Nutricia Advanced Medical Nutrition

Nutricia specialises in the delivery of advanced medical nutrition for the very young, the old and the sick. As well as being the largest specialist nutrition company in Europe, Nutricia is the market leader in the UK. Nutricia’s mission is to improve people’s health through nutrition by supplying high quality feeds, systems and support services to patients and health care professionals. The Nutricia Homeward service can deliver nutritional feeds, enteral feeding systems and nursing care directly to patients’ homes. www.nutricia.co.uk

Updated:
10 February 2016
Location:
National
Sectors:
Medical, Health, Care

1. Action Plan

1. The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?

At Nutricia Advanced Medical Nutrition we believe nutrition is integral to healthcare. Whether managing a long term condition or recovering from an illness, dietary intervention can play an important role in delivering outcomes to individuals as part of their overall healthcare. For this purpose Nutricia provides specially designed foods, known as medical nutrition, which provides options for people who cannot eat normal foods due to their health condition, or who need to supplement their diets to help overcome or reduce the risk of malnutrition. We provide specialised feeds not only to help people at risk of malnutrition but also to meet specific nutritional needs that can help them manage their condition. Patients and healthcare professionals are also supported through a range of Nutricia services that integrate with the NHS.

Nutricia is the market-leading provider of medical nutrition products and services in the UK and is the largest specialist nutrition company in Europe, with over 200 nutritional scientists in research and development and 100 nurses in the UK. The Nutricia team of nurses and customer service staff supports over 20,000 people across the UK who need to be tube fed in their own homes through the Nutricia Homeward Service.

Over the past 15 years Nutricia has made a major commitment to research and development in the area of Alzheimer’s disease to investigate the role of nutritional approaches to Alzheimer’s disease; in particular the development of novel nutritional approaches to promote synapse formation. Nutricia is committed to supporting people with dementia and their carers to ensure that the quality of nutritional care is consistent at all stages.

Three million people are at risk of malnutrition in the UK, a proportion of which are older people. Nutricia works with hospitals, care homes and GP practices to make early diagnoses of malnutrition, and supports them in implementing nutritional screening. Nutricia runs education programmes with charities such as Carers UK and Care England to educate carers, both paid and unpaid, on the importance of good nutrition. 

Nutricia will raise the profile of the dementia strategy with their employees and colleagues and enable them to better understand the needs of carers of people with dementia through the ongoing dementia friends workshops for staff; additionally, Nutricia will support those employees who themselves are carers through the Carers UK Employers for Carers Scheme. By developing and delivering better services for people with dementia, Nutricia’s involvement will have a positive impact on the lives of people with dementia, and their carers.

Nutricia is committed to the training of staff who are in contact with carers, including Nutricia nurses, to provide better support; Nutricia will work with other stakeholders with the aim of improving its service provision to those with dementia and supporting those organisations who care for people with dementia. In addition, Nutricia will work with these stakeholders, either to help them improve the training they provide, or in improving the training they receive in identifying those who may be at nutritional risk, and the most appropriate nutritional care. Nutricia supports the National Drive to promote earlier diagnosis of Alzheimer’s Disease and recognises the need for innovations to help tackle this debilitating disease.  We commit to continuing our clinical trials programme, sharing the outcomes with all relevant stakeholders and bringing innovative nutritional products to the UK market. 

Nutricia will between now and 2016 do the following:

  • Work with key organisations such as Care England, Carers UK, Malnutrition TaskForce, Alzheimer’s Society to raise the awareness of nutritional risk in people with dementia and their carers, and develop useful resources to help empower people to understand what constitutes good nutrition;
  • Work with key organisations to enable the training of our staff to better understand the needs of people with dementia and their carers when communicating with them through regular dementia friends workshops; Nutricia continuing to support the Employers for Carers Scheme;
  • Through the Nutricia Resource Centre support carers who have concerns about nutrition
  • Work with other organisations to promote consistent  nutritional care throughout the UK, which would mean nutritional screening in all care settings, appropriate nutritional intervention, monitoring and review of nutritional care; identify areas of good nutritional practice and highlight these to key stakeholders;
  • Work with Care England to improve nutritional training in care homes with particular reference to dementia;
  • Work with external stakeholders to develop a consensus/guidance of nutritional management for people with dementia/AD. 

Nutricia has a wide outreach and will use various routes to cascade the key messages of the dementia strategy. Such routes include the Nutricia website, intranet, newsletters, professional journals, conferences and other channels. 

