Community Malnutrition - There's an obvious reason for my under-nutrition. What's yours? Nicola Day, Community Food Co-ordinator and Deputy Head ...
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There’s an
obvious reason
for my
under-nutrition.
What’s yours?
Community Malnutrition
Nicola Day, Community Food Co-ordinator and
Deputy Head of Health Development,
Staffordshire Public Health Team
Is Malnutrition a problem?
• Malnutrition (as under-nutrition), affects about 3 million people in
the UK.
• Malnutrition is under-recognised and under-treated. It leads to
disease, delays recovery, increases visits to GP and increases the
frequency and length of hospital stay.
• Currently, malnutrition is estimated to be costing the national
economy (though associated NHS and social care costs) £13bn per
annum.
31.01.11
‘The Daily Mail asked the Office for National Statistics to analyse the
death certificates of care home residents in England and Wales between
2005
Insert andimage
large 2009….Their
here experts uncovered 667 victims of dehydration and
157 of malnutrition.’
‘Many care home residents complain that overstretched or untrained staff
do not help them to eat their food – or even leave it out of reach and take
it away uneaten.’
25.01.11
‘Caught on camera: Cruel carer who ate so many of Alzheimer's
sufferer's meals that her patient, 70, became malnourished’
‘Relatives became alarmed by her loss of
weight and installed a hidden camera to
monitor Young as she looked after the
pensioner at her home in Lisburn, County
Antrim.’
‘Hungry: Mrs McCluskey, 70, died three
months after her carer was caught eating her
food. They looked on in disbelief as they
watched a recording of Young eating the
food which was supposed to be set in front
of their mother.’
A Local Voice for Malnutrition in Staffordshire Customer insight in 2010 was derived from: Staffordshire People’s Panel (750 members) Community Watchdogs (800 Trading Standards volunteers) Two People’s Panel focus groups (involving 20 participants) Six district Carer’s Association forums (approximately 90 people)
A Local Voice for Malnutrition in
Staffordshire
The Staffordshire People’s Panel
- A woman in Staffordshire was taken out shopping,
once a week by her friend who was a participant of
the focus group.
- The participant ‘ensured that her friend had a meal
whilst she was with her, but suspected that, during the
rest of the week, her friend simply forgot to eat and
then just snacked on crisps and chocolate.’
- One of the focus group’s relatives had
‘died at 83 years of age from ‘starvation’. He
consistently refused medication and assistance from
healthcare professionals and had thrown away ready
meals that his family had left for him to eat’A Local Voice for Staffordshire (cont’d) Of 112 postal questionnaires received, 79% considered malnutrition should be a high priority for Staffordshire The following possible solutions were suggested:- Produce an overarching communications campaign and publicise popular activities and events including luncheon clubs. Educate and inform those who may be suffering from malnutrition as well as family and friends who may be able to help. Ensure that carers who provide home help provide a consistent level of service where food provision is concerned. Ensure that standards in care homes are suitable. Improve identification and referral systems by professionals Food shopping support Better home checks Cookery training Improve support following hospital discharge Improve nutritional support in hospitals
Population Synthetic Estimates for
Staffordshire
Population Projections - over 65's in Staffordshire 2009-2030
65,000
6 0 ,1 0 0
60,000
Issue: Increasing Ageing
5 2 ,7 0 0
55,000
5 0 ,2 0 0
5 0 ,0 0 0
Population across all age
4 5 ,9 0 0
50,000
4 4 ,2 0 0
groups, but most pronounced in
4 3 ,2 0 0
People aged 65-69
4 1 ,0 0 0
45,000
4 0 ,1 0 0
the over 80’s
N um ber
3 7 ,0 0 0
People aged 70-74
40,000
People aged 75-79
35,000
2 8 ,6 0 0
2 8 ,5 0 0
People aged 80-84
2 7 ,2 0 0
30,000
People aged 85
2 0 ,6 0 0
25,000 and over
1 7 ,9 0 0
20,000
15,000
2009 2020 2030
YearPopulation Synthetic Estimates
for Staffordshire (cont’d)
Estimated Healthcare Costs of Malnutrition in Staffordshire
2009-2030
£110,000,000
£100,000,000
Issue: Rising population means
£90,000,000 spiralling healthcare costs
Potential Cost
of Malnutrition related to malnutrition
C o st (£)
£80,000,000 65+
£70,000,000
£60,000,000
£50,000,000
2009 2015 2020 2025 2030
YearSo, what are we doing about this?
Staffordshire Scrutiny Inquiry
• Inquiry event in February 2011 to:-
- Raise awareness of the problem
- Increase visibility and profile of
malnutrition within local
democratic, public health and
social care agendas
- Explore a multi-agency approach
to prevention and management of
community malnutrition.
• Recommendations from the final report resulted
in an Executive Action Plan.Are We Making a Difference Yet?
1. Scrutiny Review of Executive Action Plan
2. Strategic profile 3. Multi-Agency links,
and platform, e.g. bids and care
• People Plan pathway infrastructure
• District and Social
Care Commissioning 4. Research to build
Plans evidence base, e.g.
• Joint Strategic • Most isolated
Needs Assessment • Hospital care
• Health and around malnutrition
Wellbeing Strategy
5. Embedding Care
Home AwardWe’re Here!
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