Implementing the Malnutrition Task Force Best Practice Guidelines

Sue Hawkins, Care Catering Service Manager, Dorset County Council

Transcript

1. Sue Hawkins Care Catering Services Manager Implementing the Malnutrition Task Force Best Practice Guidelines
2. Dorset
3. Political Picture Dorset • 1 County Council, 6 districts, 2 Unitaries • 1 Clinical Commissioning Group • 1 Public Health • 2 Adults Safeguarding Board • 1 Safeguarding Adults Policy and Procedures • 1 Health and Wellbeing boards • 1 Healthwatch • 26% Older People
4. The Malnutrition Task Force Independent group of experts across health, social care and local government united to address the problem of preventable malnutrition in older people. Mission To ensure the prevention and treatment of malnutrition is embedded in all care and community support services and awareness is raised amongst older people and their families.
5. Contributing Factors
6. Costs of Malnutrition Severely malnourished people: • See their GP twice as often. • Have 3 x the number of hospital admissions. • Stay in hospital more than 3 days longer. • Incur £1,440 pp in the year following diagnosis. • Increases dependency. Invest to Save: • Screening, early intervention and treatment as per NICE could save £71,800 per 100,000 population. • Use of ONS associated with 30% reduction in hospital re- admissions. • The cost of treating care homes residents diagnosed with malnutrition is twice that of screening all residents. • Community meals have social return on investment of between £2.90 and £5.20 for every pound spent.
7. Released
9. 1st principle: Raising awareness Public and professionals should understand the importance of good nutrition and hydration • the dangers of malnutrition • what to look out for • where to get help/to signpost people for support Dorset CC/Dairy Council
10. Raising Awareness: Dairy Council Campaign Raise awareness of public and health professionals ‘Bring it back’ campaign to launch soon. Free materials: poster, leaflet, postcards, flowchart for professionals. Visit www.milk.co.uk Visit http://www.dorsetforyou.com/adult-nutrition
11. 2nd principle: Working together Organisations and individuals working together will provide a more complete service. A combined approach across the community and within health care, social care, the third sector and the commercial sector is essential • Local Health and Wellbeing Boards, Adult Social Care, Care homes, Hospitals, Pharmacists, therapists • Include the older person and relatives • Clinicians and caterers and food providers must work together
12. 3rd principle: Identifying malnutrition Organisations and individuals must be well equipped to identify malnutrition in older people • Assess the prevalence of malnutrition in the local population • BAPEN tool(s) even an app! www.bapen.org.uk • Screen people across all care settings • Identify the cause of malnutrition and remedy the situation
13. 4th principle: Personalising Care and Support Forming and implementing a personalised plan for and with each older person is crucial • Use NICE guidance or care pathway • Managing Adult Malnutrition in the community (BAPEN) www.malnutritionpathway.co.uk • Start support for ‘non’ clinical management • NACC Food Facts Sheet
14. 5th principle: Monitoring and evaluating Monitoring and reviewing the older person’s progress and outcome is critical. Monitoring the structures and processes to ensure good nutrition and hydration care is continually Implemented. • Service user feedback Annual Adult Social Care Survey
15. Making The Changes Group Work 1: • A powerful team – who? • How will you get their support? Group Work 2: • Know where you are – how? • Where you want to be?
16. Making It Happen Prioritise and Implement Quick Wins - Work in progress! Care Pathways Build Yourself Up Day Centre Screening Whole Locality Pilot Nutrition Standards Oral Nutritional Supplements research Safeguarding Adults Presentation
17. Summary • A powerful Team • Know where you are • Know where you want to be • Make it happen - Quick Wins • Embed and monitor
19. Thank you Any Questions? Sue – s.hawkins@dorsetcc.gov.uk http://www.dorsetforyou.com/adult-nutrition http://www.malnutritiontaskforce.org.uk/