Conference 2018 - National Nurses Nutrition Group

Peg Nurse

NG Nurse

Tube Nurse Nurse Nutritionist

TPN Nurse

Plumbing Nurse

Nut Nurse

Nutritionist Specialist Nurse

Bread and Milk Nurse

Chief Tube Unblocker Nurse

NG Tube Lady

Supplement Nurse Nagging pH Queen

Nutritionalist

Special Nutrition Nurse

Dietitian Nurse

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Oh God She’s here

Nutrition NinjaRottweiler Nurse

Nurse Police

Nutritionist Nurse

Dietitian Link Nurse

Feeding Nurse

Peggy SuePeg feed Nurse

Obesity Specialist Nurse

NG Lady

Nutrition Link Nurse

Plumber

Thank goodness you’re here Nurse!

Pipe NursePEG Woman

Doctors Secretary!

Peg Feed Team

Bridle Queen

Non judgemental

Courageous

Driver of change

Clear communicator

Tough

Patient advocate

Determined

Supportive

Empa

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Ada

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Tenacious

Team Player Like a dog with a bone!

Patience

Resilient Assertive

Versatile

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Advocate

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Originality

In association withOrganised by

Conference 2018St John’s Hotel, Solihull, UK Monday 9th and Tuesday 10th July

Access to the web-based members’ discussion board to share and compare practice Access to members only area of the new website, which includes nutritional resources; including 4 sets of national guidelines

Nasogastric tube insertion in adults Available to members to downloadBalloon gastrostomy tube replacement Available to members to downloadObtaining an Accurate Body Weight Measurement in Adults and ChildrenExit site management for gastrostomy enteral feeding tubes A membership newsletter relating to current issues in nutritional care delivered to your door A free copy of every issue of the BJCN nutrition supplement delivered to your door Invitation to the Annual NNNG Conference at a subsidised rate A discounted rate on BAPEN membership The opportunity to contribute to local and national working groups

www.nnng.org.uk

The National Nurses Nutrition GroupThe NNNG was formed in 1986 and soon after this applied for registered charity status. In 1992, the NNNG, became a ‘founder’ group of BAPEN (British Association for Parenteral and Enteral Nutrition) furthering its objectives to promote education in nutrition and related subjects for members of the nursing profession, for the public benefi t, and especially for the benefi t of patients in hospital and the community. In furtherance of the above, the NNNG strives to:

• Promote an increased awareness among nurses of disease related malnutrition and its consequences.• Provide opportunities for members to meet together for the purpose of discussing matters of common

interest concerning disease related malnutrition. • Promote activities that will assist members working in the fi eld of nutritional support to increase their

knowledge and enhance their contribution to this subject.• Promote the role of the Nutrition Nurse Specialist within a multi-disciplinary nutritional support team.

The NNNG has continued to develop and is keen to support all healthcare professionals involved in the nutritional care of patients.

Our membership consists of Nutrition Nurses, Dietitians, Support / Assistants, University Lecturers, Industry Nurses / Managers and Student Nurses

The benefi ts of membership include….

www.nnng.org.uk

The benefi ts of membership include….• Access to the web-based members’ discussion board• Access to members only area of the new website• A membership newsletter relating to current issues in nutritional care delivered to your door• A free copy of every issue of the BJCN nutrition supplement produced in association with

BAPEN/NNNG• Invitation to the Annual Conference at a subsidised rate• A discounted rate on BAPEN membership• The opportunity to contribute to local and national working groups


• Promote an increased awareness amongst nurses of disease related malnutrition and its consequences.• Provide opportunities for members to meet together for the purpose of discussing matters of common



The NNNG has continued to develop and is keen to support all healthcare professionals involved in the nutritional care of patients. Although the original aims of the NNNG looked at increasing awareness of nutrition support, over the years, its remit has expanded considerably with oral nutrition getting as much attention as nutrition support. It has also provided the facility for online membership and payments, removing the need for paper applications and cheques. Our membership continues to grow and consists of Nutrition Nurse, Dietitians, Support / Assistants, University Lecturers, Industry Nurses / Managers and Student Nurses

In November 2011, the NNNG launched its new website at www.nnng.org.uk, this has provided members of the group with the opportunity to have a ‘members only area’ offering many benefi ts for being part of the group. It has also provided the facility for online membership and payments, removing the need for paper applications and cheques.

NNNG ad 215x292.indd 1 25/04/2013 16:17

NNNG ad-Oct13215x292.indd 1 09/09/2013 16:59

NNNG_RSD-LD.indd 1 17/09/2013 15:02

Available to members to download Available to members to download

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EVALUATION FORMS:Your evaluation form is included in the conference booklet as a loose insert, please complete and return to the registration desk at the end of the conference.

CPD CERTIFICATES:Please sign the CPD register to confirm your attendance. CPD certificates can be found as a loose insert in the conference booklets.

CONFERENCE PRESENTATIONS:The presentations will be posted on the following web link subject to speaker approval/copyright approximately one week after the event and will remain there for three months: www.mahealthcareevents.co.uk/NNNG/0718/presentations

Contents

Organised byMA Healthcare Ltd, St Jude’s Church, Dulwich Road, London SE24 OPBContact: Laura Denne, Events Manager. Tel: 0207 501 6748Websites: www.nnngconference.co.ukFind us on Facebook: MA Healthcare EventsFollow us on Twitter @MAHealthEvents

Access to the web-based members’ discussion board to share and compare practice Access to members only area of the new website, which includes nutritional resources; including 4 sets of national guidelines

Nasogastric tube insertion in adults Available to members to downloadBalloon gastrostomy tube replacement Available to members to downloadObtaining an Accurate Body Weight Measurement in Adults and ChildrenExit site management for gastrostomy enteral feeding tubes A membership newsletter relating to current issues in nutritional care delivered to your door A free copy of every issue of the BJCN nutrition supplement delivered to your door Invitation to the Annual NNNG Conference at a subsidised rate A discounted rate on BAPEN membership The opportunity to contribute to local and national working groups

www.nnng.org.uk


• Promote an increased awareness among nurses of disease related malnutrition and its consequences.• Provide opportunities for members to meet together for the purpose of discussing matters of common



The NNNG has continued to develop and is keen to support all healthcare professionals involved in the nutritional care of patients.

Our membership consists of Nutrition Nurses, Dietitians, Support / Assistants, University Lecturers, Industry Nurses / Managers and Student Nurses

The benefi ts of membership include….

www.nnng.org.uk

The benefi ts of membership include….• Access to the web-based members’ discussion board• Access to members only area of the new website• A membership newsletter relating to current issues in nutritional care delivered to your door• A free copy of every issue of the BJCN nutrition supplement produced in association with

BAPEN/NNNG• Invitation to the Annual Conference at a subsidised rate• A discounted rate on BAPEN membership• The opportunity to contribute to local and national working groups


• Promote an increased awareness amongst nurses of disease related malnutrition and its consequences.• Provide opportunities for members to meet together for the purpose of discussing matters of common



The NNNG has continued to develop and is keen to support all healthcare professionals involved in the nutritional care of patients. Although the original aims of the NNNG looked at increasing awareness of nutrition support, over the years, its remit has expanded considerably with oral nutrition getting as much attention as nutrition support. It has also provided the facility for online membership and payments, removing the need for paper applications and cheques. Our membership continues to grow and consists of Nutrition Nurse, Dietitians, Support / Assistants, University Lecturers, Industry Nurses / Managers and Student Nurses

In November 2011, the NNNG launched its new website at www.nnng.org.uk, this has provided members of the group with the opportunity to have a ‘members only area’ offering many benefi ts for being part of the group. It has also provided the facility for online membership and payments, removing the need for paper applications and cheques.

NNNG ad 215x292.indd 1 25/04/2013 16:17

NNNG ad-Oct13215x292.indd 1 09/09/2013 16:59

NNNG_RSD-LD.indd 1 17/09/2013 15:02

Available to members to download Available to members to download

4 Welcome

5 NNNG Profile

6-7 Programme

8-17 Chairs and lecturers’ biographies and abstracts

18-21 Company profiles

22-24 MA Healthcare journals

25-27 Notepaper

In association withOrganised by

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WelcomeDear Delegate,

I would like to welcome you to the 2018 National Nurses Nutrition Group (NNNG) Conference at the St John’s Hotel, Solihull. I would also like to extend a warm welcome to those non-members who have joined us at conference and hope that over the next two days you may gain an insight into the benefit of joining the NNNG and participating in the work of the organisation.

