leeds older people food matter hydration campaign
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Leeds Older People Food Matter Hydration Campaign
Emma Strachan
Health Improvement Specialist (Food)
NHS Leeds
Aims and Objectives
To introduce the governance arrangements for older people focused work in Leeds
To share information on the Leeds Food consensus and the underpinning principles within the consensus.
To give an overview of the development and implementation of the dehydration awareness campaign throughout June this year
To share the groups next steps and plans for the forth coming year
Older People and Food Work in Leeds
Shadow Health and Well- Being BoardOutcome: People will live full, active and independent lives
Priority: Increase the number of people supported to live safely in their own home
Indicator: Rate of hospital admissions for care that could have been provided in the community
Aging Well BoardOutcome: Improve the health and wellbeing of older people in Leeds.
Priority: Promote Health and Active aging
Information and advice about the importance of good nutrition and adequate hydration should be readily available. All advice should be clear, easy to understand and be consistent with the principles of the Leeds
Food Consensus Statement for older people.
Leeds Older People FoodAim: Develop a coordinated approach to food work for older people based on needs
Objective: Ensure key food messages relevant to older people are promoted
Older People in Leeds
According to Bapen 14% of population aged
65yrs and over are malnourished
Over 65 population in Leeds =115,246
Therefore 14% = 16,134 malnourished older
people in Leeds
Diverse nutritional needs of older person in community
Seeking to ensure consistent evidence based, person centred, food messages for older people
both
Nutritionally ‘well’ Nutritionally ‘vulnerable’
Introduction to the Food Consensus
Leeds Food Consensus
Why develop a consensus: Keep the public nutritional well Act for those who are nutritional vulnerable Ensure consistency of message Raise awareness that nutrition is not just about food Raise awareness that nutrition is part of everyone’s business
Older People and Food Action Plan
Objective:Ensure key food and drink messages relevantto older people are promoted
Action:Plan, develop and evaluate a dehydration awarenesscampaign for Older People. Undertaking campaignactivities that particularly link to the self managementagenda and the Integrated Health and Social Caredemonstration sites.
Why focus on Dehydration
Dehydration has serious health and well-being consequences One of the key principles of the Food Consensus which often
gets lost In 2009 1.9 million was spent on treating people admitted to
hospital with symptoms of dehydration. In 2010/11 4.9 million was spent treating urinary tract infections
The importance of hydration is recognised in Care Quality Commissions – Essential Standards of quality and safety under outcome 5 which seeks to ensure that nutritional needs are met
National Association of Care Catering announced that they would be re-running there Dehydration Hydration in Older People Awareness Week
Build on good practice and recommendations from last year’s work
2011/12 Hydration Campaign recommendations
Actively support a repeat of dehydration awareness week next year, over a longer period of time for example the full month of June.
Obtaining some feedback from frontline workers on resources, tools and information they require to raise awareness of the importance of keeping properly hydrated.
Sending information packs to all GP surgeries, Sheltered Housing and Neighbourhood Network Schemes.
Hydration Campaign 2012
What we did?
Obtained a budget of 8K (actually spent £5,435) Developed a plan in partnership between Public Health, Leeds
Community Health Care and Leeds City Council Pooled existing resources Held a focus group with key frontline staff to hear there views on new
tools and resources which were required (January 12) Developed new resources Developed a communication plan for the campaign across LCC and
NHS Consulted with key partners Shared information packs during National “Dehydration Awareness
Week” Evaluated the information in the packs
Focus Group findings
Information in the existing Spotting Signs of Dehydration Leaflet was good, but this needed to be simplified
Big myths around drinking and incontinence Important to think about how drinks are served and not
simply focus on how often drinks are often Suggestion to develop a tool to audit drinks taken and act
as prompt to remind the older person to have a drink Important to share the information amongst all
organisations who work with older people across the community, health and social care settings
Resources included in the Pack
Spotting Signs of Dehydration
Drinking more for Dryness
Including the Support and Enable message
Quiz
How many glasses of fluids should you drink each day for good health?□ 1 – 2 □ 3 – 4 □ 6 – 8
How should you drink your daily fluids intake?□ All at once □ Little sips regularly □ Big mouthfuls
How long can you live without fluids?□ About 1 week □ About 1 month □ About 1 year
Which of these is not a sign of dehydration?□ Headache □ Irritability □ Tiredness □ Sprained Ankle
What is the ideal colour for urine to be if you are well hydrated?□ Light Brown□ Dark Yellow □ Pale Yellow/Clear
Who did we distribute the packs to?
Pack was available via: The Public Health Resource Centre for staff to collect One pack sent to each GP practice and Pharmacy
across Leeds Packs sent to all Leeds Community Health Care
services Packs shared amongst Adult Social Care Packs circulate to Leeds Teaching Hospital Trust Packs shared with Integrated Health and Social Care
Teams
Integrated teams
Risk
str
atifi
catio
n
Systematic self-management
Person receiving care and support
•GP practices across Leeds are starting to use the tool to identify patients at risk of becoming more unwell/ needing more care
•First three demonstrator sites now working together
• Initial focus on people with long-term conditions
Integrated Health and Social Care Teams
Other resources
Support poster - NACC Food Consensus leaflets Lanyards DVD of resources Drinks Tracker Tool
Drinks Tracker
Evaluation
Tools and packs have enabled lots of new partnerships i.e. links to training opportunities
Quiz enabled staff to test knowledge Resources were welcomed and used in many
different ways to creating displays in patient waiting areas to briefing staff and older people on the key messages
Resources were described as high quality and needed
Currently finalising end of campaign report, hoping to retest awareness in January as 6 month review.
Award Winners
In September we were awarded the National Association of Care Caterings Hydration
Award for out work
This has really helped us to raise awareness of the agenda and to obtain funding for future
campaigns
Groups next steps
Launching a malnutrition campaign to coincide with the Nutrition Day organised by NACC
Continuing to champion the Older People and Food agenda by promoting the Leeds Food Consensus
Undertaking some food access work to enable older people to access food and drink right for their stage of life particularly during the winter months
Thank you
Any Questions
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