Hospital malnutrition can occur when children’s nutritional needs are not recognised during admission. Learn when hospital nutrition care becomes legally significant

When should a child be referred to a paediatric dietitian? Learn when delayed referral becomes clinically or legally significant in paediatric negligence cases.

Refeeding syndrome is a preventable complication of severe malnutrition. Learn when failure to follow NICE nutrition guidelines may constitute clinical negligence.

Growth charts allow clinicians to identify faltering growth and monitor a child’s development over time

Understand the difference between failure to thrive vs faltering growth, why terminology matters, and how growth chart interpretation becomes relevant in medical negligence cases.

Rick Miller is a UK Registered Dietitian providing independent expert witness evidence in clinical nutrition and hospital malnutrition negligence cases.

Dietetic referral timing is one of the most common points of dispute in hospital malnutrition litigation. Allegations are frequently framed around delay — particularly where referral was triaged as routine rather than urgent. However, dietetic referral negligence does not arise simply because a patient was not reviewed immediately. The legal analysis is more structured. Hospitals triage referrals based on screening scores, intake, nil-by-mouth duration, metabolic stability

Malnutrition Universal Screening Tool (MUST) used in hospital nutrition screening to assess risk of malnutrition based on BMI, weight loss and acute disease effect.

Food allergy and anaphylaxis in schools: dietitian expert witness explains risks, care standards, and negligence issues.

Dietitian outlines feeding disorders in children, management approaches, and medico-legal considerations.

Paediatric malnutrition can occur in UK healthcare settings when nutritional care is inadequate. Learn when it becomes negligence and the role of a dietitian expert witness.

When nutrition is overlooked, duty of care is breached. Expert Witness Rick Miller explains how early dietetic action prevents litigation.

What is failure to thrive and when does poor growth become a negligence issue? A paediatric dietitian expert witness explains faltering growth, terminology and legal interpretation.

GLP-1 drugs like Wegovy and Mounjaro are transforming weight loss, but can also lead to malnutrition without proper monitoring. Learn the risks, the legal context, and why expert nutrition evidence matters.

Dietitian explains evidence-based dietary management of IBD, with clinical insights and medico-legal considerations.

Understand resting metabolic rate testing: clinical uses, medico-legal value, and why it matters for patients and solicitors.

Blocking blue light and blue light blocking glasses have moved from the biohacking world to mainstream. But do you need to do it?

Explore the risks of abdominal obesity and metabolic syndrome, including legal implications of missed diagnosis.

Functional Bloating, more than just a nuisance Most people experience gas and bloating after a large meal. When it becomes a daily problem, however, it is more than a minor inconvenience. Functional bloating can affect sleep, confidence and quality of life. In some cases, it may also be a sign of missed or mismanaged clinical care with consequences that extend beyond the consulting room. As a consultant dietitian working in both private practice and medico-legal contexts, I r