2. What are the challenges to delivering these outcomes from the perspective of your organisation?

There are several major challenges to delivering improved services for people with dementia, which include:-

Resource; The changing NHS and payers; Lack of National targets and incentives to drive screening and appropriate nutritional care across health and social care; Lack of engagement by primary healthcare and lack of understanding of malnutrition and its’ costs to the public sector; No coherent training on nutritional screening or the nutritional management of those at risk of or suffering from malnutrition; Lack of basic information for carers on what constitutes good nutritional care.

Member contacts

www.nutricia.co.uk

Member website

http://www.nutricia.co.uk/

2. Actions

  • Working with key organisations to raise awareness of nutritional risk

    Work with key organisations such as Care England, Carers UK, Malnutrition TaskForce, Alzheimer’s Society to raise the awareness of nutritional risk in people with dementia and their carers, and develop useful resources to help empower people to understand what constitutes good nutrition. 

    Status:
    Implementation

    2015 - Second Quarter Update

    New Carers - Eating well and cancer leaflet developed and available through teh Carers UK website, further support as second social media day focusing on nutrition held during Carers Week June 2015. Nutricia supported Carers Week Nationally this year as named supporters and had various awareness raising activities with employees and local to Nutricia. Nutricia supporting Alzheimer Support Wilts through various volunteering activities but also through provision of office sace/desk for a part time employee of Alz Support Wilts as part of our commitment in supporting the local community adn creating dementia friendly communities. In Jan Nutricia hosted a dementai friends event to which our local MP Andrew Murrison attended and became a dementia friend as well as Directors and General manager and some staff - further broadening the number of those who are dementa friends within Nutricia and further events have been held since.ONgoing work to furterh develop the educational resources on nutrition to make them more accessible to all carers and broaden reach. With Care Act 2014 mentioning nutrition this helps strengthen the importance of nutrition in  health and well-being and further suppotrs our joint work with others in this area.

    2015 - First Quarter Update

    Ongoing development of resources for carers and awareness raising during Nutrition and Hydration Week March 2015 through Nutricia Homeward on importance of support for Carers and where they can access this support through Carers UK and simple looking after yourself information on eating well for carers. Nutrica Nurses train trainer programme on nutrition and supporting local carers groups on eating well where appropriate and is requested. confirmed ongoing support for the Malnutrition Task Force.

    2015 - First Quarter Update

    Ongoing educational support as per second quarter 2014 for both HCPs and carers themselves.

    2014 - Second Quarter Update

    Further development of nutritional resources for carers which are accessible through www.carersuk.org.ukwww.youtube.com/watch?v=tkGTn0hHPC4 - story of a carer and how her father was diagnosed with vascular dementia and her journey plus www.youtube.com/watch?v=wkVl1DrbHjc - info about the partnership work with Carers UK and through supporting the May dementia awareness campaign through www.dementiaawareness.co.uk and The Independent Newspaper supplement on dementia May 21st 2014 and highlighting importance of nutrition. Working with others in the development of a Dysphagia Game for HCPs especially those working in the care home environment to educate on the importance of recognising dysphagia and the safe management of and explanation of the different textures, Nutricia has taken an active part in foling out an educational programme with one large care home group which also look after people living with dementia. Through the partnership with Carers UK are continuning the train the trainer educational programme in both Wales and England including those who are GP voluntary Carer Ambassadors.

    2014 - First Quarter Update

    In parternship with Carers UK Nutricia have developed resouces for carers including a new on for carers looking after someone living with dementia. http://www.carersuk.org/help-and-advice/care-with-nutrition/dementia-and-nutrition

    Ongoing is the education and support for carers on good nutrition http://www.carersuk.org/professionals/resources/research-library/item/3341-spotlight-on-caring-and-nutrition

    Through working in partnership with a care home group on nutrition screening and safe management of dysphagia. Currently in process of working in partnership with others on developing a simple dysphagia game for carers (paid and family) to help with understanding of dysphagia and management of - some people living with dementia may also have some form of dysphagia.

    2013 - Second Quarter Update

    Nutricia's ongoing commitment to improve the lives of people with dementia and their families through raising awareness, working with the local community both within Nutricia and local to Nutricia, and striving to improve the nutritional care that they receive has been clearly illustrated in the recent months through various different activities as summarised below.

    2013 - First Quarter Update

    www.carersuk.org/nutrition now offers information for people to receive information on how to eat well, how to eat well when not feeling well, when to speak to a healthcare professional and prompts so they remember what to ask, information about talks that are available, resources available and how to speak up if they are not happy with the nutritional care they receive. At the ECCA conference in November 2012 Nutricia hosted a satellite symposium on ‘Normalising nutritional care in dementia’ which was well received and summarised for Care Agenda Feb and March 2013. Article also placed in Care Talk. In addition supported a Live Guardian Q&A debate online in December 2012 of which the summary is still available online.

