Annual Report October 2010 - December 2011efad.azurewebsites.net/media/1302/efad-annual... · EFAD Annual Report October 2010 - December 2011 Page 5 of 46 About EFAD EFAD was established

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Annual Report

October 2010 - December 2011

EFAD Annual Report October 2010 - December 2011 Page 2 of 46

EFAD is a not-for-profit organisation that does not pursue any political or religious ends

This publication is partly funded by the European Union Health Programme. Sole responsibility for this publication lies with EFAD and the Executive Agency is not responsible for any use that may be made of the information contained herein

Title: EFAD Annual Report October 2010 - December 2011 Editor: Professor Anne de Looy Copy-editor: Terry Hyde Date of Publication: March 2012 Contact Address for Publication Requests: Professor Anne de Looy, School of Health Professions, Faculty of Health, Plymouth University, PL4 8AA, UK (+44) (0) 1752 238817 © EFAD All rights reserved

Mission

To support member Associations in developing the role

that dietitians have in reducing inequalities and

improving nutritional health in Europe


Index

Page

Vision and Values 4

About EFAD and its Aims 5

Honorary President’s Report 6

Honorary Treasurer’s Report 9

Secretary General’s Report 12

Professional Practice Committee Report 15

Education and Lifelong Learning Committee Report 16

Research Committee Report 18

Appendix 1: Independent Auditor’s Report 20

Appendix 2: List of Executive Committee and other Committee Members, Honorary Members and Secretariat

22

Appendix 3: EFAD Members 2011 24

Appendix 4: List of Expert Dietitians 26

Appendix 5: Organisations with whom EFAD collaborates 30

Appendix 6: Projects and Collaborations 31

Appendix 7: Meetings Attended 2010-2011 32

Appendix 8: Standards and Publications 34

Appendix 9: Position Papers 35

Appendix 10: Ethical Statement 39

Appendix 11: EFAD/DIETS Conference Programme 40


Vision and Values

Our Values The values of EFAD guide how we make decisions and define our approach to partnership and collaboration. Our core values are: fairness, openness, non-discrimination, collaboration and independence. These are expressed more fully in the way EFAD conducts its business, observing our Code of Ethics and Code of Good Practice (p 9) and being:

democratic, transparent and inclusive

independent and ethical

discerning and open to new ideas and approaches

credible, objective and honest

an effective communicator

supportive of opportunity, innovation, creativity and entrepreneurship

respectful of the values that members hold and their capabilities

a partner with clients, colleagues and others

active in pursuing excellence

EFAD is a not-for-profit organisation that does not pursue any political or religious ends.

The Vision

EFAD, national dietetic associations (NDAs) and dietitians are recognised leaders in the field of dietetics and nutrition. We will continue to pro-actively initiate and grow partnerships in order to improve nutritional health, reduce socioeconomic health inequalities and contribute to economic prosperity. To achieve our vision EFAD supports the highest quality of dietetic education, professional practice, research activity and partnership.


About EFAD EFAD was established in 1978 in Copenhagen, Denmark with 10 member associations. It now has 29 full members and 2 affiliate members, with 4 applicant members (RO, CZ, LT, SK) representing over 30,000 dietitians in 29 countries.

Membership of the Federation is open to the NDAs of all member states of Europe. The General Meeting is made up of delegates from each of the member Associations. The Federation is directed by its Annual General Meeting of Delegates and represented by an Honorary President and Executive Committee. EFAD has three standing Committees:

Education and Lifelong Learning Professional Practice Research and Evidence-Based Practice

In 2010 the Education and Lifelong Practice Committee began work on developing further the EU-funded Thematic Network ‘Dietitians ensuring education, teaching and professional quality’ (DIETS2)

Aims of EFAD

The aims of EFAD are to:

promote the development of the dietetic profession develop dietetics on a scientific and professional level in the common interest of the

member Associations facilitate communication between NDAs and other organisations: professional,

educational, and governmental encourage a better nutrition situation for the population of Europe.

EFAD pursues these aims in co-operation within the member Associations and with international organisations. Our stakeholders include dietetic associations, dietitians, citizens, key national ministries, higher education institutions, non-governmental organisations, food industry, policy-makers and other health professionals. Our engagement with these groups reflects our independence and acts in the best interest of the populations we serve. By embedding dietetic education, professional practice and research activity in dietetics throughout Europe, we enable high quality engagement at all levels, thereby addressing health determinants and creating supportive environments for healthy lifestyles and prevention of disease through nutrition. EFAD communicates its aims and objectives by fostering exchange of knowledge, best practice promotion and action with and between our stakeholders.


Honorary President’s Report I am delighted to be writing this annual report after serving for one year as Honorary President. I must pay special tribute to my predecessor, Karin Hådell, for all the fine achievements of the Federation during her tenure. In these times of heightened awareness about the role of food, nutrition and physical activity in the health and prosperity of Europe, it is essential that dietitians and their contribution to the European agenda is clarified and promoted. Over the past year, two key position papers have been published to reflect our priorities of education, food and health. They are The Role of the Dietitian in the Prevention and Management of Malnutrition in Adults and The Role of the Dietitian in the Management of Obesity (see Appendix 9). Both position papers have been distributed at notable conferences (ECO2011 and ESPEN 2011 respectively) and have raised the profile of dietitians to other health professionals. EFAD has also continued to make commitments to European projects such as the EU Platform on Nutrition, Physical Activity and Health and EURRECA as well as a proactive contribution to EPHA and ENHA. EFAD was invited to be a Member of Scientific Advisory Board of an EU project: “Fibres as support of the Gut and Immune function of Elderly - From polysaccharide compound to health claim” (FibeBiotics). A full list of the meetings where EFAD has been represented is at Appendix 6. EFAD was also invited to be part of the Action Network for Hospital Nutrition, which is a WHO European Region facilitated Network organised by four European countries. Presenting EFAD and the role of dietitians at European level is a high priority but so too is the need to listen and assist where requested at national level. EFAD representation at high level meetings, for example with Members of the European Parliament, Commissioners and Ministers of Health, can be very much more effective if our representatives are aware and know more about national dietetic priorities. Learning more about opportunities and excellence at national level also allows the Federation to support its members through dissemination. I am particularly grateful to the Secretariat for the role they play in achieving this interaction. Over the past year EFAD has accepted invitations to attend the National Association meetings in the Netherlands, Austria (50th Anniversary celebrations), Germany, Italy and Greece. On EFAD's behalf, I was able to write in support of the German Association to the Minister of Health concerning the development of degree level entry to the profession and a change of title. We now know that a new initiative has been started to enable degree level dietitians to be educated in Germany. A key characteristic of any Federation is to have clarity with respect not only to its role but also to its governance and financial security. Through the very able work of its Honorary Treasurer, EFAD is able to undertake its core activities with confidence. The Honorary Treasurer will write more of this in his report later. However, if the Federation is to work more strongly in Europe, then further resources need to be available. Over the past year a list of experts has been drawn up, supplemented by an emphasis on groups of specialist dietitians meeting together at the annual DIETS/EFAD Conference. The identification of this resource has allowed EFAD to develop briefing papers and position statements, and also to be represented at European level by highly knowledgeable dietitians. To fully brief our members, to present the role and function of the Federation, the Executive Committee and the General Meeting of Delegates have identified our mission, vision, values and plans in a new Strategic Plan 2011-16.