The NNNG prides itself on delivering a contemporary conference agenda that addresses many of the current issues in nutritional care and this, we hope, is reflected within our programme. We attempt to provide a platform for our members to present the fantastic work they have been involved with by presenting their work through the medium of poster presentations. I hope you will join me in supporting these individuals by taking the time to view their posters and listen to their presentations and in congratulating these members on their willingness to share their practice and experiences. We are also thrilled to be once again hosting the Annual Pamela Harris Lecture. This is an award sponsored by the Nightingale Trust for Nutritional Support in association with the National Nurses Nutrition Group. It is open to all health care professionals caring for patients receiving artificial nutrition support either in hospital or at home. The winner will be giving a 30-minute lecture on what improvements they have made to patient care or experience.

We are once again pleased to be working in partnership with MA Healthcare to deliver an exciting conference programme. Don’t forget this programme is able to offer you CPD accreditation and provide valuable evidence for revalidation.

Finally, I would like to thank our industry colleagues in continuing to support the NNNG by exhibiting at our conference and hope all our delegates will take the opportunity to visit their stands and engage in providing feedback on product development.

We hope that you all enjoy your time with us and leave the conference with some new ideas to share and develop your practice, re-energising our passion for continuing to enhance nutritional care.

Best Wishes

Liz AndersonChairNational Nurses Nutrition Groupwww.nnng.org.uk

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NNNG

We are a group of nurses dedicated to promoting excellence in all aspects of nutritional care and promoting good nutritional practice for nurses across all specialities.

The NNNG was established in 1986 and soon after became a registered charity. Initially the focus of the group was enteral and parenteral nutrition support. Over recent years the focus of the group has widened to reflect the increasing profile of nutrition: from screening strategies and mealtimes to the complex nature of artificial feeding. The group consists of nurses from the public and private sectors, secondary and primary care and embraces a truly multi-professional approach to its membership.

The NNNG is a founder group of the British Association of Parenteral and Enteral Nutrition (BAPEN) and works with the Department of Health, NHS England, Home Intestinal Failure Network, Royal College of Nursing and the Care Quality Commission to influence present and future policy.

Our committee and its members continue to develop and promote robust nursing standards representing the increasingly important role of nurses in the nutritional care of patients.

The objectives of the NNNG are to promote education in nutrition and related subjects for members of the nursing profession, for the public benefit, and especially for the benefit of patients in the hospital and community.

In addition to the above, the NNNG may: Promote an increased awareness amongst

nurses of disease related malnutrition and its consequences.

Provide opportunities for members to meet together for the purpose of discussing matters of common interest concerning disease related malnutrition.

Promote activities which will assist members working in the field of nutrition support to increase their knowledge and enhance their contribution to this subject.

Raise funds and incite and receive contributions from any person or persons what so ever by way of subscription, donation and otherwise provide that the National Nurses Nutrition Group shall not undertake any permanent trading activities in raising funds for its charities objects.

Promote the role of the nutrition nurse specialist within a multi-disciplinary nutrition support team.

Do all such other lawful things as shall further the above objects.

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Monday 9th July 09.00 – 09.30 Registration and exhibition viewing

CHAIR: Liz Anderson Nutrition Nurse Specialist, Buckinghamshire Healthcare NHS Trust & Chair, National Nurses Nutrition Group

09.30 – 10.00 Nutrition updates: the national picture Liz Anderson Nutrition Nurse Specialist, Buckinghamshire Healthcare NHS Trust & Chair, National Nurses Nutrition Group

10.00 – 10.45 Keynote address: Adding value to care: the role of the specialist nurse Dr Ann McMahon Research & Innovation Manager (Innovation), Professional Adviser to RCN Research Society, Visiting Research

Fellow, Glasgow University, Honorary Professor, Plymouth University

10.45 – 11.15 Refreshments and exhibition viewing

11.15 – 12.45 PARENTERAL NUTRITION SYMPOSIUM CHAIR: Krista Murray Nutrition Clinical Nurse Specialist, University College London Hospitals 11.15 – 11.45 Setting up a HPN (IF) service Alison Young Royal Liverpool University Hospital 11.45 – 12.15 Getting value for money from the HPN Framework Jackie Eastwood Outsourced Medicines Supply Services Lead, NHS London Procurement Partnership 12.15 – 12.45 Patient experience of travel & HPN Carolyn Wheatley Chair, PINNT

12.45 – 13.45 Lunch and exhibition viewing

13.45 – 15.15 PAEDIATRIC SYMPOSIUM CHAIR: Rebecca Dixon Paediatric Sister, Gastroenterology and Nutrition, Luton & Dunstable Hospital 13.45 – 14.15 Overnight feeding Maureen Hodge Lead Nurse for Paediatric Enteral Feeding, Risca Health Centre, Newport 14.15 – 15.05 Service improvement in parenteral nutrition in a district general hospital Hazel Rollins CBE Clinical Nurse Specialist, Gastroenterology & Nutrition, Luton & Dunstable Hospital 15.05 – 15.30 Paediatric Practice Dilemmas: Interactive session Rebecca Dixon Paediatric Sister- Gastroenterology and Nutrition, Luton & Dunstable Hospital

13.45 – 15.45 ADULT SYMPOSIUM CHAIR: Natalie Welsh Lead Nutrition Practitioner, Manchester University NHS Foundation Trust 13.45 – 14.15 Estimating nutritional requirements Dr Elizabeth Weekes Senior Consultant Dietitian, Guy’s & St Thomas’ NHS Foundation Trust 14.15 – 14.45 Oral rehydration in short bowel syndrome Melanie Baker Clinical Project Manager Nutrition Team, Leicester Intestinal Failure Team

14.45 – 15.45 INNOVATION STATION Salt project Emma Butt and Lucy Booth Community Nutrition Nurses, Birmingham Community Healthcare The Droplet Martin Withers Group Commercial Director Malnutrition Community Pathway Anne Holdoway Consultant Dietitian, Chair – National Panel ‘Managing Adult Malnutrition in the Community’

16.00 – 16.30 AGM meeting of all members

16.30 – 17.30 Poster presentations with refreshments

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Tuesday 10th July 08.00 – 08.25 Registration and exhibition viewing

08.25 – 09.10 BREAKFAST SYMPOSIUM: EXAMINING HPN PATIENTS READMISSION REASONS AND MONITORING INFECTION RATES

Sponsored by Philippa MacElhinney Clinical Nurse Specialist in Parenteral Nutrition at Hull & East Yorkshire Hospitals Trust

CHAIR: Liz Anderson Nutrition Nurse Specialist, Buckinghamshire Healthcare NHS Trust & Chair, National Nurses Nutrition Group

09.10 – 09.15 Welcome to day two by Chair09.15 – 09.45 Gastroparesis Jennifer Clark Upper Gastro-Intestinal Clinical Nurse Specialist, Mid Essex Hospital Services NHS Trust

09.45 – 12.45 LEARNING FROM EVENTS SYMPOSIUM CHAIRS: Claire Campbell Nutrition Support Specialist Nurse, Frimley Health NHS Foundation Trust Tracy Wothers Upper GI/HPB Cancer ANP, Milton Keynes University Hospital NHS Foundation Trust

09.45 – 10.15 Learning from events symposium: setting the scene Tracy Earley Consultant Nurse, Lancashire Teaching Hospitals

10.15 – 10.45 Learning from events symposium: Inappropriate use of a medical device Mia Small Nurse Consultant Nutrition and Intestinal Failure, St Mark’s Hospital, London

10.45 – 11.15 Refreshments and exhibition viewing

11.15 – 12.45 LEARNING FROM EVENTS SYMPOSIUM: DISCUSSION Three nutrition nurses will present a patient-related adverse nutrition event that happened in their

trust. Followed by panel discussions. Nutrition Ruth Davies CNS Nutritional Support, Betsi Cadwaladr University Health Board

Nurses: Liz Anderson Nutrition Nurse Specialist, Buckinghamshire Healthcare NHS Trust & Chair, National Nurses Nutrition Group

Andrea Cartwright Consultant Nurse Nutrition Support, Basildon & Thurrock University Hospital

Panel: Tracy Brown Adult safeguarding Lead, North West Anglia NHS Trust Cheryl McKenzie Lead Nurse in Nutrition Support, Barts Health NHS Trust Dr Jeremy Nightingale Honorary Consultant Gastroenterologist, St Mark’s Hospital

12.45 – 13.30 Lunch and exhibition viewing

13.30 – 14.00 Pamela Harris Lecture Presented by: Lynne Colagiovanni Trustee & Training Co-Ordinator, Nightingale Trust

14.00 – 14.15 Poster prize and quiz winners presentations

14.15– 15.45 HOME ENTERAL FEEDING SYMPOSIUM CHAIR: Jo Marston Lead Nurse, Baxter Home Parenteral Nutrition

14.10 – 14.45 Complexities of discharging with an NGT Elaine Trautner Clinical Nurse Specialist for nutrition support, Birmingham Community NHS.

