BAPEN Nutrition Care Tool, early learning from the data Dr Ailsa Brotherton, formerly Quality Group Chair

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08:30 09:30 Registration & Exhibition Tuesday 21 st November 2017 PROGRAMME 09:30 11:00 09:30 09:40 09:40 09:55 09:55 10:15 10:15 11:00 Opening Symposium BAPEN looking forward to the next 25 years

1 08:30 09:30 Registration & Exhibition Tuesday 21 st November 2017 PROGRAMME 09:30 11:00 09:30 09:40 09:40 09:55 09:55 10:15 10:15 11:00 Opening Symposium BAPEN looking forward to the next 25 years This year s opening symposium will get straight down to business! Following a brief summary of BAPEN news from President Dr Simon Gabe, Dr Ailsa Brotherton will update us on the Nutrition Care Tool that has the ability to tell us how effective treatment of malnutrition is in our own institutions. This year is BAPEN s 25 th Birthday and health economist Mike Wallace will give us an astonishing insight into the potential cost of malnutrition over the next 25 years. Finally you will get the chance to be one of the first people to hear the stunning results of the National Audit of Small Bowel Obstruction (NASBO) which have major implications for healthcare professionals working in nutrition support. BAPEN News and conference highlights Dr Simon Gabe, President, BAPEN BAPEN Nutrition Care Tool, early learning from the data Dr Ailsa Brotherton, formerly Quality Group The Cost of Malnutrition Predictions for the Next 25 Years Mike Wallace, Strategic Affairs Director, Nutricia UK and Ireland Results of the National Audit of Small Bowel Obstruction (NASBO) Matthew James Lee, Department of Surgery Sheffield Teaching Hospitals Adele Sayers, ST6 Colorectal Surgery Trainee, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust 11:00 11:30 Coffee & Exhibition 11:30 13:00 Symposium 1 Estimating Nutritional Requirements when is less more? A look at the controversies surrounding the estimation of nutritional requirements from the use and abuse of stress factors to recommendations in specific conditions such as critical illness. Featuring debates and an expert panel, we will focus on the limitations of predictive formulae and look at what we can actually achieve in practice. 11:30 11:40 11:40-12:00 12:00 12:40 Bruno Mafrici, Clinical Lead Renal Dietitian, Nottingham University Update on the PENG Pocket Guide to Clinical Nutrition Bruno Mafrici, Clinical Lead Renal Dietitian, Nottingham University The New PENG Pocket Guide taking the stress out of estimating requirements Dr Elizabeth Weekes, Senior Consultant Dietitian and NIHR Clinical Lecturer, King s College London Debate: Complex predictive formulae are superior to Kcal/kg in estimating the energy requirements of critically ill adults For: Ella Segaran, Advance Dietitian for Critical Care, of the ICS N/AHP committee, St Mary s Hospital, Imperial College Healthcare NHS Trust,. Against: Pete Turner, Clinical Lead Nutrition Support Dietitian, Ulster Hospital, Northern Ireland 12:40 13:00 Ask the experts your chance to put questions on nutritional requirements to the panel

