problems at an individual and wider public health level. They use up-to-date public health and scientific research on food, health and disease to create treatment plans, advice and guidance.
Nutritionists are qualified to provide information about food and healthy eating. They work in different roles including public health, health improvement, health policy, local and national government, the private sector, non-governmental organisations (NGOs) and education and research.
Nutritional therapists use diet and lifestyle advice to prevent or treat ailments. This advice is often based on complementary ‘medicine’ recommendations.
Such recommendations may include guidance on detoxification, colonic irrigation, use of supplementary nutrients, avoidance of eating, drinking or inhaling ‘toxins’ or ‘allergens.’
However, complementary ‘medicine’ is not recognised as valid treatment by conventional medicine.
More details are available about the difference between a nutritionist and a dietitian from the British Dietetic Association (BDA).
Your GP practice, consultant, specialist multidisciplinary team or hospital team can refer you to a dietitian. You can also ask your healthcare professional for a referral. Consultations with dietitians working in the NHS are free.
People living in a care home or nursing home should also have access to NHS dietitians. You may wish to complete the Patient Association Nutrition Checklist to see what nutritional advice you or a relative may need. Talk to staff about your concerns and ask for a referral to an NHS dietitian. Some homes have regular visits from a dietitian.
Registered dietitians also see clients privately. The BDA website can help you to find a registered freelance dietitian with the right expertise. These dietitians work privately so there will be a charge. You may be covered to see a dietitian by any healthcare insurance.
You can check to see if a dietitian is registered on the Health & Care Professions Council website. If they are not registered with the HCPC it means they are operating illegally.
It is a personal preference as to whether you choose to seek the advice of a dietitian or registered nutritionist. Dietitians are trained to manage disease by adapting diet, which is not part of a nutritionist’s training. You can find out whether the person advising you is a registered nutritionist on the Association for Nutrition website.
For more tips on how to communicate with your health professional, you can watch 'Psychological wellbeing and communication with healthcare professionals' in a short video with useful links by Clinical Psychologist Chandanee Kotecha.
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