Lesley O’Meara Clinical Nurse Specialist for nutrition support, Birmingham Community NHS.

14.45 – 15.15 Care of nasogastric tubes in community Amy Watson Clinical nurse advisor, Fresenius Kabi Ltd & Calea UK Ltd

15.15 – 15.45 Transition between paediatric and adult services Hazel Rollins CBE Clinical Nurse Specialist, Gastroenterology & Nutrition, Luton & Dunstable Hospital

15.45 – 16.00 Summing up by Chair

16.00 Close of conference

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Krista also represents the NNNG on the NHSE Intestinal Failure Service Review Programme and teaches on the UCL Clinical and Public Health Nutrition MSc.

REBECCA DIXONRebecca has been a paediatric nurse for over 10 years. She works currently at the Luton and Dunstable Hospital as a paediatric gastroenterology and nutrition sister, working as part of a multi-disciplinary team caring for enterally fed children and their families and children with gastrointestinal conditions.

Prior to joining the gastroenterology and nutrition team, Rebecca previously worked as a paediatric research nurse, leading the service, recruiting patients, and co-ordinating research studies at the hospital. Rebecca was heavily involved with the SAFE project, looking at the use of daily huddles to improve safety and communication on the Paediatric unit. Rebecca presented her teams work at the 2016 RCPCH conference.

As Rebecca is still relatively new in her current post, she is looking forward to continuing to further develop her knowledge and skills with gastroenterology and nutrition.

NATALIE WELSHNatalie trained at De Montfort University. After qualifying in 2001, she returned home to Devon where she began her career as a staff nurse on a colorectal surgical ward. Natalie spent a brief period as a prison nurse before joining Fresenius Kabi and Calea in 2006 as a homecare nurse for HEN & HPN patients. This was where Natalie really found her passion for nutrition support. A secondment opportunity soon arose to work with the nutrition support team at the prestigious St Mark’s in Harrow. Calea and Fresenius Kabi released Natalie for nearly three years which allowed her to continue building her portfolio of experience in caring for some of the most complex patients requiring nutritional care.

In order to best support their young family, Natalie and her husband decided to make the move up north and Natalie began a substantive post at Tameside and Glossop Integrated Care NHS Foundation Trust, where she developed the role into a cross acute/community role while forging closer links with the community it served.

Natalie was a finalist for the British Journal of Nursing’s Nutrition Nurse of the Year award in 2017, where she came third place behind two teams. Shortly afterwards she was appointed to the NNNG committee, which she describes as a real opportunity to continue her

LIZ ANDERSONLiz Anderson became the nutrition nurse specialist for Buckinghamshire Healthcare Trust in 2007. She first joined the NNNG committee in this year and was voted Chair of the group in January 2010. She is now in her second term as Chair.

She has a varied nursing background having worked in both medical and surgical wards and becoming ward sister of an acute stroke unit. Liz believes passionately in the importance of good nutrition in influencing a person’s recovery from illness and reducing the need for admission to hospital. Liz’s main interest is promoting excellence in nutrition support from a quality and safety perspective with the aim of improving patient experience and satisfaction.

Liz has a BA (Hons) in Nursing Practice completing her dissertation in ‘trained nurse’s attitudes to nutrition in hospital patients’. She has a Post Graduate Certificate in Nutritional Care.

She has represented the NNNG on a number of projects with NHS England, the Department of Health, NICE and the RCN. She was a member of the Department of Health’s Hospital Food Standards Panel which looks at patients’ experience of hospital food and nutritional care. She was an ambassador for Nutrition and Hydration Week 2014. Liz is also a member of NHS England Nutrition and Hydration Strategy Group. Liz is a council member for BAPEN and is a member of the Royal College of Physicians Nutrition Committee. She has been published a number of times in various nursing journals and continues to maintain a busy national profile by speaking at events and conferences.

KRISTA MURRAYKrista qualified as an adult nurse in 2013 and started her nursing career at Oxford University Hospitals. She initially worked as a staff nurse on a gastroenterology ward and then in surgical recovery before an interest in clinical nutrition led to a role as a nurse specialist with the Oxford nutrition team.

In 2015 Krista moved to London to join the University College London Hospital nutrition team. The hospital has a large and fast growing HPN cohort and Krista’s focus is managing these patients as well as a small amount of enteral work. She is dedicated to improving the service and care for her patients and learning about other areas of intestinal failure. She is currently undertaking an MSc in clinical nutrition and eating disorders at UCL.

Chairs’ biographies (In Programme order)

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Chairs’ biographies (In Programme order)

development both locally and nationally. In December 2017 Natalie gained promotion when she became the Lead Nutrition Nurse at Manchester University Foundation Trust.

CLAIRE CAMPBELLClaire qualified from King Alfred’s College, Winchester in 1998 and took a rotational post at the Royal Surrey County Hospital working in cardiology and gastroenterology. The second part of this rotation saw Claire move in to the surgical directorate caring for patients with complex surgical and nutritional needs on the colorectal, hepatobilary and upper GI surgical unit. In 2003 Claire moved to Frimley Health working on the acute surgical unit where she further developed her interest in the nutritional care of patients. In 2007 Claire successfully applied for the position as nutrition support nurse at Frimley Health. As a new post Claire was able to develop this service which incorporates both enteral and parenteral as well as involvement in oral nutrition initiatives. Claire developed a nurse led assessment service for gastrostomy and has forged close relationships with community colleagues across dietetics and speech and language therapy to enable timely and appropriate placement for patients. The development of this service saw Claire win a local award for commitment to patient care. More recently Claire’s role continues to evolve as she is training to become a nutrition nurse endoscopist. This has been a huge challenge for Claire but one which she hopes will enhance the nutrition nurse service for the patients as well as add to her skill set. In addition to Claire’s clinical remit, she is also an NNNG committee member and is the communication’s officer for the committee. This is something that Claire is proud to be a part of and has seen her become involved in work streams such as development of the good practice guidelines. Claire is currently representing the NNNG on an exciting piece of work in conjunction with PENG.

TRACY WOTHERSTracy qualified as a nurse in 2004 and after a short period of working in elective orthopaedics quickly moved to critical care – working in neuro and general critical care units as well as in neonatal intensive care. Tracy has always had a keen interest in nutrition and previously worked as a Nutrition Nurse Specialist at a small district general hospital.

Tracy has now taken up the role of upper GI/HPB cancer advanced nurse practitioner at Milton Keynes University Hospital and continues to champion good nutritional care for all, in addition to a keen interest in palliative artificial nutrition and nutrition in cancer. During her time as a nutrition nurse Tracy joined the NNNG committee and continues on the committee now as NNNG secretary.

JO MARSTONJo has over 18 years experience of gastrointestinal colorectal nursing and graduated with MSc in Clinical Nutrition with specific interest of home parenteral nutrition therapy. Experience includes working as an IV nurse specialist and working as nutrition nurse specialist assisting a nutrition support team to achieve HPN status for national framework.

Jo also has several years experience working within the commercial sector and is currently the HPN Lead for Baxter at home with a main focus on assisting nurses to be able to train patients to become independent with their therapies at home.

In her own time Jo enjoys running and training for marathons locally and internationally (currently completed 8 so far!) and looking forward to her 9th in New York in November this year.

