Our Story

Since its inception in 1992, the British Association of Parenteral and Enteral Nutrition, now known as BAPEN, has had six pioneering Chairmen who have worked hard, alongside fellow committee members, to ensure the Charitable Association meets the challenges of an ever-changing healthcare environment.

BAPEN President, 2019 – 2022: Dr Trevor Smith

Dr Trevor Smith

2019

  • BANS launched the Intestinal Failure Registry in May, which received good engagement by reporting centres.
  • In July, we welcomed in the government’s Green Paper on preventable ill health. During UKMAW in October, we released a statement commending Public Health England, The Centre for Better Aging and partners’ pledge to support healthier lives for those aged 65 and over.
  • We launched the Nutrition Matters, BAPEN Matters animation which was well-received at our Conference in Belfast. It particularly highlights the importance of nutritional care plans and continuity of care between settings.
  • BAPEN was delighted to be a finalist at Communiqué for Patient or Professional Association of the Year.

2020

  • BAPEN was a founding member of the Covid is Airborne Protection Alliance (CAPA) – formerly the AGP Alliance – which lobbied the Government and health bodies to enhance personal protective equipment for health and care workers throughout the pandemic.
  • We, together with our Core Groups, standing committees, and special interest groups, developed a bank of Covid-19 resources for members and other healthcare professionals, providing advice on delivering patient safety through the crisis. Resources included practical guidance for using ‘MUST’ during the pandemic, statements on HPN and HEN provision, and NG tube placement checks.
  • Establishment of the COVID-19 Service Improvement and Innovation Awards to recognise the huge achievements of clinical teams across the United Kingdom in their work adaptations.
  • Virtually bound as 2020 was, BAPEN hosted its first virtual webinar series in replacement of the Annual Conference, which comprised a series of ‘Dine and Dial-In’ sessions online over a two-week period in November.
  • In November, BAPEN joined the Inequalities in Health Alliance (IHA). The IHA is a coalition of not-for-profit organisations working in health, social care and beyond who collectively campaign for a cross-government strategy to reduce health inequalities.

2021

  • BAPEN President Dr Trevor Smith presented on behalf of BAPEN at the All-Party Parliamentary Group (APPG) for Ageing and Older People on malnutrition, speaking of the need for a greater and more widespread understanding of malnutrition and its prevalence in the UK.
  • In March 2021, BAPEN formalised its long-standing relationship with the Nutrition Society through a Memorandum of Understanding, bringing the two organisations into closer alignment and collaboration.
  • BAPEN was a signatory on a letter to Prime Minister Boris Johnson, outlining the need for an explicit nationwide cross-government approach to help identify the policy changes required on national issues that will be relevant for all communities. The letter argued that the recovery from COVID-19 must be a turning point for the health of the nation, citing the opportunity to level up and build back better.
  • Launch of the ‘getting to know BAPEN’ series, comprising interviews with members of BAPEN Executive and Council.

2022

  • This year marked BAPEN’s 30th anniversary as an organisation – a significant milestone which we celebrated in a number of ways. In November, we launched a ’30 days of BAPEN’, using each day to reflect on past achievements and progress made, together with others.
  • BAPEN worked with PINNT to mark Home Artificial Nutrition (HAN) Week in August, through a case study-led media piece around a woman who worked to illuminate buildings in Nottingham to help raise awareness of HAN which saved her life. We secured message-rich coverage in the local media (Gedling Eye and the Nottingham Post) as well as national media (The Mirror). This means there were nearly 400,000 opportunities to see the story.
  • BAPEN launched its next five-year strategy, 2022-2027. The strategy was developed from a comprehensive, consultative process including a patient focus group on values, members’ survey and a refined working group. The values of ‘Listen’, ‘Lead’, ‘Share’ and ‘Support’ are the principles that will guide the way we act on our vision. Furthermore, our three strategic priorities of ‘Knowledge’, ‘Reach’ and ‘Sustainability’ will shape our commitments over the coming five years and ensure we are responding to the changing clinical environment and increasing demands placed upon all those working in health and social care.
  • For the first year since Covid, BAPEN Conference was in-person and we welcomed delegates to Brighton.
  • Towards the end of the year, we launched our inaugural podcast series, bringing BIFA’s top tips to life through conversation.

