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Tuesday 20th November 2018




BAPEN Opening Symposium

Topic: The Failing Gut

Location:    Auditorium   

Ella Terblanche

Presentation title: Nutrition support in the ischaemic abdominal catastrophe

  1. Patients who experience ischemic abdominal catastrophes will be nutritionally complex requiring frequent reviews to alter nutritional plans over the course of ICU stay to match the metabolic phase of critical illness & disease progression.
  2. A collaborative multi-professional approach is needed for optimal nutritional treatment whilst critically ill.
  3. Patients who experience ischemic abdominal catastrophes will often end up nutritionally and physically wasted after prolonged ICU stays and therefore ongoing nutritional rehabilitation & optimisation is essential.


Coffee & Exhibition


Symposium 1

Topic: Home Enteral Tube Feeding

Location:    Auditorium   

Dr Sarah Durnan

Presentation title: ‘It’s Just Food Blended’: Exploring Parents’ Experiences of Choosing Blended Diet for Their Tube-fed Child

  1. Wider concern for the health and safety of their child such as recurrent aspiration pneumonia due to perceived feed intolerance or risk of anti-reflux surgery drives parents’ decision making about blended diet and should be considered by professional as part of any holistic risk assessment.
  2. This research suggests blended diet can have an almost immediate improvement in symptoms commonly associated with tube feeding intolerance. In addition, parents associated the transition to blended diet with improvements in general health and wellbeing of the child.
  3. Parents perceive commercial formula to be medicine rather than food. Use of blended diet can provide a feeling of normalisation for parents, include the tube-fed child in social events centred on food and have a positive impact on wider family life.

Anne Mensforth

Presentation title: Home Nasogastric feeding – dilemmas and developments

  1. Should we utilise nasogastric feeding for adults in the community more frequently?
  2. What are the obstacles to the use of nasogastric feeding at home?
  3. What developments are needed to make nasogastric feeding safer?

Gareth Bastable

Debate: Home Enteral Feeding Hot Topics

  1. I do not see myself as an adult or paediatric dietitian. I am a Home Enteral Feeding Dietitian. I believe home enteral feeding is a specialty all in itself.
  2. We need to keep our minds open to new ideas and initiatives within Home Enteral Feeding. Our patients carers and parents quickly become experts in the practicalities of living with tube feeding and we need to listen to what they are telling us.
  3. More research or national consensus is needed within Home Enteral Feeding.

Symposium 2

Topic: Information Technology for Nutrition Support

Location: Queens Suite 1

Dr Mohammad Al-Ubaydli

Presentation title: Linking patients on home parenteral nutrition to the nutrition team

  1. Complex conditions need integrated care and engaged patient.
  2. True patient portal critical to engage patient and engage care.
  3. PKB patient portal is already live and working across the UK.

Carola McKenna

Presentation title: Developing electronic prescribing, for parenteral nutrition, using the Epic system.

  1. The implementation of a new electronic prescribing system that has the ability to prescribe parenteral nutrition in a completely electronic way is an amazingly powerful tool.
  2. It is very difficult to assign strict mathematics and rules to a historically flexible field of prescribing. The prescribing of parenteral nutrition in the USA is different to conventions in the UK. The system has is restrictive in ways I hadn’t appreciated but equally has extensive functionality that is underused.
  3. We are only at the very start of our journey using electronic prescribing for parenteral nutrition. The project doesn't go live until next year. I am sure there will be unexpected hiccups along the way, but the I am excited about the future of prescribing of parenteral nutrition electronically.

Symposium 3

Topic: Implementation and Monitoring of Standards for Nutrition Support

Location: Queens Suite 2

Dr Alastair McKinlay

Presentation title: The Scottish Complex Nutritional Care standards

  1. Standards and Guidelines are different. Standards can have a long working life if drafted carefully.
  2. Standards are more effective if they monitored.
  3. Standards can act as a reference to allow other forms of change to be introduced.

Amelia Jukes

Presentation title: Standardising Nutrition Screening – an All Wales Approach

  1. Screening for malnutrition risk is recognised as the essential first step in identifying people who may benefit from interventions and support to mitigate or manage nutritional risk, improving patient well being and clinical and organisation outcomes including reducing admissions and length of stay.
  2. No one tool is perfect and applicable to all patient groups as well as predictors of poor nutrition-related outcomes.
  3. Standardising the screening tool used will permit standardised recording of risk. Electronic adaptation should enable auditing and benchmarking.


