Malnutrition Prevention Programme

Laura Pearce and Martin Field

Kent

Contents• The five principles• Project Launch• Photos of the launch event• Work stream 1-Communication• Work stream 2- Age UK BMI project• Case Study• Workstream 3-Residential Project• Our challenges• Greatest achievements so far

The Five Principles

• Raising awareness of malnutrition among staff and older people

• Working Together within and across organisations

• Identifying malnutrition and malnutrition risk early

• Providing Personalised Care, support and treatment

• Monitoring and evaluating the impact of the interventions and the individual outcomes

Project Launch• Central location in the county-Ashford • Our plan and aspiration for the Launch Day

– Raising the awareness of malnutrition in the community and to inspire attendees to make small changes within their organisation.

• Our methodology on the day– Inform attendees about the impacts of

malnutrition and the actions that can be taken to prevent it

• Result – Outputs developed into work streams

Photo’s

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ContextKent is a large county (xx population) with many diverse communities; and the extent of malnutrition is not known. Collaboration between different sectors for health and social care can be challenging due to the size of the county. The MTF pilot therefore wants to run an awareness raising campaign to raise the profile of malnutrition as an issue, and to create a community-based force for change.

Objectives & Scope

• Hold 2 awareness raising events to bring people together and share knowledge• Build a collective plan for the campaign at the October event• Raise awareness through the distribute campaign materials to reach xx people/organisations/sectors• Create a ‘call to act’ with participants pledging to take action; and track progressScopeKent-wide- but delivered over several pop up events due to the large size of the county

Deliverables

• Generate a campaign plan • Distribute posters and information

materials through chosen channels• Produce a video illustrating the impact of

‘small things that can make a difference• Produce case studies and capture

peoples stories

Success Measures

• numbers of campaign information distributed

• number of people attending events, seminars etc

• measureable improvement in KAP survey

Risks: reach in terms of breadth and depth is a challenge due to the size of the county

Training & Resource

• Information materials

• Resource to support events

Team structure and roles

Pilot lead – Laura PearceCoach – Lisa Godfrey

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TBC

WORKSTREAM 1 : Awareness raising campaign

How? Votes

TV and radio 31

Articles in local newspapers 20

Face to face 16

Community groups 10

Leaflets 7

Where? Votes

TV and radio 24

GP surgery 18

Community groups 16

Local newspapers 14

Local chemists 11

Who? Votes

Everyone 29

GP's 19

Voluntary groups 14

Home care workers 11

Meal providers 8

What are we Communicating? Votes

Make time to meet and eat 30

It's not normal to get thin as you get older 30

Malnutrition: Everyone's Responsibility 26

Lighting the way to better nutritional care 13

If you are losing weight you can do something about it 4

Communication workshop session

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ContextThrough a discussion at Ageuk, it was identified that older people who attended lunch clubs but didn’t access other Ageuk services could be at risk of malnutrition

Objectives and Scope

• As a pilot, staff within Ageuk Faversham and AgeUK Maidstone will identify older people that attend lunch clubs who are potentially at risk of malnutrition

• Identified older people will be offered regular weighing which will be monitored weekly• Where low weight or weight loss is an issue, interventions will be offered, for example meals on wheels• Evaluate; and based on the learning, develop a consistent approach for roll out across Ageuk in Kent and

consider use of volunteers Scope: • Faversham and Maidstone residents and Ageuk staff for the initial pilot. Consider roll out across the Kent

consortium

Deliverables

• Recruit a minimum of 10 older people • Capture core data on BMI and other points for the project• Defined training requirements• Produce a checklist for staff to identify at risk patients• Produce roll out plan, case study and older peoples stories

Success Measures

% increase in weight of participantsIncrease in residents sense of wellbeing/decrease in feelings of isolation Risks: use of BMI insufficient as a sole measure

Training & Resource

• Criteria for recognizing older people

at risk of malnutrition

Team structure and rolesAge Uk lead – Paula OwenPilot lead – Laura PearceCoach – Lisa Godfrey

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[Kent Malnutrition Task Force Pilot Steering Group]

[Individuals where we need input on specific issues, but not core team members]

People who should be told that the work is happening

WORKSTREAM 2 : Weighing older people identified as at risk of malnutrition in a community setting

Case Study-AgeUK BMI projectBackgroundIdentified opportunity to work with vulnerable people in a day centre and domiciliary care setting

ObjectiveTo train Age UK staff to be able to give nutritional advice and support.Provided 1-1 support and advice to 10 individuals at Maidstone day Centre and 10 in receipt of a domiciliary service.

ApproachNutrition training provided to Age UK staff by Kent Community Health Trust Dietetic staff.Volunteers recruited in both settings to take part in the project.

Outcomes9 people signed up with the domiciliary service and 4 within the day centreExcellent progress being made by the individuals taking part

www.nhselect2.org.uk/malnutrition/faversham.php

Workstream 3- Residential Home Project

BackgroundIdea came out of the launch event Enthusiasm generated at the event to work within this sectorSmall measures can have big impacts

ObjectiveKCHT- link up with ‘Mission Nutrition’ projectTraining session to all care home staff to be rolled out in 2015

ApproachEngage with the Care Home forums across the countyCare home marketing campaign

Outcomes (TBC)Deliver ½ day training session to all care home staff

Our Challenges

• Stakeholder engagement• Engaging GPs• Geographical nature of Kent• Accountability

Our Greatest Achievements so Far!

• Stakeholders• Age UK project

– Personal outcomes achieved – Cross organisational working

• Launch event– Excellent turnout from a wide range of

organisations– Generation of enthusiasm to tackle malnutrition in

Kent

Any Questions?