President Oct 2014 – Sept 2015:
Professor Mike Stroud
(stood down September 2015)

Professor Mike Stroud

President Sept 2015:
Dr Simon Gabe

Dr Simon Gabe

Key aims:

  • Make BAPEN’s work much more relevant and visible at a local and regional level to all health and social care professionals involved in delivering care involving nutrition and hydration
  • Increase BAPEN membership and provide all members with local networks and support
  • Promote and encourage widespread use and implementation of both new and existing BAPEN resources
  • Ensure nutrition and hydration is a priority on all regional health and social care agendas
  • Ensure Commissioners understand the importance of specifying nutrition and hydration standards within contracts
  • Strengthen our national reputation as the charitable association which, with its Core Groups, drives real improvement in standards of nutrition and hydration care across the UK

2015

  • New BAPEN Virtual Learning Environment (VLE) unveiled (March)
  • BAPEN introduces the first Nutritional Care Tool (June)
  • BAPEN participates as a key partner in DDF (June)
  • New Health Economic Report launched by BAPEN and the NIHR Southampton BRC at the King’s Fund (November)
  • First ever Malnutrition Self-Screening Tool launched by BAPEN for use in the community (December)
  • BAPEN publishes its Nutrition Screening Week Care Home Report (2007-2011) (December)
Dr Tim Bowling

BAPEN Chairman 2011-2014: Dr Tim Bowling

Key aims:

  • Revitalising and expanding BAPEN membership to ensure that it represents a robust community
  • Restructuring the current structure of committees and communication
  • Enhance and expand the BAPEN website
  • Respond to the changing NHS and social care landscape by expanding our regional and local networks and activities across all four nations of the UK
  • Continue the momentum to ensure that BAPEN remains a leading authority in all matters relating to undernutrition and screening for the risk of malnutrition
  • Develop everyday guidance for all health and care practitioners in order to support the provision of excellent nutritional care in hospital

2012

  • NICE Quality Standard “Nutrition Support in Adults” (chaired by Professor M Elia) issued November 2012
  • NICE iv fluid guideline developed – Chaired by Professor Mike Stroud
  • BAPEN launched new website – June 2012
  • BAPEN participates in inaugural DDF Meeting – June 2012
  • ‘MUST’ available in five European languages – November 2012
  • Malnutrition Matters Commissioning Toolkit launched – December 2012
  • BAPEN launches Good Practice Guides ‘Decision Trees’ – December 2012

2013

  • NICE recommends use of ‘MUST’ e-learning modules – January 2013
  • Virtual QI Programme launched – March 2013
  • Commissioning Nutritional Care in the new NHS and Social Care System: A Commitment to Act guide first draft developed (March)
  • BAPEN welcomes BSPGHN as a new Core Group (March)
  • BAPEN produces first brochure (June)
  • BAPEN Celebrates 21st Anniversary (November)

2014

  • Nutritional Screening Week 2007-2011 Amalgamated Reports published (March)
  • Malnutrition Matters: A Commitment to Act Guide launched (March)
  • Nutritional Care and the Patient Voice: Are we being listened to? New joint report (PINNT and BAPEN) launched (March)
  • BAPEN Responds to Francis Report (March)
Professor Mike Stroud

BAPEN Chairman 2008-2011: Professor Mike Stroud

Key aims:

  • To ensure that BAPEN continues to be seen as the leading organisation dealing with issues of nutritional care for patients
  • To ensure that nutritional care is incorporated into the heart of the quality agenda for healthcare
  • To ensure that nutritional issues stay high in the NHS, political and public agendas
  • To revitalise the Research and Science committee

Key achievements:

  • Commissioning Toolkit published and well received
  • Nutrition and hydration included in the Safe Care National Work Stream
  • Nutrition included as one of the Chief Nurses’ ‘High Impact Actions’ and as one of the most cost effective investments identified by NICE
  • Care Quality Commission introduced much higher, enforceable nutritional care standards
  • Nutrition included in two of the five domains of the DH outcomes framework

2009

  • Improving Nutritional Care and Treatment. Perspectives and recommendations from Population Groups, Patients and Carers
  • Combating Malnutrition: Recommendations for Action
  • Screening for Malnutrition in Sheltered Housing

2010

  • Nutrition Screening Week 2010
  • BAPEN e-learning for junior doctors
  • Malnutrition Matters. Meeting Quality Standards in Nutritional Care. A Toolkit for Commissioners and Providers in England
  • BAPEN Research and Audit Database launched
  • ‘MUST’ e-learning for Hospitals and the Community
  • ‘MUST’ App launched

2011

  • Nutrition Screening Week 2011
  • Poster submitted for MNI grant “highly commended”
  • e-BANS and e-learning on nutrition freely available for all NHS staff
  • Formation of the Nutrition and Hydration Action Alliance
Professor Marinos Elia

BAPEN Chairman 2005-2008: Professor Marinos Elia

Key aims:

