‘Malnutrition Matters: Meeting Quality Standards in Nutritional Care’
BAPEN Meeting/Delivering Excellence in Clinical Nutrition Dec 3-4 2012:
Following the launch of the NICE Quality Standards for nutrition, today BAPEN unveils its enhanced nutritional care Commissioning Toolkit and supporting summary guide and calls for the National Commissioning Board to prioritise nutrition and hydration as a fundamental element of improving dignity and care. BAPEN also urges all CCGs (Clinical Commissioning Groups) to commit to commissioning the best nutritional care and hydration for their local population, develop local nutrition CQUINs (Commissioning for Quality & Innovation) and seek advice from BAPEN and their local Dietetic and Nursing leads.
BAPEN’s Commissioning Toolkit enables CCGs and providers in local authorities, primary care organisations, hospital trusts and foundation hospitals to include best nutritional care when commissioning / redesigning all care services across all health and care settings.
It will help service providers to meet the basic CQC standards and work towards achieving the NICE quality standards by including nutritional care in the development of new business cases. It will also support them in collecting the data needed to prove they meet nutritional quality standards and recommendations. The toolkit will also assist commissioners to set appropriate and achievable key performance indicators (KPIs) and to effectively contract and monitor services against an appropriate quality specification. In short, the Commissioning Toolkit outlines the actions required at every level of the system to achieve real improvements at pace and scale.
Professor Mike Stroud, Chair of BAPEN’s Quality Improvement Committee said, “Good nutritional and hydration care is a basic requisite of high quality care for every patient, in every care setting, on every day, yet we are still failing to meet this basic standard. The cost of this failure is high; not only in financial terms but in the enormous impact on patients’ lives. Patients are currently dying unnecessarily from:
- avoidable malnutrition and dehydration in the UK
- unsafe practices relating to parenteral nutrition (NCEPOD report)
- unsafe practices relating to enteral tube feeding (NPSA data)
- under or over hydration
This is totally unacceptable when we have cost effective solutions at our fingertips”.
The toolkit should be used by commissioners in conjunction with the NICE support for commissioners http://publications.nice.org.uk/quality-standard-for-nutrition-support-in-adults-qs24. A copy of this updated Commissioning Toolkit is available to view and download in PDF format from the BAPEN website http://www.bapen.org.uk/professionals/publications-and-resources/commissioning-toolkit
For more information, interviews and comment: