“What is Involved in a Nutrition Consultation?”
Prior to a one-to-one consultation, clients are asked to complete a detailed nutrition and health questionnaire, which includes a diet diary.

At the initial consultation, I take a case history, asking detailed questions about current health concerns, symptoms, diagnosis and treatment, medical history, family history, digestive health, lifestyle, levels of physical activity, use of medication and supplements and diet.

After the initial consultation, which generally takes about an hour, I then evaluate the information from the questionnaire and case history, using the extensive evidence base for nutritional science, to develop a personalised and practical action plan for improving the client’s health, with recommendations on diet, tests and supplements (if appropriate) and lifestyle changes.

At the beginning, consultations are normally scheduled monthly, at which point your progress is reviewed and appropriate changes made to your recommended nutritional action plan. Sessions later become more spaced out.

It is impossible to say at the outset how many sessions will be required. It may be one or two if the health issues are relatively straightforward and respond quickly to dietary intervention. But for more complex and chronic health conditions, more sessions are often required.

In some cases the latest sophisticated functional health tests are used to inform decisions about food and lifestyle choices. They can help pin-point what is going

on in the body and the contributing factors to particular health problems. These enable tailored treatment programmes to be devised for the client.

There are many functional/diagnostic tests available for use by nutritional therapists with their clients, but the most common include:

• Comprehensive stool analysis (to identify the presence of gut infections, for example, which may be the underlying cause of health symptoms)
• Digestive function investigations
• Female sex hormone panels
• Food allergy/sensitivity tests
• Blood chemistries (for example to identify vitamin or mineral
deficiencies – such as vitamin D and magnesium)
• Urinary organic acid analysis
• Adrenal stress profiles
• Thyroid panels
• Chronic fatigue screens and profiles

Tests are sometimes paid for or refunded by insurance companies, but are generally the responsibility of the individual.

I normally see clients from my home-based clinic in York, but telephone and Skype consultations are available for those who are unable to see me in person.

“What Does it Cost?”
The initial consultation lasts about an hour. Follow-up consultations average between 30 and 45 minutes.

I charge £70 per hour pro rata for consultation time. The initial consultation lasts about an hour. Follow-up consultations average between 30 and 45 minutes and are charged pro rata (so a 30 minute consultation would cost £35, for example). If there are detailed test results to go through at follow-up consultations, this may increase the amount of time required at that particular session.

This fee includes ‘reasonable’ support required in-between consultations (up to 15 minutes for the writing of email responses or telephone calls), but if a client requires significant additional support between face-to-face consultations (eg the development of individually-tailored menu plans), this will be negotiated at an additional pro rata fee.

The cost of supplements and diagnostic tests, if a client is happy to use these, are an additional cost – which the client settles directly with the relevant laboratory and supplement supplier.

Methods of Payment

Payment is by cheque (made payable to “Landmark Nutrition”) or cash at the end of the consultation.

Cancellation Policy

Anyone needing to change or postpone their appointment is asked to give at least 24 hours notice, so that their slot can be offered to someone else. Cancellations with less than 24 hours notice will be subject to a cancellation fee of 50% of the consultation charge and missed appointments will be charged at the full fee.

“What You Should Bear in Mind”
When Choosing a Nutritional Therapist – Professional Regulation

It is important to choose a qualified nutritional therapist who has undertaken all the necessary training to understand the theory and practice of nutritional therapy. For more information follow the link - www.cnhc.org.uk

There are a number of professional organisations which exist to regulate and accredit the profession of nutritional therapy and ensure high standards of practice.

You should look for a practitioner who is registered with the following organisations:

British Association for Applied Nutritionists and Nutritional Therapists (BANT)

BANT is the professional organisation for nutritional therapists in the UK. It sets educational standards and has a code of ethics to which its members adhere. www.bant.org.uk

Nutritional Therapy Council (NTC)

The NTC develops professional, educational and training standards for nutritional therapists. www.nutritionaltherapycouncil.org.uk

The Complementary and Natural Healthcare Council (CNHC)

The CNHC is a registration scheme supported by the Department of Health. It helps those registered with it demonstrate that their training and experience meets the National Occupational Standards (NOS) for their profession.

By choosing a nutritional therapist registered with the CNHC, you can be confident that they are properly trained, qualified and insured.

I am fully qualified, insured and registered with BANT, the NTC and the CNHC.