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2019 CN Awards – The shortlist

Comprising of 10 categories, the CN Awards provides the chance for all readers, advertisers and contributors of CN magazines to come together to recognise the achievements of those whose great work has made a significant difference within the nutrition industry – whether an individual, group or organisation.

The CN Awards are your Awards to recognise your profession.


Nutrition Resource of the Year

Nutrition and Dementia Care: A toolkit for health and care staff

Ageing and Dementia Research Centre, Bournemouth University

Nominated by: Emma Connolly, Programme Director, Greater Manchester,  Age UK Salford

Ensuring people living with dementia receive appropriate nutrition and hydration is complex and can present challenges for health and care staff. This toolkit provides freely available resources (Film, Workbook and Guide www.bournemouth.ac.uk/nutrition-dementia) to deliver person-centred nutritional care in dementia. The toolkit has been used all over the UK and overseas, as far afield as Australia. The workbook and film aim to develop knowledge and skills around nutrition and hydration to provide best quality care that also offers an excellent CPD opportunity, completed flexibly. To date, almost 1000 known recipients of the workbook (including nurses and allied health professionals, hospital and care home staff) have reported benefits and inspired action to reconfigure the way in which nutritional care is delivered.

Testimonial from a care home manager: “We have revolutionised our meal times and this has proven to be of great success. In the few short weeks we have observed and recorded an increase in weight with the majority of our residents and a more sociable and interactive feel that surrounds our mealtimes.”

Testimonial from a commissioner of care services: “We used the workbook as a superb resource to input in our action plan to improve nutrition care in our borough across health and social care providers for people living at home and in a residential home.”

Direct feedback from staff drove the development of an easy-to-use practical guide. Feedback comments indicate the impact and difference small changes can make on nutritional care. To date over half of recipients have reported that people with dementia who had poor appetites or were losing weight are eating more as a result of the suggestions and interventions in the guide. Quality improvements in nutritional care have led to increased Care Quality Commission ratings in care homes.

Testimonial from Emma Connolly, Programme Director for Greater Manchester Nutrition and Hydration Programme: “The guide is simple yet comprehensive. It focuses on supporting people living with dementia to eat and drink well in a dignified way with positive and practical tips for care staff. It has been well received by health and care professionals and has potential to transform nutritional support in care homes.”

TEMPLE (Tools Enabling Metabolic Patients Learning)

Dietitians Group of the British Inherited Metabolic Disorders Group (BIMDG)

Nominated by: Louise Robertson, Specialist Dietitian, University Hospitals Birmingham NHS Foundation Trust

Newborn screening (NBS) has been a life saver for many children with rare inherited metabolic diseases (IMDs). There are now 6 IMDs that are screened for shortly after birth. Getting a diagnosis of an IMD is very stressful for new parents. To help with educating these parents, the Dietitians Group of the British Inherited Metabolic Disorders Group (BIMDG) have adapted and written 17 different guides for parents whose child have just been diagnosed with an IMD. The TEMPLE books include guides for a diagnosis of: Arginase deficiency, Agrinoscussinic aciduria, Citrullinaemia, Glutaric aciduria type 1, Galactosaemia, Homocystinuria, Isovaleric acidaemia, Medium chain acyl-CoA dehydrogenase deficiency, Methyl malonic acidaemia, Maple syrup urine disease, Ornithine transcarbamylase deficiency, Phenylketonuria, Propionic acidaemia, Tyrosinaemia type 1, Tyrosinaemia type 2 and Very long chain acyl-CoA dehydrogenase deficiency.

Each colourful illustrated booklet goes through what the disorder is, the symptoms and long-term effects, diagnosis, inheritance, medical and dietary management. They are a fantastic resource for dietitians and health professionals to teach parents about these rare disorders and for the parents to be able to take them home and digest.

They can be found on the BIIMDG website: http://www.bimdg.org.uk/site/temple.asp

The Malnutrition Pathway

Anne Holdoway, and the Malnutrition Pathway Consensus Group

Nominated by: Ann Ashworth, Specialist Medicines Optimisation Dietitian, NEW Devon CCG

Description from the BAPEN Website (https://www.bapen.org.uk/news-and-media/news/682-managing-adult-malnutrition-in-the-community-update): ‘The guide includes information on identification and management of malnutrition according to risk category using the BAPEN ‘MUST’ tool, guidance on optimising nutritional intake and a practical pathway on the appropriate use of oral nutritional supplements in managing malnutrition.

The guide, which is based on clinical experience and evidence, with best practice, has been developed by a multi-professional team of expert practitioners and is endorsed by key organisations including BAPEN, the Royal College of General Practitioners (RCGP), the Royal College of Nursing (RCN) and the British Dietetic Association (BDA).

The update also includes information for healthcare professionals on Managing Malnutrition with Oral Nutritional Supplements, as well as a number of resources for patients and carers. These resources include:

  • Nutritional Drinks (known as Oral Nutritional Supplements) – For those at high-risk of nutrition, outlining why patients have been prescribed oral nutritional supplements and advice on getting the most out of them.
  • Your Guide to Making the most of Your Food – For those at medium-risk of nutrition, on how to get the most nutrition from the food they eat
  • Eating Well – For those at low-risk of nutrition, on how to eat well and keep as healthy as possible.

Commenting on the update, Dr Simon Gabe, BAPEN President said: “BAPEN welcomes the publication of the updated guide for community healthcare professionals and the resources for patients and carers, which will play a crucial role in continuing to improve the earlier recognition and management of malnutrition.

As highlighted by the recent All Party Parliamentary Group on Hunger’s ‘Hidden hunger and malnutrition in the elderly’ report, effective identification and appropriate management of people at risk of malnutrition in community settings will reduce hospital admissions of those individuals who are malnourished. This will help to reduce the overall cost burden of malnutrition, while improving health outcomes for patients.”’


As a clinical dietitian working in a CCG, I welcome the professional resources, newsletters and videos that are available on the malnutrition pathway website. The malnutrition pathway has been embedded in our formulary so that it is available to all health professionals at a click of a button: https://northeast.devonformularyguidance.nhs.uk/formulary/chapters/9.-blood-and-nutrition/adult-malnutrition.