Lunch, Exhibition & Chaired Posters
   Auditorium    BAPEN AGM


Symposium 4

Topic: Gastrophysics and the “shape” of Food – a way forward to tackle malnutrition

Location:    Auditorium   

Jozef Youssef

Presentation title: Eating with your mind

  1. Flavour is a multisensory construct of the mind rather than a simple sensory perception involving smell and taste
  2. We all live in separate taste worlds both physiologically and psychologically. No two people can perceive/judge flavour in the same way.
  3. Can an understanding of our sensory relationship with food aid us in designing experiences (in homes, schools, care homes and hospitals) which encourage individuals (of all ages) to make more nutritious and sustainable food choices.

Prof Alan Mackie

Presentation title: The role of food structure in lowering risk factors for metabolic disease

  1. Both food structure and composition are important in our interactions with food at different levels, many of which we are unaware of. In particular the structuring of food in the stomach can alter appetite and nutrient absorption kinetics.
  2. Nutrient density is an important factor in appetite regulation but is often difficult to manipulate because of adverse effects on organoleptic properties of food. In other words increasing the dietary fibre in foods and make them more satiating but less palatable.

Dr Karen Freijer

Presentation title: The health and economic value of optimal nutrition on disease-related malnutrition

  1. Nutrition is a science and not a hobby. Multidisciplinary approach for optimalisation of nutrition is needed.
  2. Optimal nutrition can save a lot of money while improving quality of life.
  3. Investing in optimal nutrition should be standard before spending money on symptomatic treatment.

Symposium 5

Topic: Palliative Care and PN

Location: Queens Suite 1

Dr Mani Naghibi

Presentation title: When to start and when not to start palliative HPN

  1. MDT approach to deciding with patient regarding commencing HPN in advanced incurable malignancies.
  2. Prognostic score can add information to the decision, but performance status and social support structure remain more important coupled with clinical judgement.
  3. Lack of clarity in international guidelines remain due to variable practices and attitudes across the world.

Symposium 6

Topic: Nasogastric tube safety: what’s all the “pHuss” about

Location: Queens Suite 2


Topic: Write for Publication (Limited to 30 places)

Location:      HCC Suite     


Tea & Exhibition


Pennington Lecture

Topic: “You Can Do It!”

Location:    Auditorium   

   Auditorium    BAPEN 2018 Recognition & Awards


Satellite Symposia

Satellite Symposium

Topic: Bolus Feeding

Location: Queens Suite 1

Abbott logo

Satellite Symposium

Topic: Short Bowel Syndrome Intestinal Failure

Location: Queens Suite 2

Shire logo


Wednesday 21st November 2018


Breakfast Symposium

Topic: Optimising the Management of Disease Related Malnutrition

Location: Queens Suite 2

Nutricia logo




Symposium 7

Topic: Prehabilitation: Getting fit for Surgery

Location:    Auditorium   

Prof Peter Soeters

Debate: Do all surgical patients benefit from preoperative nutritional optimisation

  1. To raise an adequate healing response, the body must be insulin resistant. Insulin resistance results from inhibition of glucose oxidation and glucose utilization for glycogen synthesis; and from increase new formation of glucose. This increases glucose levels and keeps glucose available as building stones for synthesis of immune cells, synthesis of wound cells and matrix. These anabolic functions are stimulated at higher glucose levels.
  2. Well-nourished individuals in good shape do not benefit from preoperative support. The benefit of omega-3 FA enriched nutritional supplements is doubtful and may at best be minor. Preoperative nutritional support of severely ill (infected) patients is damaging, if delaying treatment of infection. If treatment can only be achieved by surgery, it should be performed immediately after restoring cardiovascular and respiratory stability including covering electrolytes, micronutrients etc. The surgery should be defensive, not creating hazardous anastomoses or performing extensive oncologic surgery. It is becoming likely that postoperative nutritional support should not be forcefully implemented.
  3. The rare patient that is malnourished purely on the basis of starvation, may benefit from establishing hemodynamic stability, replenishing deficiencies of electrolytes, micronutrients, vitamins etc deficiencies in a few days, but repleting muscle mass takes weeks or months.

Symposium 8

Topic: Venous Access

Location: Queens Suite 1

Dr Geert Wanten

Presentation title: Arteriovenous fistulae as venous access in HPN

  1. AVFs are a safe option to deliver long-term HPN, especially in high infection risk patients.
  2. Not for everyone (require (self)puncturing, vessel quality).
  3. Occlusion is an issue: maintenance required.

Joe Colby

Presentation title: Counselling for patients with Intestinal Failure

  1. There is very little formal provision for psychological services for IF patients.
  2. Patients need people to support them who have knowledge of their condition.
  3. The Nutrition team MDT is the greatest counselling / support service although individual members may not have any formal training.

