1. Infant formula
The following are examples of items on infants repeat templates. Any comments? Emma Grace age 5 weeks SMA Wysoy 4 x 400g Jamie Lee age 1y 1m SMA Gold Pro Prem 2 7 x 400g Reggie age 1y 2m Similac Alimentum 12 x 400g Bridie age 1y 8m SMA LF 7x400g Alfie age 12 weeks Enfamil AR 13 x 400g

2. Gluten free foods
Alice aged 6 years has Coeliac disease. She has the following on her repeat template and Mum orders these products every month:
Glutafin gluten and wheat free fibre rolls 200g x4
Nairn’s gluten free porridge oats g x1
Juvela gluten free fibre flakes g x1
Barkat brown rice pizza crust g x2
Juvela fusilli g x1
Juvela spaghetti g x1
Glutafin tea biscuits g x2
Glutafin digestive biscuits 150g x 2
 Questions:
How many ‘units’ should she have each month as a maximum?
How many ‘units’ is she having each month?
Are all the foods requested appropriate?

3. Oral Nutritional Supplements
Mrs Brown aged 83 has been discharged from Basildon Hospital following admission with a urinary tract infection. She resides in a care home and is being discharged back there. She has never previously taken any oral nutritional supplements. Her ‘drugs for discharge’ include the following:
Calogen 30mls tds po continue
Fresubin Energy tds continue
Forticreme Complete bd continue
What would happen in your practice?
What do you think should happen?
How would you deal with this?