  • To integrate all the contributions of all members (playing to its greatest strength – its multidisciplinary perspective) to influence policy and improve care
  • To align BAPEN with other influential bodies
  • BAPEN should take a lead in the economics of malnutrition, the implementation of nutritional screening and nutrition training and education

Key achievements:

  • Engagement with numerous partners and with ministers to further the nutritional agenda, producing many reports, guidelines and training tools
  • Health Economic Report, helping to focus policy makers on the importance of nutritional care
  • Nutrition Screening week
  • Main Nutrition Industry group of ESPEN awarded BAPEN its first ever prize of €30,000 for its work on fighting malnutrition

2006

  • NICE guideline “Nutrition Support in Adults” chaired by Professor Mike Stroud
  • Malnutrition among Older People in the Community. Policy Recommendations for Change

2007

  • Organisation of Food and Nutrition Support in Hospitals (OFNoSH) – web based resource launched
  • Nutrition Screening Week 2007
  • Improving Nutritional Care: A joint Action Plan from the Department of Health and Nutrition Summit stakeholders

2008

  • Nutrition Screening Week 2008
  • BAPEN wins the first ever Medical Nutrition International Industry Award of €30,000 for the most effective national campaign “Malnutrition Matters” to raise awareness of and to fight malnutrition.
Dr Alastair Forbes

BAPEN Chairman 2002-2005: Professor Alastair Forbes

Key aims:

  • Promote high standards of clinical nutrition
  • Continue to support the BANS data collection
  • Foster research collaborations across the country including all disciplines and professions
  • Secure BAPEN’s financial future

Key achievements:

  • BAPEN launch of ‘MUST’
  • BAPEN engagement with other organisations, including the Better Hospital Food programme, the Royal College of Physicians and NICE
  • Launch of the multidisciplinary Handbook of Nutritional Support
  • Agreed a BAPEN strategy for the next 5 years and instigated a formal review of all the reports and guidelines produced to date
  • BAPEN on a sound financial footing

2002

  • BANS report (Current Aspects of Artificial Nutrition Support in the UK)

2003

  • Guidance on drug administration via enteral feeding tubes
  • The ‘MUST’ Report
  • Launch of ‘MUST’

2004

2005

  • BPNG launch patient information leaflet on Parenteral Nutrition (endorsed by BAPEN)
  • Health Economic Report on Malnutrition in the UK

BAPEN Chairman 2000-2002: Professor Chris Pennington

Key aims:

  • The effective application of current knowledge in the delivery of nutritional care
  • The expansion of the knowledge base underpinning good nutritional care

Key achievements:

  • Organisation of the ESPEN conference in Glasgow
  • Support for non-medical professions in having their expertise equally acknowledged in the field of clinical nutrition
  • Taking BAPEN’s messages into the wider arena
  • Emphasising that all BAPEN activity should ultimately result in improved patient care
  • Including patients in decision making

It was a great loss to BAPEN when Chris Pennington died in May 2002. Click here to read his obituary.

2000

  • Current Perspectives on Paediatric Parenteral Nutrition published
  • Guidelines for the Detection and Management of Malnutrition published

2001

  • First British Artificial Nutrition Survey (BANS) report published (Trends in Artificial Nutrition Support in the UK during 1996-2000)
Professor David Silk

BAPEN Chairman 1995-2000: Professor David Silk

Key aim: to continue to improve the nutritional care of sick patients

Key achievements:

  • BAPEN received recognition as a specialist body by the Royal Colleges
  • BAPEN organised study days and courses to further postgraduate education
  • BAPEN continued to run multidisciplinary courses to support  the education of newly formed Nutrition Support teams
  • BAPEN produced standards of good practice in the field of nutritional support

1995

  • Home Parenteral Nutrition – Quality Criteria for Clinical Services and the Supply of Nutrient Fluids and Equipment published

1996

  • Standards and Guidelines for Nutritional Support of Patients in Hospital published
  • Current Perspectives on Parenteral Nutrition in Adults published

1998

  • Ethical and Legal Aspects of Clinical Hydration and Nutritional Support published

1999

  • Current Perspectives on Enteral Nutrition in Adults published
  • Hospital Food as Treatment published
Professor Chris Pennington

It is with deep regret that we announce the passing of Professor Chris Pennington in May 2002.

Professor Chris Pennington was the only son of a Welsh Methodist Minister and he grew up in Wales and the West Country. He studied medicine at the University of Manchester, graduating in 1970 followed by an MD in 1977. In the meantime he gained his MRCP (UK) in 1972. He became an FRCP (Edinburgh) in 1983 and was elected FRCP (London) in 1993.

His early career encompassed junior jobs in Manchester, Dundee and Aberdeen. He returned to Dundee in 1979 to become Consultant Physician and Gastroenterologist. He became Professor of Medicine in 1998.

During a very active career he held many different posts including Clinical Group Director for Medicine in the Tayside University Hospitals Trust. He did this extremely well during a period of great organisational change – being feared by a few, loved by many and respected by all. He has also been a long time member of the British Society of Gastroenterology and the Nutrition Society. Most recently he has served as Chairman of the British Association for Parenteral and Enteral Nutrition.

Widely Sought After

Chris had a wide range of professional interests including the management of inflammatory bowel disease, the management of disease related malnutrition and the use of artificial nutritional support. Most recently he has been key in establishing the Managed Clinical Network for patients on Home Parenteral Nutrition in Scotland.

He has published extensively in all these areas and has contributed to several seminal textbooks. His research interests were also varied and he focused increasingly on disease-related malnutrition in the elderly and small bowel ecology.

One of his major talents lay in teaching and lecturing – he was a widely sought-after guest speaker and his presentations epitomised clarity and comprehensibility. Although highly critical of his own abilities, he revelled in sharing information and he had particular skills in encouraging others to contribute to a discussion.

Chris demanded a great deal from his colleagues – but far less than he was prepared to contribute himself. He valued all equally, regardless of status and, despite his significant achievements, he retained an inquisitive mind, an unshakeable belief in the truth, an impish sense of humour and fundamental humility. These qualities generated enormous respect and admiration from everyone who had the good fortune to work with him.

Outside work, Chris and his wife enjoyed good holidays, most particularly the time they spent in Africa. He played tennis vigorously at local club level and had an extensive knowledge of steam engines. The last few months of his illness were lightened by his interest in photography and his passion for listening to classical music.

Chris and BAPEN

Chris joined BAPEN Council in 1996 and he was immediately asked to lead a group tasked with identifying current best practice in the provision of parenteral nutrition.

This report was widely welcomed and was so successful that it is, currently, being updated. In the intervening years Chris has taken part in a variety of BAPEN initiatives ranging from teaching on courses to participating in workshops.

A significant contributor

His contributions to BAPEN have been consistent and significant. It came, then, as no surprise when he was asked to take responsibility, on behalf of BAPEN, for organising the forthcoming ESPEN Congress in Glasgow. He threw himself wholeheartedly into this enormous task thereby gaining respect and admiration from his new European colleagues as well as those with whom he has been working.

He has described the objectives for the Congress and single-mindedly pursued them. The predicted success of the meeting will be largely due to him.
Multi-professional working has been second nature to Chris and he has constantly supported the non-medical professions in their quest to have their expertise equally acknowledged in the field of clinical nutrition. His input has ranged from guest lectures and teaching sessions to advising on potential publications, supporting multi-professional research projects and acting as a mentor whenever necessary.

Valuing all voices

Reconciling the differing agendas is difficult. Chris recognised the importance of other points of view and ensured that all voices were equally valued around the Council table thereby consolidating relationships of mutual respect. This, in turn, is leading to a more co-ordinated and consistent approach to raising awareness about the importance of nutrition in the management of disease.

Chris was a key player in taking these messages into a wider arena. He was frequently invited to lecture at several of the Royal Colleges and he was able to share the work that was started within BAPEN. This was a source of pride to him and he never failed to publicise BAPEN whenever an opportunity arose.

Not surprisingly his main focus has always been “the patient” and his clinical practice has reflected this. There have been many occasions when he reminded us that high-powered research activity or organisational restructuring must result in improved patient care.

He always worked closely with patients and stood firm in his belief that they have the right to a voice which needs to be considered throughout the decision making process. He considered himself privileged to have been invited to the annual PINNT party and frequently shared what he had learned there.

A sure, yet firm touch

Without doubt, Chris’ greatest contribution to BAPEN has been as our Chairman. He opened the debate on some of the serious strategic challenges we face as an organisation and he has presided over the beginning of a period of significant change. He guided complex negotiations with a sure yet firm touch.

He provided support and reassurance when things have become difficult – and he led the celebrations of our successes. Those of us who were in Harrogate for the Annual Meeting last year were well aware of his pride in our success, which was particularly celebrated at the 10th Annual Dinner.

A great loss

BAPEN as well as the field of Clinical Nutrition has lost a leader with vision, a colleague with compassion, a mentor with time and a friend who cared. Chris died on the 20th May 2002. He will be greatly missed and our sympathy is extended to his family.