2 11:30 13:00 s Symposium 2 - Management of Enterocutaneous Fistulae This symposium will focus on a case based journey entitled The Management of Enterocutaneous Fistulae lead by an expert panel of healthcare professionals from a variety of centres, including gastroenterology, colorectal surgery, health psychology, specialist nursing and dietetics. This interactive symposium welcomes questions and comments throughout the symposium and it aims to focus on a variety of commonly encountered problems in fistulae management and to aid in your future practice. Dr Sheldon Cooper, Consultant Gastroenterologist, Queen Elizabeth Hospital, University Hospitals of Birmingham Amrit Dhaliwal, Specialist Registrar, BAPEN medical trainee committee Vice, Queen Elizabeth Hospital, University Hospitals of Birmingham. Case: The undulating path of fisulating disease Panel: Dr Martyn Dibb, Consultant Gastroenterologist, Royal Liverpool and Broadgreen University Paul Rooney, Colorectal Surgeon, Royal Liverpool and Broadgreen University Hospitals NHS Trust Alison Young, Nurse Consultant in Nutrition, Royal Liverpool and Broadgreen University Dr Joanne Ablett, Consultant Clinical Psychologist, Salford Royal Hospital Nicky Wyer, Senior Specialist Dietitian, University Hospitals Coventry and Warwickshire NHS Trust 12:50 13:00 OC1 Peri-operative fluid administration in patients undergoing elective colorectal segmental resection Louisa Potter, Glasgow Royal Infirmary 11:30 13:00 11:30 11:55 11:55 12:20 12:20 12:50 12:50 13:00 OC2 Symposium 3 Restraints securing devices used in delivering nutrition support The symposium will look at Securing devices used to secure feeding tubes used in delivering Nutritional Support.: an overview of the products available on the market, how and when to use these products and their implications on Consent, Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLs). Barbara Dovaston, Clinical Nurse Specialist Nutrition, Heart of England NHS Foundation Trust Mental Capacity Act Tracy Brown, Adult Safeguarding Lead, North West Anglia NHS Foundation Trust Preventing nasogastric tube removal - An audit of different methods Suzy Cole, Nutrition Nurse Specialist, Musgrove Park Hospital, Taunton Palliative Feeding for Comfort Liz Anderson, Nutrition Nurse Specialist & Debbie Begent, Adult Speech and Language Therapy Service Manager, Buckinghamshire Healthcare NHS Trust A regional percutaneous endoscopic gastrostomy (PEG) audit exploring factors influencing mortality and complications Dr J.L. Hulley, Freeman Hospital, Newcastle upon Tyne 13:00 14:00 Lunch & Exhibition BAPEN AGM 14:00 14:30 ed Poster Sessions Posters showcasing new research will be displayed throughout the conference in the Poster Exhibition area. Themed facilitated poster presentations will provide an opportunity for informal discussion with the author.

3 14:30 16:00 14:30 14:40 14:40 14:50 OC3 14:50 15:15 15:15 15:40 15:40 16:00 Symposium 4 Addressing Malnutrition in the Community With 93% of the malnutrition existing in the community, where it develops insidiously and patients spending on average less than 7 days in hospital, it is vital that community healthcare professionals integrate nutritional care including malnutrition screening into practice. Join us in this session to gain insights into malnutrition in the community through the lens of GPs and commissioners. Through a facilitated panel discussion you will also have the opportunity to pose your questions to the panel and ensure your take-away messages and actions enable you to make a difference. Implementation of the Malnutrition Pathway in the Community research into practice A national survey of GPs to assess the understanding and priority given to malnutrition in patients with COPD Dr Elanor Hinton, NIHR Bristol Biomedical Research Centre Waking up GPs to malnutrition Dr Anita Nathan, GP, member of the GPs Interested in Nutrition Group (GPING) Putting community malnutrition commissioning guidance into practice: - barriers and opportunities Dr Rachel Pryke, GP, Winyates Health Centre, Redditch, Worcestershire Panel Discussion 14:30 16:00 14:30 14:50 14:50 15:10 15:10 15:30 15:30 15:50 15:50 16:00 OC4 Symposium 5 Integration of health and social care the implications for nutrition professionals The four different countries in the UK have separate health systems but often a change or initiative in one country leads to changes or initiatives elsewhere - we can learn from one another. One of the main changes in healthcare in recent times has been the integration of health and social care. Each country has tackled this somewhat differently and this symposium addresses this topic with the aim of mutual learning and improvement. Dr Ruth McKee, Consultant Colorectal Surgeon, Glasgow Royal Infirmary Integrating care forming the strategy Mark Taylor, Consultant Surgeon, Belfast Health and Social Care Trust Salford Malnutrition Task Force breaking down organisational boundaries Kirstine Farrer, Consultant Dietitian in Intestinal Failure and HPN, Salford Royal NHS Foundation Trust A patient centred collaborative MDT pre assessment elective gastrostomy tube placement service Annalisa Owen, Home Enteral Feeding Dietitian, Aneurin Bevan Health Board Judith Gethin, Clinical Practice Manager for Wales, Nutricia Tayside Nutrition Network Janet Baxter, Nutrition Support Service Lead, NHS Tayside Nutritional and financial impact of an enhanced dietetic service to care homes within a Welsh health board Amy Evans, Dewi Sant Hospital, Wales

