NHD
Infant feeding problem
by Kate Harrod-Wild
HEF watch PEG feeding
Case study Childhood obesity by Chris Rudd, NHD Clinical Editor
Chris took early retirement last year after 33 years in continuous dietetic service. She has recently returned to part-time working with Sheffield PCT Medicines Management Team as a Dietetic Advisor.
Are we facing the most radical change ever to the NHS?
On 12 July 2010 the NHS White Paper: Equity and Excellence: Liberating the NHS was published. It sets out the long-term vision for the future of the NHS. Compre- hensive services, available for all, free at the point of delivery, based on need and not ability to pay, are the core values and principles and will continue to be the foun- dation for the future.
The vision will put the patient at he heart of everything that the NHS does; it will look at patient’s healthcare outcomes and em- power and liberate clinicians to innovate and have freedom to focus on improving healthcare service. There will be a restruc- turing set within time limits and financial targets to be achieved. A patient centred approach to healthcare is essential, but it is not a new approach and often patients need to be guided or directed. There seem to be unanswered questions that have been raised and it will be an interesting and, for many, a difficult time ahead. Recently, I attended a presentation giv-
en by the Chair and Vice Chair of PINNT. They both had a very clear vision about patient’s expectations and the need to in- clude the patient in the decision-making process about their healthcare and the impact that our interventions can have. The patient’s quality of life is very impor- tant and the article Psychological issues of PEG feeding; understanding your pa- tient’s view’ (pg 22) clearly reflects this. Ailsa Brotherton and Christina Lyons are asked to consider ‘living in the patient’s shoes’. Patients have shared and identi- fied a number of psychological issues and raised issues about their feelings. Prac- titioners play a key role in listening and finding solutions to support their patients. Nutrition and older people by Lisa- Jayne Cruickshank and written in asso- ciation with NAGE, states that the number of older people in the UK is increasing, raising concerns of the strain on the NHS. We should be actively approaching com- missioners to invest in dietetics to improve
the nutritional status of our current and fu- ture older population. Consequently, this may help reduce hospital admission and length of stay, minimise service support needs and ensure independence of the older person. This month we also have two case stud- ies. Natalie Mohamdee works in a team tackling childhood obesity in North Tyne- side and tells us of the journey of Amy and her Mum. It highlights the family involve- ment and for the professionals to maintain a positive attitude and help motivate. Kate Harrod-Wild’s exceptionally difficult case study is about David. He finally agrees to take action into his own hands! As dietitians we need to be knowledge- able, have a range of skills and be com- petent to practice. In the career section of NHD, Di Spalding shares her experience about the HPC audit, gives us useful rec- ommendations should we be selected in 2012 and now waits for a positive outcome to her submission of her evidence. Enjoy!
NHD clinical - the essential clinical supplement
The elderly & diet Improved nutrition
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