This pathway, which has recently been updated, is evidence-based and therefore an extremely valuable resource for all busy health professionals wanting guidance on how to treat malnutrition and improve patient care in both home and community settings.

 

New Product of the Year

Abbott TwoCal 200ml

Abbott

Bolus feeding has become more prevalent in recent years, with an estimated one third of tube fed patients now receiving either all or part of their nutrition via this method.1 This increase is likely due to the fact that bolus feeding is suitable for a wide variety of adult patients, including those with head and neck cancer, those who have suffered a brain injury, including stroke, and those with  neurological disorders, such as cerebral palsy.1 It is also very flexible, allowing the regimen to be tailored to fit the patient’s lifestyle and circumstances.

Despite the increase in bolus feeding, oral nutritional supplements (ONS) are predominantly used instead of bolus feeding specific products.1 However, ONS tend to contain lower levels of electrolytes and fibre may also be lacking.2

Launched in May 2018, Abbott’s TwoCal 200ml is the only 2kcal/ml bolus feed that comes in a convenient 200ml bottle, specifically designed to support bolus feeding. It contains a source of prebiotic fibre (2g fructo-oligosaccharides (FOS) per bottle) and contains a higher electrolyte content versus commonly used ONS,3 which may be of benefit to those relying on bolus feeding as a sole source of nutrition and those who are on a long-term bolus regimen.2

Furthermore, electrolytes are not routinely monitored in the majority of tube fed patients in the community,2 whom may have greater requirements due to their disease, malabsorption or losses, e.g. fistula or diarrhoea.4 Therefore, bolus specific feeds may be required so that patients are more likely to meet the recommended nutrient intakes (RNIs).4

Healthcare professionals now also have access to a patient-centred ‘Bolus Feeding Decision Aid’, developed by a group of specialist dietitians with extensive experience of enteral tube feeding, designed to support dietitians in the day-to-day management of bolus fed patients.*

* The development of this resource was supported by Abbott.
1.
Simons R et al. Clin Nutr ESPEN 2017;22-122. 2. Expert Consensus Panel. CN Magazine. 2018;18(5):33-35. 3. Data on file. Abbott Laboratories Ltd. 2018. (TwoCal electrolyte comparison). 4. Curall, C. CN Magazine 2017;17(1): 24-26.
ANUKANI190084 Date of preparation: March 2019

Fresubin 3.2kcal Drink

Fresenius Kabi Ltd

Fresubin 3.2kcal Drink is a low volume ONS that “breaks new ground”. It is currently the most energy dense (3.2kcal/ml) 125 ml oral nutritional supplement (ONS) available.1 One bottle of Fresubin 3.2kcal Drink provides the minimum calorie requirements for ONS of 400kcal as recommended in the ESPEN guidelines 2018.2 Malnourished patients who receive at least 400kcal from ONS have shown a reduction in mortality and improved patient outcomes.3

Fresubin 3.2kcal contains 20g of protein per bottle (20% energy from protein) from a unique protein blend of collagen hydrolysate and milk protein, providing a high quality and easy to absorb protein source which helps to rebuild muscle tissue.4 Collagen hydrolysate is associated with improved healing time and tissue repair, together with improved body composition and muscle strength when combined with resistance exercise in sarcopenic patients.5, 6 High protein ONS (≥20% energy from protein) have been shown to reduce complications, reduce length of stay, reduce readmission rates and improve hand grip strength.7

Energy, protein and vitamin D supplementation is recommended to help manage malnutrition and frailty.8 Frailty and vitamin D deficiency contributes to an increased risk of falls and fractures.8, 9 One bottle of Fresubin 3.2kcal contains 100% of the RNI for Vitamin D, and offers an effective strategy to ensure an adequate intake.

Fresubin 3.2kcal Drink is available in 3 tasty flavours, mango, vanilla-caramel and hazelnut, and 100% of patients gave a positive response to taste.10

Patient compliance plays an essential role in improving clinical outcomes and increasing nutritional intake. Fresubin 3.2kcal offers a unique combination of features associated with a high level of patient compliance, including high energy density (3.2kcal/ml), low volume (125ml), palatability and a ready to drink presentation.

1. MIMs online March 2019 2. Volkert D et al. Clinical Nutrition June 2018 SO261-5614(18)30210-3 3. Milne AC et al. Cochrane database Syst. Rev. 2009;15;(2):CD003288 4. Witard OC et al. Nutrients 2016;8(4):181 5. Zdzieblik D et al. Br J Nutr. 2015;114(8):1237-1245 6. Lee SK et al. Adv Skin Wound Care. 2006;19(2):92-96 7. Cawood et al. Ageing Res Rev. 2012;11(2):278-96.1 8. Morley JE et al. J Am Med Dir Assoc. 2013;14(6):392-397 9. SCAN. Vitamin D and health 2016 10. UK Palatability Report 2017. Data on file

Neocate Syneo

Nutricia

Neocate Syneo – Launched May 2018.

Supported by three clinical trials,1-4 Neocate Syneo is the first and only Amino Acid based Formula to contain prebiotics and probiotics*, for use in the dietary management of infants from birth onwards with Cow’s Milk Allergy (CMA), Multiple Food Protein Allergies (MFPA) and other conditions where an AAF is indicated.

An increasing amount of evidence suggests that infants with CMA have a dysbiosis, or imbalance, of the gut microbiota compared to healthy breast fed infants5-7, and this may lead to delayed oral tolerance,8-10 and the development of other allergic conditions later in life.11-12 Neocate Syneo has been shown in clinical trials to rebalance gut microbiota dysbiosis in infants with CMA,1-3 bringing it closer to that of a healthy, breast fed infant.

Developed with and supported by UK HCP’s, Neocate Syneo:

  • Is the only AAF to contain prebiotics and probiotics supported by extensive evidence and safety data
  • Is clinically proven to rebalance the gut microbiota of cow’s milk allergic infants1-3 closer to that of the healthy breast fed infant1
  • Provides effective resolution of CMA symptoms1-3
  • Is nutritionally complete and suitable as a sole source of nutrition from birth to 12 months of age
  • Supports normal growth.3-4

With 35 years of clinical experience in paediatric nutrition Nutricia are excited to have launched Neocate Syneo, the latest innovation to the unique Neocate range of age-adapted AAFs, including formulations suitable for infants and children from birth up to 10 years**.

