Learn when a dietitian should be involved after brain injury and how delayed referral may impact nutrition, recovery, and clinical outcomes.

Learn how aspiration pneumonia occurs after brain injury, the role of dysphagia, and how feeding decisions impact patient safety.

Learn how patients may be eating but still not meeting nutritional needs after brain injury, and how this impacts recovery and clinical outcomes.

Learn when delayed feeding after brain injury becomes a concern, the risks involved, and how it may impact recovery and clinical outcomes.

Learn when enteral feeding is required after brain injury, including tube types, risks, and best practice nutritional management.

Learn when weight loss after brain injury becomes a concern, including causes, risks, and when it may indicate inadequate nutritional care.

Learn how nutritional status is monitored after brain injury and the common failures that lead to missed malnutrition and delayed intervention.

Learn when malnutrition after brain injury may be considered negligence, including failures in nutritional care, feeding delays, and dysphagia management.

Learn how dysphagia after brain injury affects nutrition, including aspiration risk, feeding support, and safe nutritional management.

Malnutrition in hospital patients may become legally significant when analysing whether nutritional decline materially contributed to death.

Learn how nutrition affects recovery after traumatic brain injury, including metabolic changes, feeding support, and rehabilitation nutrition.

Enteral feeding supports children with complex medical needs. Learn when feeding errors may become significant in paediatric negligence cases.

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.