The governance of EFAD has also been strengthened over the past year largely due to the work of our Secretariat. The Secretary General will report on these initiatives and successes elsewhere. However, clarity on policy (for example sponsorship, transparency, and criteria for membership) has been tackled efficiently and effectively. The ambitious Strategic Plan has been prepared for 2011- 16 and will require the Federation to find additional resources if it is to be brought to fruition. In May 2011 we submitted an Operating Grant proposal, to the European Commission’s Executive Agency for Health and Consumers (EAHC). Other income streams are already in place such as funding from the EACEA for the DIETS2 project and a collaborative project with Brunel University, England and the European Food Information Council (EUFIC). EFAD was also part of two other European project bids during 2010-11 and we continue to receive offers to collaborate and bring dietetic expertise and knowhow. Part of the role of the Honorary President is to initiate and enhance the profile of the Federation. In May, I was privileged to lead a delegation to Copenhagen to discuss EFAD and its potential contribution to the Strategic Objectives of the WHO and in particular the European Region. The discussion was potentially very fruitful and will be vigorously pursued. Our three new committees will report elsewhere, but their work in the areas of education, research and professional practice have been highly valued by the Executive Committee. They are moving towards fulfilling our strategic goals and have initiated scoping exercises and provided leadership in these three key areas for the profession in Europe. Finally I need to acknowledge the work of the Associations in responding to the calls made on their time and expertise to comment and support their Federation. The review of the governance structure, development of the Strategic Plan and support given to the work of the Committees has been invaluable and enabled the Federation to represent the profession at European level. The Executive Committee meets every month to operationalise our plan and I would like to acknowledge the unstinting giving of their time. The Secretariat, so ably led by the Secretary General, has once again allowed the Federation to show itself as an agent of change and I believe that this is what our members and those concerned with European nutritional health want and deserve.

Anne de Looy Honorary President


EFAD was represented at:

European Parliament Nutrition Day Conference

High Level Conference on the monitoring and evaluation of EU and Member States' strategies on nutrition, overweight and obesity

5th Annual European Nutrition & Lifestyle Conference 2011: Taking the next steps towards a healthier Europe,

European Parliament Roundtable Debate on EU Colorectal Cancer Policy

Stan Mark Conference on Action to regulate marketing of food to children

EPHA conference Europe 2020: Delivering a healthy and sustainable future for all?

Action for Prevention Expert Level Conference Member States’ Activities on Nutrition, Physical Activity and Smoking-related Health Issues, Budapest

EURRECA Fifth Integrating meeting

EU Directive on Professional Qualifications: Launch of EU Green Paper at Royal College of Physicians, UK

Responses to consultations EFAD responded to:

The Public Consultation on the Recognition of Professional Qualifications Directive 2005/36/EC of the European Parliament and of the Council

Hungarian Ministers for Health and Economy regarding introduction of a tax on unhealthy foods (with our partner organisations)

MEPs regarding the European Parliament resolution on the draft Commission regulation on the authorisation of certain health claims made on foods and referring to children’s development and health

The Honorary President:

is responsible for the activities and decisions undertaken in the interests of EFAD.

provides leadership to plan and organise the activities of the Federation advising the General Meeting and chairs the Executive Committee

adheres strictly to the Articles and Organisational procedures of EFAD

is responsible for the financial Report of the Honorary Treasurer and the budget

is responsible for raising the profile of EFAD (eg meeting with NGOs, industry, attending conferences, presenting lectures)

provides support wherever it may be required (eg in supporting member associations with special projects)

is responsible for initiating new activities


Honorary Treasurer’s Report EFAD has stabilized its financial situation in the previous and current year. Income remains at round 90.000 € per year, including fees from the National Dietetic Associations, donations and refunds. A moderate increase of expenditure in 2011 is due to the consultants and subcontractors costs. The launch of three new Committees and increase in size of the Executive Committee with increased travel and activity cost will also increase expenditure. In anticipation of these costs, the surplus from 2010 and a small withdrawal from the deposit account will cover these additional costs. For an overview of income and expenditures, please see pages 10 and 11. Ulrich Huehmer

The Honorary Treasurer:

is responsible for the financial transactions of the Federation

presents annual Income and Expenditure statements to the General Meeting

presents the accountant with signed bookkeeping each year

has all ledgers and receipts available for inspection by the members at each General Meeting

reports to each meeting of the executive committee is one of two signatories for the operation of the Federation bank account


Income and Expenditure



Secretary General’s Report I welcome the opportunity to write my first Secretary General’s report in this, the first “EFAD Annual Report”. I took on the newly created, part-time (18 hours a week) role of Secretary General on 1st January 2010. Since then, a great deal of progress has been made, which I would like to share with you. I have ordered my report in accordance with the “Role of the Secretary General”. Development of EFAD strategies and policies Our primary development has been the drafting of the EFAD 5-year Strategic Plan 2011-2016, which will guide the work of all EFAD members and officers. It will harness our potential to improve the nutritional situation for the people of Europe through the development of the profession of dietetics within all member states. To support the implementation of the Strategic Plan we have applied for an operating grant. The preparation of this application required an enormous commitment from each of the Executive Committee members, but brought several added benefits, not least of which were the development of vision, values and transparency statements. Within the reporting period the issues of sponsorship, membership and representation have each been considered and draft policies developed. There are now clear guidelines to inform decisions on sponsorship and collaboration opportunities, which will ensure that EFAD maintains its autonomy as it increases income. The policy on membership applications will ensure transparency in the process of accepting new members. It will also ensure that EFAD continues to offer support to associations in countries where the profession of dietetics is not yet fully established. The policy on the acceptance of invitations to attend meetings and conferences (or to enter into collaborations) will enable EFAD to be represented when this will contribute towards meeting EFAD’s strategic plan. Declining invitations that do contribute will save money and manpower by. Lists of all the invitations that EFAD has received (57 so far in 2011), both for collaboration and attendance of events, are published on the website. Everyone who attends an event as an EFAD representative is asked to write a report after the event, identifying the benefits to EFAD, which is published on the website. This enables strategic opportunities to be identified and developed. Support the Honorary President, Executive Committee (EC) and other Committees The Education, Research and Professional Practice Committees have each been established and have started to meet regularly to ensure that they are working towards meeting their deliverables. The Chair of each committee is also an EFAD Executive Committee member, which means the EC now has seven members in addition to the Honorary President. The new committee chairs have conscientiously undertaken their additional roles as EC members, bringing new ideas and enthusiasm to the committee. Since January 2010, the EC has met monthly, using internet-based virtual meeting technology to save time and money. Monthly meetings have enabled more efficient running of the organisation, with a shorter time-frame for decision-making. A list of Action Plans captures all the items that the EC is working on – ensuring efficient delivery of outcomes. This is only possible with the support of the Executive Committee members, who each voluntarily contribute many hours of their time to EFAD each year.


Anne de Looy took on the role of Honorary President in September 2010, bringing with her a whirlwind of activity! I still feel it only appropriate to acknowledge her extraordinary vision and her enthusiasm and commitment to making it a reality. In January 2011 Vanessa Teutschländer joined EFAD as an administrative assistant. Vanessa works from a home office, based in Hamburg, Germany to provide valuable support by maintaining the EFAD and DIETS websites, writing meeting minutes and undertaking general administrative duties. Vanessa’s positive attitude and enthusiasm contribute greatly to the smooth running of the secretariat.

