In this section

Health Education England (HEE), with support from the BDA, have produced a Roadmap to Practice for first contact dietitians and advanced practitioners in primary care. It includes a set of capabilities to ensure safety and consistency for first contact dietitians and advanced practice dietitians in primary care.

The list of education and training courses outlined below include the core modules which are recommended by HEE as essential for those working in Primary Care in England. There are also other courses suggested by the BDA which may support dietitians to meet some of the capabilities outlined in the roadmap. 

HCPC (Standards of conduct, performance and ethics 2016 standard 3.3 to 3.5, Standards of proficiency - Dietitians 2013 standard 12 and standards of continuing professional development 2018 all) and the BDA (Code of Professional Conduct 2017 standard 3) outline the requirement for continuous professional development.

In order to support the training and development required to meet the capabilities in the roadmap, the BDA commissioned two members to review education and training for dietitians in primary care:

  • One review will be focusing on masters level training and education required – recommendations from this will be available in 2022.
  • One review focused on non-masters levels training and education, which included HEE eLearning modules. Based on the recommendations from this review, and feedback from the roadmap consultation, the BDA have produced a list of training and useful resources that would be beneficial to dietitians in primary care. These include:

The table below provides an overview of the training and education available to support these roles.

Core modules for First Contact Practitioners*

Core modules recommended as essential by HEE for all dietitians working in primary care including:
Additional modules to support First Contact Dietitians

Additional modules, beyond those recommended by HEE, that would be relevant and useful to First Contact Dietitians include but are not limited to:

  • Suicide and Self Harm Prevention
  • Mindfulness
  • Behaviour change

These can be found on the eLearning for health website. 
Additional masters modules to support First Contact Dietitians

Additional masters modules the BDA recommend that would be relevant and useful to First Contact Dietitians include:

  • Advanced clinical assessment module
  • Non-Medical Prescribing
  • First Contact Practice
Core Clinical practice areas

The following areas, frailty, overweight and obesity, diabetes, gastroenterology and paediatrics, would be feasible for Dietitians to develop enhanced skills to support patient care within primary care.

The training needs of each of these areas have been reviewed with input from the BDA specialist groups and a list of relevant training has been outlined.
Modules to support Advanced Practitioners

Additional modules to support dietitians working at advanced practice level, beyond those considered for First Contact Dietitians including:

  • Health Informatics
  • Service Redesign
Useful resources A list of useful websites, links and national guidance.

Other available education and training:

Course Cost Comments
Musculoskeletal primary care programme*: Free to anyone with an NHS email address. Register here

This was developed for MSK but the majority of the content is relevant to multi-professions. The BDA has suggested slight changes to HEE to some of the content.

Each section takes approximately 20 to 30 minutes to complete.

Content includes:

  • What is Primary
  • Care?
  • Identification of the Ill and at Risk
  • Mental Health in Primary Care
  • Complex Decision Making and Managing Patients with Comorbidities
  • Public Health
  • Persistent Pain
  • Overview of Medicines and Prescribing
  • Serious Pathology of the Spine
Personalised Care Institute* Free to anyone with an NHS email address. Register here

Includes:

  • Shared decision making
  • Core skills
  • Personalised care and support planning

Additional modules to support First contact dietitians. The BDA highly recommend those marked with a *.

Course Cost Comments
Person Centred Approaches* (includes 11 sessions) Free to anyone with an NHS email address. Register here Will help ensure a holistic approach to care and increase awareness of wider community services available to support /signpost people to in their own environments. Takes around 5 hours to complete.
Advanced Practice Toolkit* Free to anyone with an NHS email address. Register here Useful introduction to the document “Multi Professional Framework for Advanced Clinical Practice in England”.
MindEd – Suicide and Self Harm Prevention* Free to anyone with an NHS email address. Register here Comprehensive guide on identifying at risk patients with suggestions and verbal prompts to support the healthcare professional.
Non-medical prescribing course* Course fees. If working in England, speak to your local primary care training hub for advice on accessing funding for this. Access a list of courses approved by the HCPC here. The course you choose will need to be accredited for dietitians – check this with the course providers.
Advanced clinical assessment module* Course fees. If working in England, speak to your local primary care training hub for advice on accessing funding for this. There are various providers of these modules. You will find their learning outcomes online and will need to consider which course best suits your needs. You may wish to consider a course which includes holistic history taking assessment, physical examination, and interpretation of diagnostic data.

First Contact Practice module*

 Course fees. If working in England, speak to your local primary care training hub for advice on accessing funding for this. There are various providers of these modules. Ensure the course is multi-professional and consider which course best suits your needs.
Appropriate Prescribing Guidance for Dietitians £75 for BDA members and £120 for non-members. Enrol here.

Support the application of principles of medicines optimisation to dietetic practice.

Embedding Public Health into Clinical Services

 Free to anyone with an NHS email address. Register here. Toolkit with useful resources to support a preventative approach to healthcare.
All Our Health Free to anyone with an NHS email address. Register here. 27 modules back background information on a range of topics including obesity, CVD and falls.
Making Every Contact Count (MECC) Free to anyone with an NHS email address. Register here. Gives details on how and why to conduct effective conversations to promote healthy living.
Introduction to mindfulness Free to anyone with an NHS email address. Register here. Provides an understanding of how mindfulness can support the people you’re working with.
ISAK anthropometry assessment course Course fees. Courses run across the UK and provide skills in anthropometric assessment. Generally aimed at nutritionists and those working in sports. 
BDA: Introducing the Principles and Practice of Behaviour Change*

£155 for BDA members

£215 for non-members.