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Lecturers’ biographies and abstracts (In programme order)

Monday 9th July

LIZ ANDERSONBiography as before

DR ANN MCMAHONWith over 35 years’ experience as a registered nurse, Ann has worked in clinical, management, professional leadership and policy-related roles. She is co-editor-in-chief of the Journal of Research in Nursing, a trustee of the Foundation of Nursing Studies, a visiting research fellow at the University of Glasgow and an honorary professor at the University of Plymouth. Ann is currently the programme lead for the RCN’s ‘Demonstrating Value’ leadership development programme and the professional lead working with the RCN Research Society, Cancer and Breast Care Forum and the Gastroenterology Nursing Forum. She finds working with nurses across the UK, in all fields, particularly rewarding. Ann aims to empower them to demonstrate the value of their services. Ann has been a lifelong learner completing her first degree in nursing in 1982, her second in 1989 and her PhD in 2008. She is a champion for the development of sustainable clinical-academic careers in nursing.

PARENTERAL NUTRITION SYMPOSIUM

ALISON YOUNGSince qualifying as a registered nurse in 1991, Alison has worked in general medicine then in the intensive care environment. In 1998 she became a nutrition specialist nurse at the RLBUHT. During her early career she was keen to develop her knowledge and skills in nutritional care and management. Alison undertook a post graduate honours degree, then an MSc in Research exploring relevant nutritional topics. Once in the role of a nutrition specialist nurse, her practical skills, experience and knowledge base in the field of nutritional support grew, enabling her to develop the nutrition nurse’s role with the organisation and across wider organisational boundaries.

In 2002 Alison was appointed as the first Consultant Nurse in Nutrition in the UK. The changing needs of

patients and the quality objectives of the Trust require commitment and motivation from service providers to ensure targets are met. Innovations in practice have developed within their nutrition service. The service offers a holistic approach to nutritional care and management, from assessment right through to the safe and effective delivery of nutrition in the community.

The nutrition service grows from strength to strength leading the way for clinical excellence. The trust is the first NHS provider of a home parenteral nutrition service and is the second largest provider of HPN in Cheshire and Merseyside.

The nutrition service’s commitment to getting patients home on PN safely and effectively is demonstrated in their patient feedback and low infection and complication rates. Patients have confidence and trust in the nutrition team which encourages open and honest dialogue. Alison was proud to be awarded the BJN Nutrition Nurse of the Year this year and her enthusiasm and drive will continue to make a difference to her patients.

JACKIE EASTWOODJackie is an experienced hospital pharmacist with a background in technical and clinical pharmacy services to patients. She has specialised in intestinal failure and nutrition for 20 years, liaising with homecare companies providing services to these patients. She was the Chairman of the British Pharmaceutical Nutrition Group for six years before stepping down in 2014. She is currently chair of the stakeholders group for the national framework for home parenteral nutrition and a member of the National Homecare Medicines Committee. She was the lead for homecare medicines and outsourced outpatients across London, but has recently taken up the role of Associate Director for medicines procurement for acute care across London.

Getting value for money from the HPN frameworkThe aims of this session are to explore how the procurement of HPN is undertaken, what the framework is trying to achieve, and how the NHS and homecare providers can work together to ensure that we get the most cost-effective service for the NHS, while also providing an excellent quality of care to our patients.

CAROLYN WHEATLEYCarolyn is a long-term home parenteral nutrition patient with a chronic illness - intestinal failure (IF). Having been a ‘patient’ under the NHS all her life, Carolyn has seen many changes and been witness to

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revolutionary new homecare treatments. She became a patient advocate following her treatment of IF, which has developed into contributing in professional forums in relation to products, services, and of late, policy makers. This has not been restricted to within the UK. It has been increasingly important to showcase what the UK has achieved, while also striving for equality for patients around the world. Carolyn sits on numerous panels and committees to voice the patients’ perspective. Usually this is welcomed, she states it is rewarding and reassuring when people who claim to care about patients demonstrate this, in both actions and words. Carolyn loves to travel despite her treatment and condition, and enjoys the challenges this sometimes brings!

Patient experience of travel & HPN“If you think adventure is dangerous, try routine, it is lethal” – Paulo Coelho

Sensible preparation and planning is key to travelling with parenteral nutrition (PN). Should having a long-term illness and treatment limit our choices? What is achievable? Who can support patients as well as the reality of what can go wrong? Do we expect too much or does travel really broaden the mind? This session will discuss a wide range of topics related to travel and artificial nutrition.

PAEDIATRIC SYMPOSIUM

MAUREEN HODGEMo Hodge has been an enteral feeding nurse specialist for the last 10 years, prior to this she worked as a community children’s nurse. She also worked in the acute sector for many years. During her time in enteral feeding she has worked with parents and other disciplines linked to feeding, in order to improve the service provided to children in Gwent who are dependent on their enteral feeding devices.

Overnight feedingOvernight feeding should not be something that is undertaken lightly due to the issues and problems that can arise. Throughout Mo’s session, you will look at how parents get to this decision, the risks involved, and how we can endeavour to make it as safe as possible.

HAZEL ROLLINS CBEHazel works as CNS, Gastroenterology & Nutrition in paediatrics at the Luton and Dunstable Hospital NHSFT, focusing on children and young people requiring nutritional support. Over the last 16 years

she has developed a service for children and families affected by gastrointestinal disease, acting as a point of contact, support, information and access to appropriate healthcare.

Hazel has been committed to improving the nutritional care of patients ever since she was appointed to the post of nutrition nurse specialist 28 years ago. She has published and lectured widely on nutritional care at a local, national and international level and has contributed to nutritional policy at a national level. Hazel has worked closely with industry and the NPSA/NHS England in developing safer enteral feeding products and techniques. Hazel has first degrees in Biology and Child Health Nursing, and a Master’s Degree in Professional Practice. She was awarded the CBE for services to nursing in 2001.

Service improvement in parenteral nutrition in a district general hospital Parenteral nutrition is used infrequently in children district general hospitals (outside of neonatal units), making its management extremely challenging. The young patient population and the small patient numbers increase the risk of complications and reduce staff experience and exposure, making their recognition and management difficult. This paper presents the experience of one children’s unit in a district general hospital. It describes the caseload, and demonstrates the steps put in place to optimise care for children with type 1 and type 2 intestinal failure, and the shared care delivery for children with type 3 intestinal failure.

ADULT SYMPOSIUM

DR ELIZABETH WEEKESDr Liz Weekes is a dietitian with 25 years clinical and research experience in the detection and management of disease-related malnutrition. Having worked predominantly in the acute setting during her early career, her PhD studies focused on the identification, assessment and management of nutritionally vulnerable community-based individuals with chronic obstructive pulmonary disease. More recently Dr Weekes has extended her studies to include evaluating both hospital and community-based initiatives designed to improve the nutritional care of elderly people, and undertaking systematic reviews. Liz has a particular interest in patient-centred outcomes, such as quality of life and activities of daily living, and the health economic analysis of nutritional interventions. These interests are reflected in her current research where she is leading a large, observational study designed to explore the impact of malnutrition on older people in the community.

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Dr Weekes is currently leading the guideline group on the estimation of nutritional requirements for the Parenteral and Enteral Nutrition Group of the British Dietetic Association.

MELANIE BAKERMelanie Baker is the Clinical Lead for University Hospitals of Leicester Nutrition Support Team, which sit alongside our medical colleagues to form LIFT (Leicester Intestinal Failure Team). The team manages a caseload of complex enteral and parenteral nutrition patients, including those on HPN.

Her undergraduate training was completed at Surrey University in 1996 and she was awarded an MSc in Health Service Research in 2005. In 2012 she was successfully awarded NIHR funding combining her clinical role with research involving home jejunostomy feeding in patients with oesophago-gastric cancer undergoing resection. This is now being submitted for funding to run a multi-centre trial.

Melanie enjoys teaching and is a tutor on the British Dietetic Association post graduate Clinical Update Nutrition Support course. Other activities have included regional representative for BAPEN (British Association of Parenteral and Enteral Nutrition) and expert advisor for the NCEPOD review of adult parenteral nutrition services.

