Tom Wainwright, NHS Elect Associate

Wareham, 7th August 2014

An Appetite For Change in PurbeckThe National Picture and Background

Malnutrition – a serious health issue

It is common:• Over a million older people (1:10 )It has serious consequences• Decreased resistance to infection• Delayed recovery• FallsIt is costly to NHS

…yet much overlooked

Malnutrition Task Force

• Founders– Age UK– apetito– Bapen– Nutricia– Royal Voluntary Service (WRVS)

• Set up in June 2012• Under the Dignity in Care Partnership

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

Malnutrition Task Force - 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

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

Best practice principles

1. Raising awareness

2. Working together

3. Identifying malnutrition

4. Personalised care, support and treatment

5. Monitoring and evaluation

Guidance

Guides for• Food and beverage providers• Hospitals• Care homes• Local communities• CommissionersAvailable to download fromwww.malnutritiontaskforce.org.uk

Dissemination

• May 2013: MTF final recommendation:• Test out model for whole communities working

together• Summer 2013: proposal to DH

– to pilot process in five areas– a social marketing campaign

• Government response to Francis Report• Funding secured for 2014/15• Age UK is the grant holder on behalf of MTF

NHS Elect appointed by Age UK to support the pilot programme

• An NHS members’ network– founded in 2002 and working directly with 50 + sites as

members • Provide support to members in the following areas:

– Service improvement– Business of healthcare– Marketing, branding and patient experience

• Led major national improvement programmes e.g.– 18 Weeks Programme– Ambulatory Emergency Care Programme

The Malnutrition Prevention Programme

Jan 2014 – March 2015

The Programme:

A. The Pilot Programme in 5 areas

B. Dissemination of learning from A.

C. The Social Marketing Campaign

D. Evaluation of A-C

Website upgrade

Additions to incorporate the Programme• public facing section – www.smallappetite.org.uk• Pilot Programme – section for each pilot• Events• Resources

Other MTF activities• Blogs• Newsletters• Responding to media

• Focus groups with public and professionals - report

• Posters and leaflets for older people and for carers

• Posters for hospital and for care home staff• Local campaign led by community organisations • Knowledge, Attitude and Practice (KAP) surveys:

before, in the middle and after the intervention

The Social Marketing Campaign