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BAPEN at DDF The Nutrition Society Cuthbertson


Medal Lecture The Cuthbertson Medal winner for 2012 was Dr Kevin Whelan, Senior Lecturer in Nutritional Sciences at King's College London. His elegant presentation on ‘Interaction between the microbiota and dietary carbohydrates in the management of gastrointestinal disease’ took us through how to manipulate the gastrointestinal microflora using probiotics in the clinical setting. During his presentation Kevin showed that changes in bacterial numbers in patients were not the same as those seen in healthy people; his work clearly highlighting the need for caution in translating research into the clinical setting. Kevin demonstrated the quality and range of his research and that he was indeed a very worthy winner of the 2012 Cuthbertson Medal.


Organising Good Nutritional Care


As part of BAPEN’s focus on quality improvement the charitable association has mapped out the work that needs to be undertaken to develop an integrated nutritional care strategy aiming to ensure that good nutritional care is as high profile and successful as ‘cancer care’ and dementia services and covers the whole community. The ‘Organisation of Nutritional Care’ symposium, chaired by Dr Ailsa


Brotherton, provided an opportunity for Dr Mike Stroud to unveil BAPEN’s vision and call for a national integrated nutrition strategy. Mike outlined the need for a strong coalition of national partners to work together to develop an integrated national nutrition strategy, described the national challenges, and presented a blueprint for building a successful strategy. Dr Mike Stroud explained: “NHS Trusts are continuing to fail to meet the


Care Quality Commission standards for nutritional care, which is why we along with Carers UK are calling for the Government and Department of Health to develop a National Nutritional Strategy. We have the blueprint for what this strategy should contain and we have a wide range of effective tools ready to support Trusts to implement the necessary changes. We are looking to the Government to adopt this issue to enable real change by developing the right policy and system enablers.” Dr Stroud concluded by explaining that the BAPEN Toolkit for Providers and Commissioners has also been updated to assist the new Clinical Commissioning Groups in identifying the nutrition services their local populations require and that a new quality improvement guide is in development and will be published by BAPEN shortly. Janine Roberts, Programme Director of the new Malnutrition Task Force,


an independent group of experts across Health, Social Care and Local government united to address the problem of avoidable and preventable malnutrition in older people presented the Task Force’s ambitious programme of work. The aim of the task force is to actively influence behaviour at every level across the NHS, residential care and community to drive down levels of preventable and avoidable malnutrition in older people so it optimises their health, reduces unnecessary costs across the NHS, health and social care systems and crucially improves their quality of life. The work will be implemented using a framework of eight critical steps; creating the case for change, forming powerful coalitions, creating the vision of what good looks like, communicating the vision, empowering others to act upon the vision, creating short-term/quick wins, pressing harder/going further and anchoring the changes (Kotter, J 2004). Anne Holdoway, Chair of the PEN Group, then launched the guide


‘Managing Adult Malnutrition in the Community’, which is endorsed by many leading nutrition organisations (RCGP, RCN, BDA, BAPEN, RCP, NNNG, BPNG, PCSG, PSNC, PCPA). The aim of the guide is to detect malnutrition early through effective screening and the facilitation of appropriate nutritional care. The document encourages all healthcare professionals to identify and appropriately manage malnutrition. The guide to managing malnutrition according to risk, and the pathway for using oral nutritional supplements, (ONS) embedded in the document aims to put an end to inappropriate prescribing of ONS but also aims to ensure that those who would benefit from ONS receive the support they require. Throughout the document, reference is made to concurrent dietary advice, the importance of monitoring, and when to involve other members of the healthcare team, such as dietitians.


BAPEN Awards & Recognitions


BAPEN’s Most Prestigious Award, the John Lennard-Jones Medal was presented by John Lennard-Jones himself to Dr Mike Stroud, Past BAPEN Chair and Gastroenterologist from Southampton General Hospital.


Lifetime Membership awarded to Christine Russell, Chair of BAPEN’s NSW.


Roll of Honours awarded to Anne Holdoway, Chair of PENG and Specialist Dietitian in Gastroenterology & Nutrition Support, Bath, and Pete Turner, Chair of BAPEN Programmes Committee and Senior Dietitian from Liverpool, for their outstanding contribution to the delivery of BAPEN’s Annual Conference at DDF 2012.


BAPEN Nutricia Good Practice Award winners: Rachel Cooke and Claire Merchant from Bristol. The Prize was presented by Professor Marinos Elia on behalf of MAG and Andrea Ralph, Senior Medical Affairs Advisor, Nutricia Ltd.


BAPEN In Touch No.66 August 2012 8


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