Monday Morning Plenary including Key Note Address
The first session of the day was a great thought provoking start to the overall theme of Long-term Conditions, dietitians prove your worth!
15 million people in England alone are living with at least one long-term condition and have the greatest healthcare needs of the population. It was great to hear from Dr Martin McShane who gave a great insight as to the past, current and future needs of managing long-term conditions which essentially needs to be a collaborative approach to care planning which is focused on the individual rather than the disease in order to succeed, with the patient in the clearly at the centre of the care.
This first half of the session allowed a natural move into the dietitians role, where Anne Holdoway (Chair BDA Specialist Group – PENG*) reminded us of the importance of effective communication, and the leadership role we can play in the nutritional management of people with long-term conditions. We are in a prime position now to speak up for example why can patients not self refer to see key AHPs rather than having to wait for a referral and as a result potentially delay correct nutritional management? Are dietitians having enough of an input into the NICE Clinical Guidance/QS – what is stopping us? Nutrition is integral to health and well-being and it is time to stand up and be counted, not to be afraid to speak out and prove our worth which was very much the key message of the session and this was also promoted by Dr Martin McShane from NHS England.
*The Parenteral and Enteral Nutrition Group
Kate Hall, BDA Council Member – Member without Portfolio
Monday Afternoon Plenary Session
Details to follow
Tuesday Morning Plenary Session
Plenary Session, Day 2: Professor John Young, Anya de Iongh and Alex Kamadu
Professor Young talked about empowering people living with frailty, highlighting that frailty lies beyond the comfort zone of Guideline Based-Medicine. He described frailty as a gradual process of “slowing down” which can easily be assessed by doing the 4 metre timed walk test. Taking more than 5 seconds to walk 4m predicts future:
- Long-term care
He highlighted the need for early intervention with a care planning approach and stated that “Care Planning” is something you arrive at derived through listening, helping and guiding the patient so they can address what they see as important to their life. If you find yourself talking more than 50% of the time that is not “Care Planning”, that is a “Management Plan”.
This led nicely onto Anya, a Patient Champion, who provided an inspirational insight into what it is like to be a patient with a number of long term conditions. She highlighted that “patients are people with potential”, the potential to:
- Manage their own health
- Support other people
- Change things system wide
She focused on 4 key areas:
- Goal setting
- Agenda setting
- Peer support and C
- Care Planning
The crux of the presentation was to work in partnership through conversation and collaboration acknowledging respect throughout.
Next up Alex, an OT by background, presented:
“Changing from ‘What is the matter with you? to What matters to you’”
Alex had a Quality Improvement (QI) focus and highlighted the need to utilise QI tools such as Plan, Do, Study, Act. He emphasised the fact that people see things differently and this has to be acknowledged. A memorable quote for change was, “All improvement is change but not all change is improvement…” This illustrating the fact that the way the change is introduced is crucial to its success.
A You Tube clip was played as way of presenting a patient’s perspective of care: You Tube Clip
This clip shows a young guy with type 1 diabetes and his experiences of the disease and the treatment he has received thus far. A stimulating watch, that highlights the importance of explaining why we are doing what we are doing and the use of appropriate language to demonstrate this.
His take away tips were:
- Change starts with YOU!
- Have a good knowledge of improvement science
- Process map your area of work and understand where improvement is required
- Build networks and collaborate for the desired outcome
- Involve the patients in decision making, LISTEN, and co-produce solutions
Finally Anya and Alex presented a double act on the “Journey of Activation”, stating the differences between patient and clinician activation to help move patients from being passive to taking action and from moving the clinician to paternalistic to having a partnership approach.
Steven Grayston, BDA Council Member, Chair of Professional Practice Board
Tuesday Afternoon including Closing Address
Keynote Closing Address ‘The impact of early nutrition on long-term health’
Atul Singhal, Professor in Paediatric Nutrition, presented on how nutrition and growth in infancy, in particular growth rates, have been shown to influence the later risk of obesity, type 2 diabetes and cardiovascular disease. His presentation reviewed the latest evidence for nutritional programming of chronic disease focusing on the role of protein intake, over feeding, growth rate, milks, the mechanisms involved and the implications for public health and nutritional practice. Then opened out to a wider panel, including a paediatric dietitian and health visitor, all agreed that more education, resources and training were needed and dietitians were the experts ideally placed to do this.
Sian Porter, BDA Council Member, Chair of Communications and Marketing Board
Summaries of the Breakout Session are also available – Day 1 and Day 2