Overview Kathy Wallis, Senior Project Manager Wessex AHSN Why - - PowerPoint PPT Presentation

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

To reduce ill health due to malnutrition in older adults in the community Primary Driver (cause): Secondary Drivers (causes of the cause): Initiatives (responses):

1a Raise awareness amongst carers, families, voluntary sector, health, social care

& community

• 4a. Address personal & social factors (e.g. cooking skills, attitudes/beliefs, social

isolation, family/peer support, physical & mental health issues)

1b Train & educate staff in contact with older people in key messages

• 3. Effective /

personalised care, support & treatment

• 3a. Effective, personalised and documented care planning including SMART goals
• 4. Improved food

intake

• 1. Raising awareness
• f malnutrition
• 2b. Identification of causes of malnutrition
• 3c. Access to specialist service/support, as appropriate

2a Routine screening for malnutrition in adults over 65yrs by trained staff

• 2. Identification of

malnutrition

Malnutrition in

• lder people in

communities

• 2c. Monitoring & evaluation of screening
• 3b. Regular review of individual care/treatment plan against goals by trained

individual

• 4b. Address environmental factors (e.g. access to & affordability of food)
• 5. Good management

structures

• 5b. Clear, effective communication within and across teams and organisations to

improve nutritional care/outcomes

• 5c. Competent / trained workforce (as it relates to their role)
• 5d. Monitoring & evaluation of process and outcomes
• 5a. Documented policy, plan or protocol to improve nutritional status with clear

roles & responsibilities

Building the nutrition programme

• Core projects
• Adoption of existing and new projects
• Supporting materials and tools
• Communication

Nutrition Programme Activities

Dorset Nutritional Care Strategy for Adults: Purbeck Community Pilot Plan to spread across Dorset South Wiltshire ‘Food is a MUST’ initiative with 4 Care Homes Plan to spread to other care homes Wessex AHSN led good nutritional care in the elderly: cross setting quality improvement initiative in Eastleigh Plan to spread across Hampshire NE Hampshire and Farnham: Hydrate in Care Homes Plan for wider spread Wessex Wide:

• Outcome Measurement Group
• Awareness and Training Group
• 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