To be the first point of contact with members, stakeholders, partners, other organisations and the public EFAD’s primary stakeholders are the member associations. EFAD currently has 27 Full Member Associations and 2 Affiliate Member Associations from 25 Council of Europe states (see Appendix 3). One of the roles of the Secretary General is to ensure that the member associations are actively engaged in planning and executing the work of EFAD. Over the past year we have directly mailed delegates with requests almost 50 times. In addition they receive weekly notifications of all new updates on the EFAD website. To effectively disseminate all this information within their own associations and to give the required feedback to EFAD requires both time and commitment. In addition delegates from 23 Associations (80% of members) plan to attend the 22nd General Meeting in Vienna. I am extremely grateful to the delegates for the wonderful job they do. Without them the work of EFAD could not have progressed as it has. The EFAD website is the main tool of communication. The public pages contain information about EFAD and dietetics that is of interest to the public. The extranet, which was launched in March 2011, contains information of relevance to dietitians throughout Europe and is open to anyone who wishes to register to use it. Already around 500 people have registered. Only delegates can access the EFAD intranet. All documents relating to the running of EFAD are stored there, along with confidential information from our partners. EFAD has also recently launched a Facebook page, where dietitians from around Europe can exchange information. This is still in its infancy but will hopefully prove to be the first of several new innovations to improve dissemination and communication. Work is also underway to engage a communication specialist and to commission a new EFAD logo. To represent EFAD as required by the Honorary President and the Executive Committee Since September 2010, I have represented EFAD in the DIETS2 Thematic Network as Network Manager and Quality Assurance lead. I have also represented EFAD at EU Platform, EPHA and ENHA meetings and at some conferences. Working with our Partners (see Appendix 4) enabled EFAD to identify areas in which we wished to advocate for changes in policy, either alone or in collaboration with our partners. EFAD responded directly to the Public Consultation on the Recognition of Professional Qualifications Directive 2005/36/EC of the European Parliament and of the Council. Through our partner organisations EFAD has also lobbied Members of the European Parliament regarding the resolution on Health Claims made on Foods (EPHA), on Nutritional Labelling (EPHA) and on Routine Nutritional Status and Risk Screening across Europe (ENHA). EFAD also coordinated a dietetic input into a report on Inter-Professional Collaboration in Primary Care (EFPC).


This has been a busy year for everyone in EFAD, which has enabled the establishment of a solid foundation upon which to base future development. Judith Liddell

The role of the Secretary General is:

to facilitate the development of EFAD strategies and policies as formulated by the members through the GM and the EC.

to ensure EFAD operates within the policies and procedures laid down in the Articles and Organisational Procedures

to provide support for the Honorary President, the EC and other committees

to be the first point of contact with members, stakeholders, partners, other organisations and the public.

to represent EFAD as required by the Honorary President and the EC


Professional Practice Committee Report The Professional Practice Committee (PPC) is a new committee for EFAD. The committee had two face-to-face meetings (February and September) and six virtual meetings this year. It was established to propose and implement a strategy for the development of professional practice for dietetics in Europe. The objectives for the PPC are:

propose and implement a strategy for the development of professional practice for the development of professional practice for European Dietetics that supports the strategies of Member Associations

advise on mechanisms for establishing development of professional practice of dietitians in Europe, using best practice of Member Associations

encourage developmental opportunities that are multidisciplinary, multi-professional or interdisciplinary

liaise as appropriate with other European professional groups and monitor the developments in professional development, accountability and European directives of other health professionals

standardise the practice of dietetics in Europe We have given priority to standardising the practice of dietetics in Europe. The Committee have proposed that the work begun by the American Dietetic Association on the Nutrition Care Process and the International Dietetic and Nutrition Terminology (IDNT) could provide a focus for the development of European work to standardise practice. In doing this, the Committee recognised the developments in process and language through the International Confederation of Dietetic Associations and ongoing work in Europe. This year the committee focussed on three areas:

to describe the current European initiatives to implement IDNT in European settings and prepare a discussion on the pros and cons of adopting one standardised terminology for dietitians Europe-wide

to define essential professional practice-related concepts, in order to be able to describe current strategies and practices of member associations aiming at development

to begin to explore current legislation related to professional qualifications in Europe and prepare a response on the Green paper of Directive 36

Jolein Lestra Plan for the Professional Practice Committee 2011:

Either to support a network of European IDNT initiatives or to prepare a Europe- wide strategy for implementation of the international terminology dietetics.

To develop an EFAD strategy on professional development, by conducting a survey on circumstances (national legislation and regulatory mechanisms and requirements), current activities and needs of Member Associations related to professional development of their members


The Education and Lifelong Learning Committee Report The work of EFAD´s Education and Lifelong Learning (LLL) Committee is undertaken jointly with the European-funded Thematic Network project ‘Dietitians ensuring education, teaching and professional Quality’ (DIETS2). The Committee consists of two work packages from DIETS2: WP2 (Second and third cycle specific dietetic competences) and WP3 (Lifelong Learning for Dietitians in Europe). WP2 started its work in the autumn 2010 and has 23 members from eight different partner organisations (Appendix 2). WP3 will start its work in January 2012. The objectives of the Committee are:

propose and implement a lifelong learning (LLL) strategy for European Dietitians that supports the strategies of Member Associations

advise on mechanisms for promoting LLL for dietitians within Europe, using best practice of Member Associations and Higher Education Institutions (HEIs)

encourage LLL opportunities that are multidisciplinary, multi-professional or interdisciplinary

liaise as appropriate with European (health) professional groups, HEIs and others to contribute to LLL in Europe

The business plan for the work of the Committee (within the scope of DIETS2) is given at the end of this report. The aim of WP2 is to perform a needs analysis and mapping of LLL patterns of dietitians throughout Europe in order to identify LLL requirements and associated competences. WP3 aims to develop a database of courses, modules and programmes available in Europe for dietitians (and other nutrition experts). Based on the results from WP2´s work, WP3 will also make recommendations regarding omissions and future development of courses within the HEI consortium. Over the past year, the Committee has had 11 meetings within the work of WP2. These meetings focussed on developing a questionnaire to map the views of European dietitians on competence requirements for work at an advanced level in dietetic practice. The questionnaire includes questions about what kind of further education and LLL the dietitians have undertaken. In addition, the NDAs were asked about whether the title “Specialist Dietitian” exists in their country and, if so, what requirements the dietitians need to meet to get this recognition and title. The questionnaire also collected information on the competences of dietitians in the area of research especially at Master’s and Doctoral levels. This information will be useful for the Research Committee and will allow a more focused support for dietitians in their work towards an evidence-based approach to practice. Preliminary results were presented at the EFAD General Meeting in Vienna in October. The main analysis of the results will be available in a written report on the website. A consultation phase for 2nd and 3rd level competences using a modified Delphi technique with professional associations, HEIs, students and service users (eg doctors/nurses) will start in spring 2012.


In ending this report I want to pay particular tribute to the Committee members working on behalf of EFAD and the DIETS2 project, and all dietitians taking the time to answer the questionnaire. Agneta Hornell Plan for the EFAD Education and LLL Committee 2011:

to map the views of European dietitians on competence requirements to enable work at an advanced level in dietetic practice and the need for further education and LLL

to developing a questionnaire for the mapping

to analyse the results of the questionnaire and write a report on LLL for dietitians


The Research Committee Report The Research Committee has had six meetings over the past year. The Committee has 16 members and they are listed at the end of this report. The objectives of the Committee are:

to develop a strategy for promoting, introducing and implementing an evidence-based approach to practice for European Dietetics that supports the strategies of Member Associations

to promote an evidenced-based approach for dietitians working and studying within Europe, using best practice of Member Associations and HEIs

to encourage opportunities to use, share and discuss best practice in multidisciplinary, multi-professional or interdisciplinary research as it affects the nutritional health of European people

to proactively liaise with European (health) professional groups, HEIs and others to contribute to dietetic research in Europe

The Committee and its work is undertaken jointly with the EU-funded Thematic Network project ‘Dietitians ensuring education, teaching and professional quality’ (DIETS2). This is the first year of the Committee and there has been a great deal of activity building the new committee and working very hard to establish an integration of the activities of EFAD and the DIETS Network. Following the successful 4th DIETS Conference in Amsterdam the American Dietetic Association (ADA) made available, for a trial period, their online searchable library of dietetic evidence-based materials. The Executive Committee has also been in discussion with the British Dietetic Association (BDA) to learn more about the possibility of access to the database ‘PEN’ hosted by Dietitians Canada. To this end a speaker from the BDA and Dietitians Canada will come and speak at the 5th DIETS Conference (Building strong evidence based approach to nutrition and dietetics) about using evidence to support practice and specifically about the database. The Research Committee members will also be running a workshop on dietetic research and how to ‘get started’. Through promoting the 5th Conference the Research Committee members hope to integrate the work of practicing dietitians with academic dietitians largely based in higher education teaching and research. There is still much to be done to promote and implement an evidence-based approach but it is hoped that through the integrating activities of EFAD and DIETS2, more can be achieved. Over the past year EFAD has established a list of ‘experts’ in special areas of dietetics. This list includes dietitians who are practising and also undertaking research that will lead to the promotion of more evidenced practice. The Committee will need to consider how it is possible to support the dissemination and exploitation of this expertise more widely. The DIETS2 Newsletter (published 2-3 times a year) promotes the work of dietitians across Europe and carries articles about dietetic research. Work is also underway, lead by the Committee, to establish an e-journal for dietetic students. This e-journal will host short reports of projects that have been completed by students across Europe. An editorial board has been recruited and will begin the task of calling for project reports and the production and distribution of the e-journal.