Melanie has a special interest in managing patients with high output stomas (HOS), being one of the first to publish data on HOS incidence and outcome in 2011. She has co-authored three book chapters (in “Manual of Dietetic Practice” ed. Gandy; “Home Parenteral Nutrition” first edition, by Bozzetti, Staun and Van Gossum and “Nursing and the Surgical Patient” by Pudner) and written the parenteral nutrition chapter in the PENG pocket guide used by many practicing dietitians and healthcare professional working in nutritional support.

Oral rehydration in short bowel syndromeIntestinal Failure (IF) or intestinal insufficiency is a decreased absorption of macronutrients and/or water and electrolytes due to a loss of gut function (Pironi et al, 2016). One cause is a high output stoma (HOS) which may result after extensive bowel resection in Crohns disease, cancer or bowel ischaemia, known as “short bowel syndrome”. Chronic impairment of bowel function can also cause a HOS, such as radiation enteritis, subacute bowel obstruction or some dysmotility disorders.

In the peri-operative settling, a high output stoma occurs in 15-20% of newly formed ileostomies and can be associated with sepsis or may be transient in nature

with no identifiable cause (Baker et al, 2011). Studies have shown that readmission rates due to acute kidney injury, in the first few weeks after ileostomy formation are in the region of 20% (Hayden et al, 2013) as the body adapts to the loss of the colon, which is the normal site of fluid reabsorption. As well as dehydration, patients with HOS are at risk of sodium depletion and other electrolyte abnormalities such as magnesium.

Management of IF caused by a HOS involves treating potential causes, replacing fluid and electrolyte losses, giving medication to reduce output, providing nutritional support, stoma wound care and psychological support.

This symposium will explore the use of oral rehydration therapy in this group, considering indications, type/composition, concurrent oral/enteral/intravenous fluid advice, compliance issues, patient education and monitoring.

INNOVATION STATION

EMMA BUTT & LUCY BOOTHEmma was appointed as Lead Nutrition Nurse for Children at Birmingham Community Healthcare NHS Trust in February 2017, and has had a varied and interesting year developing her skills as a nutrition nurse, and managing paediatric enteral feeding as part of the nutrition and dietetic department. She qualified as a children’s nurse in 1997 and then worked for a number of years at Birmingham Children’s Hospital before spending a year in Wolverhampton with the community children’s nursing team. Enteral feeding was a prominent part of the care children needed to receive in all these areas. Following on from this Emma trained as a health visitor and worked in this role until being appointed as the lead nutrition nurse. It has been great to be able to develop and enhance her clinical skills in the area of enteral feeding over the last year and work in such a great team!

Lucy Booth is a Community Nutrition Nurse Specialist – a post she has held for the past eight years with Birmingham Community Health NHS Foundation Trust. This role involves the assessment and management of adult patients who are enterally fed in their own home environment. Lucy liaises and directly refers to the acute nutrition/gastroenterology teams where appropriate.

The prevention of hospital admission for tube related problems is a priority. The team currently manage and support approximately 470 adult patients with enteral feeding tubes in the West Midlands area. Past experience includes 15 years as a district nurse

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(BSc Community Health Nursing), and she is a nurse prescriber. Lucy is interested in health research and its application to improve health outcomes.

Salt ProjectThe community nutrition nurse team based in Birmingham (BCNNT) were looking to standardise gastrostomy site management in the community setting. A flow chart and fact sheet on the management of overgranulation was developed to support community staff, such as the nursing homes and district nurse teams. The management strategies followed the guidelines outlined in the “exit site management for gastrostomy tubes in adults and children” (NNNG 2015). However, in some cases the treatments were either ineffective or only worked for short periods of time. Treatments with dressings, antimicrobials or steroid-based products are often expensive and frequently require the additional cost of a health professional visit.

During a literature review of the subject, the team became aware of a small study using the application of table salt as treatment for overgranulation tissue in paediatric patients (Tanaka et al 2013). The results were positive and the treatment was inexpensive and easy to apply for the patients themselves.

The BCNNT, via the Trust Clinical Governance process, were able to conduct a small pilot of ten patients which evaluated the effect of table salt on the appearance of overgranulation tissue. Patients or carers applied the salt independently and reported that the application process was simple and effective. Salt treatment is also inexpensive, and if this was used as a first line treatment in the future this could deliver substantial cost savings to the NHS.

The results were again very positive. The overgranulation tissue was either reduced or resolved completely in some cases.

The Trust Research and Innovation Team are now in the process of applying for funding to support a research study via the National Institute for Health research. It is hoped that this will be accepted as portfolio research, which would enable it to be extended to other sites across the country.

MARTIN WITHERSThe DropletDroplet is an innovative modular hydration system that substantially reduces the risk of dehydration. It comprises four parts: An electronic smart base, mug or tumbler and flow control Lid. Droplet has a functional, user-friendly design with a unique smart base that uses

flashing reminder lights and friendly voice messages to remind people to drink or alert healthcare professionals if patients are not drinking regularly. There is an option to use pre-set or customisable messages that allow family members or healthcare professionals to record personalised voice messages.

Droplet was created by Spearmark product designer, Ellie Van Leeuwen. Ellie was inspired to design Droplet after her own grandmother left hospital severely dehydrated and went on to dedicate her final year at university to find a solution to help prevent dehydration.

Three years on and over 100 healthcare professionals have shaped Droplet into the product it is today. Droplet has also been welcomed into care homes and hospitals across the UK as part of trials with outstanding results, showing an average increase of fluid intake of 63%, showcasing Droplet as an efficient and cost-effective method of improving hydration levels and health.

ANNE HOLDOWAYAnne’s 30-year career as a registered dietitian spans NHS dietetics, private practice, the medical nutrition industry and research. Over time, Anne has gained experience across many specialist clinical areas but has always retained a focus on disease-related malnutrition and the effective use of nutrition support, a topic which she publishes and presents on regularly. Anne has been chair of the multi-professional panel Managing Adult Malnutrition in the Community resources and pathways since its inception in 2011. In recent years, she has dedicated time to work with national organisations including BAPEN, BDA, BSG, RCGP with the aim of influencing standards and provision of nutritional care across the UK. She was awarded a fellowship of the British Dietetic Association in 2017 in respect of her work and contribution to dietetics.

Along with a busy clinical practice in Gastroenterology, Anne is dietetic lead for Dorothy House Hospice and is in the final stages of her doctorate undertaking qualitative research in diet in palliative care.

Malnutrition Community PathwayAnne will be presenting on the development and evolution of the ‘Managing Adult Malnutrition in the Community’ resources and tools.

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Tuesday 10th July

PHILIPPA MACELHINNEYPhilippa MacElhinney (Pip) is a Clinical Nurse Specialist in Parenteral Nutrition at Hull & East Yorkshire Hospitals Trust. The nutrition team at Hull and East Yorkshire Hospitals NHS Trust was launched in June 2012 and Pip has been an integral member of the team since the service commenced caring for patients with intestinal failure that require short-term through to long-term support.

Breakfast symposium: Examining HPN patients readmission reasons and monitoring infection rates Sponsored by

In 2017 the nutrition team at Hull and East Yorkshire Trust conducted a study into re-admissions for HPN patients. In particular observing the nutrition team’s effectiveness in ensuring readmissions were not related to home prescriptions.

The purpose of the study was to try to reduce HPN patient re-admissions into the Trust in order to reduce unnecessary costs to the Trust and also the impact on the quality of life that re-admission and infection has on patients.

We have reviewed data from 2014 to 2018 in our Trust to establish what the main re-admission reasons were for HPN patients in our Trust including line related issues, patient management issues, general health issues and end of life care.

This talk will provide a summary of what our data revealed in relation to this ongoing issue and what measures we have implemented as team to prevent re-admissions, including addressing line related issues, education, setting up annual competency visits for patients, working collaboratively with homecare companies to prevent hospital admissions, and recommendations for future practice.

JENNIFER CLARKJennifer Clark currently works as an Upper GI Clinical Nurse Specialist at Mid Essex Hospitals NHS Trust in Chelmsford, Essex and has been in her current role for 6 ½ years. She is currently one of only a few nurses in the UK who specialise in the management and support of patients with gastroparesis. Jennifer works alongside her colleague Mr Sritharan Kadirkamanathan, Consultant Upper GI Surgeon who started the

gastroparesis service at Mid Essex back in 2000. Jennifer qualified as a nurse in 2006 and since then has had experience in respiratory, gastroenterology and palliative care nursing, as well as Upper GI and Hepato-Pancreato-Biliary (HPB) cancers in her current role. She is a nurse prescriber and is currently undertaking a Master’s Degree in Advanced Nursing Practice at Anglia Ruskin University.

