Welcome to the BAPEN Nutritional Care Tool
Measuring Nutritional Care: screening, nutritional care processes, outcomes and patient experience
Every provider organisation is required by the Health and Social Act 2008 (Regulated Activities) Regulations 2014 (Regulation 14) to make sure the individuals in care have enough to eat and drink to meet their nutrition and hydration needs and receive the support they need to do so. Individuals “must have their nutritional needs assessed and food must be provided to meet those needs. This includes where people are prescribed nutritional supplements and/or parenteral nutrition” (Source: CQC website)
Despite best efforts of many organisations and individuals, the costs associated with malnutrition, within the UK have continued to rise; a cost likely to continue to increase without a different approach. The personal cost to individuals and their families is also significant, with an increased mortality rate, increased admissions to hospital, increased pressure ulcers, falls and infections and an overall decrease in quality of life. Combating malnutrition in the UK remains a significant challenge requiring a mind-set shift in how we work together to find innovative solutions.
Why is there a need for a new measurement tool with a different approach?
We know from the national nutrition screening week data that the prevalence of malnutrition remains high (with 24-30% of patients admitted to a UK hospital malnourished or at risk of malnutrition). Whilst numerous nutrition initiatives (many of them national) such as ‘protected mealtimes’ and ‘Nutrition Now’ (Royal College of Nursing), and the publication of numerous standards, including the NICE guidance, have helped to raise the profile of nutrition, these figures show more has to be done, not just in hospitals but across a range of care settings.
Purpose and benefits of the BAPEN Nutritional Care Tool
Building on the work undertaken during the Nutrition Screening Weeks, which really helped create a country-wide picture of the prevalence of malnutrition in the UK, BAPEN has developed a new web-based Nutritional Care Tool which will enable organisations to monitor nutritional screening, the effectiveness of nutritional care they provide and patient experience. We appreciate that the complexities of delivering good nutritional care make measurement fraught with difficulty. However, we believe that measurement is key to delivering further improvements in the quality of nutritional care . We have therefore developed and tested a new measurement tool. This tool utilises quality improvement methodology (i.e. these data are intended to identify improvement opportunities within an organisation, not performance management or research). The tool therefore includes;
- Process measures; screening and care planning
- Outcome measures – weight loss (trackable over time for the duration of admission)
- Patient experience measures of nutritional care received
The tool has been designed to complement the other work that BAPEN has previously undertaken. BAPEN produces a wide range of tools, resources and guidelines designed to help healthcare professionals in hospitals, care homes and the community prevent malnutrition occurring when possible and treat it properly when it does occur. BAPEN’s publications and resources are available on the BAPEN website. Many are available to download as PDF files and some printed publications can be ordered online in the BAPEN online shop.
The BAPEN Nutritional Care Tool overview:
- The Tool is free to all NHS and social care organisations
- Completion takes approximately 5 minutes per individual.
- The data are instantly available to frontline teams to monitor care and deliver improvements.
- Improvements in nutritional care can be delivered whilst the patient is still in your care
- The Tool is completely voluntary so it is up to you how frequently you use it and the scale of use
Tell us what you think!
We're keen to hear about your experience of using this tool; click on the 'Feedback' menu item under 'Data collection' to complete our short survey (opens a new window). Your feedback will be used directly by our developers to improve your experience of data collection!
Dr. Mike Stroud