14:30 16:00 14:30 14:55 14:55 15:20 15:20 15:45 15:45 15:55 OC5 Symposium 6 Organisational change in the NHS and its impact on parenteral nutrition Are organisational changes in the NHS moving us

4 14:30 16:00 14:30 14:55 14:55 15:20 15:20 15:45 15:45 15:55 OC5 Symposium 6 Organisational change in the NHS and its impact on parenteral nutrition Are organisational changes in the NHS moving us towards greater use of standardised approaches to parenteral nutrition? Are these changes a backwards step or just plain commonsense? Will cost pressures signal the decline of bespoke nutrition and a renaissance of the humble off the shelf multichamber bag? This symposium considers these questions for both adult and neonatal nutrition. Tony Murphy, Pharmacy Production Manager, University College London Hospitals The National Pharmacy Aseptic Services Review Khola Khan, Hospital Pharmacy & Medicines Optimisation Team, NHS Improvement Implementing standardised neonatal PN across a network and managing the provision without on-site pharmacy aseptic services Louise Whitticase, Lead Pharmacist Women s and Neonatal Services, Birmingham Women s and Children s NHS Foundation Trust Is the squeeze on NHS resources and commercial capacity pushing us towards greater use of standard PN for adult inpatients? Sarah Zeraschi, Consultant Pharmacist Nutrition, Leeds Teaching Micronutrient deficiencies are difficult to predict in patients on home parenteral nutrition Morag Pearson, St Mark s Hospital, Harrow 16:00 16:30 Tea & Exhibition 16:30 17:10 BAPEN Pennington Lecture - Nutrition - making a difference Dr Ruth McKee, Consultant Colorectal Surgeon, Glasgow Royal Infirmary 17:10 17:30 BAPEN 2017 Recognition & Awards 17:30 Poster Reception Posters of Distinction will be presented in an informal environment giving you an opportunity to view and discuss with the author. 19:30 BAPEN Annual Dinner Hilton Birmingham Metropole

5 PROGRAMME Wednesday 22 nd November :00 08:30 Breakfast Symposium Optimising the Management of Disease-Related Malnutrition s Introduction Carole-Anne Fleming, Dietetic Clinical Team Lead - Oncology, NHSGGC Adult Acute Dietetic Service, Gartnavel General Hospital, Glasgow Bolus Feeding in Adults Sean White, Dietitian, Home Enteral Feeding Service, Sheffield Teaching Hospitals NHS Foundation Trust The role of the Prescribing Support Dietitian in the Management of Malnutrition in the Community Rebecca Henley, Prescribing Support Dietitian, Swindon Clinical Commissioning Group 08:30 09:00 Registration & Exhibition 09:00 10:30 Symposium Death by Chocolate - the refeeding syndrome revisited. Refeeding syndrome is something everyone working in nutrition support will encounter but is it always possible to follow the multitude guidelines to the letter? In Death by Chocolate! The refeeding syndrome revisited a panel of BAPEN experts will be put on the spot and asked how they would deal with oral, enteral and parental feeding in patents at high risk with a few quite interesting facts and fallacies thrown in along the way! Expert Panel 09:00 10:30 s 09:00 09:30 09:30 09:55 09:50-10:20 10:20 10:30 OC6 Pete Turner, Clinical Lead Nutrition Support Dietitian, Ulster Hospital, Northern Ireland Dr Alison Culkin (Dietitian) Prof Mike Stroud (Gastroenterologist) Dr Callum Livingstone (Chemical Pathologist) Rebecca White (Pharmacist) Anna Hardman (Specialist Community Dietitian) Symposium 8 Feed at Swallowing Risk modified textures This symposium focuses on the complex subject of feeding the dysphagic patient with a look at investigations and their interpretation, the controversy surrounding modified texture diets and the impact they have on people s lives. It is a must for dietitians, speech and language therapists as well as any health care professionals working in this difficult area. Winnie Magambo-Gasana, Advanced Nurse Practitioner, Oxford University Hospital NHS Trust Dr Andrew Rochford, Consultant Gastroenterologist, Barts Health NHS Trust Assisted methods of feeding Heulwen Sheldrick, Consultant Speech & Language Therapist, Community Trust Chester International Dysphagia Diet Standardisation Initiative (IDDSI) Joanna Instone, Head of External Affairs and Policy Officer for England and Wales, The British Dietetic Association Dysphagia Case Scenario Joe Colby, Lead Nurse for Artificial Nutrition Support, University Hospitals Coventry and Warwickshire NHS Trust Right meal, right patient, first time Teresa Loughnane, Mater Misericordiae University Hospital, Dublin

