What’s New


Care Catering Industry Must Take Responsibility Say NACC


NACC launch new information sheets to help elderly people get the care they deserve. Hot on the heels of a report which revealed the shocking numbers of elderly people who die in care homes as a result of dehydration and malnutrition, the NACC has today issued new guidelines, enabling those who work in the care industry to tackle these issues head on.


In order to arm those working in the industry with everything they need to spot the symptoms of both malnutrition and dehydration, the NACC has been working with Local Authorities to develop a new information sheet helping those who work in the care catering sector spot the signs before it’s too late.


The new advice will be issued through their


members, and is available to all staff working in the sector via the website and will include a variety of important guidance, covering topics such as: • What is malnutrition? • Who is at high risk of malnutrition? • Spotting the signs and symptoms • How to improve access to food • What is dehydration? • Who is at high risk of dehydration? • Spotting the signs of dehydration • What to do if you are concerned Derek Johnson, NACC Chairman, said: “ Many older people have to rely on those working in our industry to provide proper care and we must make sure everyone strives to provide them with the care they deserve. We hope they will act as a checklist, enabling all those working in the sector to spot the warning signs of malnutrition and/or dehydration in older people at the earliest opportunity. ” Up to 40% of elderly people arrive at hospitals and care homes already malnourished often due to lack of awareness of malnutrition, difficult referral processes, reduced day care provision and lack of investment made in community meals services. Investing in the care catering sector rather than cutting these services will actually help save money in the long term and reduce the number of elderly people transferred to hospitals and care homes. A recent report published by the NACC


(‘Personalisation, Nutrition and the Role of Community Meals’ (www.ilcuk.org.uk) identified those working in the care catering sector as being in an ideal position to monitor the health of older people and encourage them to eat well, lowering the risk of malnutrition. Regular delivery of meals to the home is key to ensuring older people have regular contact with others.


The new leaflet is available from


www.thenacc.co.uk. For more information or to get a copy please contact the NACC on 08707480180.


3 BAPEN In Touch No.60 February 2011 What’s on the Web...


Don’t miss the opportunity to increase your e-learning with the following:


Nutritional Screening – A 'MUST' for Healthcare in Hospital, Primary Care and Care Homes


In partnership with NHS Greater Glasgow and Clyde, BAPEN has developed an interactive e- learning resource on nutritional screening using ‘MUST’. Undertaking this module will equip staff


to play a key part in improving the nutritional care of their residents/patients/clients as well as ensure compliance with the new Care Quality Commission regulation.


For further information and access to the module, please contact the BAPEN Office on 01527 457850 or email: bapen@bapen.org.uk


BAPEN Medical Modules


The BAPEN e-learning modules have been developed to provide easily accessible nutrition learning materials to all professionals involved in providing care to patients.


The modules are designed specifically to provide an adequate introduction to the subject for foundation year doctors and enable them to meet the requirements of the foundation programme in relation to nutritional care. They are however relevant to


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Enhance your CPD with BAPEN and the recent 2010 Annual Conference – Malnutrition Matters


In conjunction with CNPD – the web-based Continuing Professional Development tool of CN Magazines – key presentations, which were given at the 2010 BAPEN Annual Conference ‘Malnutrition Matters’ are linked to a CPD test made up of multiple choice questions. To access the presentations and for further information, visit: http://www.bapen.org.uk/ce_cpd.html


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ESPEN’s Life Long Learning (LLL) programme in Clinical Nutrition and Metabolism is a great way to effectively increase your knowledge. Peer reviewed and recognised by European


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Download the BSG Guidance on Coeliac Disease 2010


The Management of Adults with Coeliac Disease - These guidelines, mainly intended for the adult patient, have been devised to assist in the diagnosis and clinical management of adults with coeliac disease within the UK. Visit, http://www.bsg.org.uk/sections/small-bowel-nutrition-articles/index.html to download the BSG Guidance on Coeliac Disease.


Recent Research… Key papers published relevant to your practice.


• Pironi L, et al; Home Artificial Nutrition & Chronic Intestinal Failure Working Group of the European Society for Clinical Nutrition and Metabolism (ESPEN). (2011). Long-term follow-up of patients on home parenteral nutrition in Europe: implications for intestinal transplantation. Gut; 60(1): 17-25.


• Sacks GS (2011). Effect of glutamine-supplemented parenteral nutrition on mortality in critically ill patients. Nutr Clin Pract.; 26(1): 44-7.


• De Luis DA, et al (2010). A randomized double-blind clinical trial with two different doses of arginine enhanced enteral nutrition in postsurgical cancer patients. Eur Rev Med Pharmacol Sci.; 14(11): 941-5.


• Al-Zubeidi D, Rahhal RM (2011). Safety Techniques for Percutaneous Endoscopic Gastrostomy Tube Placement in Pierre Robin Sequence. JPEN J Parenter Enteral Nutr. 2011 Jan 31. [Epub ahead of print].


• Hitchings H, Best C, Steed I (2010). Home enteral tube feeding in older people: consideration of the issues. Br J Nurs.; 19(18): 1150-4.


• Barclay AR, et al (2011). Systematic review: medical and nutritional interventions for the management of intestinal failure and its resultant complications in children. Aliment Pharmacol Ther.; 33(2): 175-84.


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