1. Tom Wainwright, NHS Elect Associate Wareham, 7 th August 2014 An Appetite For Change in Purbeck The National Picture and Background

2. Malnutrition – a serious health issue It is common: Over a million older people (1:10 ) It has serious consequences Decreased resistance to infection Delayed recovery Falls It is costly to NHS …yet much overlooked

3. Malnutrition Task Force Founders –Age UK –apetito –Bapen –Nutricia –Royal Voluntary Service (WRVS) Set up in June 2012 Under the Dignity in Care Partnership

4. Malnutrition Task Force Independent group of experts across health, social care and local government united to address the problem of preventable malnutrition in older people

5. Malnutrition Task Force - Mission To ensure the prevention and treatment of malnutrition is embedded in all care and community support services and awareness is raised amongst older people and their families

6. What does good look like? Engagement with wide range of stakeholders Workshops Learning examples/case studies Existing tools and guidance Principles for best practice in nutrition and hydration care

7. Best practice principles 1.Raising awareness 2.Working together 3.Identifying malnutrition 4.Personalised care, support and treatment 5.Monitoring and evaluation

8. Guidance Guides for Food and beverage providers Hospitals Care homes Local communities Commissioners Available to download from www.malnutritiontaskforce.org.uk

9. Dissemination May 2013: MTF final recommendation: Test out model for whole communities working together Summer 2013: proposal to DH –to pilot process in five areas –a social marketing campaign Government response to Francis Report Funding secured for 2014/15 Age UK is the grant holder on behalf of MTF

10. NHS Elect appointed by Age UK to support the pilot programme An NHS members’ network –founded in 2002 and working directly with 50 + sites as members Provide support to members in the following areas: –Service improvement –Business of healthcare –Marketing, branding and patient experience Led major national improvement programmes e.g. –18 Weeks Programme –Ambulatory Emergency Care Programme

11. The Malnutrition Prevention Programme Jan 2014 – March 2015 The Programme: A. The Pilot Programme in 5 areas B. Dissemination of learning from A. C. The Social Marketing Campaign D. Evaluation of A-C

12. Website upgrade Additions to incorporate the Programme public facing section – www.smallappetite.org.uk Pilot Programme – section for each pilot Events Resources Other MTF activities Blogs Newsletters Responding to media

13. Focus groups with public and professionals - report Posters and leaflets for older people and for carers Posters for hospital and for care home staff Local campaign led by community organisations Knowledge, Attitude and Practice (KAP) surveys: before, in the middle and after the intervention The Social Marketing Campaign