MALNUTRITION MATTERS
2008 Annual Conference
of
The British Association for Parenteral and Enteral Nutrition to be held at
Harrogate International Centre
Tuesday 4th & Wednesday 5th November 2008

BAPEN Conference is the Networking & Learning Event for all professionals involved in and committed to improving nutritional policy, care & treatment in community, care & hospital settings.

To include updates on:

• Nutrition Screening Week 2008
• Combating Malnutrition in Sheltered Housing (GNASH)
• Parliament to Patients
• BANS

With key symposia on:

• Coeliac disease: basics and controversies
• Nutrition at the End of Life: feeding the dying patient
• Lost in Transit: can nutritional care survive the primary/secondary care journey?
• Hot Topics in Parenteral Nutrition
• Feeding Size 0: The Science of Starvation
• Young people, artificial nutrition and transitional care
• It ‘MUST’ Happen – or Risk the Consequences
• Feeding Size 0: The Challenges of Anorexia Nervosa
• Competent to Care
• Gutless – You are the Weakest Link: Goodbye

Visit the BAPEN website now to download programme and register: www.bapen.org.uk

IMPORTANT NEWS...

BAPEN’s ‘Malnutrition Matters’ Campaign Wins Major European Award

MNI, the Medical Nutrition International Industry group working in partnership with the European Society for Clinical Nutrition and Metabolism (ESPEN) has awarded its first ever prize (worth €30,000) for fighting malnutrition to BAPEN.

Professor Marinos Elia, Chair of BAPEN, accepting the award at the ESPEN Conference (Florence, 15 September 2008) said: “I am delighted to accept this significant award on behalf of BAPEN.  This recognises the excellent work of many BAPEN members across the UK who have worked hard to deliver this result.
 
“BAPEN’s long-term, multi-initiative ‘Malnutrition Matters’ campaign to bring this issue to the top of the agenda with politicians, professionals, patients, the press and the public has helped create a ‘tipping point’ in the UK and within the EC. There is now formal recognition that malnutrition is a major public health issue for people of all ages, in the community as well as in care and hospital settings across Europe as well as in the UK.
 
“The impact of malnutrition on the individual is significant, well-documented and increasingly recognised. The impact on healthcare budgets is immense - £7.3 billion – more than obesity.
 
Professor Elia concluded: “Malnutrition must no longer go unrecognised and untreated.  This financial award, coupled with our long-term commitment and enthusiasm, will support BAPEN’s efforts to continue to raise awareness of and fight malnutrition across all ages, populations and settings.”
 
Flemming Morgan Chairman of MNI’s Executive (and President of Danone Medical Nutrition Division) on awarding the prize to BAPEN said: “BAPEN’s programme of work to fight malnutrition is the only programme, measured against the criteria set for this award, to have not only established the prevalence and the clinical impact of malnutrition but also its economic cost to health care systems.  BAPEN has taken a strong lead in fighting malnutrition by providing practical solutions to this major clinical and public health problem and richly deserves this award.”
 
This award recognises the effectiveness of BAPEN’s integrated work in the UK including the nationwide Nutrition Screening Week, measuring the prevalence of malnutrition on admission to health and care settings, the Healthcare Economic Report detailing the financial impact on national and local budgets, and the ‘MUST’ screening tool and flow chart for easy use across all settings to identify those at risk of malnutrition.
 
The BAPEN 2008 ‘Malnutrition Matters’ Conference (Harrogate 4/5 November) will continue the Charity’s important work on raising awareness of malnutrition, disseminating the latest data on its impact and discussing solutions to this complex public health and clinical issue.
Well done BAPEN! Come to Harrogate and see for yourself BAPEN’s award-winning ways!  

Protected Mealtimes get a Boost...

What do you get when you mix hospital mealtimes and heavyweight bouncers? You get seriously protected mealtimes, that’s what! You also get Age Concern’s new and very funny marketing campaign aimed at tackling the problem of malnutrition among older patients in hospitals.