The Committee is aware that higher education has an important role in teaching students about research methods as well as encouraging research at postgraduate level (at Master’s and Doctoral level). To this end, the Committee has begun mapping the teaching of evidence-based practice to dietetic students in HEIs within the DIETS2 Network at all levels of study. In this way, more information may be available to all European dietitians about the preparation of students for pursing an evidence based approach and also what support from higher education is available to those dietitians that have already qualified. A database of materials that can support dietitians to learn more about undertaking valid and reliable research is also underway. This can be used to support those who want to improve their skills and knowledge. The preparation of a database of materials must be ‘user friendly’ and the Committee is building a framework. It will include valuable links to websites hosted by other health profession organisations. Doing this will promote more integration across Europe. The database will be hosted on the DIETS2 website and freely available to dietitians across Europe. The Committee has also been engaged in work with the Education and Lifelong Learning Committee to collect information on the competences of dietitians in the area of research, especially at Master’s and Doctoral levels. This information will allow a more focussed support for dietitians in their work towards an evidence-based approach to practice. In ending this report, I want to pay particular tribute to the Committee members working on behalf of EFAD and the DIETS2 project. The Chairman of this Committee has had a period of absence and it is quite remarkable that the Committee has made such good progress despite this absence. It is a tribute to their commitment to support dietitians in becoming more evidence-based. On behalf of the Committee, Anne de Looy Plan for the Research Committee 2011:

Work closely and integrate activities of EFAD with DIETS2

Provide support for evidence-based practice (EBP) through a database of materials available to increase knowledge of EBP

Increase publication and dissemination of EBP by establishing an e-journal for student dietitians


Appendix 1: Independent Auditors Report



Appendix 2: List of Executive Committee and other Committee Members, Honorary Members and Secretariat Executive Committee President: Prof Anne de Looy, Plymouth University, England Honorary Treasurer: German Dietetic Association represented by Ulrich Hühmer Committee Members: The British Dietetic Association represented by Carole Middleton The Danish Diet and Nutrition Association represented by Mary Ann Sørensen The French Association of Nutritionist Dietitians represented by Thérèse Libert Chair of Professional Practice Committee Jolein Iestra (Dutch Association of Dietitians) Chair of Education Committee Agneta Hörnell (The Swedish Association of Clinical Dietitians) Chair of Research Committee Mirjam Jager (Dutch Association of Dietitians)

Professional Practice Committee Chair: Jolein Iestra (Dutch Association of Dietitians) Pauline Douglas (British Dietetic Association) Ylva Orrevall (The Swedish Association of Clinical Dietitians) Constantina Papoutsakis (Cyprus Dietetic Association)

Education Committee Chair: Agneta Hörnell representing The Swedish Association of Clinical Dietitians & Umea University Agneta Andersson representing The Swedish Association of Clinical Dietitians Colin Chandler representing University of Northumbria at Newcastle, England Elisabeth Fattinger representing FH JOANNEUM University of Applied Sciences, Austria Ana Maria Gomes representing the Catholic University of Portugal Sissel Olsen representing Norwegian Association of Dietitians (KEFF) Paula Ravasco representing Lisbon University, Portugal Katarzyna Wolnicka representing National Food and Nutrition Institute, Warsaw, Poland

Research Committee Chair Mirjam Jager (Dutch Association of Dietitians & HAN University) Eirini Bathrellou representing Harokopio University, Greece Simone Bell representing Eurofir Marta Cuervo representing Zaragoza University, Spain Elisabet Fattinger representing FH JOANNEUM University of Applied Sciences, Austria Daniela Grach representing FH JOANNEUM University of Applied Sciences, Austria Inge Huybrechts representing Ghent University, Belgium Vilma Kriaucioniene representing Kaunas University, Lithuania Iva Marques representing the Spanish Dietetic Association Maria Prats representing University of Alicante, Spain Paula Ravasco representing Lisbon University, Portugal Tamara Vatovec Poklar representing the Slovenian Dietetic Association


Honorary Members Anneke Krijger – Honorary Secretary 1978 – 1988 Renate Frenz – Honorary President 1984 - 2000 Irene Mackay – Honorary President 2000- 2006 Karin Hådell – Honorary President 2006 – 2010

Secretariat Judith Liddell Secretary General Vanessa Teutschländer Administrative Assistant