*prebiotic: sc/lc fructo-oligosaccharides. Probiotic: Bifidobacterium breve M-16V
**Neocate Syneo and Neocate LCP (from birth), Neocate Spoon (from 6 months onwards), Neocate Junior (from 1 – 10 years)

Disclaimers: This information is intended for Healthcare Professional Only.
Neocate Syneo is a Food for Special Medical Purposes for the dietary management of CMA, MPFA and other conditions requiring an AAF. It must be used under medical supervision after full consideration of all feeding options, including breastfeeding.

References: 1. Candy et al. Pediatr Research. 2018;83(3):677-686 2. Fox et al. Clin Tranl Allergy. 2019; 9:5. 3. Burks AW et al. Ped Allergy Immunol. 2015; 26:316-22. 4. Harvey BM. et al. Pediatr. Research 2014;75(2):343-351. 5. Wopereis H, et al. Pediatr Allergy Immunol. 2014; 25:428-38. 6. Canani R et al. ISME J. 2016;(3)742-50. 7. Ling Z et al. Appl Environ Microbiol 2014;80:2546-54. 8. West CE et al. Clin Experimental Allergy;45:43-53. 9. Weiner L. et al Immunological Reviews 2011;24:241-259 10. Pabst O & Mowat AM, Nature 2012;5(3):232-239 11. Azad MB et al. Clin Exp Allergy. 2015; 45:632-43. 12. Bisgaard, H et al. J Allergy Clin Immunol. 2011; 128:646-52. e1-5.

Accurate at the time of publication, March 2019.

Renastep

Vitaflo (International) Ltd

Vitaflo (International) Ltd developed Renastep™ following a request from a group of expert Paediatric Renal Dietitians in the UK, the Paediatric Renal Interest Nutrition Group (PRING), as there was no ready-to use, specifically designed feed for use in young children (aged 3 years onwards) with kidney disease.

Optimising nutritional intake at all stages of chronic kidney disease and at all ages within childhood is important to ensure adequate growth.1 Renastep has been developed in line with the latest globally recognised evidence-based guidelines for the nutritional management of paediatric kidney disease; The Kidney Disease Outcome Quality Initiatives Clinical Practice Guidelines for Nutrition in Children with CKD; 2008 Update (KDOQI Guidelines),sup>2 and has been specifically designed for children with kidney disease through its specific nutritional formulation, sensory properties and packaging design. Renastep is a ready to use, high energy liquid feed containing protein, carbohydrate, fat, vitamins, minerals, trace elements and docosahexaenoic acid (DHA). It contains low levels of potassium, phosphorus, calcium, chloride and vitamin A. It is presented in a convenient 125ml bottle and has a vanilla flavour, which takes into account the taste changes associated with kidney disease.3

The development and launch of this innovative product demonstrates how clinicians, industry and research can work in collaboration for the best interests of patients.

References: 1. Royle, J. (2015) Chapter 12: Kidney disease. Clinical Paediatric Dietetics. V Shaw, John Wiley & Sons Ltd. 4: 242-281.; 2. National Kidney Foundation (2009). “KDOQI Clinical Practice Guidelines for Nutrition in Children with CKD: 2008 Update”, American Journal of Kidney Disease 53 (S2): S1-S124.; 3. Armstrong, J.E., D.G. Laing, F. J. Wilkes and G. Kainer (2010). “Smell and taste function in children with chronic kidney disease”. Paediatric Nephrology 25 (8): 1497-1504.

Renastep is a food for special medical purposes.

 

Community Nutrition Professional of the Year


Kindly sponsored by Yakult

Yakult is delighted to sponsor the 2019 CN Award for ‘Community Nutrition Professional of the Year’. For free educational and research information visit www.yakult.co.uk/hcp


Emma Winder

Macmillan Café Manager and Chef, Macmillan Horizon Support and Information Centre

Nominated by: Mhairi Donald, Macmillan Consultant Dietitian, Brighton and Sussex University Hospitals Trust

Emma has been instrumental in running cookery skills workshops for people affected by cancer. She runs the classes alongside a registered dietitian and provides all the cooking know how, skills and recipes to support this group through a 3-week course covering breakfast boosts, eating a rainbow and positive protein. There are a huge range of patients coming through the class, from those affected by cancer of the brain, prostate, breast and gastrointestinal tract to name a few. She is able instil confidence in those attending, getting them to taste new foods and teaches them that anyone can cook. She adapts recipes and lessons to support some very challenging clients, including those with a plethora of allergies, cancer patients who are also on dialysis and renal diets, as well as supporting a recent client who had lost his sight as result of a frontal lobe brain tumour.

Along with our head and neck dietitian, she also runs specialist classes for those affected by cancers which cause dysphagia, so, specifically teaching how to modify textures of food and using all the utensils to make pureed food tasty.

The feedback for the course has been fantastic – patients have really enjoyed the experience and the evaluation have been very positive. One patient summed it up brilliantly: “This is a changing point in my dietary life, and I am very pleased I have attended and feel confident taking this advice forward. All the staff have been extremely knowledgeable and have blown my expectations “

Georgina Wainwright

Eating Disorders Dietetic Lead, Somerset Partnership NHS Trust

Nominated by: Polly Maguire, Eating Disorders Dietetic Lead, Somerset Partnership NHS Trust

Georgina shows unwavering dedication to the Eating Disorders Team, support to the community dietitians and delivers outstanding care to her patients every hour of every day.

When both departments have struggled, due to funding, maternity leave or complex patients, she will always be the first to step in to help solve the problem.

She encourages and supports newly qualified dietitians to develop their skills year after year and motivates those around her to learn more about the complexity of disordered eating and eating disorders dietitians.

She is never acknowledged for this hard work yet continues to help and support those around her. She strives to improve patient care, whether through improving consistency of care via audits, writing business cases for more funding, responding to new research, local or national policies/guidance or encouraging dietitians from trusts all across the south west to meet and continue their professional development.

