The CQC’s Dignity and nutrition inspection programme: national overview (1) identifies three key points:
To raise the standard of nutritional care, organisations must make sure (2):
Many trusts have done one or more of these but have not achieved sustainable improvement across all four areas. A strength in one area (good screening rates consistently achieved) can mask a deficit in another (failures in delivering the care plan that is required for patients identified at risk).
According to the British Association for Parenteral and Enteral Nutrition (BAPEN) (3) and the National Patient Safety Agency (NPSA) organisations should:
1. Care Quality Commission (2011) Dignity and nutrition inspection programme: National overview. London: CQC.
2. Stroud M (2011) A lot on your plate. Health Service Journal 121(6271) 25 August. pp.26-27.
3. BAPEN (2012) Toolkit for Clinical Commissioning Groups and providers in England: Malnutrition matters: meeting quality standards in nutritional care, 2nd ed. (PDF 4.6MB), Redditch: BAPEN.
4. Healthcare Improvement Scotland (2011) Improving nutrition, improving care. Healthcare Improvement Scotland website.
5. Healthcare Improvement Scotland (2012) Improving nutrition ... improving care: Final report from the Improving Nutritional Care programme. Edinburgh: Healthcare Improvement Scotland.6. Department of Health, Social Services and Public Safety (2011) Promoting good nutrition: a strategy for good nutritional care for adults in all care settings in Northern Ireland 2011-2016. Northern Ireland government services website