This is a single arm, prospective, single-centre study to evaluate the gastrointestinal tolerance and compliance over a 28-day period using a tube feed with food derived ingredients.

Acceptability (including gastrointestinal tolerance, compliance of a paediatric vegetarian tube feed with food derived ingredients. Gastrointestinal tolerance will data will be collected using a 4point Likert scale, daily record of tube feed volume intake.

Inclusion Criteria:

• Patients from 1 -15 years requiring more than 50% of energy from tube feeding or to take alongside home-made blended diet as part of their dietary management for disease related malnutrition.
• Patients well-established and stable on current nutritional support regimen. Willingly given, written, informed consent from patient/caregiver

Exclusion Criteria:

• No established tube feed.
• Inability to comply with the study protocol, in the opinion of the investigator.
• Under 1 years of age
• Patients on parenteral nutrition
• Known food allergies, including to any ingredients listed in appendix 1.
• Participation in another interventional study within 2 weeks of this study.
• Patients with known or suspected ileus or mechanical bowel obstruction