Appendix 3: EFAD Members 2011

Association Delegates

1 The Austrian Association of Dietitians Andrea Hofbauer, Trudy Giesinger

2 Cyprus Dietetic Association Eleni Andreou, Christiana Philippou

3 The Danish Diet and Nutrition Association

Mary-Ann Sørensen, Ghita Parry

4 Danish Clinical Dietitians Ginny Rhodes

5 The Flemish Professional Association of Nutritionists & Dietitians, Belgium

Marleen Gentello

6 Union Professionnelle des diplomes en Dietetique de Langue Francaise

Serge Pieters, Aude Dillis

7 Association of Clinical and Public Health Nutritionists in Finland

Leena Rechardt- Rajakangas

8 The German Dietitians Association Ulrich Hühmer, Daniel Buchholz

9 French Association of Nutritionist Dietitians

Isabelle Parmentier, Therese Libert

10 The Hellenic Dietetic Association Amalia Tsagari, Eirini Bathrellou

11 Hellenic Association of Dietitians– Technologists of Nutrition

Katerina Karakike

12 The Hungarian Dietetic Association Bernadette Toth

13 The Irish Nutrition & Dietetic Institute Mary Moloney

14 The Icelandic Dietetic Association Heida Hilmisdottir

15 The Italian Association of Dietitians Giovanna Ceccheto, Ersilia Troiano

16 Luxembourg Dietetic Association Patricia Marx

17 The Dutch Association of Dietitians

Annemieke van Ginkel, Wineke Remijnse

18 Norwegian Association of Dietitians affiliated with The Norwegian Association of Researchers

Sissel Olsen

19 Norwegian Dietetic Association Britt Soro, Arnt Steffensen


20 Polish Dietetic Society Danuta Gajewska

21 Portuguese Dietetic Association Graça Raimundo, Vania Costa

22 Portuguese Nutritionist Association Hugo de Sousa Lopes, Alexandra Bento

23 Slovene Nutritionist & Dietetic Association

Stojan Kostanjevec

24 Spanish Dietetic Association Iva Marques

25 The Swedish National Association of Dietitians

Marianne Schroder-Maagaard

26 The Swedish Association of Clinical Dietitians

Elisabet Rothenberg

27 The Swiss Association of Registered Dietitians

Beatrice Conrad, Gaby Fontana

28 The Turkish Dietetic Association Reci Meseri, Evrim Turkmen

29 The British Dietetic Association Carole Middleton, Pauline Douglas

Affiliate members

1 Nutritionist-Dietetian's Association of Latvia

Daina Erdmane, Niedra Solveiga

2 Israeli Dietetic Association Naomi Trostler, Edva Heiman


Appendix 4: List of Expert Dietitians

First name Family name Expertise Association

Gerd Faxen Irving Ageing and nutrition

Swedish Clinical Dietetic Association

Elisabet Rothenberg Ageing and nutrition


Anja Saletti Ageing and nutrition


Frode Slinde Ageing and nutrition


Rute Borrego Alcohol labelling Portuguese Dietetic Association

Eva Polyak Artificial nutrition Hungarian Dietetic Association

Eva Polyak Artificial sweeteners

Hungarian Dietetic Association

Agneta Andersson Body composition


Ingrid Larsson Body composition


Margateha Nydahl Body composition


Frode Slinde Body composition


Elisabeth Strandhagen Body composition


Agneta Hörnell Breastfeeding Swedish Clinical Dietetic Association

Daina Erdmane CHD Nutritionist-Dietitians Association of Latvia

Afsaneh Koochek CHD Swedish Clinical Dietetic Association

Natasha Fidler Children Slovenian Dietetic Association

Christina Berg Children Swedish Clinical Dietitians

Ilona Brivmane Children Latvian Dietetic Association

Anette Järvi Children Swedish Clinical Dietetic Association

Ita Saul Children Irish Nutrition and Dietetic Institute

Petra Wohlfahrt-staeatter

Children Austrian Dietetic Association

Frode Slinde COPD Swedish Clinical Dietetic Association

Hilde Kristin Brekke Diabetes Swedish Clinical Dietetic


Association

Anette Järvi Diabetes Swedish Clinical Dietetic Association

Brita Karlström Diabetes Swedish Clinical Dietetic Association

Christina Fjellström Dietary Swedish Clinical Dietetic Association

Debbie Devenyn Eating disorders Flemish Professional Association of Nutritionists and Dietitions, Belgium

Gisela van der Ster Eating disorders Swedish Clinical Dietetic Association

Katalin Zoltánné Horváth Education Hungarian Dietetic Association

Willem De Keyzer EU Food consumption survey

Flemish Professional Association of Nutritionists and Dietitions, Belgium

Annelies Rotteveel EU legislation De Haagse Hogeschool, The Netherlands

Cecilia Olsson Food allergies Swedish Clinical Dietetic Association

Stine Störsrud Food allergies Swedish Clinical Dietetic Association

Jenny van Odijk Food allergies Swedish Clinical Dietetic Association

Ulla-Kaisa Koivisto Hursti Food choice Swedish Clinical Dietetic Association

Vera Lebres Food labeling Portuguese Dietetic Association

Liga Svanka Food labelling Nutritionist-Dietitians Association of Latvia

Bernadett Tóth Food labelling Hungarian Dietetic Association

Annelies Rotteveel Food labelling, claims

De Haagse Hogeschool, The Netherlands

Annelies Rotteveel Functional foods De Haagse Hogeschool, the Netherlands

Bernadett Tóth Health claims Hungarian Dietetic Association

Inger Öhlund Infant and early childhood


Susanna Agostini Malnutrition Italian Dietetic Association

Clare Corish Malnutrition Irish Nutrition and Dietetic Institute

Lotta Copland Malnutrition Swedish Clinical Dietetic Association


Willem De Keyzer Malnutrition Flemish Professional Association of Nutritionists and Dietitians, Belgium

Hinke Kruizenga Malnutrition Dutch Dietetic Association

Lena Martin Malnutrition Swedish Clinical Dietetic Association

Ylva Orrevall Malnutrition Swedish Clinical Dietetic Association

Christina Persson Malnutrition Swedish Clinical Dietetic Association

Eva Polyak Malnutrition Hungarian Dietetic Association

Elisabet Rothenberg Malnutrition Swedish Clinical Dietitians

Carla Santos Malnutrition Portuguese Dietetic Association

Mireille Simon Malnutrition French Nutrition and Diet Association

Frode Slinde Malnutrition Swedish Clinical Dietetic Association

Judit Schmidt Marketing of foods to children


Joana Sousa Marketing of foods to children

Portuguese Dietetic Association

Inga-Lena Andersson Obesity Swedish Clinical Dietitians

Simon Armbruszt Obesity Hungarian Dietetic Association

Helene Berteus Forslund Obesity Swedish Clinical Dietitians

Cathy Breen Obesity Irish Nutrition and Dietetic Institute

Giovanna Cecchetto Obesity Italian Dietetic Association

Arija Cipruse Obesity Nutritionist-Dietitians Association of Latvia

Achraf Daryani Obesity Swedish Clinical Dietetic Association

Debbie Devenyn Obesity Flemish Professional Association of Nutritionists and Dietitions, Belgium

Gabriele Eiben Obesity Swedish Clinical Dietitians

Daina Erdmane Obesity Nutritionist-Dietitian‘s Association of Latvia

Ellen Govers Obesity Dutch Dietetic Association

Lena Gripeteg Obesity Swedish Clinical Dietitians

Niké Györki obesity Hungarian Dietetic Association

Ingrid Larsson Obesity Swedish Clinical Dietetic Association

Annakarin Lindroos Obesity Swedish Clinical Dietetic Association


Maria Magnusson Obesity Swedish Clinical Dietitians

Mario Hellbardt Obesity German Dietetic Association

Ingela Melin Obesity Swedish Clinical Dietetic Association

Marleen Meteling-Eeken Obesity German Dietetic Association

Judit Schmidt Obesity Hungarian Dietetic Association

Joana Sousa Obesity Portuguese Dietetic Association

Liga Svanka Obesity Nutritionist-Dietitians Association of Latvia

Katalin Zoltánné Horváth Obesity Hungarian Dietetic Association

Frode Slinde Physical activity, energy expenditure,


Annelies Rotteveel Product development

De Haagse Hogeschool, The Netherlands

Ersilia Troiano Public Health Italian Dietetic Association

Stefania Vezzosi Public Health and Food Sustainability

Italian Dietetic Association

Claudia Viegas Reformulation of foods


Simon Armbruszt regulation of food intake


Anette Järvi Regulation of food intake


Anna Laura Fantuzzo Renal Italian Dietetic Association

Franca Pasticci Renal Italian Dietetic Association

Raquel Ferreira School fruit scheme


Niké Györki School fruit scheme


Niké Györki School milk scheme


Raquel Ferreira School millk scheme



Appendix 5: Organisations with whom EFAD collaborates ICDA International Confederation of Dietetic Associations www.internationaldietetics.org/ WHO World Health Organisation Regional Office for Europe www.euro.who.int/nutrition EU Platform EU Platform for Action on Diet, Physical Activity and Health http://ec.europa.eu/health EPHA European Public Health Alliance www.epha.org ENHA European Nutrition for Health Alliance www.european-nutrition.org/ EFPC European Forum for Primary Care www.euprimarycare.org/ EUFIC European Food Information Council www.eufic.org BiB Breakfast is Best www.breakfastisbest.eu/