With the help of some of the UK's top comic talent, including Steve Mangan from Channel 4's popular Green Wing series, we have launched a series of short video clips that show how simple solutions – like red trays and protected mealtimes – can help improve nutritional standards on the wards. In one of the clips, Steve Mangan plays a doctor, who tries unsuccessfully to disrupt an older person’s mealtime – think Mr Bean crossed with Mission Impossible!

Tackling malnutrition should be a top priority for all of us. Please support the campaign by watching the videos and sharing them with your friends and colleagues - particularly if they are health professionals. The link to download the videos if you cannot access YouTube is: http://www.ageconcern.org.uk/AgeConcern/ 7E11D4D927FD4DAEA169D1B0804D9405.asp
Age Concern want to reach the very people who are in a position to champion better practice on the wards and improve the wellbeing of older people in hospital.

If you have any comments about the videos or any questions please email Age Concern at: htbh@ace.org.uk 

New Guidance Issued to Improve
Nutrition and Hydration Standards
in all Healthcare Settings

The National Patient Safety Agency (NPSA) launched the next four in a series of ten factsheets for all healthcare staff and care caterers to support the 10 key characteristics of good nutritional care at the National Association of Care Catering’s conference in Birmingham on 11th September 2008.

These factsheets have been produced by the NPSA in conjunction with the Royal College of Nursing, the Hospital Caterers Association, the National Association of Care Catering, the British Association for Parenteral and Enteral Nutrition and key stakeholders from the private sector, to improve the nutritional screening of patients and service users when they enter a care setting.  This ensures people have access to food and beverages whenever they need them and improves nutritional planning for all patients.

Nutritional screening is historically poorly complied with amongst healthcare professionals.  In 2006, The National Institute for Health and Clinical Excellence (NICE) estimated that only 30% of patients were screened for malnutrition on admission to hospital.  In 2007, the British Association for Parenteral and Enteral Nutrition (BAPEN) found that 28% of 11,600 patients studied were at risk of malnutrition on admission to hospital.

Speaking about the importance of nutritional screening, Caroline Lecko, Nutrition Lead at the NPSA said: “Routine nutritional screening of patients and service users is something that all health and social care settings should establish.  The early detection of malnutrition by the screening of vulnerable risk groups – those with chronic disease, the elderly, and the dysphagic – can identify those who would benefit from specialised dietary support.  We urge all health and social care staff and care caterers to follow the guidance laid out in these factsheets to help improve nutrition and hydration standards in all health and social care settings.”

The factsheets recommend that all patients and service users should have access to food and beverages 24 hours a day, ensuring good nutritional care is achieved and is at the heart of service planning.

Another key focus in the factsheets is the need to ensure that every patient and service user has a nutritional care plan which identifies their unique nutritional needs and how they can be met.  This could include considerations such as providing help and advice on food choices; ensuring food is tasty, appealing and of good nutritional value and providing a pleasant environment in which to eat.

Patrick South, Head of Public Affairs of Age Concern England said: “The NPSA factsheets are an important step towards ending the scandal of malnutrition in hospitals. It is crucial that every ward in every hospital now put these recommendations into practice. There should be no excuse for patients not getting the nutritional support they need to make a full recovery from illness.”

The 10 Key Characteristics for good nutritional care in hospitals were produced by the Council of Europe Alliance (UK) in October 2007, including representation from Government and non-Government organisations across the UK with an interest in nutritional care, including the NPSA, the British Dietetic Association, the Royal College of Nursing, the Hospital Caterers Association and the Royal College of Physicians.

The NPSA factsheets have been produced to support these 10 characteristics and the remaining three will be available in April 2009. 

