Sue Hawkins • Care Catering Services Manager • Malnutrition Task Force Update • Prevention and early intervention of • malnutrition in later life
So who is the Malnutrition Task Force? • 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
It’s 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
What it means • Malnutrition • Undernutrition: low body weight with(out) weight loss • NICE definition • – a body mass index (BMI) of less than 18.5 kg/m2 • – unintentional weight loss greater than 10% within • the last 3–6 months • – a BMI of less than 20 kg/m2 and unintentional • weight loss greater than 5% within the last 3–6 • months
Malnutrition • Over a million older people (1:10) • Devastating • Declining mobility - due to muscle wasting • Decreased resistance to infection/delayed healing • Dizziness, leading to falls • Depression • Deteriorating quality of life • Death!
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 on family, carers and support • services.
Invest to save • Screening, early intervention and treatment as per • NICE guideline could save £71,800 per 100,000 • population (Approx. £300.000 for Dorset) • Use of Oral Nutrition Supplements associated with • 30% reduction in hospital re-admissions • The cost of treating care homes residents diagnosed • with malnutrition is twice that of screening all care • home residents
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
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
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
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
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
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
Activities • ‘Best Practice’ principles and implementation • guides for hospitals, local communities, care • homes and food and beverage providers • Mini-guide for commissioners • Now available from www.malnutritiontaskforce.org.uk • Current phase ends May 2013 • Implementation phase being planned
Thank you • Any Questions? • Sue – firstname.lastname@example.org • http://www.dorsetforyou.com/adult-nutrition