http://www.internationaldietetics.org/

http://www.euro.who.int/nutrition

http://ec.europa.eu/health

http://www.epha.org/

http://www.european-nutrition.org/

http://www.euprimarycare.org/

http://www.eufic.org/

http://www.breakfastisbest.eu/


Appendix 6: Projects and Collaborations DIETS2 (2010-2013) “Dietitians Ensuring Education, Teaching and Professional quality” (www.thematicnetworkdietetics.eu) Lead partner: Plymouth University, England EFAD leads the Quality Assurance work package and undertakes the Management of the network. The Thematic Network is funded by a grant from the European Commission EACEA Socrates Erasmus fund: 2010-3475_177201-LLP-1-2010-1-UK-ERASMUS-ENWA Income: EFAD will receive €55,695 over 3 years. This will fund 75% of EFAD’s contribution to the DIETS project. As a co-funded project EFAD must contribute the outstanding 25% (€18,565) over 3 years. DeBATE (2011-2012) “Dietitians’ Energy Balance Tools for Engagement” Lead partners: EUFIC (www.eufic.org) and Brunel University, England EFAD is a member of the Advisory Board. This project is funded by Brunel University Income: EFAD will receive €10,000 over two years EURRECA (2006-11) “EURopean Micronutrients RECommendations Aligned” www.eurreca.org Lead partner: ILSI Europe EFAD is a member of the Users Advisory Group for EURRECA. The Eurreca Network of Excellence is funded by the European Commission. Contract Number FP6-036196-2(FOOD) Income: Travel and subsistence for an EFAD representative attending one meeting a year of about €600 FibeBiotics (2011-2016) “Dietary Fibers supporting Gut and Immune Function - From polysaccharide compound to health claim” Lead partner: Dienst Landbouwkundig Onderzoek, Food & Biobased Research, NL. EFAD is a member of the Scientific Advisory Board. This project is funded by grant FP7-KBBE-2011-5 Income: Travel and subsistence for an EFAD representative attending one meeting a year of about €1600 Food4Me (2011-2015) “Personalised nutrition: An integrated analysis of opportunities and challenges” http://cordis.europa.eu/fetch?CALLER=FP7_PROJ_EN&ACTION=D&DOC=1&CAT=PROJ&QUERY=0130f43406d1:8d58:586d9904&RCN=98657 Lead partner: The Institute of Food and Health, University College Dublin, Ireland EFAD is a stakeholder in the Ethical and Legal issues workpackage (WP5). The project is funded by grant FP7-KBBE-2010-4 (Contract no 265494). Income: Travel and subsistence for an EFAD representative attending WP5 stakeholders meetings

http://www.thematicnetworkdietetics.eu/

http://www.eufic.org/

http://www.eurreca.org/

http://cordis.europa.eu/fetch?CALLER=FP7_PROJ_EN&ACTION=D&DOC=1&CAT=PROJ&QUERY=0130f43406d1:8d58:586d9904&RCN=98657

http://cordis.europa.eu/fetch?CALLER=FP7_PROJ_EN&ACTION=D&DOC=1&CAT=PROJ&QUERY=0130f43406d1:8d58:586d9904&RCN=98657


Appendix 7: Meetings Attended 2010 – 2011

Date Place Event EFAD

Representative

October 2010

18/21.11.10 Copenhagen EURRECA Meeting Karin Hadell & Anne de Looy

23/24.10.10 Amsterdam EFAD Executive Meeting EFAD EC November 2010

03.11.2010 Brussels EPHA Policy Coordinators Meeting (PCM) Judith Liddell

09.11.2010 Brussels ENHA Ministerial Nutrition Day Conference Elisabet Rothenberg

15.11.2010 Brussels ENHA Meeting Judith Liddell

22.11.2010 Brussels EPHA Induction to Europe Anne de Looy

23.11.2010 Brussels Platform working group - changing the mandate Anne de Looy December 2010

2/4.12.10 Amsterdam DIETS Conference

Anne de Looy, Judith Liddell, Ulrich Hühmer, Therese Libert, Jolein Iestra, Agneta Hornell, Mirjam Jager

8/9.12.10 Brussels High Level Conference on monitoring-evaluation of EU and MS s' strategies on nutrition, overweight and obesity-related health issues

Anne de Looy & Judith Liddell

10/12.2010 Brussels EPHA Food and Nutrition Working Group Judith Liddell January 2011

13/20.01.11 Brussels BiB Therese Libert February 2011

15.02.2011 Brussels Platform Anne de Looy

23.02.2011 Brussels ENHA Trustees Meeting Anne de Looy March 2011

2/3.3.11 Brussels 5th Annual European Nutrition & Lifestyle Conference

Annelies Rotteveel

02.03.2011 Brussels Roundtable debate with John Dalli (EU Commissioner for Health and Consumer Policy) on the European Colorectal Cancer policy

Jolein Lestra

9/10.3.2011 Brussels StanMark Conference - Action to regulate marketing of food to children

Antal Zsákai

10.02.2011 Brussels EPHA PCM March Meeting Judith Liddell

April

http://www.efad.org/folders/2095
























2011

7/9.4.11 Valencia First International Congress of Human Nutrition and Dietetics- "a sea of career opportunities"

Anne de Looy

08.04.2011 Noordwijk Dutch Dietetic Association Congress Judith Liddell

13/14.04.11 Brussels EPHA Annual General Assembly Judith Liddell

13/15.04.2011 Brussels EPHA Annual Conference - Europe 2020: Delivering a healthy and sustainable future for all?

Judith Liddell

May 2011

12.05.2011 Brussels EPHA PCM May Meeting Judith Liddell

12.05.2011 Brussels EPHA Working Group on Pharmaceutical Policy Judith Liddell

12.05.2011 Brussels EPHA Nutrition Interest Group - taxation on food Judith Liddell

13.05.2011 Brussels Platform on Physical Activity, Nutrition & Health Judith Liddell

12/14.05.2011 Milan 23rd ANDID National Congress Anne de Looy

25/28.5.2011 Istanbul ECO 2011 Ellen Govers

30/31.05.2011 Budapest Action for Prevention Expert Level Conference Emese Antal June 2011

14.06.2011 Brussels ENHA Trustee Meeting Anne de Looy

20/23.06.11 Budapest EURRECA 5th Integrating Meeting Karin Hadell & Anne de Looy

July 2011

11.07.2011 London EU Directive on Professional Qualifications: Launch of EU Green Paper at RCP

Carole Middleton

September 2011

3/6.9.11 Gothenburg ESPEN - Nutrition in Translation – Bridging Science and Practice

Elisabet Rothenberg

08.09.11 Brussels EPHA PCM September Meeting Judith Liddell

22/24.9.11 Vienna EFAD 22nd General Meeting October 2011

06.10.11 Brussels European Commission Platform Meeting Anne de Looy

13.10.11 Brussels EPHA PCM October Meeting Judith Liddell

21/22.10.11 Barcelona DIETS/EFAD Conference

Anne de Looy, Judith Liddell, Ulrich Hühmer, Therese Libert

November 2011

10.11.11 Brussels EPHA PCM November Meeting Judith Liddell

23.11.11 Brussels EHN "Diet, Physical Activity and Cardiovascular Disease Prevention in Europe"

Judith Liddell

28/29.11.11 Brussels Joint High Level Group/ Platform Meeting Anne de Looy



http://www.dietistendagen.nl/


























Appendix 8: Standards and Publications European Education Mapping reports (1986, 1991, 1995, 1999, 2003, and 2009) European Academic and Practitioner Standards for Dietetics (2005) European Dietetic Competences at the point of entry to the profession (2009) European Dietetic Practice Placement Standards (2010)


Appendix 9: Position Papers The Role of the Dietitian in the Management of Obesity Dietitians play a key role in the management of obesity in adults and children at every level. They are uniquely qualified to translate the scientific evidence on energy intake and expenditure, nutrition and behaviour into practical dietary advice and the provision of healthy food. Dietitians use counselling techniques to support individuals and groups who are overweight or obese or have obesity-related conditions, such as diabetes and coronary heart disease, in an effective way both short term and long term (Lichtenstein 2007, Zazpe 2008, Govers 2009, Delahanty 2010). Definition of obesity Obesity is a complex chronic condition that is characterised by the excess accumulation of body fat to an extent that health is adversely affected (World Health Organisation 2000). Lifelong commitment to treatment and management by both the individual and the health care system is required. Role of the dietitian Dietitians are in a key position to promote a healthy lifestyle. They are educated in nutrition, health, counselling and behavioural strategies and are actively involved in public health, health promotion/prevention, clinical treatment, disease management, research, food planning and preparation. Dietitians have the skills and competences to interpret and communicate theoretical knowledge to enable individuals to make appropriate choices about food and healthy lifestyle and to teach people how to sustain healthy behaviour. Dietitians fulfil their role in prevention, treatment, food provision and research in a range of different settings:

