Malnutrition Prevention Programme

Sue Hawkins and Michelle Smith

Purbeck Locality, Dorset

Purbeck context

• Area/demographics• Partners• Nutritional Care Strategy• Initial single GP pilot• Help and Care

Work Stream Remit 3

Do nowDistribute 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

Do soonLook 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.

Work Stream Remit 1

Work Stream Remit 2

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

TrainingRoll out to

6 GP practices

MUST training

From paper to web based

Training

Training

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

OutcomesChanges to process-Training-forms-equipment-pathways / referralsChanges to culture- Calculate estimated cost savings to Dorset using these local figures and national figures - Wider roll out – Pan Dorset and also Poole & - Bournemouth

Our Challenges

• The IT!– The Form– Tablets– Internet access– Still double entry!

• GP engagement• NHS engagement

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

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

Thank you

Any Questions?