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The Malnutrition Task Force : Prevention and early intervention of malnutrition in later life

The Malnutrition Task Force : Prevention and early intervention of malnutrition in later life. Margit Physant Project Manager. The Malnutrition Task Force.

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The Malnutrition Task Force : Prevention and early intervention of malnutrition in later life

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  1. The Malnutrition Task Force :Prevention and early intervention of malnutrition in later life Margit Physant Project Manager

  2. 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

  3. Our 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

  4. About Malnutrition

  5. Malnutrition • Over a million older people (1:10) • Devastating • Declining mobility • Decreased resistance to infection • Delayed healing • Dizziness, leading to falls • Depression • Deteriorating quality of life • Death!

  6. Contributing factors 93% of people with malnutrition are in the community

  7. Our ageing population

  8. Costs of Malnutrition • Severely malnourished people • see their GP twice as often • have 3 times the number of hospital admissions • stay in hospital more than 3 days longer • incur £1,440 pp in the year following diagnosis • Increases dependency on family, carers and support services.

  9. Invest to save • Screening, early intervention and treatment as per NICE guideline could save £71,800 per 100,000 population • The cost of treating care homes residents diagnosed with malnutrition is twice that of screening all care home residents • Community meals have social return on investment of between £2.90 and £5.20 for every pound spent

  10. Hertfordshire Community Meals A social return on investment analysis • Service users: improved health, happier, safer, increased independence. • Family/carers: increased ability to work, more leisure time, less stress and improved relationships • For every £1 invested, the likely social value created through these outcomes is around £5.28 • Divided as 49% for clients, 14% for family/carers, 29% for the State and 8% for Local Authority

  11. What we did

  12. What does good look like? Engagement with wide range of stakeholders • Workshops • Learning examples/case studies • Existing tools and guidance Principles for best practice in nutrition and hydration care

  13. Best practice principles Raising awareness Working together Identifying malnutrition Personalised care, support and treatment Monitoring and evaluation

  14. 1st principle: Raising awareness Public and professionals must understand importance of good nutrition and hydration • dangers of malnutrition • what to look out for • where to get help/ signpost people to Derbyshire,Dorset,D.Council Focus groups: older people

  15. Raising Awareness: Dairy Council Campaign • Raise awareness of public and health professionals • ‘Bring it back’ campaign • Free materials: poster, leaflet, postcards flowchart for professionals • Visit www.milk.co.uk

  16. 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 • Caterers and food providers working with clinicians and therapists • Local Health and Wellbeing Boards, Adult Social Care, care homes, hospitals • Include the older personand relatives

  17. 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 malnutritionand remedy the situation

  18. 4th principle: Managing malnutrition 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

  19. 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 implemented • Service user feedback (incl. relatives) • Annual Adult Social Care Survey

  20. Implementation Guides for • Food and beverage providers • Hospitals • Care homes • Local communities • Commissioners Available to download from www.malnutritiontaskforce.org.uk

  21. Thank you ! Margit Physant Project Manager, Malnutrition Task Force Email: margit@malnutritiontaskforce.org.uk Direct tel. 020 3033 1469 (Tues-Thursdays) Website: www.malnutritiontaskforce.org.uk or follow us on twitter @MalnutritionTF

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