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Tool 8 - How good is the nutritional care you deliver?Understanding your current position: BAPENs ‘At a Glance Guide’ for a baseline assessment
BAPEN -C ommissioning Nutritional C are www.bapen.org.uk
http://www.bapen.org.uk/pdfs/conferences/2011/malnutrition-ppt-template.ppt
What are you currently doing to deliver good nutritional care?
Yes/No
Resources and support to help you redesign your nutritional services
Do you have a nutritional steering committee in your acute and community organisations?
Guidance on the role of a nutrition screening committee is available on the BAPEN Website www.bapen.org.uk
Does your Acute Trust(s) have a nutrition Support Team?
Guidance on the role of a nutrition support team is available on the BAPEN Website www.bapen.org.uk
Do you have nutritional care pathways that are embedded in all relevant pathways of care e.g. Stroke, dementia, end of life care pathways?
Do you have at least one nutrition nurse in your acute Trust(s)?
The NICE Guidance for Nutrition Support (CG32) recommends that all Trusts have a minimum of one nutrition nurse. For further information www.nnng.org.uk
Do you have a nutrition matron? A number of Trusts have developed Nutrition Matron posts to oversee nutritional screening and care planning. For further information
Has your Trust implemented nutrition screening (and re-screening) to identify malnourished patients in a highly reliable way (e.g. using electronic systems)
All the resources required to implement ‘MUST’ screening are available at www.bapen.org.uk
Do you undertake a nutritional assessment of patients who are malnourished or at risk of malnutrition and develop and implement a nutritional care plan where required (and provide evidence of this at the patient level?)
Resources and exemplar case studies can be found at www.bapen.org.uk
Do you have a reliable system for ensuring food and fluid record charts are completed accurately and reviewed for patients who are malnourished / at risk? Do you have a system for audit and feed-back?
For example as part of your intentional rounding
Does Your Trust provide Nutrition training for ALL frontline staff?
The BAPEN e-Iearning module for nutrition screening is available free of charge at www.e-Ifh.org.uk and www.nhselearning.co.uk
Does your Trust provide nutrition training for Executive level Directors (so that they understand the level of nutrition services that should be provided within their Trust)?
BAPEN has developed a powerpoint presentation template that can be downloaded for your Senior Executive Leaders and customised for your Trust to include calculations of potential cost savings http://www.bapen.org.uk/professionals/publications-and-resources/other-resources/call-to-action-importance-of-delivering-good-nutritional-care
Does your Trust have a process in place for ‘Ward to Board’ reporting of nutritional care?
BAPEN has designed a Nutrition Dashboard with a range of examples hosted on the BAPEN website and pathways of nutritional care between hospital and community- ie. nutrition information on discharge
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BAPEN - Commissioning Nutritional Care www.bapen.org.uk