1. Malnutrition Prevention Programme Sue Hawkins and Michelle Smith Purbeck Locality, Dorset

2. Purbeck context Area/demographics Partners Nutritional Care Strategy Initial single GP pilot Help and Care

3. Work Stream Remit 3

6. Do now Distribute some of the material around nutrition to carers of people with dementia in Purbeck. Also spread the word to team members. Support and encourage POPP workers to promote and take an active role in delivery I will make GPs in Dorset aware of the project and ask them to consider malnutrition within their new project and CCG funding for the over 75’s Get day centres to start carrying out screening to follow up on the work of the pilot Contact Area Manager about joint working with other housing associations to promote the programme to tenants

7. Do soon Look at extending the Reach Out service that Age UK provides in the Dorchester to Purbeck. This service helps people who live alone to access groups like lunch clubs. Help to develop content on nutrition and hydration for upcoming community channel (online) Make sure all the hospital nurse leaders are aware of the project and encourage them to work with the community to improve discharges and sharing of information. Signpost people to Help and Care. Raise awareness of project at every opportunity. Share the word with colleagues. Initiate a weigh in for those that want to keep a healthy weight at Sheltered Housing Schemes alongside coffee mornings.

8. Work Stream Remit 1

9. Work Stream Remit 2

10. Development of a web based MUST screening database for the Purbeck Locality Initial work in one GP practice Evaluation and feedback Change to pathway and move from paper to electronic Design of electronic form and database Training Roll out to 6 GP practices MUST training

11. From paper to web based

12. Training

14. Evaluation MUST Evaluation Initial training assessment (individually) Team Focus Groups Stats from screening Case studies / other qualitative data Post training assessment (6-8 weeks) NHS Local Authority No. screened and scores No. identified at risk Journey of those at risk - No of revisits - Scores at revisit Outcomes Changes to process -Training -forms -equipment -pathways / referrals Changes to culture - Calculate estimated cost savings to Dorset using these local figures and national figures - Wider roll out – Pan Dorset and also Poole & - Bournemouth

15. Our Challenges The IT! –The Form –Tablets –Internet access –Still double entry! GP engagement NHS engagement

16. Achievements so Far! Going live! Day 2 – First MUST score of 4 identified Including carers as well as service users Raised awareness and improved early intervention Wessex AHSN funding this year and hopefully next

17. Next steps Ongoing evaluation Presentation of results at local event Community hospital discharges Respite care within care homes Day centres (currently paper not electronic) Expansion to another area

18. Thank you Any Questions?