The Malnutrition Task Force : Prevention and early intervention of malnutrition in later life

1
The Malnutrition Task Force Prevention and
early intervention of malnutrition in later life

• Margit Physant
• Project Manager

2
The Malnutrition Task Force

• Independent group of experts across health,
  social care and local government united to
  address the problem of preventable malnutrition
  in older people

3
Our mission

• To ensure the prevention and treatment of
  malnutrition is embedded in all care and
  community support services and awareness is
  raised amongst older people and their families

4

• About Malnutrition

5
Malnutrition definition

• Undernutrition low body weight with(out) weight
  loss
• NICE definition
• a body mass index (BMI) of less than 18.5 kg/m2
• unintentional weight loss greater than 10 within
  the last 36 months
• a BMI of less than 20 kg/m2 and
• unintentional weight loss greater than 5 within
  the last 36 months

6
Malnutrition

• Over a million older people (110)
• Devastating
• Declining mobility
• Decreased resistance to infection
• Delayed healing
• Dizziness, leading to falls
• Depression
• Deteriorating quality of life
• Death!

7
Contributing factors
93 of people with malnutrition are in the
community
8
Our ageing population
9
Costs of Malnutrition

• Severely malnourished people
• see their GP twice as often
• have 3 times the number of hospital admissions
• stay in hospital more than 3 days longer
• incur 1,440 pp in the year following diagnosis
• Increases dependency on family, carers and
  support services.

10
Invest to save

• Screening, early intervention and treatment as
  per NICE guideline could save 71,800 per
  100,000 population
• The cost of treating care homes residents
  diagnosed with malnutrition is twice that of
  screening all care home residents
• Community meals have social return on investment
  of between 2.90 and 5.20 for every pound spent

11
Hertfordshire Community Meals

• A social return on investment analysis
• Service users improved health, happier, safer,
  increased independence.
• Family/carers increased ability to work, more
  leisure time, less stress and improved
  relationships
• For every 1 invested, the likely social value
  created through these outcomes is around 5.28
• Divided as 49 for clients, 14 for
  family/carers, 29 for the State and 8 for Local
  Authority

12

• What we did

13

• What does good look like?

• Engagement with wide range of stakeholders
• Workshops
• Learning examples/case studies
• Existing tools and guidance
• Principles for best practice in
• nutrition and hydration care

14

• Best practice principles

1. Raising awareness
2. Working together
3. Identifying malnutrition
4. Personalised care, support and treatment
5. Monitoring and evaluation

15
(No Transcript)
16
1st principle Raising awareness

• Public and professionals must understand
  importance of good nutrition and hydration
• dangers of malnutrition
• what to look out for
• where to get help/ signpost people to
• Derbyshire,Dorset,D.Council
• Focus groups older people

17
Raising Awareness Dairy Council Campaign

• Raise awareness of public and health
  professionals
• Bring it back campaign
• Free materials
• poster, leaflet, postcards
• flowchart for professionals
• Visit www.milk.co.uk

18
2nd principle Working together

• Organisations and individuals working together
  will provide a more complete service.
• A combined approach across the community and
  within health care, social care, the third sector
  and the commercial sector is essential
• Caterers and food providers working with
  clinicians and therapists
• Local Health and Wellbeing Boards, Adult Social
  Care, care homes, hospitals
• Include the older person and relatives

19
3rd principle Identifying malnutrition

• Organisations and individuals must be well
  equipped to identify malnutrition in older people
• Assess the prevalence of malnutrition in the
  local population
• BAPEN tool(s) even an app! www.bapen.org.uk
• Screen people across all care settings
• Identify the cause of malnutrition and remedy the
  situation

20
4th principle Managing malnutrition

• Forming and implementing a personalised plan for
  and with each older person is crucial
• Use NICE guidance or care pathway
• Managing Adult Malnutrition in the Community
  (BAPEN) www.malnutritionpathway.co.uk
• Start support for non clinical management

21
5th principle Monitoring and evaluating

• Monitoring and reviewing the older persons
  progress and outcome is critical.
• Monitoring the structures and processes to ensure
  good nutrition and hydration care is implemented
• Service user feedback (incl. relatives)
• Annual Adult Social Care Survey

22
Implementation

• Guides for
• Food and beverage providers
• Hospitals
• Care homes
• Local communities
• Commissioners
• Available to download from
• www.malnutritiontaskforce.org.uk

23
Thank you !

• Margit Physant
• Project Manager, Malnutrition Task Force
• Email margit_at_malnutritiontaskforce.org.uk
• Direct tel. [phone] (Tues-Thursdays)
• Website www.malnutritiontaskforce.org.uk
• or follow us on twitter _at_MalnutritionTF

24
(No Transcript)