BAPEN Conference BAPEN Recognition Awards


Presented by Dr Mike Stroud, Honorary Chair, BAPEN


BAPEN Roll of Honour A BAPEN Roll of Honour was awarded to Kirstine Farrer for her work as ‘MUST’ Champion and Dr Mike Stroud presented a BAPEN Roll of Honour to Dr Janet Baxter for her work for BAPEN over many years, including BIFA and BANs.


The John Lennard-Jones Medal Professor John Lennard-Jones presented Ann Micklewright with the prestigious John Lennard- Jones Medal for her extensive and continued commitment to BAPEN and particularly to BANs.


Honorary Life Membership of the Association


Honorary Life Membership of the Association was bestowed on Professor David Silk.


Powell-Tuck Prize


The BAPEN Medical Award, the Powell-Tuck Prize for the best abstract submitted by a doctor in training was presented by Professor Jeremy Powell-Tuck, Emeritus Professor of Clinical Nutrition, Barts & The Royal London to Nina Lewis for an abstract on improvements in the quality of life in patients on a gluten-free diet for coeliac disease


British Intestinal Failure Alliance Symposium Comprehensive Intestinal Failure (IF) Management: From dream to reality


This symposium, chaired by Dr Janet Baxter, Manager, Scottish National Managed Clinical Network for Home Parenteral Nutrition, NHS Scotland, and Professor Jeremy Powell-Tuck, Emeritus Professor of Clinical Nutrition, Barts & The Royal London, addressed surgical, dietetic and patient-related aspects of the management of intestinal failure (IF) in both adults and children, taking a view of the systems in place across England, Scotland, Wales and Northern Ireland. Dr David Wilson, Paediatric Gastroenterologist, Royal Hospital for Sick Children, Edinburgh, presented the new paediatric IF data from the Scottish HPN managed clinical network, demonstrating a significant rise in paediatric HPN over the last eight years. Dr Sue Beath, Birmingham Childrens’ Hospital then explored the need for the development of a paediatric network given that the number of children on HPN has quadrupled in the last four years. Sue outlined the key characteristics of an effective network including working towards a


common aim, referrals and agreeing auditable outcomes, to name but a few.


It is all too easy for professionals to get lost in statistics and politics so in this symposium Lynn McCready showed an emotive short film, which sharply focused delegate’s attention to the impact of HPN on the patients, their daily lives and impact on family life. Dietitian, Barbara Davidson then described how dietitians and HIFNET are working well together and described a patient-centred vision for the future and the regional BAPEN branch in the making. Professor Jeremy Powell-Tuck also presented his vision for ‘Staying Patient (centred)’ as he outlined the substantial progress (the who, what, where, how) that has been made and the planned developments for specialised IF services for 2012, with national procurement of HPN and the opportunities for local and national audit including BANs. Watch out for further updates throughout 2012. An exciting panel discussion with a number of yet unanswered questions regarding the future commissioning and funding, concluded this symposium.


New ‘MUST’ Resources Launched at Conference


New ‘MUST’ charts to cater for taller, shorter, heavier and lighter patients were launched at Conference and the ‘MUST’ app was available for free download. Check out the updated ‘MUST’ Explanatory Booklet (ideal for induction & training) and the other new resources at: www.bapen.org.uk


Dr Mike Stroud awards Dr Janet Baxter with a BAPEN Roll of Honour


Feeding in Critical Care


Ann Micklewright proudly accepts her Medal from Professor John Lennard-Jones


Chaired by Dr Sheldon Cooper, the symposium explored decisions in critical care using a case study based approach. The key nutritional challenges facing the critical care team, and the tensions between stabilising the patient and initiating nutritional support, were explored by Dr Richard Beale, Joint Clinical Director of Perioperative, Critical Care & Pain Services, St Thomas’ Hospital and Reader in Intensive Care Medicine at King’s College, London. Following a presentation on the use of parenteral nutrition in critical care patients by Emma Graham, Consultant Pharmacist, Sandwell and West Birmingham Hospitals NHS Trust, there was a lively case based discussion and debate between two of BAPEN’s gastroenterologists. As always with debates, the arguments were from very polarized viewpoints. Dr Trevor Smith put forward a strong, articulate argument for the use of PN, whilst the case for EN was made by Dr Tim Bowling, BAPENs incoming chair. The votes and change of voting intentions in the two stages were about equal, so an honorary draw was declared. The reality of course is that there isn’t a defined dividing line between enteral and parenteral and often they are used in combination.


Food For Thought


Challenging problems in Malnutrition were explored in this symposium, chaired by Dr Susan Hill, Consultant Paediatric Gastroenterologist, Great Ormond Street Hospital. Dr John Puntis kicked off this symposium by defining the challenges of malnutrition in children in hospitals and presented the challenges of interpreting the literature for clinical practice, the difficulties relating to the definition of malnutrition in children, the prevalence in paediatrics, difficulties with data (and the lack of it) and the complexities of linking malnutrition to outcomes. Professor Charlotte Wright went on to explore the prevalence of under- nutrition in the paediatric population and the diagnosis of it before Roswyn Hakesley-Brown described the patients’ perception of malnutrition. Roswyn explored in more detail the points she had raised in the opening session of conference, advising delegates that there is a lack of awareness amongst patients regarding the issue of malnutrition, whether they are at risk, how they can prevent malnutrition from developing and where to seek help and advice. Roswyn highlighted the importance of the key message that there should be ‘nothing about me without me’, and discussed the patient’s responsibilities in working in partnership with healthcare teams to ensure optimal nutritional care and in doing so deliver improved outcomes.


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BAPEN In Touch No.63 January 2012


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