Kirsty Jukes, Keaton Irvine and Louise Cranfield

Specialist Community Dietitians, Western Sussex Hospitals NHS Foundation Trust

Nominated by: Rebecca Mapson, Advanced HEF Dietitian, Western Sussex Hospitals NHS Trust

The Community Dietitians from Western Sussex Hospitals NHS Foundation Trust deserve this nomination for their commitment and dedication in delivering the hugely successful NRICH (Nutrition Resources in Care Homes) training programme to local care homes over the past two years.

Following the observation that the majority of referrals to the community dietetic service were from care homes and noting inconsistent care planning, variable food first approaches and the inappropriate use of oral nutritional supplements, the team set out to improve the identification and treatment of malnutrition for care home residents.

A comprehensive in-house training package was developed and delivered to local care homes; this was supported by excellent training resources (available on www.westernsussexhospitals.nhs.uk/services/dietitians), which include supporting information on undertaking ‘MUST’ and recipes for fortified recipes and snacks.

Audits carried out before and after training have shown the impact of this training package to be outstanding – with a 100% improvement in the completion and accuracy of ‘MUST’ screening and huge reduction in the prescription of oral nutrition support, as well as improved mealtime experiences for residents.

The energy, enthusiasm and passion shown by the team in the development and implementation of this project has been outstanding. As a team, they have overcome challenges and constraints to deliver this project so successfully; resulting in a huge impact on the nutritional care delivered in our local care homes, significant financial savings and improved mealtime experiences for the residents.

 

Social Media Personality of the Year

Dr Jim Stewart

Consultant in Gastroenterology, Clinical Nutrition and Intestinal Failure, University Hospitals of Leicester NHS Trust

Nominated by: Dr Dan Rogers, Consultant in Gastroenterology, Clinical Nutrition and Intestinal Failure, University Hospitals of Leicester NHS Trust

Dr Jim Stewart (@Leicnut on twitter) is a tireless advocate of good nutritional care for patients in the UK. He champions dietetic and nutritional practice regularly on social media and has over 4800 followers on twitter.

Each day he tweets about nutritional good practice, shares relevant new evidence and experience and works to debunk nutrition myths. Even more importantly, by way of debunking these myths, he engages and challenges poor nutritional advice that is being publicly given and advocates strongly for the vital role that dietitians play in the care of all patients. Locally, we have seen the effect that his social media presence has made, with medical students, nursing staff, junior (and a number of senior) doctors becoming much more proactive in their assessment of nutritional status and management of any malnutrition found.

Social media is a powerful medium for engaging with wide audiences. Albumin is not a nutritional marker, but it gets passed down each generation of medics as gospel, and this is one of the nutrition “facts” that Dr Stewart regularly debunks via twitter. A number of junior doctors locally have challenged their own consultants about this incorrect fact they are taught as a direct result of engaging with @Leicnut on twitter.

Jim is very humble about the effect of his activities on twitter and I think winning the CN Award for Social Media Personality of the Year would suitably reward all of his endeavours.

Nichola Ludlam-Raine

Specialist Registered Dietitian

Nominated by: Janet Kwok

Nichola has always advocated good evidence-based nutritional information and made that easy for the general public to digest by pointing out the key information. I like that she always reminds her audience that there is not a single ‘best’ diet for everyone, only a suitable sustainable way of enjoying food for each individual. She has demonstrated she is merely giving sound valid information of food and sharing her experience with food and life without an authoritative tone that everyone should follow exactly what she said. She is very present on social media platforms and interact with her audience frequently with a great attitude, and she stands behind her own words.

With her lively pleasant demonstration of food recipes, tips on having a healthy sustainable diet and information about food science in various ways – Twitter, YouTube, Instagram, podcasts, TV programmes and her own blog on nicsnutrition.com – she has made accessing strong credible food knowledge easy, fun and appealing to audiences.

Through cameras and words, her personality shines where she demonstrates genuineness and depth in her content, as well as up-to-date information that whenever I look for credible sources about food science, I would go straight for hers to get an initial idea. I, therefore, feel confident to nominate Nichola for the Social Media Personality of the Year.

Priya Tew

Freelance Dietitian

Nominated by: Louise Robertson, Specialist Dietitian, University hospitals Birmingham NHS Foundation Trust.

Priya Tew is a multi-talented dietitian, pilates teacher, sports massage therapist and mum of 3. She is also a TV dietitian appearing on programmes such as ‘Eat Well for Less’ and ‘Truth or Scare’.

Priya runs several successful social media channels including Facebook (Priya Tew, Dietitian UK), Instagram (Priya Tew, Dietitian UK), YouTube (Priya Tew, Dietitian UK) and Twitter (@PriyaTew) and writes regularly for her blog: Dietitian UK (https://www.dietitianuk.co.uk/).

She combines evidenced-based knowledge and professionalism to ensure her posts reflect the latest nutritional guidance but are also tailored to real life. No polished, staged, perfect photos, but real-life food and nutrition. Through her work as an eating disorders dietitian she inspires people to eat with no regrets. She regularly posts about topical issues in nutrition, family recipes and inspires people that healthy eating is achievable for family life.

 

Paediatric Nutrition Professional of the Year

Frances Taylor

Specialist Dietitian, Buckingham Healthcare NHS Trust

Nominated by: Fareeha Ali, Specialist Dietitian, Buckingham Healthcare NHS Trust

Frances is an experienced Paediatric Diabetes Specialist Dietitian who has demonstrated a genuine passion and drive to improve outcomes for children with type 1 diabetes that I have not witnessed before. Her determination to prevent children suffering from complications in both early and later life is what led her to embark on a tremendously challenging yet rewarding journey; to change the way all children in Bucks managed their diabetes.

She conducted research into dose adjustment, and identified that tailoring insulin doses to carbohydrate intake, instead of using set doses of insulin, improved blood glucose control significantly. As a result, Frances took the initiative to work through her entire caseload, by collaboration with her team, to ensure that all children and parents were educated in carbohydrate counting.

Her work did not stop at changing the care of those within her early caseload, but she now strives to ensure all patients who are newly diagnosed with diabetes are carbohydrate counting immediately to promote accustoming to positive habits and, therefore, blood glucose levels from the start of patients’ diabetes journeys.