09:00 10:30 s 09:00 09:10 OC7 09:10 09:20 09:20 09:45 09:45 10:30 Symposium 9 Catheter Related Sepsis The Catheter-related sepsis (CRS) symposium aims to show delegates how to diagnose CRS, show

6 09:00 10:30 s 09:00 09:10 OC7 09:10 09:20 09:20 09:45 09:45 10:30 Symposium 9 Catheter Related Sepsis The Catheter-related sepsis (CRS) symposium aims to show delegates how to diagnose CRS, show which organisms cause it and from where they originate. It will discuss when and how to perform catheter salvage Dr Jeremy Nightingale, Consultant Gastroenterologist, St Mark's Hospital, Harrow Alison young, Nurse Consultant in Nutrition, Royal Liverpool and Broadgreen University Factors that affect survival in type 3 intestinal failure; the largest single centre experience of 978 patients over 37 years Dr Siddhartha Oke, Lennard Jones Intestinal Failure Unit, St Mark's Hospital, Harrow What is it and how is it detected? Dr Paul Chadwick, Consultant Microbiologist, Salford Royal NHS Foundation Trust Why do infections occur and with what organisms? Mia Small, Nurse Consultant in Nutrition and Intestinal Failure, St Mark s Hospital, Harrow Discussion/Debate Infected long-term HPN catheters with staph aureus or candida should be removed? For: Dr Trevor Smith, Consultant Gastroenterologist, University Hospital Southampton NHS Foundation Trust Against: Dr Antje Teubner, Associate Specialist IFU, Salford Royal NHS Foundation Trust 10:30 11:00 Coffee & Exhibition 11:00 12:30 Symposium 10 Nutrition and Dementia This symposium will tackle another controversial and highly emotive topic nutrition and dementia. It will look at the clinical manifestations of the disease with respect nutrition and investigate practical ways to meet the challenges of feeding the affected s 11:00 11:30 11:30 12:00 12:00 12:30 11:00 12:30 11:00 11:15 11:15 11:45 11:45 12:15 12:15 12:30 Dr Andrew Rochford, Consultant Gastroenterologist, Barts Health NHS Trust Winnie Magambo-Gasana, Advanced Nurse Practitioner, Oxford University Hospital NHS Trust Ethics in Feeding in Dementia Patients Dr Andrew Rochford, Consultant Gastroenterologist, Barts Health NHS Trust The Challenges of Nutrition in Dementia Alison Smith, Prescribing Support Dietitian, Aylesbury Vale and Chiltern Clinical Commissioning Groups Use of ONS in Patients with Dementia Prof. Margot Gosney, Director of Clinical Health Sciences, School of Psychology and Clinical Language Sciences, University of Reading. Satellite Symposium The Healthcare Environment is Changing - What is Your Role? The content of the session will cover updating the HCPs on the current healthcare and prescribing environment, informing HCPs on how the healthcare environment is changing and who they need to engage with to ensure their professional voice is heard and practical hints and tips for compelling communication to influence colleagues. The Current Healthcare Environment The Future Healthcare Environment and the Key Players Judy Willits, Heathcare Consultant, Hertfordshire A Practical Guide to Influencing Stakeholders Philip Graves, Consumer Behaviour Psychologist, Cambridge Q&A session

