CARE HOMES PROJECT Leanne Green Primary Care Dietitian 28 January 2015

Identify Care Homes Identified two top spending GP Practices in Merton Review the Care Homes associated with the practices for effective use of ONS Identify care home needs Identify patients on supplements Identify if supplement use was corre ct 2

Findings WOODLANDS CARE HOME: 59 Patients reviewed 9 Prescription changes made and 4 referrals to the Community Dietitians CUMBERLAND CARE HOME: 49 Patients reviewed 13 Prescription changes made and 3 referrals to the Community Dietitians Total: 108 Patients reviewed 22 Prescription changes 7 Referrals to Community Dietitians 3

Case Study Patient X: 78 yr old female Wt=53kg Ht = 1.57m BMI=21.5kg/m (ideal weight) Lost 4kg in past 4 months = 7% weight loss Rx: Calogen 30ml tds since hospital visit 6 months ago At Risk, needs GP assessment and dietetic review as losing wt and Calogen not adequate 4

Plans Training on nutritional screening – MUST Training on Food Fortification Review supplement ordering in homes Education regarding the correct use of ONS to staff 5

Leanne Green Primary Care Dietitian NHS Merton CCG 120 The Broadway Wimbledon SW19 1RH