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A year ago, BAPEN decided that we should concentrate for 2009/10 on spreading the message that good nutritional care ticked all the boxes in the NHS Quality Agenda. This led to our writing directly to the Chief Medical Officer and every member of the National Quality Board, Care Quality Commission and Parliamentary Health Standards Committee, and I like to think that that those letters helped to bring about the current situation with nutritional care highlighted in many Government and Department of Health initiatives.
Following on from the letters, we decided to develop guidance to help ensure the incorporation of best nutritional care into all NHS and Social Care settings and, after a great deal of hard work by members of our own quality group and a variety of partner organisations, our Toolkit for Commissioners and Providers: ‘Malnutrition Matters: Meeting Quality Standards in Nutritional Care’ has now been launched.
The Toolkit opens with background information on malnutrition and its importance in UK health settings before providing a summary of national standards and recommendations on nutritional care. It then emphases the four key steps that should be implemented in every health and social setting, namely:
1. Identify malnutrition through screening and assessment
2. Implement appropriate care pathways for all those identified as malnourished or at risk of malnourishment
Cost per issue: £2.00 to non members
British Association for Parenteral and Enteral Nutrition
A multi-professional association and registered charity established in 1992. Its membership is drawn from doctors, dietitians, nutritionists, nurses, patients, pharmacists, and from the health policy, industry, public health and research sectors.
Principal Functions • Enhance understanding and management of malnutrition.
• Establish a clinical governance framework to underpin the nutrition management of all patients.
• Enhance knowledge and skills inclinical nutrition through education and training.
• Communicate the benefits of clinical and cost- effective optimal nutritional care to all healthcare professionals, policy makers and the public.
• Fund a multi-professional research programme to enhance understanding of malnutrition and its treatment.
The Newsletter of the British Association for Parenteral and Enteral Nutrition.
Printed version: ISSN 1479-3806. On-line version: ISSN 1479-3814.
All contents and correspondence are published at the discretion of the editors and do not necessarily reflect the opinions of BAPEN. The editors reserve the right to amend or reject all material received. No reproduction of material published within the newsletter is permitted without written permission from the editors. BAPEN accepts no liability arising out of or in connection with the newsletter.
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www.bapen.org.uk
3. Train all frontline staff in the importance of nutritional care 4. Ensure that management structures are in place to support best nutritional practice
To take organisations through these four elements in a systematic fashion, we then provide seven detailed tools which permit assessments of local need and levels of current provision; definition of nutritional care pathways; education and training of staff; and the development of service specifications, operational frameworks and quality indicators for monitoring and review. The whole thing is freely available to download from the BAPEN website and I hope that all BAPEN members will find it useful in promoting nutritional care standards within their own organisation.
So far, the Toolkit has been very well received with many enthusiastic expressions of support including messages from the President of the Royal College of Physicians, the Director of Age UK, the Chairman of British Dietetic Association and the Director of the National Patient Safety Agency as well as many others. Furthermore, we have also received Government support with a statement from Paul Burstow, the new Minister of State for Care Services, which read:
“I welcome the leadership shown by BAPEN and the many other respected organisations that collaborated in developing this resource and I hope that care providers and commissioners will use it to make sure older people receive the nutritional care they are entitled to.”
So far then so good, and one year on from our commitment to highlight nutritional care in the quality agenda, I think we can be proud of our achievements. There can, however, be no let up in the fight to keep nutritional issues near the top of the NHS, political and public agendas and so for 2010/11, we have decided to focus down within the nutritional care and quality arena to that of nutritional care and safety. And I hope that this time next year, we can look back and once again claim to have achieved something worthwhile.
1 BAPEN In Touch No.58 August 2010
A message from BAPEN’s chairman
DR MIKE STROUD HONORARY CHAIRMAN
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