AREAS OF SUPPORT
What we help with
Acquired and traumatic brain injury, stroke and other neurological conditions
Tube feeding, including PEG and nasogastric feeding, and the move from tube to oral eating
Modified-texture diets to IDDSI levels, with the speech and language therapist
Weight, muscle, wound healing and skin integrity during rehabilitation
Liaison with the GP, the treating team and community services
HOW IT WORKS
Three steps
01
A free call
The client's needs, location and funding. We say which option fits, who delivers it, and the rates.
02
Assessment and plan
A 60-minute assessment at home or by secure video, and a written plan for the case-management file.
03
Reviews and reports
Reviews by secure video, progress reports for the file, and liaison with the team as agreed.
Focused Care · 3 sessions over 8 weeks. Extended Care · 6 sessions over 16 weeks. Rates on request, in writing for the deputy's or funder's approval. Terms of engagement are sent with the quote.
COVERAGE
Where we work
North West, in person: our North West dietitians cover Cheshire, Merseyside and Greater Manchester
London and the South, in person
The rest of the UK, by secure video
Adults at present. For paediatric case management, ask us
Tell us where the client lives and we will confirm who would deliver
WORKING WITH CASE MANAGERS
What case managers ask us
01
Rates a deputy can approve
Itemised rates in writing before work starts. Funded work starts on written authorisation or a purchase order.
02
Shared travel
Where we see more than one client in an area, we arrange visits together and share the travel cost.
03
Working with the NHS
We add specialist dietetic input to the care the client already receives from NHS and statutory services.
Liaison, reports and team meeting time are agreed up front with the deputy or insurer. We tell you in advance when shared travel applies.
QUESTIONS
Before you refer
Who delivers the care?
Every case is delivered by a named treating dietitian, who holds clinical responsibility for the assessment, the care plan and the care report, and who signs that report. Rick Miller, Registered Dietitian (HCPC DT25651), provides clinical oversight of the service.
Is this connected to Rick Miller's expert-witness work?
No. Rick Miller's medico-legal expert-witness practice is separate and is kept independent of the cases we treat. Where a matter needs an independent expert opinion, that is instructed separately, and Rick Miller does not act as expert in any case that Rick Miller Dietitian or Miller Health is treating or has treated. Our reports are written for the case-management file. They are not expert-witness reports and are not prepared under CPR Part 35.
Do we need to give the client's details on the first call?
No. If the client, or the person authorised to act for them, has agreed to you discussing them with us, you can. If not, leave out their name, date of birth, address and any claim reference. We will ask whether the client is in a legal claim and which firms act, so that we can check for any conflict with Rick Miller's expert-witness work before we quote. We will need the client's details to complete that check before treatment starts.
Do you work with children?
This service is for adults at present. For paediatric case management, ask us and we will tell you what we can arrange.