To view the NPSA’s four nutritional factsheets, visit: http://www.npsa.nhs.uk/patientsafety/ improving patientsafety/  leaning-and-nutrition/nutrition/
good-nutritional-care-in-hospitals/ 

NICE/BAPEN
Shared Learning Initiative

Have you experience of implementing guidelines for nutrition such as NICE?

Are you able to share that experience – whether successful or challenging?

Have you a few moments to submit a short summary for consideration for BAPEN 2009 and the BAPEN website?

Your professional colleagues will love to learn from your experience and BAPEN will provide the platform to disseminate that experience. As well as being uploaded on the BAPEN website and discussed at BAPEN Conference, successful summaries will also be forwarded to NICE for consideration for their website.

Full details are available on the BAPEN website: www.bapen.org.uk

The deadlines for the applications are:
- 28th February 2009
- 30th June 2009
- 28th February 2010
- 30th June 2010

Education News...
Ruth Newton, Chair Education and Training Committee

As well as having a new chair we also have a lot of new projects about to be launched. The committee are currently working on a new nutrition team course; 'BAPEN basics' which will nurture new professionals into the realms of nutrition support and invest in the future of our speciality. The course will be launched in 2009; so if you have anyone who may be interested please contact the committee. We are also developing a 'MUST' training tool which can be implemented across both primary and secondary care sectors.
Our educational symposia at this years’ conference looks at 'competence to care' a subject towards which, regardless of years of experience, has to now be addressed in terms of professional recognition - who is training who? Should you have any areas of interest you would like us to address, on an educational theme, then please contact us.

Email: ruthnewton@yahoo.com

BAPEN MEDICAL

Nutrition in IBD – everything you need to know
BAPEN Medical teaching day

In conjunction with ESPEN Life-long learning programme 3rd November 2008, Harrogate International Conference Centre

9:30 - 10:00am Registration/ coffee

Chair: Dr Tim Bowling
10:00 - 10:05am Welcome

10:05 - 10:15am Introduction to Life-long learning
Dr Rémy Meier, University Hospital, Liestal, Switzerland

10:15 - 10:45am How does IBD affect nutrition and nutritional status?
Mr Peter Turner, Senior Dietitian, University Hospital of Liverpool

10:45 - 11:15am Nutrition support in uncomplicated, non-surgical IBD
Dr Simon Lal, Consultant Gastroenterologist, University Hospital Aintree

11:15am Coffee

11:30am - 12:15pm Primary nutritional therapies for IBD
Dr Rémy Meier, Switzerland

12:15 - 1:00pm How to best prepare an IBD patient for surgery
Mr John Abercrombie, Consultant Surgeon, Nottingham University Hospitals

1:00pm Lunch

Chair: Dr Emma Greig
2:00 - 2:45pm Physiology of the GI tract, as relevant to short bowel syndrome
Professor Alastair Forbes, University College London

2:45 - 3:30pm Management of short bowel syndrome and intestinal failure
Dr Jon Shaffer, Consultant Gastroenterologist, Salford Royal Hospitals NHS Foundation Trust, Salford

3:30pm Tea

3:50 - 4:45pm Case studies, including fistula management
Miss Antje Teubner, Associate Specialist in Intestinal Failure, Salford Royal Hospitals NHS Foundation Trust, Salford
Dr Simon Gabe, Senior Lecturer, St Mark’s Hospital, London

4:45 - 5:15pm Quiz

5:15pm Feedback and finish

Sponsored by Abbott Nutrition and Nestle HealthCare Nutrition UK

It will be possible to complete the Life-long learning compromised gut module and secure 3 credits for the ESPEN European Diploma in Clinical Nutrition if the quiz is completed successfully and an evaluation form is filled in

Approved for 6 hours CME by the Royal College of Physicians (London)

ALL WELCOME: Members of BAPEN Medical; Members of BAPEN; Any clinician or healthcare professional with an interest in nutritional support; Surgeons; Trainees of all disciplines in particular are welcome.
Registration (including coffee, tea and lunch): £23.50 (inclusive of VAT) for BAPEN Medical/BAPEN members and £47 (inclusive of VAT) for all others.

For further information:
Dr Emma Greig (Honorary Secretary BAPEN Medical)
Email: Emma.Greig@tst.nhs.uk
Tel: 01823 342126
Fax: 01823 344612

NNNG

TLC: Teach, Lead, Communicate in Nutritional Care

NNNG Conference 22nd & 23rd June 2009
Venue: Knebworth Barns
Speakers and Topics TBC

DAY 1
09:00 – 09:30 Registration & Coffee

09:30 – 10:15 Nutrition Updates: The national picture Andrea Cartwright

10:15 – 10:45 Feeding the Critically Ill Patient: An overview of what, when, how & why

10:45 – 11:15 Coffee & Exhibition

11:15 – 11:45 Biochemistry: Interpreting blood results in the critically ill

11:45 – 12:30 Nutrition in Practice in the Critically Ill: Glycaemic control, gastric residual volumes

12:30 – 13:30 Lunch & Exhibition

13:30 – 14:45 DEBATE: This house believes that re-feeding syndrome is a myth For: TBC Against: TBC

14:45 – 15:30 Fluid and Sodium Balance: National recommendations

15:30 – 16:30 Coffee & AGM of the NNNG – all members please attend

19:30 ‘til late NNNG Annual Conference Dinner: Theme
‘The Musicals’

DAY 2
09:00 – 09:30 Registration & Coffee

09:30 – 10:00 Board to Ward: Leadership in nutritional care

10:00 – 10:30  Learning Resources: e-learning, NHS Core learning, RCN etc - Jane Fletcher

10:30 – 11:00 Link Nurse Groups: Making them work

11:00 – 11:30 Coffee & Exhibition

11:30 – 12:30 Member Presentations - 4 x 15 min
presentations by NNNG Members - Inc. TauroLock, Jane Fletcher

12:30 – 13:30 Lunch & Exhibition

13:30 – 14:15 Anatomy & Physiology: An overview of the gut and intestinal failure

14:15 – 14:45  Fistuloclysis and Distal Feeding: The Hope Hospital experience

14:45 – 15:15 Coffee

15:15 – 16:00 Nutritional Management of High Output Stomas

16:00 Close and safe journey home!

PROGRAMME SUBJECT TO CHANGE WITHOUT NOTICE

For further information contact: Winnie.magambo@cardiffandvale.wales.nhs.uk or
Jane.Fletcher@uhb.nhs.uk

PINNT

Oxford Group Inaugural Meeting
Saturday October 18th 2008 - 2pm to 4pm

PINNT is a support group for all patients on artificial nutrition, their carers, family and friends, which provides practical advice and moral support.

This first meeting will be a social gathering where we decide what we want from future PINNT events. Ideas include: short talks from healthcare providers; social events such as bowling; trips; Christmas parties; pub outings: sharing our experiences and swapping tips and having the chance to get together with others who understand life with artificial nutrition.

Address: OXSRAD, Court Place Farm, Marsh Lane, Marston, Oxford, OX3 0NQ. Tel: 01865 741336

Fully accessible, Plenty of parking, Toys such as small ball pool (parents to supervise), Small kiosk selling hot/cold drinks, chocolate and crisps

ALL WELCOME

Regional Co-ordinator:
Karen Williams
Tel: 01295 713855 (preferred number)
Mobile: 07950 206821
E-mail: kw100@hotmail.co.uk

Bapen Office
Secure Hold Business Centre,
Studley Road, Redditch,
Worcs, B98 7LG. UK
Tel: 01527 457850
Fax: 01527 458718
bapen@sovereignconference.co.uk
www.bapen.org.uk

Media & Marketing Enquiries:
Rhonda Smith
Tel: +44 (0)1264 710428
Fax: +44 (0)1264 710768
Email: info@minervaprc.com