7 11:00 12:30 s 11:00 11:25 11:25 11:50 Symposium 12 IF Hot Topics and Case The Hot topics symposium will teach about EDS hypermobility and its relationship to nutritional problems. This will be highlighted in the case presentation. The ways in which neonatal liver disease has been reduced will be discussed with the implications for managing adult patients. Dr Jeremy Nightingale, Consultant Gastroenterologist, St Mark's Hospital, Harrow Alison young, Nurse Consultant in Nutrition, Royal Liverpool and Broadgreen University EDS Hypermobility and the gut Professor Qasim Azia, Professor of Neurogastroenterology, Barts and The London Neonatal PN related liver disease Lessons for adult practice Dr Julian Thomas, Consultant Paediatric Gastroenterologist, Paediatric Nutrition Team, Great North Children's Hospital, Newcastle upon Tyne 11:50 12:20 12:20 12:30 OC8 Case Dr Simon Gabe, Consultant Gastroenterologist, St Mark s Hospital, Harrow Dr Alison Culkin, Clinical Research Dietitian in Intestinal Failure and HPN, St Mark s Hospital, Harrow Review of tea drinking habits in short bowel patients with jejuno-colic anatomy in Northern Ireland Sarah-Jane Hughes, Belfast City Hospital, Northern Ireland 12:30 13:30 Lunch & Exhibition BAPEN Medical AGM 13:30 14:00 ed Poster sessions Posters showcasing new research will be displayed throughout the conference in the Poster Exhibition area, however, themed facilitated poster presentations will provide an opportunity for informal discussion with the author. 13:30 14:00 NG SIG Meeting Dukes Suite 14:00-15:00 BAPEN Keynote Lecture - Human Microbiome in Health and Disease Paul Wischmeyer, Duke University, North Carolina 15:00 16:00 Original Communication and Poster Prize Presentations Symposium 13 Rehabilitation after serious illness from community to the hospital and back. where? Sponsored by Continuing on the theme of tackling malnutrition in the community, BAPEN Medical dedicates its second symposium to another hot topic. Acute severe illness has become an increasing social and economic burden within last decades, as mortality has constantly decreased and more patients survive to hospital discharge. Unfortunately, the more severe the acute disease and the comorbidities the patient has at hospital admission, the longer and more difficult the rehabilitation, which could take up to one or more years. This long and sinuous road will be explored (focusing on nutritional aspects of rehabilitation) by a multidisciplinary panel of experts, including Prof. Paul Wischmeyer (US), who will share his experience from both sides of the net: doctor and patient. 15:00 15:10 OC9 15:10-15:35 Irina Grecu, Consultant in ICM & Anaesthesia, Hampshire Hospitals Foundation Trust Can dietitians contribute to reducing inpatient days among frail elderly people? A retrospective review of readmissions, length of stay and the impact of differences in anthropometry Louise Nash, Airedale NHS Foundation Trust The role of targeted nutrition and exercise in recovery from illness Prof Paul Wischmeyer, Nutrition Support Service, Duke University Hospital, North Carolina 15:35-16:00 Nutritional challenges in the recovery phase of critical illness Dr Judith Merriweather, Critical Care Dietitian/NRS Research Fellow, Edinburgh Royal Infirmary 16:00 Close of Conference

2018 Annual Conference

First Announcement BAPEN conference will focus on providing quality nutritional care. 2018 Annual Conference Harrogate Convention Centre Tuesday 20th & Wednesday 21st November The meeting is approved for