editorial welcome to issue 57


Neil Donnelly - Dietetic Services Manager NHD editor


It has taken no time at all for the new Secretary of


State for Health, Andrew Lansley, to announce sweeping changes planned for the NHS during the coming months. The White Paper Equity and Excellence: Liberating the NHS published in July this year, details how power will be devolved from Whitehall to patients and professionals. Management costs will be reduced with Primary Care Trusts and Strategic Health Authorities being phased out. General Practitioners will be given the responsi- bility for commissioning care for their local communities. Have we been here before?


Add to this that the Food Standards Agency (FSA) is to be changed and its nutrition functions will be incorporated into the Department of Health. The FSA has championed a Europe-wide introduction of a traffic-light system of front of pack labelling to be undertaken by food companies. This, however, was buried by the European parliament last month when the food industry-backed ‘guideline daily amounts’ campaign was supported by MEPs. This £830m lobbying campaign has effectively put a knife to the FSA. Summing up the role of the FSA, Chief Executive Tim Smith stated that, “as a non ministerial Government Department, we are non- political”, and also that the FSA are “consumers’ preferred source of advice on all matters related to food.” Worthy of special note too, is that the funding of the successful Change4Life public health campaign is to be withdrawn. This, we are told by the Health Secretary, will now be taken on by business- es. Too much change too quickly? One has to wonder and under- pinning much of this is, of course, the serious financial difficulties that we are in as a nation.


Individuals should, if they so wish, accept more responsibility for their own health and by so doing build their self esteem. No nanny- ing then, just good advice for the consumer from the food industry! Meanwhile, back in the relatively cosy world of dietetics, you will be delighted to hear that all the angst experienced prior to the HPC selection process was apparently unnecessary. The recent annual report of the HPC featuring the Continuing Professional Development portfolios looked at over 1,500 registrants from the first four professions to be audited and included podiatrists and orthoptists. I have to report that the number who failed to provide an inadequate portfolio was assessed as… ZERO. A 100 percent pass rate was achieved. The CPD special report in this issue’s career section features


Ursula Arens questioning whether this reflective writing process is really all that it is cut out to be when absolutely everyone clears all the HPC hurdles at the first attempt. Ursula discusses a creditable alternative to the HPC process. Di Spalding also gives us a first-hand account of what it was like to be selected for audit. Enjoy this double issue of NHD and we’ll see you again in early


October.


Neil is a Fellow of the BDA and Dietetic Services Manager in Blackpool. His main areas of interest are weight management and eating disorders


contents


4 News 5 Product news 6 News features 8


12


15 17


19 21 23 25


COVER STORY EATWELL in Europe by Mathias Strand


Nanotechnology by Kathryn E Piehowski & Sharon M Nickols-Richardson


NHD Clinical editor: Chris Rudd


Infant feeding problem by Kate Harrod-Wild


Nutrition and older people by Lisa-Jayne Cruickshank


HEF watch: psychosocial issues of PEG feeding


by Dr Ailsa Brotherton & Dr Christina Lyons


Case study: childhood obesity by Natalie Mohamdee


Into research: by Dr Amelia Lake Coeliac watch


27 PKU watch: feeding problems in children by Dr Anita MacDonald


30 PKU watch: prescription update by Eleanor Weetch


32 Public health: plant sterols by Tracy Purbrick


33


36 38


Career: CPD assessment by Ursula Arens


35 Career: HPC audit 2010 by Diane Spalding


dieteticJOBS Courses & events


39 Day in the life of . . . Charlotte Musgrove, Public Health Nutritionist


Cover photos: istockphoto.com


NHD is printed on EMAS approved paper (chlorine free and from sustainable forest re-growth) Editor


Network Health Dietitians is published by NH Publishing Ltd UK Company No. 05432911


Suite 1 Freshfield Hall, The Square, Lewes Road Forest Row, East Sussex RH18 5ES Phone 0845 450 2125 (local call rate) Skype - NHDmag Fax 0870 762 3713


Email info@networkhealthgroup.co.uk www.NHDmag.com www.dieteticJOBS.co.uk


Features editor


Neil Donnelly RD FBDA Ursula Arens RD


NHD Clinical editor Chris Rudd RD Design Sales


Publisher Heather Dewhurst


Richard Mair richard@networkhealthgroup.co.uk 0845 450 2125 (local call rate) Geoff Weate


Publishing Assistant Lisa Jackson


All rights reserved. Errors and omissions are not the responsibility of the publishers or the editorial staff. Opinions expressed are not necessarily those of the publisher or the editorial staff. Unless specifically stated, goods and/or services are not formally endorsed by NH Publishing Ltd which does not guarantee or endorse or accept any liability for any goods, services and/or job roles featured in this publica- tion. Contributions and letters are welcome. Please email only to info@networkhealthgroup.co.uk and include daytime contact phone number for verification purposes. Unless previously agreed all unsolicited contributions will not receive payment if published. All paid and unpaid submissions may be edited for space, taste and style reasons.


NHDmag.com Aug/Sept '10 - issue 57 3


NHD www.NHDmag.com


PKU & young children Plant sterols Coeliac watch Learning about CPD Nanotechnology


Case study Infant feeding problem


The elderly & diet Improving nutrition


HEF watch PEG feeding Case study


Childhood obesity


EATWELL in Europe Successful healthy eating campaigns


NHD Dietetic recruitment section on page 36 dieteticJOBS.co.uk


NHD Clinical inside! Starts on page 15


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