Healthcare – primary care, acute, residential and private practice

Education – pre-school, school and higher education institutions

Workplace

Food industry

Multi-media

EU, national and local governments (EFAD 2008) EFAD shares the concerns expressed by the WHO and other international bodies regarding the increasing prevalence of obesity across the globe and supports calls to implement effective strategies to prevent and treat obesity and its comorbidities References Delahanty L M (2010) “An expanded role for dietitians in maximizing retention in nutrition and lifestyle intervention trials: implications for clinical practice” J Hum Nutr Diet 23(4) 336-343 European Federation of the Associations of Dietitians (2008) “The dietetic contribution to health in the workplace.” www.efad.org/folders/2427



Govers E, Brouwer I A et al (2009) "Weight loss after one year and weight maintenance after four years after treatment by a dietician" Ned Tijdschr voor Voeding & Diëtetiek (Dutch Journal of Nutrition and Dietetics) 64(2) Lichtenstein A H (2007) "Diet, Heart Disease, and the Role of the Registered Dietitian" Journal of the American Dietetic Association 107(2) 205-208. World Health Organisation (2000) “Obesity: preventing and managing the global epidemic” Report of a WHO consultation WHO Technical Report Series 894 Geneva Zazpe I, Sanchez-Tainta A et al (2008) "A Large Randomized Individual and Group Intervention Conducted by Registered Dietitians Increased Adherence to Mediterranean-Type Diets: The PREDIMED Study" Journal of the American Dietetic Association 108(7) 1134-1144.


The Role of the Dietitian in the Prevention and Management of Malnutrition in Adults Malnutrition poses a considerable public health and economic burden across Europe www.european-nutrition.org. Dietitians, as experts and leaders in human nutrition, are uniquely qualified to develop and implement strategies to prevent, identify and manage malnutrition. They have a key role in the development of policy and guidance, inter-disciplinary working, evidence-based food and nutrition management and nutrition education of carers, health and social care professionals. Malnutrition:1

is a state in which a deficiency, excess or imbalance of energy and nutrients causes measurable adverse effects on tissue/body function and clinical outcome

is a disease in its own right as well as a risk factor in or consequence of other medical conditions

is often under-recognised and under-treated, but could be prevented/limited

expensive, costing Europe around €171 billion a year

affects recovery from illness and increases morbidity and mortality www.european-nutrition.org

Role of the Dietitian

In their professional practice, dietitians apply national and international guidelines and use clinical pathways to improve nutritional health.

With individual clients, dietitians take a person-centred approach to diagnose nutritional conditions and identify social problems, assess individual requirements, recommend and monitor appropriate care/ treatment plans and advise on/provide appropriate food to ensure optimal nutrition leading to improved quality of life.

Dietitians contribute to the prevention of malnutrition through the promotion of screening for those at risk, the provision of education, training, advice and support for carers, health and social care professionals.

Dietitians are involved in the development of policy and guidelines for the prevention and management of malnutrition at local, national and international levels.

Dietitians work across all care settings contributing to the nutritional care of people in hospital, residential care and their own homes.

Dietitians utilise all forms of nutritional therapy from normal food to artificial nutrition and facilitate the transition from one form of therapy to another. The provision of nutritional therapy in an effective and safe manner through the appropriate use of food and prescribing of nutritional supplements has demonstrated substantial cost savings.

EFAD supports the initiatives and recommendations of the Council of Europe, the European Parliament, WHO and the European Nutrition for Health Alliance (ENHA) to raise awareness of the risks of malnutrition and promote nutritional treatment as a multi-professional issue with a shared responsibility for action.

1 'Malnutrition' in this paper is taken to mean 'under nutrition'.





References

Council of Europe, Resolution ResAP(2003)3 on food and nutritional care in hospitals 2003 Council of Europe (2009) Nutrition in care homes and home care. From recommendations to action Publishing Editions European Nutrition for Health Alliance www.european-nutrition.org



Appendix 10: Ethical Statement EFAD bases its values on the International Code of Ethics agreed by the International Confederation of Dietetic Associations (ICDA), adopted in September 2008: “Dietitians practice in a just and equitable manner to improve the nutrition of the world by:

Being competent, objective and honest in our actions

Respecting all people and their needs

Collaborating with others

Striving for positive nutrition outcomes for people

Doing no harm

Adhering to the standards of good practice in nutrition and dietetics” The International Code of Good Practice supports the International Code of Ethics: “Provision of Service and application of knowledge:

Provide high quality, cost-efficient services in nutrition and dietetics

Provide services based on the expectation and needs of the community or client

Competently apply the knowledge of nutrition and dietetics and integrate this knowledge with other disciplines in health and social sciences

Work co‐operatively with others to integrate nutrition and dietetics into overall

care/service regardless of context

Work in partnership with clients and users of the service

Developing practice and application of research

Interpret, apply, participate in or generate research to enhance practice

Develop a unique body of knowledge

Have an in‐depth scientific knowledge of food and human nutrition

Develop practice based on evidence Communication

Communicate effectively through nutrition education, education and training, development of policy and programs

Advocate for nutrition and dietetics, the alleviation of hunger and the value of services

Advance and promote the dietetics profession Quality in practice

Systematically evaluate the quality of practice and revise practice on the basis of this feedback

Strive to improve services and practice at all times

Maintain continued competence to practice Continued competence and professional accountability

Ensure accountability to the public

Accept responsibility for ensuring practice meets legislative requirements

Maintain continued competence by being responsible for lifelong learning and engaging in self-development.”


Building a strong evidence-based approach to nutrition and dietetics

Appendix 11: EFAD/DIETS Conference

Programme

5th DIETS/EFAD Conference 21 and 22 October 2011 Barcelona All presentations and posters are available on www.thematicnetworkdietetics.eu

We are delighted to acknowledge Kellogg’s as a gold sponsor of the 5th DIETS/EFAD Conference The Almond Board of California and Tanita have provided sponsorship The Blanquerna Ramon Llull University has also been very generous in sponsorship



Welcome, Dietitians Improving Education and Training Standards (DIETS) was an EU-funded Thematic Network of Dietetic Associations, Departments of Nutrition and Dietetics in Higher Education and NGOs across 29 countries is Europe. DIETS had over 120 partner institutions, 70 of which were in Higher Education (HEI) and ran from 2006 to 2009. The Network ran three successful conferences and promoted the education and training of dietitians. In 2010 the EU invested further resources in the Network and this time the theme is ‘Ensuring Education, Teaching and Professional Quality’ (DIETS2). DIETS2 has increased its HEI representation and now spreads over 31 countries. The European Federation of the Associations of Dietitians (EFAD) is a prime partner promoting dietetics at European level and representing some 30,000 dietitians across Europe. The website www.efad.org and www.thematicnetworkdietetics.eu provide further details. I am delighted that this year EFAD wishes to join with the Network to be a co-host for the conference. Our 4th conference took its theme ‘Improving the nutrition of Europe through a fully evidenced-based profession of dietetics‘. The 5th conference takes as its theme ‘Building a strong evidenced-based approach to nutrition and dietetics”. The conference will explore not only foundations of education required to ensure a fully competent and educated dietetic workforce, but also areas of dietetics where professional dietitians provide specialist services, such as in diabetes, obesity, paediatrics, oncology, ageing and renal disease. We will be particularly aiming to support the use and production of an evidence base and workshops will support dietitians in that work. The proceedings and abstracts for the posters presented will be proactively promoted to all 30,000 dietitians in the Network as well as NGOs, HEIs and agencies in individual nation states by Dietetic Associations. The Network working with EFAD is already an established guarantor of the quality of education and the future research activity of dietitians through the publication of academic standards both for first cycle degrees and practice. DIETS2 will continue this work, especially focussing on post-qualification practice and their standards. The organising committee and I hope you really enjoy this important conference, in the beautiful city of Barcelona.

