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Clinical Nutrition Blog
Articles explore topics including digestive health, metabolic conditions, malnutrition and expert witness work in clinical nutrition cases.
Latest Articles


Malnutrition After Brain Injury in Hospital: When Does It Become Negligence?
Learn when malnutrition after brain injury may be considered negligence, including failures in nutritional care, feeding delays, and dysphagia management.


Dysphagia After Brain Injury: Nutritional Risks and Management
Learn how dysphagia after brain injury affects nutrition, including aspiration risk, feeding support, and safe nutritional management.


Can Malnutrition Materially Contribute to Death?
Malnutrition in hospital patients may become legally significant when analysing whether nutritional decline materially contributed to death.


Does Nutrition Affect Recovery After Brain Injury?
Learn how nutrition affects recovery after traumatic brain injury, including metabolic changes, feeding support, and rehabilitation nutrition.


Enteral Feeding Errors in Children: When Does Nutritional Support Become Negligent?
Enteral feeding supports children with complex medical needs. Learn when feeding errors may become significant in paediatric negligence cases.


Hospital Malnutrition in Children: When Does It Become Negligence?
Hospital malnutrition can occur when children’s nutritional needs are not recognised during admission. Learn when hospital nutrition care becomes legally significant


Delayed Dietetic Referral in Children: When Should a Paediatric Dietitian Be Involved?
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 Negligence: When failure to prevent it becomes a breach of duty
Refeeding syndrome is a preventable complication of severe malnutrition. Learn when failure to follow NICE nutrition guidelines may constitute clinical negligence.


Growth Chart Negligence: When Should Faltering Growth Trigger Investigation?
Growth charts allow clinicians to identify faltering growth and monitor a child’s development over time


Failure to Thrive vs Faltering Growth: What the Difference Means in Clinical and Legal Cases
Understand the difference between failure to thrive vs faltering growth, why terminology matters, and how growth chart interpretation becomes relevant in medical negligence cases.


What Is Involved in a Medico-Legal Nutrition Expert Witness Report?
Rick Miller is a UK Registered Dietitian providing independent expert witness evidence in clinical nutrition and hospital malnutrition negligence cases.


Dietetic Referral Negligence: When Should Referral Be Routine and When Urgent?
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


MUST Score Negligence in Hospital Care: When Does Legal Risk Arise?
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 & Anaphylaxis in Schools: The Nutrition Expert Witness Perspective
Food allergy and anaphylaxis in schools: dietitian expert witness explains risks, care standards, and negligence issues.


Feeding Disorders in Children: From Clinical Care to Courtroom Evidence
Dietitian outlines feeding disorders in children, management approaches, and medico-legal considerations.


Paediatric Malnutrition: The Dietitian’s Role in Negligence Cases
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 Does Malnutrition Become Clinical Negligence? A Case Every Solicitor Should Read
When nutrition is overlooked, duty of care is breached. Expert Witness Rick Miller explains how early dietetic action prevents litigation.


Failure to Thrive Negligence: When Does Poor Growth Become a Safeguarding or Clinical Concern?
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 Weight-Loss Drugs and Malnutrition: What You Need to Know
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.


Dietary Management of Inflammatory Bowel Disease: What the Evidence Really Says
Dietitian explains evidence-based dietary management of IBD, with clinical insights and medico-legal considerations.
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