Dr Philip Allan, BAPEN Medical Chair

Email: Philip.allan@ouh.nhs.uk

Website: www.bapen.org.uk/about-bapen/bapen-core-groups/bapen-medical

BAPEN Medical has been focusing on its face-to-face training day, on 28th November. This will be a fantastic training opportunity for doctors at all levels, nurses and allied health professionals to come together for a face-to-face event. It is themed around the issue of Starvation and will include an update on Anorexia Nervosa in the light of recent guideline changes, innovations in tube feeding, understanding the physiology of starvation from the perspective of fundamental science, patients in Critical Care, in obstruction from intrabdominal tumours and finishing the day: ITU managing surgical patients and optimising their nutrition prior to surgery. We would love to see many of you there so do book tickets: https://bit.ly/BAPENMED. Lunch is provided and we are also planning a dinner after the event. There are also plans for a BAPEN Medical dinner with details to be announced closer to the time.

 

BAPEN Medical Training Day

Monday 28th November 2022, 09:30-16:00

A face-to-face training day £55 for BAPEN Medical Members, £75 for Non-Members, £35 for Trainees, Nurses, Allied Healthcare Professionals

For Gastroenterologists, Surgeons, Dietitians, Nutrition Nurses, Pharamacists - Trainees very welcome.

Morning:

AN update on the management of Anorexia Speakers inc: Dr Paul Robertson & Dr Alastair McKinlay.

Tube feeding: guidelines and innovations Speakers inc: Mr Lee Martin & Ms Kirstine Farrer.

Afternoon:

The physiology & consequences of Starvation Speakers inc: Prof Kieran Clarke & Dr Zudin Puthucheary.

Recognising malnutrition in surgery and taking pre-op action Speakers inc: Dr Fiona Leitch & Prof Antony Johansen.

Carolyn Wheatley, PINNT Chair

Email: comms@pinnt.com

Website: www.pinnt.com

Facebook: @PINNTcharity

Twitter: @pinntcharity

Instagram: @pinntcharity

Address: PO Box 3126, Christchurch, Dorset BH23 2XS

Telephone: 020 3004 6193

PINNT is delighted that our face-to-face meetings are commencing. Our recent meeting in Leicester was a great success with people truly benefiting from meeting each other. We are looking to start other groups and introduce new groups. If you would like to know more about how you could support a group in your area, please do not hesitate to contact us.

Our Virtual Nutrition Team (VNT) have been pleased with the response to their guidance document: Swimming and other recreational water-based activities with an intravenous catheter or an enteral feeding tube. You can find out more about our VNT via this link: https://pinnt.com/About-Us/Virtual-Nutrition-Team-VNT.aspx

BAPEN members can request a copy of the guidance by emailing support@pinnt.com. Provide your full name, address and quote ‘BAPEN’ to receive a free copy

Our Home Artificial Nutrition Awareness (HAN) Week is planned for 7 – 13 August 2023.

Linda Cantwell, PENG Chair

Email: peng@bda.uk.comm

Website: www.peng.org.uk

Twitter: @BDA_PENG

As we enter Autumn, we will take a quick look back on PENG summer activities and look towards what is still to come this year in addition to an update on enteral feeding supplies.

Research and Education

PENG continues to run regular webinars. In June we hosted Inspiring your next conference abstract and funding application. The aim of the webinar was to increase dietitians' confidence to share service improvement projects, audits and research results conducted in practice and then how to apply for financial support from the BDA to further innovative clinical practice and improve patient outcomes. In September our PN Lead Lisa Gemmal and ordinary member Nicky Wyer presented Parenteral Nutrition: A Discussion of complex intestinal failure patients. While IF is inherently a complex diagnosis, Lisa and Nicky, along with a panellist of highly experienced IF dietitians, work through some additional complexities, including the assessment of mental capacity and application to the court of protection. Both these webinars and more are available for members on the PENG website. Our next webinar we will be in the new year, 2023, as we have spent the summer organising our first face to face (available via live stream) which will have just happened when this edition of In Touch comes out.

The PENG Study Day held in October was entitled “The Future of Nutrition Support Dietitians: Extended and Advanced Practice”. As I write this, we are approaching this and it is already shaping up to be an exciting day with an excellent programme of speakers covering the four pillars of advanced practice, examples of these and extended roles in nutrition support across both acute and primary care, programme available here. We look forward to sharing the learnings in the coming weeks, or look back on social for some key highlights.

PENG is also looking forward to BAPEN Conference 2022 in Brighton where we will be hosting BAPEN’s first Prehabilitation Symposium, a topic that is growing in evidence base and is relevant for dietitians working across both acute and primary care.

Additionally, at BAPEN conference, we look forward to seeing our PENG 2022 Award winners present their abstracts and be awarded with their certificates. The PENG Award is a supportive educational grant which enables the awardee to present their work at national level and attend BAPEN conference. This year’s winners are:

• Cross-Sectional Study of Registered Dietitians’ Perspectives on Training to Position Nasogastric Tubes. By O. Walton and R. Stow.
  
• Putting the PENG 2018 refeeding syndrome guidance into practice. by K McGrath and A Culkin.
• An innovative addition to the management of type 2 intestinal failure – chyme pump service evaluation. By K. Farrer, S. Harrison, M. Barrett, A. Abraham, C. Cawley, C. Forde, A. Teubner, J. Epstein, D. McWhirter, D. Slade, G.L. Carlson, A. Bond, and S. Lal.

Finally, we are delighted to announced that the PENG MSc Clinical Update Course aims to be back face to face at Queen Margaret University in June 2023. Registration will open in December, however before this there will be an opportunity for PENG members to be able to apply and win a free place. Please keep an eye on the PENG Website and socials @BDA_PENG as this became available in November for 4 weeks.

Parenteral Nutrition

Dietitians’ Views on Parenteral Nutrition (PN) Competencies

PENG are considering developing competencies for those dietitians who formulate and monitor patients on PN. We would like members’ thoughts on this and what should be included. Members have indicated they would benefit from standard competencies. Currently there are some departments already using competencies and so this questionnaire is to get an idea of what is already being used and whether this could be standardised for all dietitians. Please share your views, this is a great opportunity to develop and standardize competencies that all dietitians can use. Please click on the link to complete the survey: https://www.surveymonkey.co.uk/r/J6V7MXN.

Enteral Feeding

This year has seen a number of challenges for dietitians in accessing enteral feeding supplies, including oral nutrition supplements and ancillaries, for our patients in both acute and primary care settings. PENG and BANS recognised this as a potential significant risk to patient care earlier in the year and started work on gathering data to highlight the extent of the issues effecting enteral feeding teams across the UK. A report of the findings is now available on the BAPEN News. PENG is committed to providing the professional expertise to represent dietitians, to highlight the significant risks that these shortages are causing and to try and find solutions to mitigate these. We are working with BANS, BAPEN, BDA and specialist groups, DHSC and patient bodies on this matter, so please continue to look out for further communications from PENG, BANS and BAPEN. We would encourage you also to use the virtual HEF group where this topic, in addition to others relevant to Home Enteral Feeding, is discussed. The group is always keen to grow the multidisciplinary team members so please share the link here to join the group with your local medical, nursing and AHP colleagues.

Committee Updates

We have recently recruited a new student committee member, Rhiannon Bullen, to the PENG committee. She has been providing valuable support with our social media communications and ensuring that the student voice is represented within all PENG activities. If you are a PENG member and would like to get more involved with PENG, we specifically have a vacancy for website co-ordinator, for more information please do get in touch: peng@bda.uk.com.