Nutrition Services in Suffolk East Suffolk

1. Nutrition Services in SuffolkEast Suffolk Aya McLellan Community Dietitian February 2013

2. Outline • Nutrition and Dietetic Department • Services we offer • MUST training • Food First • How to access our services • Nutrition and Dietetic Service Website

3. Our Department • Acute, Community, Oncology, Paediatrics and Long term illnesses • Employed by NHS Trust, based at Ipswich Hospital • Community team – 5 Dietitians, 1 Assistant Practitioner and 1 Technical Instructor • Patients seen in own homes, community hospitals, care homes, clinics.

4. Aims and Objectives • Provide a high quality dietetic service to patients living within the East Suffolk region • Reduce the prevalence of malnutrition in the community • Improve nutritional health through the use of food • Use and encourage appropriate prescribing practices of oral nutritional supplements • Reduce care homes’ reliance upon oral nutritional supplements

5. Current Community Work • Clinical role • Clinics, home visits, Enteral feeding, care homes, community hospitals • Patient talks • Parkinson’s, Pulmonary rehab • MUST training since 2004 • “Food First” project since 2011 • Prescriptive approach to screening and preventing malnutrition

6. Current Community Work (continued) • Intensive MUST training programmes • Chilton Meadows, Monmouth Court • Care home auditing • One and three-six months post training • District nurse training • GP reviews and reducing expenditure on oral nutritional supplements • Barrack lane, Aldeburgh, Bildeston, Orchard street, Burlington Road • Website • Resources, reports, patient information • Working alongside CQC

7. Malnutrition Universal Screening Tool ‘MUST’ Training • MUST is a validated nutritional screening tool. • Training free to all care homes in East Suffolk region. • Priority to care homes who have never received training, were trained longest ago, concerns raised by covering dietitian. • Topics Covered: • Background to MUST • MUST steps • Food First as treatment for malnutrition • Tasting session • Follow up support offered to all care homes

8. Food First Project • Prescriptive approach to treating malnutrition in care homes • Care staff MUST trained • Food First training for caterers • Malnutrition screening result indicates a specific action plan for care and catering staff to follow • If no success after two weeks, care staff to refer directly to dietitian using MUST referral form and continue Food First until dietitian’s visit • Reduces reliance upon oral nutritional supplements, and encourages Food First

10. Moving Forward • Catering Training • Aimed at care home caterers and private carers • Food First and treating malnutrition • Continued refresher courses • Two courses per year • All care home staff • Management training • Highlight the importance of screening and catering in treating malnutrition • Mandatory MUST screening

11. Refresher Courses • For ALL staff who have never had, or require an update on MUST. • Includes other nutrition related topics for example swallowing, home enteral tube feeding and pressure sores • Next course May 15th2013, all day course • Online registration • Kesgrave Conference Centre

12. How to access our services • Telephone: 01473 704000 • Fax: 01473 704266 • Address: Nutrition and Dietetic Department Ipswich Hospital NHS Trust Heath Road Ipswich IP4 5PD MUST trained homes and community staff can refer directly using MUST referral form and can be faxed to the above number.

13. Website • http://www.ipswichhospital.nhs.uk/dietetics • Department information • Resources • Online booking for MUST refresher courses