She works incredibly hard and is very frequently in discussion with her team to identify and overcome barriers to patients’ progress. She has a healthy competitive spirit, regularly comparing outcomes of children with diabetes in Buckinghamshire to other areas in the country, which keeps her reflecting and enabling changes as part of the teams’ practice. The fruits of her work are in her patients’ continually improving HbA1c levels – so watch this space!

Royal Belfast Hospital for Sick Children, Nutrition Support Team

Team: Dr Louise McLoughlin, Janine Dolan, Jayne Holmes, Sarah Pedlow, Lynsey Morrow, Tracy Close, Stacey Watson, Dr Naomi McMahon

Nominated by: Janine Dolan, Paediatric Dietitian, Royal Belfast Hospital for Sick Children

It is well documented that all paediatric patients requiring parenteral nutrition (PN) should have access to a multidisciplinary (MDT) nutrition support team (Specialist doctor, nurse, dietitian and pharmacist). The role of the team is pivotal in promoting and coordinating optimum nutritional care, educating staff, developing guidelines, promoting research and reducing the inappropriate use of PN (ESPGHAN, 2018).

In January 2017, with a growing population of children on home PN in Northern Ireland and increasing numbers of complex patients requiring PN in hospital, our multi-professional nutrition support team (NST) was appointed. As a team we had a clear remit:

  1. To develop a Clinical Practice Guideline for Parenteral Nutrition Administration in RBHSC.
  2. To set up quarterly MDT led out-patient clinics for the review and management of our home PN patients, with a view to reducing the patient’s dependency for nightly PN.
  3. To assess all inpatients referred to the NST for appropriateness of PN – with a view to avoiding inappropriate use of PN and aiming to wean PN in a timely manner by promoting the use of enteral nutrition where possible.
  4. To teach our staff regarding PN to improve patient safety.

Reflecting on 2 years in post, the NST have made significant advances in patient safety for those requiring PN. It is without doubt that by developing our clinical practice guideline and disseminating this to medical and nursing staff, we have significantly improved patient care, professional knowledge and safer prescribing of PN. Our figures clearly demonstrate a significant reduction in PN usage, with a 30% reduction in number of bags ordered from year 1 to year 2. Whilst the team has been funded, the work undertaken over the past 2 years has required a significant investment of personal time and expertise. Our home PN patients have unlimited access to our nursing team who go over and above in supporting these families through what can be an incredibly difficult time, thus improving patient quality of life.

Our list of projects and ambitions is endless, with the latest development in the pipeline is to facilitate online prescribing, which we hope will simplify prescribing of PN and thus further improve patient safety. We as a team will endeavour to continue teaching and we hope to roll out teaching to nursing staff and capture as many new medical staff as possible.

Sophie Logan

Paediatric Dietitian, Cumbria Partnership NHS Foundation Trust

Nominated by: Eugenia Grand, Senior Dietitian, Cumbria Partnership NHS Foundation Trust

Sophie is the only paediatric dietician in West Cumbria who sees variety of paediatric patients. As we have only one dietitian in the area, the waiting times to see a dietitian were up to 12-16 weeks. However, Sophie came up with the idea of having telephone clinics. During these clinics every patient gets a full assessment and all the required advice over the phone. Thereafter, patients are reviewed in a regular clinic face-to-face.

Now babies with cows’ milk allergy don’t have to wait long periods of time to get the initial advice and the correct formula milk.

Furthermore, Sophie provides training for health visitors and GPs about better management of cows’ milk allergy.

 

The Geoff Simmonett ‘Commitment to Patient Care’ Award


Kindly sponsored by Nutricia Homeward

Nutricia Homeward Nursing Service supporting nearly 29,000 patients both adults and children who are tube fed at home across the UK
www.nutricia.co.uk


Charlotte Ellerton

Specialist Dietetic Practitioner in Metabolics, Charles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery

Nominated by: Suzanne Ford, Dietitian Advisor for National Society for Phenylketonuria (NSPKU)

One of the most quietly dedicated dietitians you could meet, Charlotte works long hours (regularly at her desk at 6am) to make sure the patients get the best care and to fit in research, audit, abstract submission, resources and presentations which she undertakes or delivers every year. No matter what Charlotte is asked to speak about, she is always very thorough in her preparation and so practical in her delivery.

Charlotte works in one of the biggest metabolic centres for adults in the UK and is suitably busy. She started the annual national family education day for people with Maple Syrup Urine Disease (MSUD), and the patients are so grateful for someone flying the flag for MSUD – it is fantastic to see how much they get out of this event. The Charles Dent Unit in London sees over 1,000 dietary-treated metabolic patients – and Charlotte’s focus is on maternal dietetics.

Charlotte’s clinical role can be emotionally challenging, particularly in the care of individuals with complex conditions. Sadly, sometimes during pregnancy the risks to mum and baby can be high, and there are some tough days. Charlotte supports women with the dietetic aspect of their pregnancies and seeing the joy that the babies bring to families – particularly in conditions not renowned for successful pregnancy outcomes. As well as supporting patients, students, and other team members, Charlotte supports numerous other dietitians across the UK.

I’m nominating her for one particular project: Charlotte has written an extremely thorough and practical guide to managing maternal phenylketonuria (mPKU). Many of us in the UK and abroad use this often – to check references, to rethink particular issues, e.g. in the high risk first trimester. It is given out to non-dietetic colleagues as well.

Those of us working with this patient group will know that many babies all over the world will be born with better health and life outcomes if dietetic practice in mPKU improves as a result of this guide. Thank you, Charlotte.

Denise Lanyon

Medicines Optimisation Pharmacist, NHS Northern, Eastern and Western Devon Clinical Commissioning Group

Nominated by: Ann Ashworth, Medicines Optimisation Dietitian, NHS Northern, Eastern and Western Devon Clinical Commissioning Group

Denise Lanyon, Pharmacist, has driven the project on appropriate prescribing of oral nutritional supplements (ONS) in the NEW Devon Clinical Commissioning Group with passion and determination. She has recognised the potential role of dietitians in primary care and is adamant about the benefit of having a dietitian as part of the team.

