Optimal Nutritional Care for All

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Optimal Nutritional Care for All a European health innovation initiative, Slovenian leadership Frank de Man Ljubljana, October 17, 2016

Optimal Nutritional Care for All platform

The European Nutrition for Health Alliance - two track implementation strategy - EU Member States Policy Key performance indicators Country 1 Country 2 Country 3 Implementation ENHA/EU stakeholders & Science

Progress & Support European Parliament EP plenary votes 2008: Together for Health 2008 2013 programme and 2010: European Partnership Action Against Cancer Urges the Commission.. to make malnutrition/undernutrition, alongside obesity, a key priority in the field of health

Optimal Nutritional Care for All EP EU Presidency Belgium ENHA conference 2010 Conference chair & Chair EP public health committee Alojz Peterle : Malnutrition/undernutrition requires a cross-cutting solution; a good first step would be mandatory nutrition risk screening across Europe,..

European Innovation Partnership on Active and Healthy ENHA strategy and added value ENHA deliverables nutritional screening and care campaign contribute to EU objective Adding 2 more Healthy Life Years Chair Work Package (2012 2014) Nutritional screening and care key component of European Prevention and Disease Management policies

Investing in nutritional care: addressing patient needs and saving costs Significant decrease of co-morbidity Guest J et al, Clin Nutr 2011; 30: 422-9

Investing in nutritional care: addressing patient needs and saving costs Up to 50% less care needs Guest J et al, Clin Nutr 2011; 30: 422-9

Investing in nutritional care: addressing patient needs and saving costs Mal/undernourished cost twice as much Guest J et al, Clin Nutr 2011; 30: 422-9

Optimal Nutritional Care for All a European health innovation initiative Mission Optimal nutritional care for all European citizens Focussing on implementation nutritional risk screening and follow up care Strategy Implementation driven by key national stakeholder and patient groups Agreed priorities and key performance indicators (KPI s) across Europe Share best practices, progress measured per country ENHA Provides the structure, coordinates, inspires and facilitates

The European Nutrition for Health Alliance Optimal Nutritional Care for All THE CHARTER Our vision a world with optimal nutritional care for all Every patient who is malnourished or at risk of undernutrition is systematically screened and has access to appropriate, equitable, high quality nutritional care. Implementation Conference 2014 2014 Charter adopted @ first ONCA conference, Brussels The malnutrition challenge a public health burden - Disease-related malnutrition (undernutrition) is prevalent amongst patients in all healthcare settings around the world, including hospitals, care homes and in home care. - 33 million citizens are at risk of malnutrition in Europe this has an estimated financial impact on European healthcare systems of 170 billion each year. - Public spending on healthcare is tight - resources under pressure mean that nutritional care is often neglected. - Lack of awareness about the importance of nutritional care means that malnutrition risk screening and follow-up care are not undertaken systematically. Our ambition making nutritional care an integral part of healthcare - Improving nutritional care is everyone s responsibility. All partners need to play an active role: patients, carers, healthcare professionals, healthcare managers, government agencies, policy makers, payers, educators and industry. - Improving nutritional care requires a multi-disciplinary approach. Collaboration across disciplines and sectors is absolutely crucial to ensure the best patient care. - Nutritional care best practice to be widely adopted throughout Europe. The first step is the identification of those at nutritional risk (screening). If we achieve this primary objective, healthcare systems can deliver appropriate nutritional intervention and monitoring, making nutritional care an integral part of patient care. Better public awareness will also help in prevention and management of nutritional issues. Patients and the public should be empowered through high quality, user-friendly information. Our commitment to advance nutritional care The Optimal Nutritional Care for All campaign builds on and accelerates best practices in a number of European countries. Following up the support by the European Parliament in 2010 and the adoption of malnutrition/undernutrition in EU and WHO EURO programmes since 2012, the campaign now focuses on supporting implementation of better nutritional care for patients country by country. By committing to this shared vision, we pledge to collaborate for better patient nutrition in the near future. Let s be the generation who turns this vision into reality! Who are the signatories to the Charter? Signatories to the Charter include all stakeholders contributing to this movement: from ENHA members to national medical societies for clinical nutrition and metabolism, patient groups, healthcare professionals, dietitians, policy makers, hospital managers, carers, industry and all experts and citizens with a passion to optimize nutritional care.

Key steps in the ONCA campaign 2016 & managed growth 2016 Belgium, Croatia, Czech Republic, Denmark, Germany, Ireland, Netherlands, Spain, Turkey, France, Israel, Slovenia, United Kingdom Strengthening national stakeholders alliances Workshop May 20, Warsaw, 2016 Implementation conference November 21 & 22, Madrid, 2016 & Sweden Observers: Italia, Portugal

Optimal Nutritional Care for All Achievements 2016 so far: Warsaw, May 20 Warsaw Workshop & Report: features & challenges Country score card updates @ website Measuring nutritional status and record data Public private partnership, involving MoH Patient groups driving Health economics updates Co-funding options Best practices exchange

Optimal Nutritional Care for All Key achievements 2016 so far: Slovenia

Key messages regional implementa0on UK Delivering regional programmes

Slovenia ONCA conferences Ljubljana Feb & Oct 2016

Optimal Nutritional Care for All Leadership role Slovenia Slovenian Ministry of Health active partner All levels of care involved and showing progress Unique nutritional screening and evaluation in primary care Ljubljana Connection with healthy living and sports Patient groups involved

3 d Optimal Nutritional Care for All Conference 2016 November 21-22, Madrid A world with optimal nutritional care for all : selected key features: Involvement national and regional governments How patients drive health and care improvement ONCA impact: new best practices from the countries Eating well: now and in the future Opportunities for international collaboration Expansion through co-funding

Optimal Nutritional Care for All Brussels, Berlin, Madrid and beyond: Value Added For patients: every ONCA activity, national and European, contributes to improved health, prevention and health care Driving public private collaboration in nutrition and health across Europe Making nutritional care an integral part of health and health care Learning by doing community Creating continuous innovation

Slovenian leadership Op0mal Nutri0onal Care for All 4 th conference 2017 Slovenia