GastroparesisThis presentation offers insight into the role of a clinical nurse specialist in gastroparesis management. Gastroparesis is a rare condition that is often misunderstood and inappropriately managed. It is estimated to affect around 2% of the population yet this figure may be much higher as many people remain undiagnosed. Patients can struggle for many years without a diagnosis during which time both their physical and mental health can be affected. It can be a challenging condition to manage with a lack of treatment options readily available on the NHS due to the scarcity of effective evidence. Nurses often encounter patients with gastroparesis, whether it is in the Emergency Departments for repeated acute admissions, on wards where patients have long inpatient stays, or in advisory roles for referrals such as nutritional support or diabetic management. As nurses, we strive to help our patients as best we can and that can be difficult in rarer conditions where there is less understanding. This presentation will discuss the causes of gastroparesis, methods of diagnosis, treatment options and nursing considerations. There will be an overview of the current evidence base and discussion about what the future holds for the management of patients with gastroparesis.

LEARNING FROM EVENT SYMPOSIUM

TRACY EARLEYTracy has worked at Lancashire Teaching Hospitals NHSFT for 14 years, where she is responsible for nutrition support in hospital, community, enteral and parenteral nutrition support. She has had success in implementing a new Integrated Nutrition and Communication Services model providing a 7-day service for nutrition patients, and an e-learning tool to improve patient safety in NGT placement confirmation, which has been adopted by Health Education England. She leads a team of eight nutrition nurses, five CVAT nurses, four HALS nurses, dietetics and speech and language therapy to deliver services across two sites. She has also had a medical leadership role, appointed as Associate Divisional Medical Director for surgery for the last two years.

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MIA SMALLNurse Consultant Nutrition and Intestinal Failure, St Mark’s Hospital, London

LEARNING FROM EVENTS SYMPOSIUM: DISCUSSIONThree nutrition nurses will present a patient-related adverse nutrition event that happened in their trust. Followed by panel discussions.

RUTH DAVIESOn completion of nurse training in 1993, Ruth initially worked in the A&E department at Arrowe Park Hospital in the Wirral, before moving to a critical care unit having worked there for 11 years. She has a keen interest in nutritional support.

In 2003, Ruth was successfully appointed as a CNS in the newly developed nutritional support team at Conwy & Denbighshire NHS Trust; where she gained vast experience in the management of patients requiring complex artificial nutrition, as well as attending many NNNG, BAPEN and ESPEN conferences.

The amalgamation of three District General Hospitals across North Wales has led to BCUHB becoming the largest Health Board in Wales. Ruth now deputises and supports the Lead CNS in managing a team of five CNSs to deliver evidence-based care, as well as developing national and local guidelines to patients who require provision and management of Enteral and Parenteral Nutrition, in both primary and secondary care settings across North Wales.

LIZ ANDERSON Biography as before

ANDREA CARTWRIGHTAndrea Cartwright is a Consultant Nurse in Nutrition Support and has been working in nutrition support since 1994, and has worked at Basildon and Thurrock University Hospitals NHS Foundation Trust since 1998.

She trained as a registered nurse at The Royal London Hospital, Whitechapel, qualifying in 1986. She has had a varied nursing career (cardiology, urology, plastic

surgery, ENT and three years as a night sister) before settling into the field of gastroenterology.

Andrea has a BSc (Hons) in Adult Care, is a registered Specialist Practitioner in Nutrition Support and is a Nurse Independent and Supplementary Prescriber. Andrea was National Nurses Nutrition Group (NNNG) Membership Secretary from 1994 – 1998, she was NNNG Secretary from 2001 – 2005 and Chair from 2006 – 2009. She has sat on BAPEN Council from 2001 – 2014, and from 2008 as Senior Officer on BAPEN Executive. Andrea is also Secretary of Anglia Nutrition Network (ANNet). She is also Secretary of BAPEN’s Quality Group. Andrea was awarded the BAPEN Roll of Honour in 2015 for services to BAPEN and the wider nutrition support agenda.

Andrea was on the Guideline Development Group for NICE nutrition support guidelines (2006), the Department of Health Nutrition Action Plan (2007), the Royal College of Physicians Feeding Dilemma (2010) working party, and acted as expert advisor for NCEPOD ‘a mixed bag’ in 2010. Whilst on secondment to Midlands and East in 2012 – 2013, Andrea helped to develop ‘What does good nutritional care look like’ and The Nutrition Game, an award winning educational resource.

PANEL

TRACY BROWNTracy Brown is Adult Safeguarding, Mental Capacity & DOLS Lead at Hinchingbrooke Hospital North West Anglia NHS Foundation Trust. Tracy is responsible for the development and delivery of Adult Safeguarding MCA & DOLS training and the implementation of policies, procedures and practice within the hospital.

As a member of the NHS England Midlands and East Adult Safeguarding forum, Tracy has been involved with the development of the Adult Safeguarding Best Practice guidance, the Safeguarding App and the Mental Capacity Act workbook and training DVD.

Tracy has recently become a member of the Safeguarding Adults National Network and is looking forward to attending her first meeting in September.

With a background in independent advocacy, the voluntary sector and as a family carer, Tracy is passionate about the rights of patients and the use of the Mental Capacity Act to ensure these rights are protected.

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CHERYL MCKENZIECheryl McKenzie is the Lead Nutritional Nurse at Bart’s Health NHS Trust which is the largest trust in England and covers five teaching hospitals: St Bartholomew’s, The Royal London, Whipps Cross University Hospital, Newham University Hospital and Mile End Hospital. She qualified as a staff nurse in Perth, Scotland in 1992 but moved to London and her first post was in a medical day unit covering gastroenterology, dermatology and haematology in Whipps Cross Hospital, and then became the endoscopy ward sister where her special interest in nutrition was nurtured.

In 1998, Cheryl followed in the footsteps of Andrea Cartwright and took up the role of nutrition nurse at Oldchurch Hospital (now known as Queen’s Hospital, Romford). Cheryl completed a BSc in Nutrition Support in 2003 at Kingston University. In 2005, Cheryl was recruited back to Whipps Cross to develop the nutrition service and became a non-medical prescriber in 2006. Cheryl at that time and continues to lead innovations at Whipps Cross including parenteral nutrition multidisciplinary ward rounds and admission avoidance strategies for patients requiring nutrition support in the community.

Cheryl has been a member of the NNNG for 20 years and regularly attends the annual conference. Cheryl was the clinical lead for nutrition during the three-trust merger in 2012 to what is now Bart’s Health NHS trust. As the Lead Nurse in Nutrition Support for the new Trust, she continues to be responsible for integrating and on-going policy development and training for all aspects of nutrition support.

DR JEREMY NIGHTINGALEDr Nightingale was a Consultant Gastroenterologist at St Mark’s Hospital specialising in intestinal failure and inflammatory bowel disease from April 2006 - 2017. For ten years previously he was a Consultant Gastroenterologist and General Physician at Leicester Royal Infirmary where he set up and established a nutrition support team. He originally trained at St Mark’s Hospital under the guidance of Professor JE Lennard-Jones. He was awarded the Sir David Cuthbertson Medal by the Nutrition Society in 1993 for his work on the problems of a short bowel. He has edited a “best-selling” textbook entitled “Intestinal Failure” and is preparing the second edition.

He is the chairman the independent charity “The Nightingale Trust for Nutritional Support (1109586)” and also chairman of the British Intestinal Failure Alliance (BIFA). He is a member of the Royal College

of Physicians Nutrition Committee and of the British Society of Gastroenterology Small Bowel and Nutrition Committee. He was the British Society of Gastroenterology representative on the NICE (National Institute for Health and Clinical Excellence) committee for “Nutritional Support in Adults: oral supplements, enteral and parenteral feeding”. In 2006 he was the first author on the British Society of Gastroenterology (BSG) guidelines on the management of patients with a short bowel. He was a member of the expert group advising the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) 2008-10. In 2010, he published “A mixed bag: An enquiry into the care of hospital patients receiving parenteral nutrition”. He was the primary author for the advanced curriculum in nutrition for gastroenterology trainees in 2010. He was a GDG member for the NICE guidelines on ulcerative colitis published in 2013. He was secretary of the Coloproctology Section of the RSM for 2015/16 and is now a Vice-President.