She has been responsible for managing several pilot projects throughout North and East Devon, whereby dietitians were able to review patients face-to-face, either in GP practices or care homes, to ensure that they were prescribed ONS in the most appropriate way. Although there has been a drive to reduce ONS expenditure, Denise has always insisted that patients’ nutritional needs are met throughout the process. This might include changing to a more expensive ONS prescription. Despite this, the pilot projects in North and East Devon have resulted in significant cost savings as well as capturing various qualitative aspects of improved patient care.

The financial savings and improvements in patient care then led to 2 dietetic posts being created in North and East Devon to continue this work, which also includes education of primary care staff on treatment of malnutrition. This has boosted the profile of dietitians across North and East Devon and GPs in the area have stated that they are grateful for the specialist input of dietitians. In addition, the care of malnourished patients has been significantly improved.

Dr Ozan Hanci

Consultant Paediatrician, Royal Surrey County Hospital

Nominated by: Inger De Silva, Pharmacy Teaching Fellow, Kingston University

When NHSE announced their intention to withdraw gluten-free products on prescription, Dr Hanci single handily undertook a painstaking survey of thousands of gluten-free products and their gluten containing counterparts in 60 stores across London, in order to provide robust evidence that this decision, based on inaccurate assumptions, would disadvantage patients with coeliac disease, in particular those who are most vulnerable, such as the elderly, disabled and those from poor socio-economic backgrounds.

The data was submitted for the government consultation on the topic and played an important part on the partial reversal of the decision. The data has been disseminated widely having been presented at national and international conferences, published and cited.

 

Clinical Nutrition Professional of the Year

Elaine Macaninch

Nutrition Medical Educator and Dietitian, Brighton & Sussex Medical School and Brighton & Sussex University Hospitals NHS Trust

Nominated by: Kirsty Dobson, Practice Development Dietitian, Brighton & Sussex University Hospitals NHS Trust

Elaine is one of the few dietitians in the UK working within a medical school as a Nutrition Medical Educator, helping to integrate nutrition into the curriculum. She also maintains a clinical role as a Registered Dietitian, specialising in diabetes in pregnancy and is also the nutrition lead for Culinary Medicine UK.

In addition, she is the Allied Health Professional lead for NNedPro Global Centre for Nutrition, which is an international nutrition research and education network with the aim of improving nutrition education across the globe.

She has recently launched ERiMNN (the Education and Research in Medical Nutrition Network) to link Brighton and Sussex Medical school with educators, students, researchers and clinicians with an interest in nutrition in medicine. The aim is to encourage collaboration across different professions and community projects to increase capacity for local nutrition education and research.

In addition, ERiMNN seeks opportunity to join forces with UK and global organisations such as NNedPro, Nutritank and Culinary Medicine UK to share ideas and contacts to widen the conversation around food within medicine and healthcare. She is passionate about the need for collaboration and communication across professions to scale up nutrition education and is very active on social media using both twitter and Instagram for her Culinary Medicine UK work and through keeping a blog on the ERiMNN website.

Kirsty Martin-McGill

Research Dietitian, The Walton Centre NHS Foundation Trust/University of Liverpool

Nominated by: Michael Jenkinson, Reader in Neurosurgery and Honorary Consultant Neurosurgeon, The Walton Centre NHS Foundation Trust/University of Liverpool

Kirsty is a highly motivated dietitian who has been working within the NHS and academia since 2009. Over the last three years she has undertaken a PhD thesis in collaboration with a team of researchers and clinicians from the University of Liverpool and The Walton Centre NHS Foundation Trust to develop a ketogenic diet service and clinical trials for adults with epilepsy and malignant brain tumours (glioblastomas). She has established herself as a leader in the field of ketogenic diets and has led the UK’s first clinical trial in the field of ketogenic diets and glioblastoma, obtaining research grant funding, authoring several Cochrane reviews and numerous other peer-reviewed publications. In 2018, she has also delivered a platform presentation at the prestigious Society for Neuro-Oncology (SNO) international conferences and was awarded ‘best poster’ at the European Association for Neuro-Oncology (EANO).

Kirsty co-founded the Ketogenic Dietitians Research Network (KDRN) to promote both national and international collaboration between dietitians and to further the evidence base for this novel and rapidly growing diet therapy. Within the first 12 months of the formation of the KDRN, membership increased from the three founders to 70+ members across the UK, Europe and USA – and this is a reflection of the leadership, determination and hard work of Kirsty and her colleagues. Kirsty is very approachable and adopts a collegiate attitude to engage colleagues and collaborators to work together and produce high quality research, with their latest achievement accepted for publication in the Journal of Human Nutrition and Dietetics. Kirsty also finds the time to help colleagues outside of dietetics and has consulted on the study design for trials for multiple sclerosis, the development of core outcome sets for clinical trials and translational research.

Kirsty is a very proactive individual and is passionate about supporting the wider dietetic profession. She is the Research Officer and committee member for the BDA Neuroscience Specialist Group, which involves ‘flying the flag’ for dietetics, commenting on NICE guidelines and clinical standards, hosting study days with her colleagues and writing for dietetic magazines, to support the professional development of others.

Kirsty is an enthusiastic, organised and highly motivated individual and dietitian. She has demonstrated the aptitude to undertake a PhD thesis for a ketogenic diet clinical trial in brain tumours, as well as the leadership skills necessary to create and foster an international network of like-minded research dietitians. She is a fantastic colleague, a pleasure to work with and an asset to the profession and teams she works with.

Neil Bibby

Senior Specialist Macmillan HPB Dietitian, Manchester Royal Infirmary, Manchester University NHS Foundation Trust

Nominated by: Holly Staples, Advanced Specialist Dietitian, Rampton Hospital, Nottinghamshire Healthcare NHS Foundation Trust

Pancreatic Cancer was previously not part of the cancer pathway at Manchester Royal Infirmary, despite it’s devastating effects on patients and their families. However, since taking on his role of Senior Specialist Macmillan HPB Dietitian some months ago, Neil has taken the cancer prehabilitation world by storm!