Anne de Looy Professor of Dietetics Thematic Network Coordinator and Honorary President of EFAD

http://www.efad.org/



Objectives of the DIETS2 Conferences

➤ To raise the profile of the profession of dietetics and dietitians as experts in the nutritional health

of individuals and groups

➤ To increase the professional knowledge of those within dietetics and all who are interested in

human nutritional health

➤ To provide opportunities for networking, mentoring and employment

➤ To create a discussion between dietitians, educators, industry and those who can affect the

continuing improvement of nutritional health of the vulnerable within Europe Aims of the 5th Conference

➤ To highlight issues facing the profession, educators, industry and others working together to

improve nutritional health and the gaps in our evidence base

➤ Engender new methods and actions for dietitians to use to work in an evidence-based way and

also to develop and disseminate their own profession-led evidence Event Format: Hosted by The DIETS2 Thematic Network and EFAD, the Conference comprises three parts:

➤ Two days of presentations and workshops by both European and international high profile

experts, primarily dietitians

➤ Networking where attendees can meet face-to-face with colleagues and others across

disciplines and industry

➤ Poster presentations of contemporary research activities of dietitians and others in Europe

Partners, Participants and Delegates: Dietitians and researchers – who have a special interest in specific areas of dietetic practice as well as dietetics overall Key decision-makers – within the dietetic profession, higher education and non-governmental organisations, industry and charities interested in nutritional health Academics – including researchers, teachers, researchers, information gatherers and analysts. Students Others – within the food and pharmaceutical industry Certificates of attendance and recommendations for learning credits are available for attendees.


Friday 21 October: Theme - The Building Blocks

8:30 Registration Opens

9:15

Welcome to the 5th DIETS/EFAD Conference

Welcome from European Federation of the Associations of Dietitians Welcome from the Spanish Dietetic Association (AEDN)

Welcome from our hosts Blanquerna Ramon-Llull University

Clare Corish Dublin Institute of Technology, Ireland & DIETS2 WP9 Lead ‘Alerting, Networking and Sharing’

Judith Liddell EFAD General Secretary

Giuseppe Russolillo President AEDN

Màrius Duran Hortolà Dean, Faculty of Health Sciences Blanquerna Ramon-Llull University

9:45 Can dietetic research provide the evidence?

Anne de Looy Plymouth University, England

10:15 How do we gather the evidence? (Principles of gathering the evidence what is evidence for dietitians and where is it to be found?)

Stojan Kostanjevec Slovene Nutritionist & Dietetic Association

10:45 Evidence-based practice or practice-based evidence? (What is the difference?)

Anne Payne Plymouth University, England

Coffee, tea, snacks and networking

12:00

Debate: Where should we educate our students to be evidence-based practitioners?

In Higher Education?

In practice?

Chair: Clare Corish

Marta Cuervo University of Navarra, Spain

Daniel Buchholz Charité- Universitätsmedizin Institute of Health Sciences Education and Nursing Science; Berlin, Germany

13:00 Lunch, coffee, tea, snacks and networking


13:30 Posters three parallel presentations Chairmen Trudy Giesinger & Andrea Hofbauer Association of Dietitians, Austria

14:15

Workshops

1. Writing for publication and dissemination 2. Making a case for funding and support 3. Developing your brief for evidence-based practice 4. Getting started on evidence-based practice 5. Workshop for students only

Led by the DIETS2 Network Work Package 5 ‘Teaching enquiry-based learning’ Kate Murphy Plymouth University, England Vanessa Teutschländer EFAD

16:00 Coffee, tea, snacks and networking

16:45 Do we apply practice-based evidence?

Jayne Thirsk Dietitians of Canada Sue Kellie British Dietetic Association

17:15 Posters presentations Chairmen Trudy Giesinger & Andrea Hofbauer Association of Dietitians, Austria

17:45 Finish

18:00

DIETS2 Key contacts reception Clare Corish WP9 Lead ‘Alerting, Networking and Sharing’ and Ana Catarina Moreira WP8 Lead ‘Embedding and driving change’

Clare Corish Dublin Institute of Technology, Ireland Ana Catarina Moreira Higher School of HealthTechnology of Lisbon, Portugal

18:00 Dietetic students in Europe: Getting to know the Mediterranean Diet First-Hand

Kate Murphy Plymouth University, England Vanessa Teutschländer EFAD

20.30 Gala Dinner


Saturday 22 October: Theme - Sustaining the Good Work

9:15 Building competences: is a doctorate or professional doctorate really necessary?

Colin Chandler University of Northumbria, England

9:45 Using electronic resources to enhance dietetic practice – is there any evidence for their effectiveness?

Simone Bell Business and Technical Development Manager EuroFIR, Belgium

10:15 Workshops for special areas of dietetic practice:

Coffee, tea, snacks and networking taken at a point during the workshops

Obesity

Ellen Govers Research Dietitian, Netherlands Maria Hassapidou Professor Nutrition & Dietetics, Thessaloniki, Greece

Diabetes Cathy Breen Research Dietitian, Endocrine Unit, Dublin, Ireland

Renal Connie Dotter Association of Dietitians, Austria

Administrative Ylva Mattsson Sydner Head of Nutrition & Dietetics, University of Uppsala, Sweden

Public Health Stojan Kostanjevec Slovene Nutritionist & Dietetic Association

Specialist Feeding Emese Antal Hungarian Dietetic Association

Ageing

Elisabet Rothenberg President of the Swedish Association of Clinical Dietitians Frode Slinde Associate Professor, University of Gothenburg, Sweden

10.15 Workshop for Student Dietitians

Kate Murphy Plymouth University, England Vanessa Teutschländer EFAD Anne de Looy EFAD

12:00 Using lifelong learning to build your evidence

Dra. Emilia Sánchez Vice Dean, Faculty of Health Sciences, Blanquerna Ramon-Llull University, Barcelona, Spain


13:00 Posters Chairmen Trudy Giesinger & Andrea Hofbauer Association of Dietitians, Austria

14:00 Evaluating the success of European Region initiatives to improve nutritional health

Joao Breda WHO European Region

14:30 Using Standardised Dietetic and Nutrition Terminology for research and evidence (followed by discussion)

Pauline Douglas EFAD Professional Practice Committee

15:45 Coffee, tea, snacks and networking

16:30 End piece and close: Defining professional quality: the role of EFAD and National Dietetic Associations

Anne de Looy Hon President EFAD

17:00 Conference Closes

Dietetic Students in Europe Meeting

Friday 21 October

14:15 - 16:00 14:15 14:30 14:45 15:00 15:15 15:20 16:00

Lead by Kate Murphy & Vanessa Teutschländer Introduction DIETS & EFAD websites, including extranet – Judith Liddell DIETS Facebook and social networking - Koen van Herle Research (including e-Journal (for student theses) – Eirini Bathrellou Presentation of the idea of a students’ network Group work and Brainstorming - future networking Coffee break

Friday 21 October

18:00 19:45

Visit to market to see Mediterranean diet “first hand” Gala Dinner or Barcelona Night Tour

Saturday 22 October

10:15 - 10:45 10:45 - 11:00 11:00 - 12:00

Presentation of brainstorming outcomes – Kate, Vanessa & Anne Coffee EDBS, Competences and Practice Placement Standards – Anne de Looy

Documents

Annual Report October 2010 - December 2011efad.azurewebsites.net/media/1302/efad-annual... · EFAD Annual Report October 2010 - December 2011 Page 5 of 46 About EFAD EFAD was established