He breeds llamas and is a keen tennis/croquet player.

LYNNE COLAGIOVANNIPamela Harris LectureFounded in 2005 by Pamela Harris, a patient needing home parenteral nutrition, and Dr Jeremy Nightingale, a consultant gastroenterologist, the Nightingale Trust’s aim is to help to ensure that all patients needing nutritional support are cared for safely, expertly and with compassion. The Board of Trustees comprise health care professionals, business experts and other lay members. The Trust’s current focus is on training and education, particularly of nurses, although we hope to widen this remit in the future. As a tribute to Pam, and as a vehicle to encourage those working in nutritional support to share research and best practice, the Pamela Harris Lecture was established three years ago. The Trustees wish to thank the NNNG for giving us a platform for the lecture to be presented.

HOME ENTERAL FEEDING SYMPOSIUM

ELAINE TRAUTNER & LESLEY O’MEARAElaine is the lead community nutrition nurse in Birmingham. She has eight years of experience, having previously worked in Coventry and St Mark’s Hospital, London. Her experience includes hospital, community,


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enteral and parenteral nutrition. Elaine has completed a Masters in research looking at consent for PEG.

Elaine wants to develop their service in Birmingham, by creating a forward thinking innovative team providing patients with the best care possible. She is a firm advocate for her patients, giving the vulnerable a voice to be able to access appropriate care, in the setting of their choice, whether this is at home or elsewhere.

She enjoys her job, works with great people, and is excited for the future.

After qualifying in 1994, Lesley worked in a variety of critical care settings in clinical and educational roles. She moved to her current role as Community Nutrition Nurse for enterally fed patients in 2013. Her team works across Birmingham, caring for patients in their own homes, care homes and in community bedded units. Their prime focus is to keep patients out of hospital by direct intervention by their nurses, and in supporting families and carers to care for the patients safely. They provide training in a wide range of settings to facilitate this. Lesley really enjoys her role within a small, happy and innovative team knowing that they provide an excellent service for their patients.

AMY WATSONAmy Watson is a Clinical Nurse Advisor working for Fresenius Kabi for the past 18 months, supporting the East Lancashire Enteral Nutrition Community team. Amy is an experienced enteral nurse and has worked previously as a Practice Nurse, District Nursing Sister and Community Staff Nurse. Amy has mainly a community-based background and has gained many skills during her career of 8 years. Amy wanted to focus her career on an area that she is most passionate about, which is why she moved into caring for enteral nutrition patients in the community.

Care of nasogastric tubes in community This presentation will discuss how Fresenius Kabi Clinical Nurse Advisors support their community patients in East Lancashire and how they collaborate with the NHS trust, hospital and community-based dietitians and the lead nutritional nurse with the main focus on delivery of naso-gastric care within the community.

Case studies will be presented to demonstrate the service that is currently offered. A synopsis of the service will be delivered, including how a safe and effective service is ensured for all our patients, quantitative data to illustrate the effectiveness of the service over the last 12 months, and a vision for our future service working in partnership with East Lancashire.

HAZEL ROLLINS CBEBiography as before

Transition between paediatric and adult services The difficulties for young people and their families have been highlighted by numerous reports, yet the practical management remains difficult. Budgets are tight, there is often little “buy in” by teams, and for young people it can still feel like dumping, or too little, too late.

This paper will review transition practice and will demonstrate how individual teams can make a difference using free, nationally available resources. Good will and good communication can get you a long way.

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Company profiles (A-Z)

B.BRAUN MEDICAL LTDB.Braun Medical Ltd is one of the world’s leading healthcare companies, serving people and their health in more than 56 countries worldwide for over 175 years.

With numerous pioneering achievements for medicine, the family-owned company is constantly providing users and patients with future-oriented products.

Our ability to develop innovative products and services in partnership with healthcare professionals reflects our commitment and promise of Sharing Expertise.

B.Braun Clinical Nutrition unites an extensive range of Parenteral Nutrition products with unique PN associated services. The PN product range includes innovative lipid and lipid free multi-chamber convenience bags and a range of compounding ingredients, – modern lipid emulsions, high strength amino acids, and other PN ingredients and accessories. Our PN services include the provision of supplementing and bespoke compounding services from our Aseptic centrally located facilities to support patient needs in hospital whilst also offering home care packages and nursing care to support patient therapy at home.

BAXTER HEALTHCARE LTDBaxter Healthcare provides a broad portfolio of essential renal and hospital products, including home, acute and in-centre dialysis; sterile IV solutions; infusion systems and devices; parenteral nutrition; surgery products and anaesthetics; and pharexay automation, software and services. The company’s global footprint and the critical nature of its products and services play a key role in expanding access to healthcare in emerging and developed countries. Baxter’s employees worldwide are building upon the company’s rich heritage of medical breakthroughs to advance the next generation of healthcare innovations that enable patient care.

BLUE BOX MEDICAL LTDBlue Box Medical was established in 2005 to promote and supply quality, disposable medical devices. Predominantly supplying theatres originally, the company has since expanded its range to provide products to many specialties. One of our key focus areas is fixation with a wide range of Grip-Lok devices enabling us to offer a solution to just about any line securement. An increasingly popular device is the Grip-Lok 2100ANG for nasal gastric tubes which has hypoallergenic, breathable and latex-free skin contact adhesive for superior securement to prevent accidental line pulls. Additional products include a comprehensive range of elastomeric balloon infusion pumps, a wide selection of endoscopy consumables, and other surgical/diagnostic products. We have also recently been appointed UK distributors for Nihon Kohden defibrillators and AED’s. See www.blueboxmedical.co.uk for further details on all of our product ranges.

CME MEDICAL UK LTD (BD MEDICAL)CME Medical has joined BD.

BD is a global medical technology company offering infusion and intravenous (IV) therapy systems, solutions and devices including pumps, software, interoperability, IV sets and accessories. Our infusion devices work independently and together to accurately deliver infusions, whilst helping to protect each patient.

CME Medical, now part of BD, has a heritage in developing specialist infusion devices and support that improve patient care in hospital, in the community and at home. We consistently explore new ways to support healthcare professionals with our pioneering approach to developing medical technology products, services and training.

Together we are dedicated to advancing the world of health.

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ENCLEANThe EnClean Brush was specifically designed to fit and aid in the cleaning of the ENFit Connector by providing brush contact to the internal threads of the ENFit Connector. The EnClean Brush will remove formula and medication to keep the EnFit Connector clean and free of debris. The brushes on the EnClean Brush are anti-germicidal and will fit precisely in the Connector. There is a reusable brush, if cleaned according to the IFU, will last a MINIMUM of 30 days. The single-use brush is meant for 1 time use for units that prefer a disposable brush. Visit our website at www.encleantube.com for more details and ordering.

ENTERAL UKWe’d like to invite you to visit our stand at NNNG to catch up with the latest from the UK’s leading enteral feeding specialists. Key new products are featured, including pH Xact, our new pH reader, CareTip Grip fixation plasters, ENPLUG stoma plugs and Enteral Brushes, plus of course our comprehensive range of ENFit® feeding tubes and syringes. Enteral UK product specialists are on hand to discuss the latest in enteral feeding product design and materials technology.

Brand new is our range of Colostrum Gold kits. Containing everything needed and with full instructions, Colostrum Gold kits are designed to help encourage new mums and mums-to-be to understand the importance and benefits of expressing and storing Colostrum.

It’s all about partnership, and this year’s NNNG Conference is the perfect time and place to look at how together we can develop new ideas and share expertise to provide the very best for you and for your patients.

FRESENIUS-KABIAt Fresenius Kabi we are dedicated to the idea of Caring for Life. This means that we continuously strive to develop our specialist skills in the fields of nutrition and infusion therapy. In doing so we provide innovative solutions to meet the highest standards of patient care.