  
Fairhealth - tackling health inequity Free to anyone who registers. Various free courses available to help reduce inequalities.
Beat eating disorders Free Training for clinicians working in Primary Care to spot the signs of an eating disorder.

Additional resources to support First contact dietitians. The BDA highly recommend those marked with a *.

Resource Cost Comments
Practice based evidence in nutrition (PEN®)* Free for BDA members. Sign into your BDA account and access PEN® here. The PEN® system is an online searchable database with over 200 nutrition and dietetic topics. Once logged in, search and click through to relevant knowledge pathways in the table of contents list.  
NICE: Clinical Knowledge Summaries*

Free, some CKS examples:

Child health

Gastrointestinal

Preventative medicine

Endocrine and metabolic

 Summary of the evidence base and practical guidance on common and significant presentations in primary care. Each CKS provides information on diagnosis (including assessment and differential diagnosis), management, prescribing, background (including definition, causes, prevalence and prognosis).

Currently, it is considered that the following areas would be feasible for Dietitians to develop enhanced skills to support patient care within primary care:

  • Frailty
  • Overweight and Obesity
  • Diabetes
  • Gastroenterology
  • Paediatrics

The training needs of each of these areas have been reviewed with input from the BDA specialist groups. In practice, a PCN may require skills in more than one of these areas. Dietitians working with undifferentiated diagnosis in paediatric populations must have relevant masters level training and education in the management of nutrition and dietetic practice in paediatrics. The BDA highly recommend those marked with a *.

Course

Cost

Comments

Frailty

Frailty*

Free to anyone with an NHS email address. Register here.

Includes the Comprehensive Geriatric Assessment and the Clinical Frailty Score

Hydration in older people*

Free to anyone with an NHS email address. Register here.

Useful background information

Dementia*

Free to anyone with an NHS email address. Register here.

Provides as understanding of patients and their carers’ needs.

The Lived Experience of Dementia

 

Free to anyone with an NHS email address. Register here.

Focuses on patient centred approach

Geriatric Medicine

Free to anyone with an NHS email address. Register here.

Covers various aspects of care for older people

End of Life Care

Free to anyone with an NHS email address. Register here.

9 modules providing an overview on topics such as advance care planning and bereavement

Overweight and obesity

Healthier Weight competency framework*

Free to anyone with an NHS email address. Register here.

Provides a strategic view of weight management.

Obesity

Free to anyone with an NHS email address. Register here.

Content likely to be familiar to those who have supported people with obesity. Some useful statistics.

World Obesity SCOPE eLearning

Some courses are free, some include a small fee. Register here.

Courses include “When is surgical treatment for obesity appropriate?” and “Covid and Obesity”

Diabetes

Cambridge Diabetes Education Programme*

Many healthcare staff working in the UK are eligible for free, if not, cost is £25 for 12 months. Register here.

 

Competency-based online diabetes training.

Diabetes UK: Diabetes in healthcare

Free, register here.

Short course for healthcare professionals who do not work in diabetes.

Diabetes UK: emotional wellbeing

Free, register here.

Focusses on the wellbeing of the patient

BDA: Dietetic Practice in Diabetes*

£155 for BDA members.

£215 for non-members.

 

Gastroenterology

Telephone Assessment for colorectal STT*

 

Free to anyone with an NHS email address. Register here.

Covers the range of lower GI symptoms and highlights the red flags for escalation

BDA: A Low FODMAP Diet for IBS*

£155 for BDA members.

£215 for non-members.

 

Masters in Allergy

Course fees. If working in England, speak to your local primary care training hub for advice on accessing funding for this.

There are various providers of these courses. You will find their learning outcomes online and will need to consider which course best suits your needs

Paediatrics

Infant Feeding*

Free to anyone with an NHS email address. Register here.

Comprehensive module on breast feeding

Physical assessment and clinical reasoning of the presenting child*

Course fees. If working in England, speak to your local primary care training hub for advice on accessing funding for this.

There are various providers of these modules. You will find their learning outcomes online and will need to consider which course best suits your needs.

BDA paediatric modules 1-2

 

Access fee structure and more information here.

Modules include information on nutrition and dietetics in: infancy and childhood and common paediatric disorders, as well as clinical dietetics for infants and children

MindEd – Eating Behaviours, body image and feeding problems

 

Free to anyone with an NHS email address. Register here.

Covers eating behaviours in children and young people

Masters in Allergy

Course fees. If working in England, speak to your local primary care training hub for advice on accessing funding for this.

There are various providers of these courses. You will find their learning outcomes online and will need to consider which course best suits your needs

Additional modules to support dietitians working at advanced practice level:

Training

Cost

Comments

Thinking Differently

Free to anyone with an NHS email address. Register here.

Structured guide on how to redesign services in an innovative way.

Health Informatics

Free to anyone with an NHS email address. Register here.

This is a 20-minute introduction to the subject.

This is not an exhaustive list but includes some websites you may find useful: