Registration & Exhibition

This year’s opening symposium will get straight down to business! Following a brief summary of BAPEN news from President Dr Simon Gabe, Dr Ailsa Brotherton will update us on the Nutrition Care Tool that has the ability to tell us how effective treatment of malnutrition is in our own institutions. This year is BAPEN’s 25th Birthday and Mike Wallace, Stategic Affairs Director, will give us an astonishing insight into the potential cost of malnutrition over the next 25 years. Finally, you will get the chance to be one of the first people to hear the stunning results of the National Audit of Small Bowel Obstruction (NASBO) which have major implications for healthcare professionals working in nutrition support.

BAPEN News and Conference Highlights
Dr Simon Gabe, President, BAPEN

BAPEN Nutrition Care Tool – Early learning from the data
Dr Ailsa Brotherton, formerly Quality Group Chair

The Cost of Malnutrition – Predictions for the next 25 years
Mike Wallace, Strategic Affairs Director, Nutricia UK and Ireland

Results of the National Audit of Small Bowel Obstruction (NASBO)
Matthew James Lee, Department of Surgery Sheffield Teaching Hospitals & Adele Sayers, ST6 Colorectal Surgery Trainee, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust

Coffee & Exhibition

A look at the controversies surrounding the estimation of nutritional requirements from the use and abuse of stress factors to recommendations in specific conditions such as critical illness. Featuring debates and an expert panel, we will focus on the limitations of predictive formulae and look at what we can actually achieve in practice.

Bruno Mafrici, Clinical Lead Renal Dietitian, Nottingham University Hospitals NHS Trust

Update on the PENG Pocket Guide to Clinical Nutrition
Bruno Mafrici, Clinical Lead Renal Dietitian, Nottingham University Hospitals NHS Trust

The New PENG Pocket Guide – Taking the stress out of estimating requirements
Dr Elizabeth Weekes, Senior Consultant Dietitian and NIHR Clinical Lecturer, King’s College London

Debate: Complex Predictive Formulae are Superior to Kcal/kg in Estimating the Energy Requirements of Critically Ill Adults
For: Ella Segaran, Advance Dietitian for Critical Care, Chair of the ICS N/AHP committee, St Mary’s Hospital, Imperial College Healthcare NHS Trust
Against: Pete Turner, Clinical Lead Nutrition Support Dietitian, Ulster Hospital, Northern Ireland

Ask the Experts – Your chance to put questions on nutritional requirements to the panel

This symposium will focus on a case based journey entitled ‘The Management of Enterocutaneous Fistulae’ lead by an expert panel of healthcare professionals from a variety of centres, including gastroenterology, colorectal surgery, health psychology, specialist nursing and dietetics. This interactive symposium welcomes questions and comments throughout the symposium and it aims to focus on a variety of commonly encountered problems in fistulae management and to aid in your future practice.

Dr Sheldon Cooper, Consultant Gastroenterologist, Queen Elizabeth Hospital, University Hospitals of Birmingham & Amrit Dhaliwal, Specialist Registrar, BAPEN medical trainee committee Vice Chair, Queen Elizabeth Hospital, University Hospitals of Birmingham

Case: The undulating path of fisulating disease
Panel: Dr Martyn Dibb, Consultant Gastroenterologist, Royal Liverpool and Broadgreen University Hospitals NHS Trust; Paul Rooney, Colorectal Surgeon, Royal Liverpool and Broadgreen University Hospitals NHS Trust; Alison Young, Nurse Consultant in Nutrition, Royal Liverpool and Broadgreen University Hospitals NHS Trust; Dr Joanne Ablett, Consultant Clinical Psychologist, Salford Royal Hospital; Nicky Wyer, Senior Specialist Dietitian, University Hospitals Coventry and Warwickshire NHS Trust

Peri-operative Fluid Administration in Patients Undergoing Elective Colorectal Segmental Resection (OC1)
Louisa Potter, Glasgow Royal Infirmary

The symposium will look at ‘Securing devices’ used to secure feeding tubes used in delivering Nutritional Support.: an overview of the products available on the market, how and when to use these products and their implications on Consent, Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLs).

Barbara Dovaston, Clinical Nurse Specialist – Nutrition, Heart of England NHS Foundation Trust

Mental Capacity Act
Tracy Brown, Adult Safeguarding Lead, North West Anglia NHS Foundation Trust

Preventing Nasogastric Tube Removal – An audit of different methods
Suzy Cole, Nutrition Nurse Specialist, Musgrove Park Hospital, Taunton

Palliative Feeding for Comfort
Liz Anderson, Nutrition Nurse Specialist & Debbie Begent, Adult Speech and Language Therapy Service Manager, Buckinghamshire Healthcare NHS Trust

A Regional Percutaneous Endoscopic Gastrostomy (PEG) Audit Exploring Factors Influencing Mortality and Complications (OC2)
Dr J.L. Hulley, Freeman Hospital, Newcastle upon Tyne

Lunch & Exhibition
BAPEN AGM

Chaired Poster Sessions
Posters showcasing new research will be displayed throughout the conference in the Poster Exhibition area. ‘Themed’ facilitated poster presentations will provide an opportunity for informal discussion with the author.

With 93% of the malnutrition existing in the community, where it develops insidiously and patients spending on average less than 7 days in hospital, it is vital that community healthcare professionals integrate nutritional care including malnutrition screening into practice. Join us in this session to gain insights into malnutrition in the community through the lens of GPs and commissioners. Through a facilitated panel discussion, you will also have the opportunity to pose your questions to the panel and ensure your take-away messages and actions enable you to make a difference.

Anne Holdoway, Consultant Dietitian, Bath

Implementation of the Malnutrition Pathway in the Community – Research into practice
Anne Holdoway, Consultant Dietitian, Bath

A National Survey of GPs to Assess the Understanding and Priority Given to Malnutrition in Patients with COPD (OC3)
Dr Elanor Hinton, NIHR Bristol Biomedical Research Centre Simple recipes for a healthy diet

Waking up GPs to Malnutrition
Dr Anita Nathan, GP, member of the GPs Interested in Nutrition Group (GPING)

Putting Community Malnutrition Commissioning Guidance into practice – Barriers and opportunities
Dr Rachel Pryke, GP, Winyates Health Centre, Redditch, Worcestershire

Panel Discussion

The four different countries in the UK have separate health systems but often a change or initiative in one country leads to changes or initiatives elsewhere - we can learn from one another. One of the main changes in healthcare in recent times has been the integration of health and social care. Each country has tackled this somewhat differently and this symposium addresses this topic with the aim of mutual learning and improvement.

Dr Ruth McKee, Consultant Colorectal Surgeon, Glasgow Royal Infirmary

Integrating Care – Forming the strategy
Mark Taylor, Consultant Surgeon, Belfast Health and Social Care Trust

Salford Malnutrition Task Force – Breaking down organisational boundaries
Kirstine Farrer, Consultant Dietitian in Intestinal Failure and HPN, Salford Royal NHS Foundation Trust

A Patient Centred Collaborative MDT Pre Assessment Elective Gastrostomy Tube Placement Service
Annalisa Owen, Home Enteral Feeding Dietitian, Aneurin Bevan Health Board & Judith Gethin, Clinical Practice Manager for Wales, Nutricia

Tayside Nutrition Network
Janet Baxter, Nutrition Support Service Lead, NHS Tayside

Nutritional and Financial Impact of an Enhanced Dietetic Service to Care Homes within a Welsh Health Board (OC4)
Amy Evans, Dewi Sant Hospital, Wales

Are organisational changes in the NHS moving us towards greater use of standardised approaches to parenteral nutrition? Are these changes a backwards step or just plain common-sense? Will cost pressures signal the decline of ‘bespoke’ nutrition and a renaissance of the humble ‘off the shelf’ multichamber bag? This symposium considers these questions for both adult and neonatal nutrition.

Chair

Tony Murphy, Pharmacy Production Manager, University College London Hospitals

Organisational Change in the NHS and its Impact on the Provision of Hospital Pharmacy Aseptic Services
Khola Khan, Hospital Pharmacy & Medicines Optimisation Team, NHS Improvement

Implementing Standardised Neonatal PN Across a Network and Managing the Provision Without ‘On-site’ Pharmacy Aseptic Services
Louise Whitticase, Lead Pharmacist Women’s and Neonatal Services, Birmingham Women’s and Children’s NHS Foundation Trust

Is the squeeze on NHS resources and commercial capacity pushing us towards greater use of standard PN for adult inpatients?
Sarah Zeraschi, Consultant Pharmacist Nutrition, Leeds Teaching Hospitals NHS Trust

