BAPEN Conference Review | Event Report
Chaired Posters Day one ended with a chaired poster session featuring a selection of quality wines for delegates to enjoy while perusing the best of British nutritional research.
Good Vibrations – BAPEN
Annual Dinner What could be a more appropriate theme for a dinner in Harrogate in November than a beach party? The torrential rain didn’t stop most of the guests arriving in beach wear. Although, fortunately, no one came in Speedos or mankinis, avoiding any guests being put off the Caribbean buffet, which featured many exotic dishes including goat curry. The limbo competition threw up some surprises with ‘vertically challenged’ Pete Turner going out in the first round and ‘lanky’ Gastroenterologist Simon Gabe winning the star prize. The Beach Boys classics played by excellent
tribute band ‘The
Beached Boys’ seemed strangely appropriate with the possible exception of ‘I get a round’ when BAPEN Executive members were at the bar.
Day 2 – From Cutting Edge
Research to Clinical Practice The Nutrition Society must be congratulated for starting day 2 in style with this fascinating symposium, the highlight of which was Consultant Gastroenterologist Professor John McLaughlin asking “How Does your Gut Taste?”.
John
elucidated that, in addition to the accepted taste receptors (sweet, sour, salt and bitter), there are also a fat taste receptors on the tongue – explaining why last night’s goat curry was so nice. These receptors also exist in the gut and stimulating them delays gastric emptying. This not only explains why high fat feeds are not always well tolerated but also why it is difficult to dance to the Beach Boys after a goat curry. Also extremely interesting was Dr Ken Smith, explaining how immobilised muscles undergo ‘anabolic blunting’ and are unable to utilise amino acids to synthesise tissue even when they are abundantly available. This may further highlight the futility of giving large protein loads to immobile ICU patients.
Nutrition in IBD The importance of appropriate nutrition in inflammatory bowel disease (IBD) cannot be understated, especially in Crohn’s disease where it is not only used to treat malnutrition but also to induce remission.
Baxter Satellite Symposium: HIFNET: Building a Seamless Parenteral
Nutrition Service for Patients PINNT’s Carolyn Wheatley reviews this lively session for us. Professor Jeremy Powell-Tuck hosted a Question Time style session along with an expert panel. This
featured an introduction to the home intestinal failure network (HIFNET), how the new NHS reorganisation will affect it, and when implementation will take place. There was blend of predetermined questions and audience participation leading to discussion of key issues ranging from how regional HIFNET services should be developed and how they will be coordinated centrally, as well as a range of patient focused aspects of HIFNET. It made for a lively debate, with healthy audience participation.
Test your IQ: Improvement in Quality: Meeting Nutritional
Standards Dr Alisa Brotherton, National QIPP Safe Care Programme Director, continues the quality theme with her review of this symposium, which she also chaired. There was standing room only in the Quality
Improvement symposium where speakers focused on meeting quality standards in nutritional care. The session opened with Sally Bassett, former Deputy Chief Nurse East of England, emphasising that it is a legal requirement for providers to demonstrate that they are meeting the Care Quality Commission essential standards of quality and safety, including a standard relating to meeting nutritional needs (outcome 5; Regulation 14). Sally described the development process for the ‘Observation Prompts and Guidance for Monitoring Compliance (Guidance for CQC inspectors)’ and the Provider Compliance Assessment tool and encouraged delegates to download the guidance and the observational tool from the CQC website –
http://www.cqc.org.uk/publications.cfm?fde_id =15332 – and to use these for the purposes of self-assessment to determine current compliance to the nutrition standard. Pamela Coulthurst, Acting Dietetic Services
Lead, then presented the challenges and successes of implementing the BAPEN Commissioning toolkit at the Lancashire Teaching Hospital NHS Foundation Trust. Pam discussed the difficulties in obtaining the baseline data to determine local prevalence of malnutrition and presented the work being undertaken at the Trust as a result of using the toolkit, including the results of baseline audits to measure compliance to local Trust policies and the plans to implement the BAPEN e-learning packages across the Trust. Focus then turned to success in aligning good
nutritional care to NHS Policy as Rachael Masters presented her experience of getting nutrition into CQUIN across a Strategic Health Authority. The 2010 Nutrition Screening Week data was also presented in this symposium, with Christine Russell discussing the data and its implications for practice, particularly the increased risk of malnutrition in the winter months. Trevor Smith also reported the 2010 BANs data and outlined strategic plans for 2011. Trusts were encouraged to provide data and Trevor offered to visit any regional/local meetings to discuss BANs.
As a reward for winning the John Lennard-Jones Medal, David Silk offers Jeremy Powell-Tuck unlimited goat curry from the buffet
Consultant gastroenterologists Simon Gabe and Barry Jones demonstrate their new method of enteral feeding
Surf Talk: Simon Gabe proves he’s definitely not goofy and as a gastroenterologist he’s always regular
Gastroenterologist Jon Shaffer rushes off to enjoy the delicious contents of a BAPEN lunch bag
Complete Nutrition Vol.10 No.6 December/January 2010/11
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