26
IMPROVING NUTRITION ….. IMPROVING CARE. DR ALASTAIR MCKINLAY NHS GRAMPIAN Why does malnutrition matter?

Why does malnutrition matter?

  • Upload
    wauna

  • View
    46

  • Download
    0

Embed Size (px)

DESCRIPTION

Why does malnutrition matter?. Improving Nutrition ….. Improving Care. Dr Alastair McKinlay NHS Grampian. Malnutrition Matters. It is common Its is treatable Improving nutrition has benefits for patients and their quality of care and safety. Ignore malnutrition and it will bite you. - PowerPoint PPT Presentation

Citation preview

Page 1: Why does malnutrition matter?

I M P R O V I N G N U T R I T I O N … . . I M P R O V I N G C A R E .

D R A L A S TA I R M C K I N L AY

N H S G R A M P I A N

Why does malnutrition matter?

Page 2: Why does malnutrition matter?

Malnutrition Matters

It is commonIts is treatableImproving nutrition has benefits for patients and

their quality of care and safety.

Ignore malnutrition and it will bite you.

Page 3: Why does malnutrition matter?

Malnutrition is commonBAPEN Nutrition Week Survey 2010

10,044 individual patients

9668 age over 18 years with a MUST score

Medium risk malnutrition 14%

High Risk 21%

Total 34%

Page 4: Why does malnutrition matter?

BAPEN Nutrition Week Survey 2010

By Country England 35% Wales 33% NI 38% Scotland 27%

By admission: Emergency 39% Elective 24% Not known 34%

Page 5: Why does malnutrition matter?

Summary –

Malnutrition is still common Associated with illness The isolated, elderly etc

Page 6: Why does malnutrition matter?

Care Homes:BAPEN Nutrition Week Survey 2010

148 Homes in the UK1010 residents857 with MUST Scores

Medium risk 15%

High risk 23%

High and Medium risk 37%

Page 7: Why does malnutrition matter?

Care Homes:

BAPEN Nutrition Week Survey 2010

By Country: England

37% NI

31% Scotland

45% Overall

37%

Page 8: Why does malnutrition matter?

In previous studies :

Malnutrition unrecognised in 66% Most areas now use

MUST MUST is only of value if

it is completed correctly And if it is acted upon

Page 9: Why does malnutrition matter?

Cost:

Malnutrition is associated with poorer outcomes: Higher length of stay Higher Mortality Reduced Healing of bed

sores Reduced quality of life?

Not known

Page 10: Why does malnutrition matter?

Financial Costs

BAPEN Estimates (UK): £13 billion per annum – NHS / Social Care Scotland - £1.3 billion

Not all can be recovered If we saved 10% → £130 millon 1% → £13 million NICE estimates fourth largest cost–saving area

Page 11: Why does malnutrition matter?

What have we achieved in Scotland?

Food, Fluid and Nutritional Care Standards 2003 2010: All Health Boards

had improved Current status – unclear

They remain published – They have not been rescinded

Page 12: Why does malnutrition matter?

The Integrated Program for Improving Nutritional Care (INCHP) :

Established in 2007. AIM: to support NHS staff to

introduce the Nutritional Care in Hospitals Standards.

Nutrition Champions: Major contribution to implementing

new practice An effective, informal network

Page 13: Why does malnutrition matter?

Health Facilities Scotland.

Page 14: Why does malnutrition matter?

Health Facilities Scotland.

Publication of national catering and nutritional services specification “Food in Hospitals”.

Commissioned the NUTMEG system to allow the nutritional analysis of menus.

Introduction of self-assessment tool to monitor progress of "Food in Hospitals."

Page 15: Why does malnutrition matter?

Working with care homes.

Ongoing work regarding nutrition in care homes.

National report "Eating Well in Care Homes for Older People“

published 2009

The Scottish Government established the Care Commission

Now Social Care and Social Work Improvement Scotland)

In 2002 to regulate care services.

Page 16: Why does malnutrition matter?

NHS Education for Scotland (NES)

NES has developed educational resources.

“Nutritional Care and Fluids” module for Foundation Level Doctors. Part of the "DOTS"

system. Will also be accessible

via the Nutritional Care website

(www.nutritioncare.scot.nhs.uk)

Page 17: Why does malnutrition matter?

Improving Nutritional Care Programme Priorities

"Making Meals Matter“.Self-management (long-term conditions).Improving Transitions: between hospital and

community.Achieving Sustainability.

Page 18: Why does malnutrition matter?

Case Study 1:

Making Meals Matter:

Improving ward processes.

Aim: to improve the effectiveness of mealtimes for 95% of patients in test areas

Led by nutrition champions and ward staff in NHS Greater Glasgow and Clyde and NHS Fife.

"Making Meals Matter" pack developed including poster, outlining key elements of effective mealtimes.

Making Meals Matter pack will be made widely available.

Page 19: Why does malnutrition matter?

Case Study 2:

"Making Meals Matter": volunteers at mealtimes.

Aim: to ensure that 95% of patients receive the support they require to eat and drink at mealtimes.

Led by NHS Ayrshire and ArranProgress:

Volunteers recruited and trained. Risk mitigation processes

established. Evaluation undertaken. Risk assessments completed. Testing currently underway.

Page 20: Why does malnutrition matter?

Case study 3:

Helping people with long-term conditions to self manage their nutritional care.

Aims : 80% of people with COPD attending pulmonary rehabilitation clinic to demonstrate an increased knowledge and understanding of nutrition. Led by NHS Forth Valley and NHS

LanarkshireProgress:

Patients being supported to develop their own care plans.

Introduction of the MUST screening tool.

Page 21: Why does malnutrition matter?

Case Study 4:

Improving transitions between care home and hospital.

Aims: to improve communication relating to nutritional care in 95% of people being admitted to or discharged from care homes. Led by NHS Grampian

Progress: Identified test sites, Development of communication tool

to record nutritional information at the point of admission and discharge.

Page 22: Why does malnutrition matter?

Summary

Sustainability remains a significant challenge Integrating nutritional care into day to day practice Developing new ways to motivate and interest clinical

teams Effecting change

Change is often difficult to see: Acorns do become oaks Individual Brush strokes can produce a big picture.

Page 23: Why does malnutrition matter?
Page 24: Why does malnutrition matter?
Page 25: Why does malnutrition matter?
Page 26: Why does malnutrition matter?

Thank you