High quality care for all, now and for future generations

Caroline LeckoPatient Safety Lead

Setting the scene – what high quality care isn’t

• Three million people in the UK suffering from or at risk of malnutrition

• 93% of these people are in the community • Over a million of these people are over 65• 33% of older people are already malnourished

or at risk on admission to hospital • 37% of older people who have recently moved

into care homes are at risk • The scale of dehydration in the UK is unknown

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We know people in our care and their families live with the consequences of

poor nutrition and hydration ...... and the resulting harms ………..

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Policy Context• Francis Inquiry into Mid Staffordshire NHS Foundation Trust • Recommendation 241 “The arrangements and best practice for providing food and

drink to elderly patients require constant review, monitoring and implementation.”• The NHS Mandate 2013-15 states “No one going in to hospital should have to

worry about being left in pain, unable to eat or drink, or go to the toilet.”• Health and Social Care Act 2008 requires health and social care settings to meet

nutritional needs

• CQC DANI thematic reviews in 2012 17 per cent of care homes and 12 per cent of

hospitals still failed to meet basic standards on nutrition and hydration.

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Setting the scene – last 10 years or so• Patient Environment Action Team Assessments (annually) Now PLACE• Essence of Care x 2• Better Hospital Food• Protected Mealtimes• Council of Europe resolution • Age UK Hungry to be Heard • National Institute for Health and Clinical Excellence • RCN Nutrition Now Campaign • NPSA/RCN Hydration Best Practice Toolkit • DH Nutrition Action Plan • NPSA10 Key Characteristics of Good Nutritional Care Toolkit • High Impact Actions for Nurses • CQC Essential Standards for quality and safety • NICE Quality Standards• Nutrition and Hydration Action Alliance• Malnutrition Task Force

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To name but a few………

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Developing a ‘Nutrition Care Culture’

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Developing a ‘Nutrition Care Culture’

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The Players

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Hospitals and Care Homes

Nutrition Care Culture

Developing a ‘Nutrition Care Culture’

We need a social movement

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Nutrition and Hydration Week 2014#NHW2014

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Hospital Caterers Association

National Association of Care Catering

Patient Safety First

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Thank you for listening

Enjoy the rest of your Seminar#NHW2013

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