Improving Nutritional Care in Bristol Sharon Sexton Medicines Management Dietitian NHS Bristol.
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Transcript of Improving Nutritional Care in Bristol Sharon Sexton Medicines Management Dietitian NHS Bristol.
Current Situation
• Unidentified malnutrition• Low use of MUST/screening in community• Variable understanding of risks associated with
malnutrition• Limited dietary advice available/offered• Limited dietetic services across Bristol• Increasing spend on oral nutritional supplements
Initial Findings from training in Bristol Care Homes(delivered by Rachel Cooke)
• In one care home, just 3.5% of those screened were screened correctly
• In the home where screening was most accurate, 75% of those screened were screened correctly
Initial Findings from Training in Bristol Care Homes(delivered by Rachel Cooke)
• Average incidence of malnutrition: 45%
(17% medium risk, 28% high risk)
• ‘National average’ taken from results of the BAPEN Nutrition Screening Week survey 2010 (37% of residents at risk of malnutrition)
Objectives of Role
• Promote validated guidance
• Increased identification of malnutrition
• Increased screening for risk of malnutrition
• Pathway for treating malnutrition
• Appropriate prescribing
• Support for health professionals
• Training
Key Professionals
• GPs• Community nursing• Practice pharmacists• Dietetic teams• Intermediate Care• Care Homes
– Nursing staff– Catering staff
• Public Health
Developing Guidance on screening
• Primary Care Nutrition Working Group– Range of stakeholders
• NHS Islington guidance adapted with permission– Succinct– draft
The Guidance
• MUST (Malnutrition Universal Screening Tool)
• Care Pathway
• Guide to best practice in prescribing oral nutritional supplements– Range of information on starter packs/feeds
Distribution of guidance
• Meetings at all Bristol GP practices
• Distributed to community nursing teams
• Care settings
• Links with practice pharmacists
• Promoted through training
Conference Update
• Conference held 7th November 2012
• Care homes, community nurses, stakeholders
• Raise awareness of incidence of malnutrition
Key Themes
• Training provision should be ongoing and available for all teams
• Housebound without nursing input hard to reach and may be most vulnerable