What’s New The NACC Champions the Power of the Luncheon
Club with New Essential Guidance Document The NACC (National Association of Care Catering) has published the guidance document How to Set Up a Luncheon Club to empower care providers and communities with the right knowledge and tools to set up a Luncheon Club.
Luncheon Clubs are an informal way to support older and vulnerable people to remain living independently, with confidence and enjoyment, within their own community. The essential guide has been written by
experts within the membership of the NACC, concerned by the number of older and vulnerable people that no longer have access to social contact and good nutritious meals. The guide contains comprehensive and easy-to- follow information, advice and tools to explain and simplify the processes and ensure that this vital community service continues and grows. Luncheon Clubs provide a lifeline for many
people who may otherwise find themselves socially isolated, lonely and lacking regular nutritious meals. Although coming in many different guises, with varying frequency, venues and activities, every Luncheon Club fulfils the basic and fundamental role of offering those that need it, the opportunity of an affordable and nutritious hot meal outside of the home, and the opportunity to meet with others in a social setting. In addition, they can also act as a crucial access point to many other services and signpost advice and information provided by other agencies. How to Set Up a Luncheon Club covers
seven core topics that need to be properly understood and addressed in order to start and run a successful, safe and legitimate Luncheon
Club, which reflects the needs of each locality and community. The seven core areas are:
1. Members – including data protection, attendance and payment records
2. Funding – including insurance 3. Venue – covering choice of venue, basic requirements, registration and venue safety
4. Staff/Volunteers – addressing CRB checks, insurance
and food hygiene training/induction
5. Food – encompassing food safety, nutrition versus malnutrition, malnutrition and nutritional screening and menus
6. Transport – including transport, travel and volunteer drivers
7. Policies and Procedures. To further support care providers and
communities the guide features a valuable implementation pack including essential information, forms and procedures, together with useful checklists. Presenting all the information and tools in one easy-to-follow document removes the difficult, time- consuming (and often daunting) task of information gathering. How to Set Up a Luncheon Club is
available from the NACC at the cost of £20. Visit
www.thenacc.co.uk or contact the NACC administration office on
info@thenacc.co.uk/ 0870 748 0180 for a copy.
New Guidelines for Perioperative Care Published
The guidelines have been generated by the Enhanced Recovery After Surgery (ERAS) Society, The European Society for Clinical Nutrition and Metabolism (ESPEN) and The International Association for Surgical Metabolism and Nutrition (IASMEN).
• Guidelines for Perioperative Care for Pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations Kristoffer Lassen, Marielle M. E. Coolsen, Karem Slim, Francesco Carli, José E. de Aguilar-Nascimento, Markus Schäfer, Rowan W. Parks, Kenneth C. H. Fearon, Dileep N. Lobo and Nicolas Demartines, et al. World Journal of Surgery 2012, DOI: 10.1007/s00268-012-1771-1
• Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations U. O. Gustafsson, M. J. Scott, W. Schwenk, N. Demartines, D. Roulin, N. Francis, C. E. McNaught, J. MacFie, A. S. Liberman and M. Soop, et al. World Journal of Surgery 2012,
DOI: 10.1007/s00268-012-1772-0
• Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations J. Nygren, J. Thacker, F. Carli, K. C. H. Fearon, S. Norderval, D. N. Lobo, O. Ljungqvist, M. Soop and J. Ramirez. World Journal of Surgery 2012, DOI: 10.1007/s00268-012- 1787-6 The guidelines, which aim to provide a
consensus on the optimal perioperative care and recommendations for an evidenced-based enhanced perioperative protocol, have been published in World Journal of Surgery (IASMEN) and Clinical Nutrition (ESPEN) and will also be available on the Societies websites:
www.espen.org;
www.iasmen.org;
www.erassociety.org
BAPEN In Touch No.67 November 2012 4
Type 2 Diabetes may Increase the Risk of
Barrett's Oesophagus Study suggests diabetic men at highest risk independent of obesity, smoking, and alcohol use
Patients with Type 2 diabetes may face an increased risk for Barrett's oesophagus, regardless of other risk factors including smoking, alcohol consumption, obesity and gastroesophageal reflux disease (GERD), according to research unveiled at the American College of Gastroenterology's (ACG) 77th Annual Scientific meeting in Las Vegas. The study, ‘Diabetes Mellitus Increases the
Risk of Barrett's Esophagus: Results from A Large Population Based Control Case Study,’ suggests that, "if you have diabetes, your risk for Barrett's oesophagus may be almost doubled," said co- investigator, Prasad G. Iyer, M.D., of the Mayo Clinic College of Medicine. He said this risk may be higher in men with diabetes likely because men tend to carry more fat in the abdomen compared to women who tend to carry weight around the hips and thighs. Type 2 diabetes is the most common form of
diabetes. Barrett's oesophagus is a condition in which the tissue lining the esophagus is replaced by tissue that is similar to the lining of the intestine. No signs or symptoms are associated with Barrett's oesophagus but it is commonly found in people with GERD. About five to 10 per cent of patients with chronic GERD will develop Barrett's esophagus. Performing a population-based control study
using the United Kingdom's General Practice Research Database (GPRD) (a primary care database containing more than eight million patients), the researchers identified 14,245 Barrett's oesophagus cases and 70,361 controls without Barrett's oesophagus. Cases were more likely than controls to have ever smoked and consumed alcohol; and the prevalence of Type 2 diabetes before Barrett's oesophagus diagnosis was higher in cases than controls. The mean BMI was also higher in cases than in controls both at baseline and over the study period.
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