The Prehabilitation and Enhanced Recovery programme developed and initiated by Neil and other members of the MDT offers patients an innovative, integrated pre-operative package of exercise and improved general wellbeing, nutritional support and psychological screening for HPB cancer patients undergoing surgery. The project won the Best Project category at the Trust Transformation Event in 2017. Neil has presented at Pancreatic Cancer UK Annual conference and at Pancreatic Society Great Britain and Ireland Annual Conference, including many other Trust and Macmillan based workshops and conferences. He won the Macmillan Service Improvement Award 2018 and was runner-up in the Inspiring Innovation poster competition at the Pancreatic Cancer Innovation Summit 2016.

Neil works very hard as part of the MDT at Manchester Royal Infirmary, always making time to speak with families, attend board rounds, see patients in busy clinics and follow-up patients on discharge. He is also a major player in developing the best cancer care for Greater Manchester – watch this space!

 

CN Writer of the Year


Kindly sponsored by Fresenius Kabi

Fresenius Kabi proudly sponsors the Award for ‘CN Writer of the Year’ helping provide insight and professional development to UK Dietitians.
www.fresenius-kabi.co.uk


The individuals that write for CN Magazines – your No.1 clinical, medical and health nutrition publication – are an integral component to the Magazines success.  Our authors go to great lengths to research, write and produce articles that are interesting, topical and share best practice.  Below are the contributors that have stood out, producing some fantastic articles series, during 2018/2019.

Robyn Collery

Dietitian at Gateshead Health NHS Foundation Trust

Robyn commenced her series ‘The Enhanced Health in Care Homes Vanguard’ with an article detailing her role, as a Dietitian, working within an NHS Vanguard (CN; 18(1): 22-24).  A further four articles followed, sharing the results and positive impact that training had on the delivery of nutritional care and knowledge of staff in care homes. The articles included: Malnutrition & ‘MUST’ Screening in Care Homes (CN; 18(2): 24-26); Food First Training in Care Homes (CN 18(3): 60-62); Diet & Different Conditions Education in Care Homes (CN 18(4): 74-76); Hydration Training in Care Homes (18(5): 51-53).

Dr Brian Power

RD PhD FHEA, Lecturer in Nutrition, University College London, Honorary Senior Dietitian, University College London Hospitals

Dr Brian Power has delved the exciting area of behaviour change with a series on ‘The Science & Application of Behaviour Change for Routine Dietetic Practice’.  Articles have included, up until March 2019: The Role of Motivation in Shaping Eating Practices (CN Focus; 10(3): 20-21); Self-efficacy and Eating Behaviours (CN; 18(5): 74-75); Environmental Influences on Eating Behaviours (CN; 18(6): 38-39); Practitioner Skills to Support Eating Behaviour Change (CN; 19(1): 38-39).

Natalie Yerlett

Advanced Practitioner EB and Rare Dermatology Dietitian, Great Ormond Street Hospital NHS Trust, London

Utilising her expert knowledge in a very unique area of dietetics, Natalie produced a fantastic article series looking at nutrition support surrounding a very challenging area of dietetics – rare dermatological conditions.  Articles included: Harlequin Ichthyosis (CN; 18(3): 50-51); Netherton Syndrome (CN; 18(4): 30-32); Epidermolysis Bullosa (CN; 18(5): 10-12).

 

Student of the Year


Kindly sponsored by NutrinovoNUTRINOVOCNAWARDS12

Nutrinovo, the company behind the innovative ‘ProSource’ and ‘HyFiber’ range of products, is delighted to be sponsoring the CN Award for Student of the Year – helping to support the nutrition professionals of the future. www.nutrinovo.com


Lucy Coates

Nutrition Student, County Durham and Darlington NHS Foundation Trust (Dietetics Department)

Nominated by: Emily Harkleroad, Speciailist Dietitian, County Durham and Darlington NHS Foundation Trust

Lucy has been on placement with us for the last 9 months and throughout her time has been a ray of sunshine, with no task too large or small. We have been amazed at what she has achieved in a relatively short space of time, and she has been a credit to herself with her level of hard work and maturity.

She has worked both independently and as a team on many projects, each has been completed at an incredibly high standard, receiving written commendations and multiple ‘excellence reports’ highlighting her achievements. This includes the independent completion of a trust-wide audit on nutrition screening and care planning. The results of this are to be presented at care group level and have influenced the creation of a band 6 project dietitian position to implement the action points highlighted by her work.

As part of our student programme, Lucy has presented at several careers events for prospective students interested in dietetics, promoting both her nutrition student role and representing the department as a whole. She has also devised several interactive information sessions for a local hospice which received excellent feedback, whilst the comprehensive work she has done with our paediatric team has resulted in the creation of a resource booklet for training school-aged children in nutrition which is planned to be used across the local area.

She has also volunteered as a dementia champion, which has involved participation at a number of local conferences, actively improving the care for dementia patients across the trust.

During all of her time Lucy has helped the department in any way she can and always with a smile on her face. She has integrated herself seamlessly into the office and her presence will be greatly missed once she completes her placement. She deserves to be recognised for all the effort she has put in, especially when she doesn’t realise just how special she is! Once her nutrition degree is over, she is hoping to study dietetics at a postgraduate level, and we have absolutely no doubt that she will make an incredibly kind and dedicated professional.

Samuel Pearce

Dietetics Student, University of Nottingham

Nominated by: Fiona Mccullough, Director of Dietetics Education, University of Nottingham

Mental health is a crucial area of student wellbeing that has often been neglected in the past. Sam has made a unique contribution to supporting student’s mental health both on the dietetic course he is registered on and across the whole campus where he is based. He started as a Student Minds volunteer in his second year, and enthusiastically attended stalls, undertook administration for the Ripple campaign and other health and wellbeing events at a range of University halls across 3 campuses.

The following year he set up a support group on his campus (Sutton Bonington) called Positive Minds (which is a template from Student Minds) with 3 other students. This provides weekly support for students suffering from low mood or depression over a 6-week course. This has involved some admin, training, liaising with welfare staff, research into hosting groups, rostering and of course facilitating the sessions. Sam has taken the lead with all of the this.

At the end of last year Sam successfully applied to be the President of the Student Minds committee for Nottingham University, covering all campuses.

