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BAPEN Conference Preview 2010 BAPEN Annual Conference


MALNUTRITION MATTERS 2nd & 3rd November 2010 • Harrogate International Centre


QUALITY IMPROVEMENT IN NUTRITIONAL CARE Quality is the word and focus this year


But what does this mean for daily nutritional practice in community, care and hospital settings?


The 2010 Annual Conference will emphasise how good nutrition is at the forefront of safe care and is a priority for all UK health care professionals from hospital to community.


This will be apparent from the very opening session – Ensuring Quality in Nutritional care – which starts with a look at the Care Quality Commission (CQC). Although the CQC is the independent regulator of all health and adult social care in England, they have made meeting nutritional needs an essential standard of quality and safety which will be of interest to all UK health professionals who want to create better nutritional services. BAPEN Chair, Mike Stroud, will be giving invaluable insight into making such services a reality with a look at the BAPEN Malnutrition Matters Toolkit for Commissioners and Providers. Screening is at the heart of a quality nutrition service and Professor Marinos Elia will show how the ‘MUST’ e-learning module can play a vital role in the efficient, cost effective training of all healthcare staff. The importance of perusing data to improve quality will be illustrated by Dr James Stewart, Consultant Physician & Gastroenterologist, Digestive Diseases Centre, Leicester Royal Infirmary. He will give a detailed report on the The NCEPOD’s audit of national PN practice that uncovered among other very worrying findings: • Good practice around PN was only identified in 19% of patients


• Inadequate consideration was given to enteral nutrition in a third of patients on PN


• PN was administered for an inappropriate indication in 29% of patients


• There were deficiencies in the assessment and monitoring of PN patients in 54% of cases


• Metabolic complications occurred in 40% of PN patients and 49% of these were probably avoidable


Hear all the NCEPOD PN findings in detail at BAPEN 2010!


The quality and safety theme is also major focus of Symposium 6 – Test your IQ: Improvement in Quality. Ailsa Brotherton tells us why this symposium is a must for everyone involved in setting up and delivering safe nutritional care.


Colleagues with a high 'Intelligence Quotient'


will make sure they attend this symposium which will focus on 'Improvement in Quality' across acute and community settings. This symposium will open with a sharp focus on quality standards in nutritional care and explore how all organisations and care settings can demonstrate they are meeting the quality standards for nutrition.


The CQC has a key role in driving quality improvement in nutrition as their Essential Standards of Quality and Safety specify nutritional outcomes that apply to all providers, focusing on service user experience. The outcomes clearly state that individuals who use services should be supported to have adequate nutrition and hydration. Compliance to these regulations will reduce the risk of poor nutrition and dehydration by encouraging and supporting people to receive adequate nutrition and hydration.


The CQC provide very detailed prompts for registered providers where they prepare, or support people who use services to prepare food and drink to ensure personalised care by providing adequate nutrition, hydration and support and to promote an individual’s rights and choices. They are currently developing a tool that will be used by their assessors to assess organisations compliance to the Nutritional Standards. Sally Bassett, Honorary Deputy Chief Nurse East of England SHA and Director, Forensic Services, PricewaterhouseCoopers will explain the development, testing and implementation of this tool and discuss how organisations may use it to drive quality improvements in nutritional care through self assessment.


Nutritional care is central to the delivery of


good quality, safe care and the challenges we all face in delivering ongoing improvements in the quality of nutritional care within the constraints of the current economic climate are immense. Clinical leadership and innovation are fundamental to success and Pam Coulthurst, Specialist Dietitian and Team Leader at the Lancashire Teaching Hospital NHS Foundation Trust, will share with you her Trust’s experiences of


using BAPEN’s new Toolkit, Malnutrition Matters: Meeting Quality Standards in Nutritional Care toolkit for Commissioners and Providers in England. Pam will explore how the Toolkit can assist organisations to meet required nutritional standards and share the challenges of implementing the Toolkit.


Many healthcare professionals miss the opportunities created by National Policy Payment Frameworks, such as CQUIN, to focus attention on nutritional care. Within this symposium we will also be exploring the importance of using the Policy Drivers to improve nutritional care and Rachael Masters, Team Lead Dietitian, will present her experience of getting nutritional care embedded into local, and regional, CQUIN. The symposium will close with a focus on the key findings of the 2010 Nutrition Screening week – another excellent example of the importance of perusing data to improve quality – and an update on BANs reporting.


There really is something for everyone involved in providing quality nutritional care at this year’s BAPEN. Other highlights include: • Options in Enteral Feeding: To PEG or not to PEG, is that the only question?


• Micronutrients under the Microscope • Best Practice in the Preparation of Patients for Bariatric Surgery


• Nutrition is the Cutting Edge in Surgery – Peri-operative Feeding


• HIFNET and PN • From Cutting Edge Research to Clinical Practice • Test your IQ: Improvement in Quality • HIFNET: Building a Seamless Parenteral Nutrition Service for Patients


• Nutrition in IBD • How to Succeed in Research • Dragons’ Den


For those who fancy some winter sun but can’t afford the flights we have the next best thing – a Caribbean beach party at the BAPEN Annual Dinner!


For further information and to book online visit:


http://www.bapen.org.uk/ce_annual_conf.html BAPEN In Touch No.58 August 2010


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