  • Work with key organisations to train staff & raise awareness of dementia

    Work with key organisations to enable the training of our staff to better understand the needs of people with dementia and their carers when communicating with them through regular dementia friends workshops; Nutricia continuing to support the Employers for Carers Scheme. 

    Status:
    Implementation

    2015 - Second Quarter Update

    ongoing dementai friends events to increase no withiin organisation

    2015 - First Quarter Update

    In Jan Nutricia hosted a dementai friends event to which our local MP Andrew Murrison attended and became a dementia friend as well as Directors and General manager and some staff - further broadening the number of those who are dementa friends within Nutricia and further events have been held since.

    2014 - Third Quarter Update

    Ongoing and no new specific updates following on from Quarter 2 update.

    2014 - Second Quarter Update

    Nutricia carried out a survey with employees to better understand the numbers who have joint working/caring role and updated the Carers Policy for Nutricia employees and support through the empoyers for carers scheme, also supporting carers through offering access to the new Carers UK Jointly App. Through ongoing corporate social activity through working with the local community and specifically the local Alzheimers Support Wiltshire through volunteering and support of local events which can also be seen via www.nutricia.co.uk/blog Nutricia continue to take an active part in the support of the DAA Call to Action for Carers.

    2014 - First Quarter Update

    Nutricia are members of the Carers UK employers for carers scheme and actively support those who may be juggling work and caring through a robust Carers Policy. This year we will be reviewing this and also continuing with the lunch and learn programmes for staff on dementia awarenes and support available locally. Through ongoing support locally of Alzheimer Support Wiltshire - support through volunteering to allow them to take part on activivities, decorating activity to improve the environment that carers and those living with dementia meet in Wiltshire. Before Christmas Nutricia hosted a Christmas Buffet for the local day centre for people living with dementia and their carers; support of computer club continues. Through the work of Call to Action for Carers - sharing ideas on involvement.

    2013 - Second Quarter Update

    Ongoing and also working with local Alzheimer’s Support Wiltshire. Employees also supported

    2013 - First Quarter Update

    Nutricia nurses have completed their first round of dementia training and the Homeward customer services team. Jointly with the local Alzheimers Support Wiltshire had a health awareness leaflet about the signs of dementia through the Homeward deliveries during September 2012. In addition there was various volunteering activity with the local Alzheimer Support Wiltshire in 2012 eg supporting a barge trip, renovating the local respite care day centre garden. Nutricia also supported and provided a Christmas buffet lunch and party for 30 residents and carers of people with dementia from the local Polebarn day centre and many employees were involved to make it a memorable and appropriate enjoyable celebration for all involved. At the end of 2012 Nutricia launched their new Carers specific policy for employees.

  • Host a carers helpline

    Host a dedicated carers helpline to provide support those who have concerns about nutrition

    Status:
    Delivery

    2015 - Second Quarter Update

    Ongoing social media days per quarter suported by Nutricia Advanced Medical Nutrition's Resource Centre.

    2015 - First Quarter Update

    ongoing support through Resource Centre (Nutricia Advanced medical Nutrition) as approrpiate and with Carers UK support social media days on nutrition per quarter.

    2014 - Third Quarter Update

    As per update in second quarter of this year, through the Resource Centre provide ongoing support to carers as appropriate and dedicated social media days focused on nutritiona nd eating well with Carers UK.

    2014 - Second Quarter Update

    Through the Resource Centre support centre provide ongoing support to carers as appropriate and have also supported some social media days specifically on nutrition.

    2014 - First Quarter Update

    Ongoing and every few months support a deciated Carers nutrition/eating well social media day to allow carers to talk to each other but also answer any questions they may have on eating well/good nutrition. Staff also have refresher training and some dementia friendly sessions are being planned for 2014 through working with the local Alz Support Wilts.

    2013 - Second Quarter Update

    Through the nurse careline and resource centre we do provide some support for carers who are looking after people who are being tube fed at home through the Nutricia Homeward service, also support for those who call into the helpline as appropriate. Those who provide the support on these helplines have undergone some dementia training through the dementia champion training programme.

    2013 - First Quarter Update

    Nutricia provide a helpline for carers and non-carers who are concerned about the nutrition/food intake of themselves or loved ones and this is supported by nutritionist/dietitian and a standard call procedure if followed so that advice is given appropriately.

