High quality care for all, now
and for future generations
Caroline Lecko
Patient 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
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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
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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
To name but a
few………
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Developing a ‘Nutrition Care Culture’
Effective
Tools
Effective
Systems
Right
people –
right tasks
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Developing a ‘Nutrition Care Culture’
Executive support and
management structures
Nutrition and hydration care
pathways
Nutrition Care
Culture
Education and training
Screening and assessment
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The Players
Industry
Healthcare
professionals
Hospitals
and Care
Homes
Associations
National Leadership
Nutrition Care Culture
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Developing a ‘Nutrition Care Culture’
We need a social movement
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Nutrition and Hydration Week 2014
#NHW2014
National Association of
Care Catering
Hospital Caterers Association
Patient Safety First
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Thank you for listening
Enjoy the rest of your Seminar
#NHW2013
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