Carolyn Wheatley

Presentation title: Do we align with patient expectations?

  1. Think about the ‘person’ into whom the line is being placed.
  2. Your actions may impact their quality of life.
  3. If we believe it should be ‘no decision about me without me’ does that translate into practice?

Winifred Magambo-Gasana

Presentation title: Line Selection

  1. There are different types of vascular access devices that can be used for mid-long term Parenteral Nutrition.
  2. Peripherally Inserted Central Catheters (PICCs) can safely be inserted and tip position confirmed by the bedside and used for parenteral nutrition.
  3. Power injectable vascular access devices are available both as peripheral and central devices and can be used for parenteral nutrition

Symposium 9

Topic: Sugar

Location: Queens Suite 2

Sally Moore

Presentation title: Dietary sugar: Definitions and labelling issues

  1. New guidance on the definition and recommended intake of “free sugars” is available in the UK.
  2. Content of total sugars rather than those which are added or “free” is currently displayed on UK nutrition labels.
  3. Health professionals can support consumers to use nutrition information and understand sugar recommendations.

Dr Bernadette Moore

Presentation title: How to reduce sugar - do taxes work?

  1. A systemic, sustained portfolio of initiatives, delivered at scale, is needed to address the health burden of obesity.
  2. Sugar and energy reduction and reformulation of foods important component, but other actions required as well.
  3. Sugar taxes can be beneficial but cannot solve obesity alone.


Topic: Write for Publication (Limited to 30 places)

Location:      HCC Suite     


Coffee & Exhibition


Symposium 10

Topic: Invasive Access for Enteral Nutrition

Location:    Auditorium   


Symposium 11

Topic: Nutrition and Liver

Location: Queens Suite 1

Dr Matthew Armstrong

Presentation title: Decompensated liver disease – how do we manage the inpatient nutritional needs

  1. Malnutrition and frailty is extremely common in end-stage liver disease, and should routinely be assessed using standardised anthropometry (hand grip strength, tricep skin fold thickness etc) and functionality tests, respectively.
  2. Achieving optimal protein requirements (1.5g/kg/day) is critical in patients with end-stage liver disease and have a low threshold for establishing enteral feeding if poor oral intake.
  3. Improving the nutritional status and frailty in a patient with end-stage liver disease improves quality of life, reduces complications of liver disease (i.e. ascites) and reduces the risk of death in patients pre and post liver transplant.

Dr Darren Wong

Presentation title: Deranged liver function tests in patients with parenteral nutrition – commonly encountered challenges

  1. Don’t always blame the parenteral nutrition.
  2. Always look for sepsis as a cause for abnormal LFT.
  3. An excess of any of the macronutrient components of PN can be hepatotoxic.

Symposium 12

Topic: Optimising Care of Malnourished Patients: Latest evidence and practice

Location: Queens Suite 2


Lunch, Exhibition & Chaired Posters
   Auditorium    BAPEN Medical AGM
Queens Suite 1 PENG AGM


Keynote Lecture

Topic: Drug-Nutrition Interaction in Nutrition Support

Location:    Auditorium   

Prof Joseph Boullata

Presentation title: Drug-Nutrition Interaction in Nutrition Support

  1. The term drug-nutrition interaction is broad and reflects a physical, chemical, physiologic, or pathophysiologic relationship between a medication and a nutrient, a meal, specific foods or food components, metabolic status, or nutrition status. Some of these interactions may be of concern in patients receiving nutrition support.
  2. The stability, compatibility, and bioavailability of medication with PN admixtures or with EN formulas is important to appreciate whether combined or administered concurrently.
  3. The clinician’s role in identifying and managing drug-nutrition interactions can include participation to improve policies & procedures, encourage integrated decision support systems, and maintain thorough evidence-based practices to assess the patient and their nutrition support regimen.


Symposium 13

Topic: Hot Topics in Clinical Nutrition

Location:    Auditorium   

Pete Turner

Presentation title: All surgical patients benefit from preoperative nutritional optimisation

  1. Improvements in energy stores as well as micronutrient and electrolyte status can be achieved in the short term but requires the provision of balanced nutrition to do so.
  2. It is better to provide nutrition before the metabolic insult of surgery which will impair the effective use of nutritional substrates.
  3. Having surgery in the starved state increases postoperative muscle catabolism, leading to decreased muscle strength and impaired rehabilitation.


