The Malnutrition Task Force Prevention and early intervention

The Malnutrition Task Force : Prevention and early intervention of malnutrition in later life Margit Physant Project Manager

The Malnutrition Task Force Independent group of experts across health, social care and local government united to address the problem of preventable malnutrition in older people

Our mission To ensure the prevention and treatment of malnutrition is embedded in all care and community support services and awareness is raised amongst older people and their families

About Malnutrition

Malnutrition • • • Over a million older people (1: 10) Devastating Declining mobility Decreased resistance to infection Delayed healing Dizziness, leading to falls Depression Deteriorating quality of life Death!

Contributing factors 93% of people with malnutrition are in the community

Our ageing population 170 Projection of Increase in UK Older Population 160 75+ 140 65+ 130 120 110 2030 2029 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 100 2010 (2010=100) 150

Costs of Malnutrition • Severely malnourished people – see their GP twice as often – have 3 times the number of hospital admissions – stay in hospital more than 3 days longer – incur £ 1, 440 pp in the year following diagnosis • Increases dependency on family, carers and support services.

Invest to save • Screening, early intervention and treatment as per NICE guideline could save £ 71, 800 per 100, 000 population • The cost of treating care homes residents diagnosed with malnutrition is twice that of screening all care home residents • Community meals have social return on investment of between £ 2. 90 and £ 5. 20 for every pound spent

Hertfordshire Community Meals A social return on investment analysis • Service users: improved health, happier, safer, increased independence. • Family/carers: increased ability to work, more leisure time, less stress and improved relationships • For every £ 1 invested, the likely social value created through these outcomes is around £ 5. 28 • Divided as 49% for clients, 14% for family/carers, 29% for the State and 8% for Local Authority

What we did

What does good look like? Engagement with wide range of stakeholders • Workshops • Learning examples/case studies • Existing tools and guidance Principles for best practice in nutrition and hydration care

Best practice principles 1. 2. 3. 4. 5. Raising awareness Working together Identifying malnutrition Personalised care, support and treatment Monitoring and evaluation

1 st principle: Raising awareness Public and professionals must understand importance of good nutrition and hydration • dangers of malnutrition • what to look out for • where to get help/ signpost people to Derbyshire, Dorset, D. Council Focus groups: older people

Raising Awareness: Dairy Council Campaign • Raise awareness of public and health professionals • ‘Bring it back’ campaign • Free materials: poster, leaflet, postcards flowchart for professionals • Visit www. milk. co. uk

2 nd principle: Working together Organisations and individuals working together will provide a more complete service. A combined approach across the community and within health care, social care, the third sector and the commercial sector is essential • Caterers and food providers working with clinicians and therapists • Local Health and Wellbeing Boards, Adult Social Care, care homes, hospitals • Include the older person and relatives

3 rd principle: Identifying malnutrition Organisations and individuals must be well equipped to identify malnutrition in older people • Assess the prevalence of malnutrition in the local population • BAPEN tool(s) even an app! www. bapen. org. uk • Screen people across all care settings • Identify the cause of malnutrition and remedy the situation

4 th principle: Managing malnutrition Forming and implementing a personalised plan for and with each older person is crucial • Use NICE guidance or care pathway • Managing Adult Malnutrition in the Community (BAPEN) www. malnutritionpathway. co. uk • Start support for ‘non’ clinical management

5 th principle: Monitoring and evaluating Monitoring and reviewing the older person’s progress and outcome is critical. Monitoring the structures and processes to ensure good nutrition and hydration care is implemented • Service user feedback (incl. relatives) • Annual Adult Social Care Survey

Implementation Guides for • Food and beverage providers • Hospitals • Care homes • Local communities • Commissioners Available to download from www. malnutritiontaskforce. org. uk

Thank you ! Margit Physant Project Manager, Malnutrition Task Force Email: margit@malnutritiontaskforce. org. uk Direct tel. 020 3033 1469 (Tues-Thursdays) Website: www. malnutritiontaskforce. org. uk or follow us on twitter @Malnutrition. TF