  • Produce information and resources accessible to carers on good nutrition and empower carers on this topic

    Through the Nutricia Resource Centre support carers who have concerns about nutrition.

    Status:
    Delivery

    2015 - Second Quarter Update

    With Care Act 2014 which came into play April this year actually mentioning nutrition - then building on this with trying to raise profile and importance of getting the nutrition right for carers and those who they care for. Further deelopment of resources with some additions to the range this year and accessible to carers through teh Carers UK website. Used opportunity fo dementia awareness week to raise awarenss of importance of nutrition for carer and for person living with dementia and working in collaboration with others.

    2015 - First Quarter Update

    As stated as part of top action - this is ongoing support and further refinement of the way that the nutrition eductaon is delivered or accessed by carers will be developed in 2015.

    2014 - Third Quarter Update

    New resources continue to be developed and a new leafelt is due out beginning of October. Ongoing educational sessions on eating well with carers.

    2014 - First Quarter Update

    http://www.carersuk.org/help-and-advice/care-with-nutrition/our-partnership/itemlist/category/549-nutrition?googleb0t=true new resources added - dementia

    2013 - Second Quarter Update

    The partnership with Carers UK continues to empower carers on what good nutritional care should look like with the development and enhancement of the information available through the Carers UK website on eating well, how to find out more, how to get involved, training materials, supportive information to help people speak up if concerned, new resources, support network and so on www.carersuk.org/nutrition There have been various educational events and there is a programme of train the trainer events coming up this Summer which further spreads the reach and accessibility for carers on good nutrition, plus new leaflets are being planned with one specific for Carers being launched in Carers Week 2013 and an additional one for Carers looking after someone with dementia later in the year. As recently as May The Guardian hosted a Round Table to debate nutritional care and the follow-on from the Carers UK Report on Malnutrition – "Malnutrition and Caring: the hidden cost for families" the actual round table discussion was entitled "Dignity in care: preventing and tackling malnutrition.  This resulted in a summary dated May 29thbeing published in The Guardian and also online http://www.guardian.co.uk/social-care-network/2013/may/29/malnutrition-older-people-lack-of-food

    It is important to recognise those employees who are caring alongside working and through Nutricia’s membership with Carers UK employers for carers scheme a new Carers Policy has been launched which specifically focuses/mentions support for carers in the work place.

    Through the Dementia Action Alliance Nutricia are actively supporting the Dementia Action Alliance's Call to Action for Carers and will continue to do so.

    2013 - First Quarter Update

    Through www.carersuk.org/nutrition have jointly developed useful resources on how to eat well and appropriate advice and tips.

  • Work with Care England to improve nutritional training in care homes

    Work with Care England to improve nutritional training in care homes with particular reference to dementia;

    Status:
    Implementation

    2015 - Second Quarter Update

    ongoing work, articles raising profile of nutrition within Care Agenda as a regular feature.Support of educational sessions again to raise awareness and also confidence.

    2015 - First Quarter Update

    Ongoing work with one of groups on dysphagia and also working with on alternative options of education ie through board game (joint NHS England initiative with  Focus Active Learning.http://www.dysphagiagame.com/

    2014 - Fourth Quarter Update

    ongoing and supported educational Care England conference and held an educational session on dysphagia and nutritional management and saftey.

    2014 - Third Quarter Update

    ongoing

    2014 - Second Quarter Update

    ongoing

    2014 - Second Quarter Update

    Ongoing

    2014 - First Quarter Update

    ongoing

    2013 - Third Quarter Update

    ongoing

    2014 - First Quarter Update

    Ongoing

    2013 - Second Quarter Update

    Through Nutricia's work with care homes are not only supporting education/training on nutritional screening in certain areas working with the local dietetic services but this also incorporates training on dysphagia as well. This was also illustrated through Nutricia's Session at the ECCA conference at the end of 2012 and the subsequent article in ECCA's Care Agenda at the beginning of 2013.

    2013 - First Quarter Update

    Nutricia supported a satellite symposium at the annual ECCA conference Nov 2012 on ‘normalising nutritional care in dementia’ which was well attended and summarised in their Care Agenda. Also worked with one of the care home groups to provide them with some online training resources for nutritional screening training which will be followed up in 2013.

  • Develop a consensus/guidance of nutritional management for people with dementia

    Work with external stakeholders to develop a consensus/guidance of nutritional management for people with dementia/AD;

    Status:
    Initial Scoping

    2015 - Second Quarter Update

    ongoing

    2015 - First Quarter Update

    ongoing

    2014 - Third Quarter Update

    ongoing

    2014 - Second Quarter Update

    Ongoing

    2014 - First Quarter update

    Ongoing

    2013 - Second Quarter Update

    Ongoing – no further progress at present.