Micronutrient Deficiencies are Difficult to Predict in Patients on Home Parenteral Nutrition (OC5)
Morag Pearson, St Mark’s Hospital, Harrow

Tea & Exhibition

BAPEN Pennington Lecture: Nutrition – making a difference
Dr Ruth McKee, Consultant Colorectal Surgeon, Glasgow Royal Infirmary

17:10 – 17:30

BAPEN 2017 Recognition & Awards

Poster Reception
Posters of Distinction will be presented in an informal environment giving you an opportunity to view and discuss with the author

07:00 – 08:30

Breakfast Symposium: Optimising the Management of Disease-related Malnutrition

Chair’s Introduction
Carole-Anne Fleming, Dietetic Clinical Team Lead - Oncology, NHSGGC Adult Acute Dietetic Service, Gartnavel General Hospital, Glasgow

Bolus Feeding in Adults
Sean White, Dietitian, Home Enteral Feeding Service, Sheffield Teaching Hospitals NHS Foundation Trust

The Role of the Prescribing Support Dietitian in the Management of Malnutrition in the Community
Rebecca Henley, Prescribing Support Dietitian, Swindon Clinical Commissioning Group

Registration & Exhibition

Refeeding syndrome is something everyone working in nutrition support will encounter but is it always possible to follow the multitude guidelines to the letter? In ‘Death by Chocolate – The refeeding syndrome revisited’ a panel of BAPEN experts will be put on the spot by Pete Turner and asked how they would deal with oral, enteral and parental feeding in patents at high risk – with a few ‘quite interesting’ facts and fallacies thrown in along the way!

Chair

Pete Turner, Clinical Lead Nutrition Support Dietitian, Ulster Hospital, Northern Ireland

Expert Panel: Dr Alison Culkin (Dietitian); Prof. Mike Stroud (Gastroenterologist); Dr Callum Livingstone (Chemical Pathologist); Rebecca White (Pharmacist); Anna Hardman (Specialist Community Dietitian)

This symposium focuses on the complex subject of feeding the dysphagic patient with a look at investigations and their interpretation, the controversy surrounding modified texture diets and the impact they have on people’s lives. It is a must for dietitians, speech and language therapists as well as any healthcare professionals working in this difficult area.

Chairs

Dr Andrew Rochford, Consultant Gastroenterologist, Barts Health NHS Trust & Winnie Magambo-Gasana, Advanced Nurse Practitioner, Oxford Radcliffe Hospitals NHS Trust

Assisted Methods of Feeding
Heulwen Sheldrick, Consultant Speech & Language Therapist, Community Trust Chester

International Dysphagia Diet Standardisation Initiative (IDDSI)
Joanna Instone, Head of External Affairs and Policy Officer for England and Wales, The British Dietetic Association

Dysphagia Case Scenario
Joe Colby, Lead Nurse for Artificial Nutrition Support, University Hospitals Coventry and Warwickshire NHS Trust

Right Meal, Right Patient, First Time (OC6)
Teresa Loughnane, Mater Misericordiae University Hospital, Dublin

The Catheter-related Sepsis (CRS) symposium aims to show delegates how to diagnose CRS, show which organisms cause it and from where they originate. It will discuss when and how to perform catheter salvage.

Chairs

Dr Jeremy Nightingale, Consultant Gastroenterologist, St Mark's Hospital, Harrow & Alison Young, Nurse Consultant in Nutrition, Royal Liverpool and Broadgreen University Hospitals NHS Trust

Factors that Affect Survival in Type 3 Intestinal Failure: The largest single centre experience of 978 patients over 37 years (OC7)
Dr Siddhartha Oke, Lennard Jones Intestinal Failure Unit, St Mark's Hospital, Harrow

What is it and how is it detected?
Dr Paul Chadwick, Consultant Microbiologist, Salford Royal NHS Foundation Trust

Why do infections occur and with what organisms?
Mia Small, Nurse Consultant in Nutrition and Intestinal Failure, St Mark’s Hospital, Harrow

Discussion/Debate: Infected long-term HPN catheters with staph aureus or candida should be removed?
For: Dr Trevor Smith, Consultant Gastroenterologist, University Hospital Southampton NHS Foundation Trust
Against: Dr Antje Teubner, Associate Specialist IFU, Salford Royal NHS Foundation Trust

Coffee & Exhibition

This symposium will tackle another controversial and highly emotive topic – nutrition and dementia. It will look at the clinical manifestations of the disease with respect nutrition and investigate practical ways to meet the challenges of feeding the affected.