Fresenius Kabi LtdCestrian CourtEastgate WayManor ParkRuncornCheshireWA7 1NTTel: 01928 533533Web Address: www.fresenius-kabi.co.uk

MANAGING ADULT MALNUTRITION IN THE COMMUNITY The updated ‘Managing Adult Malnutrition in the Community’ document and supporting information is now available. Developed by a multi-professional team of expert practitioners, and endorsed by ten key professional and patient associations including the NNNG, it is based on clinical experience and evidence alongside accepted best practice. It includes a pathway to assist in the appropriate use of oral nutritional supplements (ONS).

Supporting documents include: Leaflets for patients and carers designed for those

at high, medium and low risk of malnutrition High, Medium and Low risk care plans for nurses in

residential and care home settings Managing Malnutrition with Oral Nutritional

Supplements (ONS) – advice for healthcare professionals – an A4 two sided leaflet which gives

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an overview of malnutrition and provides a quick guide to the different types of ONS available, patient suitability, styles, flavours and formats available.

More information can be found at www.malnutritionpathway.co.uk

NGPOD GLOBALNGPod Global is an innovative new medical device company. We are working on delivering a revolutionary device into the hands of clinicians which will change the way that patients requiring nasogastric (feeding) tubes are treated.

Through engagement with clinicians and patients, our highly skilled team have a track record of developing and delivering innovative products into the hands of healthcare professionals within the UK health sector. Our goal is to increase patient safety and reduce the number of “Never Events” associated with the use of misplaced nasogastric tubes.

PENGThe Parenteral and Enteral Nutrition Group (PENG) was established in 1983 as a specialist group of the British Dietetic Association (BDA). It is a founder group of BAPEN. Over the years PENG has gained national and international reputation as a recognised authority on both practical and academic aspects of nutritional support. Today, PENG strives to support its network of Dietitians to deliver excellence in nutritional care through appropriate oral, enteral and parenteral nutrition.

It aims to achieve this through: providing a forum in which dietitians working in oral,

enteral and parenteral nutrition can exchange ideas and develop best / evidence based practice

acting as a voice of professional expertise and authority for and on behalf of dietitians working in oral, enteral and parenteral nutrition support


working in partnership with key organisations including BAPEN, patient groups and the BDA to raise the profile of the importance of good nutritional care in all care settings

supporting the development of resources for use by its members, patients and other healthcare professionals

actively supporting dietitians to enhance knowledge and skills of clinical nutrition and nutrition support through the PENG educational events and bursaries and the PENG research mentoring scheme and grants.

To find out more about PENG please visit www.peng.org.uk or contact us at: [email protected]

PINNTPINNT is a patient led charity who support people adapting and living with home artificial nutrition (HAN). PINNT has been encouraging and supporting a network whereby patients/carers/families can come together to provide expert advice and support. HAN affects people in numerous ways; one thing we know is that it’s life-saving and life-changing. We advise and support in a number of ways and welcome the support and input from healthcare professionals and industry. United we can view life on HAN from all aspects and collaborate to shape and enhance products, services and quality of life.

www.pinnt.com

SMITHS MEDICALSmiths Medical are pleased to introduce three new CADD®-Solis VIP pump options. The CADD® Solis VIP provides confidence of reliable pump performance, accurate medication delivery, and ease of use. Large, clear colour screen displays instant status of therapy progress as well as a patented patient help screen to assist with alarm trouble-shooting.

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Small and lightweight to promote increased patient mobility and improved quality of life, CADD® Solis VIP is an Innovative delivery solution for patient satisfaction and safety.

Smiths Medical has now adapted to meet your homecare infusion needs.

Our low-cost, easy-to-use pump with Standard settings gives you an out-of-the-box CADD® pump for use today, with the option to upgrade with drug libraries tomorrow.

Visit www.smiths-medical.com/CADDVIP to learn how we’ve adapted our CADD® pumps, and improved for both hospital and home infusion.

VYGON (UK) LTDWe are a leading supplier of medical and surgical devices with a reputation for delivering high quality products and excellence in customer service, helping healthcare professionals offer best practice solutions to their patients.

Our ProductsOur product ranges extend across many therapeutic specialties, including vascular access, regional anaesthesia, IV management, neonatology and enteral feeding.

Our ServicesIn addition to a wide product offering, we are also fully committed to education and training, providing complementary training and technical support to customers to promote best practice in-line with current clinical guidelines.

Our CustomersWe supply our products and services to healthcare professionals in the NHS and private sector throughout the UK - from PCTs and NHS Trusts to District and Community Hospitals, as well as GP Practices and Walk-In Centres.

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British Journal of Nursing

British Journal of Nursing (BJN) is the fortnightly peer-reviewed journal which is an essential resource for all nurses who are serious about developing their own career, as well as providing the best outcomes for the patients in their care.

The foundation of BJN is its clinical and evidence-based papers, which provide practical recommendations based on sound and up-to-date theoretical knowledge. All articles are written by nurses and subject to peer review by leading authorities in the profession, ensuring that only the best clinical papers and original research appear in the journal.

If you want to keep abreast of all the latest clinical developments and improve your knowledge of important areas of practice, then you should subscribe to BJN.

BJN is available through subscription or from selected newsagents and bookstands. For subscriptions call 0800 137 201 or visit www.magsubscriptions.com/bjn

BJN includes quarterly features on: Nutrition Continence Mental Health Infection Control Stoma Care Dermatology

Julie Smith – EditorJulie has a degree in English from Reading University and, prior to her role as Editor of British Journal of Nursing, she worked on British Journal of Community Nursing and British Journal of Healthcare Assistants for nearly four years for MA Healthcare Limited.

For further information on the British Journal of Nursing and

subscription enquiries, please call FREEPHONE 0800 137 201 or visit

www.magsubscriptions.com/bjn

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Children and young people with

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British Journal of Community Nursing

British Journal of Community Nursing is now the only monthly journal for nursing in the home. And it has changed, to provide you with even more of the right information to help you care for your clients better. British Journal of Community Nursing will help you manage complex cases more effectively and improve your case management skills. It will help you to: Provide better end-of-life care; meet the needs of frail older people with co-morbidities; and support, manage and teach self-care for long-term conditions.

The journal promotes excellence in clinical practice and articles are written by practitioners and peer-reviewed by leading authorities in the field. The journal is indexed on MEDLINE®- testament to the journal’s quality and reputation. For subscriptions call 0800 137 201 or visit www.magsubscriptions.com/bjcn

For further information on British Journal of Community Nursing

and subscription enquiries, please call FREEPHONE 0800 137 201

or visit www.magsubscriptions.com/bjcn

www.bjcn.co.uk

The only monthly journal dedicated to nursing in the home

www.bjcn.co.ukVolume 22 Number 4

April 2017

LONG-TERM CONDITIONS Assessing foot risk status and points of action

PALLIATIVE CARE Controlling the controllable in community palliative care

LEGAL Private deprivation of liberty

The impact of systemic conditions

and medication on oral health

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Nursing and Residential Care

Nursing & Residential Care is the quality monthly journal which has become essential reading for nurses, care assistants, managers and training coordinators working in care homes.

The journal publishes the best clinical reviews and practical information available to nursing and residential care home professionals, covering a wide range of issues from across the profession.

Regular features include the latest news, a practical activities section, a review of topical management and legal issues and a care analysis series. In addition, it is the only journal which contains a monthly section

for those studying for Diplomas in Health and Social Care for levels 2, 3 and 4, providing candidates with practical information, guidance and support on everything they need to know to achieve their qualifications.

Residential nursing is undergoing a huge transformation as a result of recent changes in regulation, inspection and clinical care. You need a journal that will keep you abreast of all the latest developments in policy and practice.

You need Nursing & Residential Care, so subscribe today by calling 0800 137 201 or visiting www.magsubscriptions.com/nrc

For further information on Nursing & Residential Care and

subscription enquiries, please call FREEPHONE 0800 137 201 or visit

www.magsubscriptions.com/nrc

Identifying and managing

dehydration in care homes

nursing & residential care

The only clinical journal for professionals

working in long-term care

Volume 19 Number 4 April 2017

Age UK: crisis in health and care of older people 194

Helping older people

with a stoma recover

with dignity 202

Improving 24-hour

nursing care: an outcome audit 212

www.nursingresidentialcare.com

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Notes

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Notes Notes

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Notes

Organised by

in partnership with

Documents

Conference 2018 - National Nurses Nutrition Group