Transcript Bristol PCT Powerpoint template - The National Association of Care

Improving Nutritional Care
in Bristol
Sharon Sexton
Medicines Management Dietitian
NHS Bristol
Current Situation
• Unidentified malnutrition
• Low use of MUST/screening in community
• Variable understanding of risks associated with
malnutrition
• Limited dietary advice available/offered
• Limited dietetic services across Bristol
• Increasing spend on oral nutritional supplements
Initial Findings from training in
Bristol Care Homes
(delivered by Rachel Cooke)
• In one care home, just 3.5% of those
screened were screened correctly
• In the home where screening was most
accurate, 75% of those screened were
screened correctly
Initial Findings from Training in
Bristol Care Homes
(delivered by Rachel Cooke)
• Average incidence of malnutrition: 45%
(17% medium risk, 28% high risk)
• ‘National average’ taken from results of
the BAPEN Nutrition Screening Week
survey 2010 (37% of residents at risk of
malnutrition)
Objectives of Role
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Promote validated guidance
Increased identification of malnutrition
Increased screening for risk of malnutrition
Pathway for treating malnutrition
Appropriate prescribing
Support for health professionals
Training
Key Professionals
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GPs
Community nursing
Practice pharmacists
Dietetic teams
Intermediate Care
Care Homes
– Nursing staff
– Catering staff
• Public Health
Developing Guidance on
screening
• Primary Care Nutrition Working Group
– Range of stakeholders
• NHS Islington guidance adapted with
permission
– Succinct
– draft
The Guidance
• MUST (Malnutrition Universal Screening
Tool)
• Care Pathway
• Guide to best practice in prescribing oral
nutritional supplements
– Range of information on starter packs/feeds
Distribution of guidance
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Meetings at all Bristol GP practices
Distributed to community nursing teams
Care settings
Links with practice pharmacists
Promoted through training
Conference Update
• Conference held 7th November 2012
• Care homes, community nurses,
stakeholders
• Raise awareness of incidence of
malnutrition
Key Themes
• Training provision should be ongoing and
available for all teams
• Housebound without nursing input hard to
reach and may be most vulnerable
Next Steps
• Adapt guidance based on feedback
• Offer further training to:
– care homes
– community nursing
– Intermediate care
– Reablement teams
– Rapid response teams