In this current year, Student Minds have run a couple of events where we have tried to promote and signpost to other services and remove the stigma around mental health at university. The main focus last term was to get ‘exam packs’ (600 branded tote bags with info for our group sessions, nightline, local services, branded pen and post-it notes and a small treat). Prior fundraising efforts have paid for this. The packs are being handed out around the libraries and exam halls during the three weeks of exams, in the hope they might access students who might be struggling around that time and to increase the Student Minds image on campus. Next year, the committee is doing another fund-raising naked calendar, which he will assist with remotely due to C placement. The dietetics team are incredibly proud of the impact Sam’s leadership has made.

 

Outstanding Achievement


Kindly sponsored by Abbott

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Nicola Henderson

AHP eHealth Lead, NHS Forth Valley

Nominated by: Caroline Ritchie, Dietitans, NHS Forth Valley

Forth Valley Royal Hospital (FVRH) Dietetics department wish to nominate Senior Dietitian Nicola Henderson for the “Outstanding achievement Award” for her pioneering work in Dietetics and the wider Allied Health Professional (AHP) arena utilising digital technology to improve patient care.

Nicola is an excellent Dietitian and her clinical experience ensures that she is fully aware of all the Dietetic processes, she also has the vision and skills to streamline these processes through the use of digital technology, releasing time to care.

Over the last 7 years, Nicola has gradually transformed the daily processes used in FVRH Dietetics through the use of Microsoft Excel and other clinical systems to improve efficiency, reduce paper usage and increase productivity. These improvements range from clinical areas such as Renal, Paediatrics and Diabetes to catering and administration processes. Nicola’s ground breaking work facilitates audit, workforce planning as well as quality improvement projects.

Thanks to Nicola’s forward thinking, leadership skills and initiative, Dietetics are the pioneers in NHS Forth Valley for digital care. Having piloted digital systems successfully in Dietetics, Nicola then rolls out these innovations to other AHP professions, thus ensuring the spread of quality improvement initiatives and promoting the Dietetic profession.

Nicola works closely with other AHPs, listens to their requests and strives to meet their requirements using digital solutions. Her outputs are meticulous in their details, whilst remaining accessible, user-friendly and intuitive.

The Scottish Government published its Digital Health & Care Strategy in 2018 and Nicola Henderson is the only AHP to be quoted ‘‘Digital has transformed not only the way staff work and communicate with each other, it has also transformed the data that we collect and report, resulting in a consistent approach across services. Above all it has enhanced patient care.” – Nicola Henderson, Dietician, NHS Forth Valley

Winning this award would not only acknowledge Nicola’s invaluable contribution to Dietetics and the wider AHP professions but would recognise her leadership and unequivocal skills in innovation.

Pete Turner

Clinical Lead Nutrition Support, Ulster Hospital, Northern Ireland

Nominated by: Kate Hall, PENG Chair and BAPEN Communications Officer

Pete is a key ambassador for clinical nutrition and well respected by his peers and a great role model for dietitians. He has never been afraid of any challenge that has been put his way – no challenges just opportunities and evidence based all along the way. He is an active member of PENG committee having held various positions but was Chair in 2005 which led to his continuous involvement in BAPEN ever since.

Pete’s primary role in BAPEN has been as an innovative and pro-active member of the Programmes Committee. Over an 8-year period Pete has contributed significant amounts of time, energy and enthusiasm to the committee and is now in his second term of office as Chair. Demonstrating a flair for creativity and drawing on extensive clinical experience in nutritional support, Pete has made major contributions to conference programmes ultimately delivering a vast range of successful symposia at the annual BAPEN conference. It is evident from those he engages with and signs up to participate, that he utilises his expertise and people skills to mastermind sessions that continuously appeal to a wide audience and encourage active debate between representatives of the core groups and involved patients. Pete ensures that he and those involved critique and communicate the evidence to subsequently translate to delivering high quality patient-centred care at the bedside. And where evidence is limited, he draws on experts in the relevant fields to debate best practice. Nationwide Pete has contributed to the development of others, not just through the annual BAPEN conference and through PENG, but also through numerous presentations and workshops.

It is evident from all those who have the pleasure of working alongside Pete that he is a team player. Drawing on interpersonal skills he has achieved true multidisciplinary representation at many educational events.

Dr Elizabeth Weekes

Senior Consultant Dietitian, Guy’s and St Thomas’ NHS Foundation Trust

Nominated by: Kate Hall, PENG Chair and BAPEN Communications Officer

Dr Elizabeth Weekes is a dietitian with 25 years clinical and research experience in the detection and management of disease-related malnutrition. Having worked predominantly in the acute setting during her early career, her PhD studies focused on the identification, assessment and management of nutritionally vulnerable community-based individuals with chronic obstructive pulmonary disease. More recently Dr Weekes has extended her studies to include evaluating both hospital and community-based initiatives designed to improve the nutritional care of elderly people and undertaking systematic reviews. She has a particular interest in patient-centred outcomes, such as quality of life and activities of daily living, and the health economic analysis of nutritional interventions. These interests are reflected in her current research where, as part of her NIHR Clinical Lectureship, she is leading a large, observational study designed to explore the impact of malnutrition on older people in the community.

Dr Weekes has a vast experience in peer review, developing guidelines and a vast library of publications. Dr Weekes was recently involved in two international guideline development groups (ESPEN Guideline for nutrition in polymorbidity and the PEN Nutrition in COPD guideline) and is currently leading the guideline committee on the estimation of nutritional requirements for the Parenteral and Enteral Nutrition Group of the British Dietetic Association.

Dr Liz Weekes’ clinical work colleagues at Guy’s and St Thomas’ NHS Foundation Trust also shared their feedback in further support of this nominations stating that she “is an integral part of the Dietetic department at Guy’s and St Thomas’ NHS Foundation Trust. As a Consultant dietitian, she leads and supports staff who wish to undertake research and audit. Liz has been instrumental in creating and developing our community malnutrition service. Liz’s expertise working with older people, screening and assessing nutritional requirements has made her an invaluable member of our department. Liz brings a wealth of knowledge to our team but also contributes extensively to the wider profession. Liz collaborates with researchers both in the UK and overseas. We are delighted that Liz is being nominated by PENG for this award and fully support this nomination.”


Now you have read the 2019 CN Awards Shortlist, it’s time to cast your votes – click here!

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