Chairs

Dr Andrew Rochford, Consultant Gastroenterologist, Barts Health NHS Trust & Winnie Magambo-Gasana, Advanced Nurse Practitioner, Oxford Radcliffe Hospitals NHS Trust

Ethics in Feeding in Dementia Patients
Dr Andrew Rochford, Consultant Gastroenterologist, Barts Health NHS Trust

The Challenges of Nutrition in Dementia
Alison Smith, Prescribing Support Dietitian, Aylesbury Vale and Chiltern Clinical Commissioning Groups

Use of ONS in Patients with Dementia
Prof. Margot Gosney, Director of Clinical Health Sciences, School of Psychology and Clinical Language Sciences, University of Reading

Satellite Symposium: The Healthcare Environment is Changing – What is your role?

The content of the session will cover updating the HCPs on the current healthcare and prescribing environment, informing HCPs on how the healthcare environment is changing and who they need to engage with to ensure their professional voice is heard and practical hints and tips for compelling communication to influence colleagues.

Anne Holdoway, Consultant Dietitian, Bath

The Current Healthcare Environment
Anne Holdoway, Consultant Dietitian, Bath

The Future Healthcare Environment and the Key Players
Judy Willits, Healthcare Consultant, Hertfordshire

A Practical Guide to Influencing Stakeholders
Philip Graves, Consumer Behaviour Psychologist, Cambridge

Q&A Session

The Hot Topics symposium will teach about EDS hypermobility and its relationship to nutritional problems. This will be highlighted in the case presentation. The ways in which neonatal liver disease has been reduced will be discussed with the implications for managing adult patients.

EDS Hypermobility and the Gut
Professor Qasim Azia, Professor of Neurogastroenterology, Barts and The London

Neonatal PN-related Liver Disease – Lessons for adult practice
Dr Julian Thomas, Consultant Paediatric Gastroenterologist, Paediatric Nutrition Team, Great North Children's Hospital, Newcastle upon Tyne

Case
Dr Simon Gabe, Consultant Gastroenterologist & Dr Alison Culkin, Clinical Research Dietitian in Intestinal Failure and HPN, St Mark’s Hospital, Harrow

Review of Tea Drinking Habits in Short Bowel Patients with Jejuno-colic Anatomy in Northern Ireland (OC8)
Sarah-Jane Hughes, Belfast City Hospital, Northern Ireland

Lunch & Exhibition
BAPEN Medical AGM

Chaired Poster Sessions
Posters showcasing new research will be displayed throughout the conference in the Poster Exhibition area, however, ‘themed’ facilitated poster presentations will provide an opportunity for informal discussion with the author.

NG SIG Meeting – Dukes Suite

BAPEN Keynote Lecture - 'Human Microbiome in Health and Disease'
Paul Wischmeyer, Duke University, North Carolina, USA

Original Communication and Poster Prize Presentations

Continuing on the theme of tackling malnutrition in the community, BAPEN Medical dedicates its second symposium to another hot topic. Acute severe illness has become an increasing social and economic burden within last decades, as mortality has constantly decreased and more patients survive to hospital discharge. Unfortunately, the more severe the acute disease and the comorbidities the patient has at hospital admission, the longer and more difficult the rehabilitation, which could take up to one or more years. This long and sinuous road will be explored (focusing on nutritional aspects of rehabilitation) by a multidisciplinary panel of experts, including Prof. Paul Wischmeyer (US), who will share his experience from both sides of the net: doctor and patient.

Irina Grecu, Consultant in ICM & Anaesthesia, Hampshire Hospitals Foundation Trust

Can dietitians contribute to reducing inpatient days among frail elderly people? A retrospective review of readmissions, length of stay and the impact of differences in anthropometry (OC9)
Louise Nash, Airedale NHS Foundation Trust

The Role of Targeted Nutrition and Exercise in Recovery from Illness
Prof. Paul Wischmeyer, Nutrition Support Service, Duke University Hospital, North Carolina, USA

Nutritional Challenges in the Recovery Phase of Critical Illness
Dr Judith Merriweather, Critical Care Dietitian/NRS Research Fellow, Edinburgh Royal Infirmary