Before the first appointment families are asked to fill in a questionnaire (ICFET) and keep a food diary for 3 days.
When they arrive at outpatients, a nurse measures the child’s height and weight.
When we see families in the clinic, they usually meet all the member of the team at once. We sometimes have other health professionals and students sitting in; if so we will always ask permission for this.
Each team member asks a range of questions
Paediatrician: will ask about the medical history including development and may carry out a brief physical examination of your child. They usually measure skinfolds: a simple, painless test to see how much a child has in the way of fat reserves.
Dietitian: will ask about diet, including any supplements or tube feeds
Clinical Psychologist: will ask about behaviour at meal times and at other times and how this is managed.
Families then have a chance to ask questions and then return to the waiting area while the team take a few minutes to discuss what they have heard.
The family then come back in and the team share their impressions and pitch suggestions about what should happen next.
A plan is then agreed with the family and recorded in letter sent to the referrer, the family and other people involved.