1. Nutritional Care Communication Tool

2. Aim  To equip staff with the knowledge and skills to accurately complete and introduce the Nutritional Care Communication tool  To ensure safe, effective communication between hospital and care homes in relation to nutritional care.

3. Learning Outcomes  Outline the prevalence of malnutrition nationally.  Discuss the importance of effective communication between hospitals and care homes.  Outline the nutritional care communication tool to ensure consistent and safe approach to patient journey.

4. Background and context  1 in 3 of all patients of all ages admitted to hospital and care homes are at risk of malnutrition.  Overall prevalence of malnutrition on admission to care homes in UK 30-40% (BAPEN 2010)  NHS QIS National overview feedback  Phase 2 Programme – focus on frail elderly and discharge planning

5. Example from practise: September 2010  Mrs X came in for respite. ‘MUST’ recorded and care plan implemented: food recording, weekly weight and fortified diet.  Mrs X went home to prepare for coming in long term, family aware of nutritional care plan.  Admitted to hospital not eating. In hospital for 1 week, returned to care home, No mention from Hospital of poor diet, concerns regarding weight or evidence of ‘MUST’ recording. Seen by SALT but not referred to dietitian.

6. Tool

7. The Tool

8. Nutritional Care Communication Tool.  Personal Data  Nutritional Screening  Special & personal Dietary needs.  Therapeutic diet requirements.  Food fortification / food snacks  Nutritional Supplements  Physical assistance with eating and drinking  Signature

9. Way Forward  Local spread plan  Complete 1 form for patient/resident.  Photocopy – reserve copy for collection.  Original copy with patient/resident.  Contact local lead.  Follow up contact - feedback

10. Questions