    2013 - First Quarter Update

    Some background work has been done in this area and an initial summary published in HCP journals/magazines – contact kate.hall@nutricia.com for full article

  • Continue to work with key stakeholders

    Work with other organisations to promote consistent nutritional care throughout the UK, which would mean nutritional screening in all care settings, appropriate nutritional intervention, monitoring and review of nutritional care; identify areas of good nutritional practice and highlight these to key stakeholders. 

    Status:
    Initial Scoping

    2015 - Second Quarter Update

    As named supporters of Carers Week this year as part of helping create carer friendly communities we made our own pledge and cmmitment on this and ran some sessions with staff  bringing in local carer to talk about their experiences. Working with oters and HSJ on a RT focusing on longterm conditions and importance of nutrition - publlished June 2015.

    2015 - First Quarter Update

    Ongoing and end of 2014 published with HSJ/LGC outcomes of a RT on malnutrition and public health.  Ongoing working with other organisations to raise awarenes so of malnutriion and importance of nutrition for health and well-being an dimproving outcomes (and patient experience). Reamin founder members of the Malnutritoon Task Force, active member of the NHAA, working in partnership with Carers UK, during nutrition and hydration week involved in some roadhsows on the topic.

    2014 - Third Quarter Update

    Final article in the Guardian online healthcare social network was published and an online debate on carers and management of malnutrition. Following on from this have been involved in looking at the Top Integrators in social and healthcare with the Local Government Chronicle which was published in June and more recently just supported a Round Table discussion on this topic with a focus on malnutrition and how do we get actions.

    Through being an active member of the Nutrition and Hydration Action Alliance raising awareness of the topic of disease related malnutrition.

    2014 - Second Quarter Update

    Continue to work with other organisations to raise awareness of malnutrition and importance of nutrition for health and well-being and improving outcomes. Active member of the Nutrition and Hydration Action Alliance; Nutricia will be putting forward their commitment to act supporting the newly launched BAPEN Malnutrition Matters - Commitment to Act document; Nutricia during March - July 2014 have supported (and will continue) The Guardian Healthcare network hub section on mlanutrition (articles and 20 voices and live debate on the topic) www.theguardian.com/healthcare-network/ 

    2014 First Quarter Update

    Supporter of the Nutrition and Hydration Action Alliance. In addition through the work we are invovled in with partners strive to raise the profile and awareness;May 2013 The Guardian ran a round table on malnutrition and how is it being tackled in the UK early 2014 one is being run in Wales.

    As ambassador for Nutrition and Hydration week 2014 raising awareness within business, locally and also with partners - importance of receiving the right nutritional care at the right time; and that the right services are being commissioned as well for this to happen.

    Ongoing nutrition education. 

    2013 - Second Quarter Update

    Through work with Carers UK and other organisations and through support of the Malnutrition Task Force this year. In addition The Guardian article published May 29th2013 – see update within the action “Produce information and resources accessible to carers on good nutrition and empower carers on this topic”

    2013 - First Quarter Update

    A summary to set the scene for this was placed in Care Talk in Q4 2012 as an introduction and will be followed up in 2013.

  • Provision of a grant to the Malnutrition Taskforce

    Provision of a grant to the Malnutrition Taskforce under the Dignity in Care Partnership

    Status:
    Implementation

    2015 - Second Quarter Update

    ongoing

    2015 - First Quarter Update

    ongoing

    2014 - Fourth Quarter Update

    ongoing

    2014 - Third Quarter Update

    ongoing

    2014 - Third Quarter Update

    Ongoing and the pilot sites are now set up www.malnutritiontaskforce.org.uk

    2014 - Second Quarter Update

    Ongoing

    2014 - First Quarter Update

    Ongoing - see www.malnutritiontaskforce.org.uk

    2013 - Second Quarter Update

    Ongoing support

    2013 - First Quarter Update

    This is ongoing.

  • Actively support DAA Carers Call to Action

    Actively support the DAA Carers Call to Action

    Status:
    Delivery

    2015 - Second Quarter Update

    nothing new to update on as thsi call to action has moved to next phase

    2015 - First Quarter Update

    this call to action is now loving into its' next phase.

    2014 - Third Quarter Update

    Ongoing and proud to support this Dementia Action Alliance call to action

    2014 - Second Quarter Update

    Ongoing

    2014 - First Quarter Update

    Through working with carers understand the needs they have and the fact they need to feel supported. Nutricia are helping support financially but also through resource and skill sharing to help drive this call to action.