   Auditorium    Close of Conference

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Harrogate is famous for its spa, its shops and its many festivals. Find out about Harrogate's spa town history at the Royal Pump Room Museum and take in a show at the stunning Royal Hall Theatre. Harrogate boasts some of the best specialist shopping in Yorkshire. Find the famous Betty's Tearooms down in the Montpellier Quarter.

European royals started to frequent the spas at Harrogate in the early 20th century. The town makes a great base for exploring the Yorkshire Dales for walking and touring and also boasts the Harrogate Convention Centre.

Situated in the county of North Yorkshire, Harrogate has good connections to the motorway network, for the traveller arriving by:


From London: M1, then A1(M) - exit Wetherby (9 miles from Harrogate)

From the North

24 minutes from the A1. Take the A1(M) and exit at Junction 47 (Knaresborough) then follow signs to Harrogate.

From the South

21 minutes from the A1. Take the M1 and A1(M) before leaving at Junction 45

(Wetherby) then take the A661 to Harrogate. Alternatively continue on the A1(M)

to Junction 47 (Knaresborough) then follow signs to Harrogate.

To help you plan a journey to the District you can access the following web-sites: or

Bus or Coach:
For details of public transport in the Harrogate District –
For details of National Express coaches –
For details of Megabus –


We are linked to all major UK cities via Leeds (34 minutes) and York 

(33 minutes) including a direct, daily connection to London (3 hours 1 minute).

The quickest journey time from London is 2 hours 43 minutes including a change at York.

There is a train service from London Kings Cross via York or Leeds to Harrogate. 

Virgin trains 25% off:, if booking this deal please ensure you have a copy of your booking confirmation or invoice when travelling.

National Rail Enquiries 03457 48 49 50 or book tickets online


Leeds/Bradford International Airport

20 mins drive from Harrogate. Daily scheduled flights Worldwide connections and direct flights from the UK and Europe.

To get from LBA to Harrogate, take the Airport Direct 747 bus which runs hourly and will drop you off at Harrogate’s main bus station, from there it’s a five minute walk to the Convention Centre.

Alternatively a taxi will take about 20 minutes and around £25.

Manchester Airport
75 mins drive from Harrogate.

P&O Ferries:

Further information on Harrogate and the surrounding areas is available on the Tourist Office website

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Full Members of BAPEN are entitled to a reduction on the registration fees, subject to receipt of your Membership at the time of receiving your registration form.

BAPEN Conference – Tuesday 20th & Wednesday 21st November 2018

Price Category Member Non-member

2-Day Conference Rate

Consultants & Associate Specialists / Industry £341.67 + VAT = £410.00 £391.67 + VAT = £470.00
Trainee Doctors (ST3 and above) £308.33 + VAT = £370.00 £358.33 + VAT = £430.00
Nurse / Dietitian / Pharmacist / Allied health professional / Trainee Doctors below ST3 £275.00 + VAT = £330.00 £325.00 + VAT = £390.00
Student / Retired Health Professional £133.33 + VAT = £160.00 £166.67 + VAT = £200.00

Day Delegate Rate

Consultants & Associate Specialists / Industry £183.33 + VAT = £220.00 £225.00 + VAT = £270.00
Trainee Doctors (ST3 and above) £166.67 + VAT = £200.00 £200.00 + VAT = £240.00
Nurse / Dietitian / Pharmacist / Allied health professional / Trainee Doctors below ST3 £150.00 + VAT = £180.00 £175.00 + VAT = £210.00
Student / Retired Health Professional £75.00 + VAT = £90.00 £87.50 + VAT = £105.00

View the pre-conference registration fees

The BAPEN Members Rate is available if your BAPEN membership has been received at the time of receiving your registration form (please see Booking Conditions).

The Student Rate is available to all pre and post graduate Students (please see Booking Conditions).

The retired professional rate is open to any retired healthcare professional with an interest in nutrition.

The 2-Day Conference Rate includes registration fees for Tuesday and Wednesday, admission to the Trade and Poster Exhibitions, tea/coffee and lunch daily.

The Day Delegate Rate includes the registration fees for either Tuesday or Wednesday, admission to the Trade and Poster Exhibitions, tea/coffee and lunch.

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The BAPEN Conference is a Networking and Learning Event for all professionals involved in and committed to improving nutritional policy, care and treatment in community, care and hospital settings

BAPEN's Malnutrition Matters logo 2018 Conference will attract over 400 multi-professional delegates; dietitians, doctors, nurses, pharmacists, surgeons and patients, all with a keen interest in food, nutrition and nutritional support, who visit the exhibition to be educated and informed about the latest products and services; to network and increase awareness.

