Hospital Drivers affecting Nutrition Strategy
| Driver | Rationale |
|---|---|
| Protected meal times | Efficient time for food delivery and assistance, reduced interruptions, increased consumption. Better monitoring |
| Better Hospital food | Menus to reflect and respond to local cultural needs |
| Visiting times | Controlled/ reduced visiting times reduce infection and improve care around meals. Carers (not visitors) stay to help. |
| Patients own food, health & safety | Strict policies /disclaimers. Encourage choice via hospital menu |
| Patient Information | Info on menu completion, meal times, not to bring in own food, dietary advice. |
| Pre admission | Early screening, assessment, and nutritional optimisation |
| Health Care commission Standard 15 (b) | Key core performance standard: all patients on admission to have appropriate and timely screening |
| End of life care | Links with the Liverpool care pathway, ethical dilemmas, good MDT working and decision making: impact quality of life / care and cost, complications and length of stay |
| NICE guidance | Comply or risk register that they are not adopted and why. |
| Infection Control | National Campaign : kitchens, IV’s central lines and urinary catheters etc. MRSA , bacteraemia are reported to a main database. |
| Housekeepers | New housekeeper role not responsible for cleaning i.e. can be involved with nutritional care |
| PEAT | External inspection from a patient perspective |
