Nutritional Care Wessex Overview Kathy Wallis, Senior Project Manager Wessex AHSN
Why reducing malnutrition is difficult • Nutritional care is generally not specifically commissioned or monitored as it is considered part of general care. This tends to remove any specific focus on nutritional care by providers and commissioners • Large variety of care providers have responsibility for providing good nutritional care (health, social care, and voluntary sector) with responsibility falling fall through the gaps without an integrated approach • Care providers are unclear on where to find the information they need to support people with nutritional issues (e.g. information on food fortification) and who to go to for guidance • Other care priorities already fill busy schedules. Limited cost-benefit evidence exists to promote the importance of providing good nutritional care, particularly in the community care setting.
Nutrition Programme 15/16: Objectives 1. Develop and implement an approach(es) for reducing malnutrition in the elderly, providing evidence of measurable improvements in nutrition, health and well-being outcomes. 2. Develop and test a toolkit that develops capability drawing on learning of evidence based practice, for adoption by local Wessex (and wider) initiatives to improve nutritional care in the elderly 3. Facilitate and lead learning workshops across Wessex as part of encouraging the adoption of the evidence based approaches to reducing malnutrition in the elderly 4. Develop and apply an evaluation framework, to support the evaluation of nutritional initiatives, and their spread 5. Through partnership and collaboration, develop and co-ordinate communication through appropriate channels to facilitate the sharing of good practice locally and nationally
Causes/drivers of malnutrition Primary Driver Secondary Drivers Initiatives (cause): (causes of the cause): (responses): 1a Raise awareness amongst carers, families, voluntary sector, health, social care 1. Raising awareness & community To reduce ill health due to malnutrition in older adults in the community of malnutrition 1b Train & educate staff in contact with older people in key messages 2a Routine screening for malnutrition in adults over 65yrs by trained staff 2. Identification of 2b . Identification of causes of malnutrition malnutrition 2c . Monitoring & evaluation of screening 3a . Effective, personalised and documented care planning including SMART goals Malnutrition in 3. Effective / 3b . Regular review of individual care/treatment plan against goals by trained older people in personalised care, individual support & treatment communities 3c . Access to specialist service/support, as appropriate 4a . Address personal & social factors (e.g. cooking skills, attitudes/beliefs, social isolation, family/peer support, physical & mental health issues) 4. Improved food intake 4b . Address environmental factors (e.g. access to & affordability of food) 5a . Documented policy, plan or protocol to improve nutritional status with clear roles & responsibilities 5b . Clear, effective communication within and across teams and organisations to 5. Good management improve nutritional care/outcomes structures 5c . Competent / trained workforce (as it relates to their role) 5d . Monitoring & evaluation of process and outcomes
Building the nutrition programme • Core projects • Adoption of existing and new projects • Supporting materials and tools • Communication
Nutrition Programme Activities NE Hampshire and Farnham: Hydrate in Care Homes South Wiltshire ‘Food is a Plan for wider spread MUST’ initiative with 4 Care Homes Plan to spread to other care homes Wessex AHSN led good nutritional care in the Dorset Nutritional Care elderly: cross setting Strategy for Adults: quality improvement Wessex Wide: Purbeck Community Pilot initiative in Eastleigh - Outcome Measurement Group Plan to spread across Plan to spread across - Awareness and Training Group Dorset Hampshire - Community of Practice Development
What the Wessex AHSN nutrition programme offers • Support for existing projects and new ideas • Advice on sources of funding • Advice and help with evaluation • Peer review and support • Toolkit – to prevent re-invention • Sharing of experiences • Spread of successful initiatives • Co-ordinator / umbrella
Thank you More details: Kathy Wallis, Nutrition Programme Manager Jennifer Davies, Clinical Lead for Nutrition nutrition@wessexahsn.net
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