Who Will Attend?

  • Dietitians
  • Nurses
  • Doctors
  • Pharmacists
  • Surgeons
  • Intensive Care Specialists
  • Nutrition Scientists
  • Researchers
  • Campaigners
  • NHS Managers
  • Patient Safety Specialists
  • Carers of Vulnerable Patients
  • Care Home Managers & Staff
  • Patients & patient group representatives
  • Medical Education Specialists

Download the pdf to view this year's Exhibition & Sponsorship Opportunities available:

Exhibition & Sponsorship Opportunities

Should you wish to sponsor or exhibit at this year's Conference please telephone Sovereign Conference. Tel: +44 (0)1527 893675.

BAPEN 2018 Exhibitor Tweets

“Why you are pleased to be attending and what you most enjoy about the BAPEN Annual Conference?”

Alliance logo
Alliance Pharmaceuticals

“Alliance Pharmaceuticals Ltd is delighted to support BAPEN 2018. Alliance is a global pharmaceutical company dedicated to breathing life into medicines. Across the range, our brands span a wide variety of therapeutic areas. We provide many products to hospitals and pharmacies to fulfil prescriptions, and others can be purchased over the counter and in general stores. For more information about our company products, please visit, email This email address is being protected from spambots. You need JavaScript enabled to view it., or call us on 01249 466966.”

NeoMed logo

“We are very pleased to be attending BAPEN this year as it is the premier event in the conferences calendar for us. It is a great meeting to engage with health care professionals outside of their normal NHS surroundings and it provides a great atmosphere to discuss and learn new developments in the field of Neonatology. We look forward to meeting you all.”

Vitaflo logo
Vitaflo International Ltd.

“Vitaflo International Ltd. are really looking forward to attending BAPEN 2018! BAPEN provides a great platform for networking with new & old friends, colleagues, customers, and experts in the field of clinical nutrition. The talks are always interesting, informative, and a great way for Vitaflo to keep up-to-date with current & new best practices, current research in nutrition support, and how we can better support our HCPs managing patients with malnutrition.”

Inspiration Healthcare
Inspiration Healthcare

“Inspiration Healthcare are delighted to be attending BAPEN 2018. This conference allows us to meet our customers and friends, old and new. We also take the opportunity to network with like-minded people who put patients first. Finding a costume for the Ball always sets an extra challenge!”

Lloyds Pharmacy
Lloydspharmacy Clinical Homecare

“As a market leading provider of Home Parenteral Nutrition LloydsPharmacy Clinical homecare are pleased to support Bapen throughout the year.

We find the annual conference to be informative, and a valuable opportunity to engage with both existing and potential customers.

The symposia is always interesting with a variety of subjects delivered by the experts of the field and used as a platform for discussion after the event.”

NGPOD Global

“NGPod Global is committed to improving patient safety and preventing avoidable harm associated with the misplacement of nasogastric feeding tubes through new and innovative technology. As our first BAPEN experience, we are looking forward to networking with like-minded individuals over the two day conference who are involved in the continual improvement of good nutritional care.”

Exhibition Floor Plan and Exhibitors

Exhibition Floor Plan
Option 1 2m x 2m Open Taped Area
Option 2 3m x 2m Carpeted Area with Schell Scheme
Option 3 4m x 2m Carpeted Area with Schell Scheme
Option 4 4.5m x 3m area with 3” high carpeted platform
Option 5 4.5m x 4m area with 3” high carpeted platform
Core Group stands
Charity Charity & Not-4-profit organisations
Stand No. Option Company
1 1 Alliance Pharmaceuticals Ltd
2 1 NeoMed Innovative Medical Ventures
3 1 Inspiration Healthcare
9 2 MA Healthcare
10 3 Vygon (UK)
11 2 Bio-Kult – ADM Protexin
12 2 Wiltshire Farm Foods
13 2 LloydsPharmacy Clinical Homecare
14 3 Abbott Nutrition
15 3 BD
16 3 Baxter Healthcare
17 2 CN Magazines
18 2 ITH Pharma
19 3 Nutricia Advanced Medical Nutrition
20 2 Nutrinovo
21 2 Vitaflo International
22 5 Fresenius Kabi & Calea UK
23 4 B Braun Medical
24 5 Shire Pharmaceuticals
25 5 Halyard Health
26 1 NGPod Global
27 Managing Adult Malnutrition in the Community
28 Nightingale Trust for Nutritional Support
29 Nutrition & Resources UK
30 GIFTuk
31 Eat Well Age Well
32 The Nutrition Society
34 1 Stanningley Pharma
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