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2018 CN Awards - The shortlist

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Comprising of 10 categories, the CN Awards provides the chance for all readers, advertisers and contributors of CN magazines to come together to recognise the achievements of those whose great work has made a significant difference within the nutrition industry –whether an individual, group or organisation.

The CN Awards are your Awards to recognise your profession.

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Nutrition Resource of the Year

An e-learning tool to improve the confidence and competence of junior doctors in confirming the position of nasogastric feeding tubes
Lancashire Teaching Hospitals NHS Foundation Trust
Nominated by: Tracy Earley, Consultant Nurse, Lancashire Teaching Hospitals NHS Foundation Trust


Introduction: Nasogastric tube (NGT) insertion is a commonly performed procedure but mismanagement of NGTs can have disastrous consequences for patients. Misplacement of a naso- or oro-gastric tube which results in feeding/flushing into the respiratory tract has been listed as an NHS England ‘Never Event’ since 2005. Despite the focus on safe usage of NG tubes, between 2011 and 2016, there were 95 reported incidences of fluid or medication being introduced into the respiratory tract via an incorrectly placed NG tube. Improved education in the identification of incorrectly placed NG tubes is required to help address this important patient safety issue.

Method: The nutrition team at Lancashire Teaching Hospitals NHS Foundation Trust (LTHTr) has developed an e-learning package to teach junior doctors the correct methods for confirming NGT position with a view to improving their competence and confidence.

The tool provides information on indications and contraindications for NGT insertion, a protocol for checking NGT position including nose-ear-xiphysternum (NEX) measurement and pH testing. It also provides formal teaching in chest radiograph interpretation, and a structured approach to assessing anatomical landmarks “the 2Cs and 2Ds” (clavicle, carina, diaphragm and deviation), consistent with NPSA 2016 – 008 alert. It has an assessment function using MCQs to test the learning undertaken. The e-learning tool has been evaluated in training sessions with 39 junior doctors of different levels of experience. Pre- and post-training questionnaires were completed which assessed both trainees perceived competence in correctly confirming NGT position (using Likert scales) and performance on chest radiograph interpretation, using multiple choice questions.

Results: 90% of the doctors who attended the training sessions had never experienced using a similar tool in the context of teaching NGT position confirmation. The results show that after the training package, there was a significant increase in the junior doctors’ confidence in correctly confirming NGT position using chest radiographs (pre-training median 7, post-training 9, P value).


Diet, Anthropometry and Physical Activity (DAPA) Measurement Toolkit
University of Cambridge MRC Epidemiology Unit and collaborators
Nominated by: Lynsey Spillman, Hepatology Dietitian, Cambridge University Hospitals NHS Foundation Trust

The Diet, Anthropometry and Physical Activity (DAPA) Measurement Toolkit (http://dapa-toolkit.mrc.ac.uk/) provides a free web-based resource with up-to-date and evidence-based information regarding how to measure diet, anthropometry and physical activity. The toolkit does not recommend or promote any specific method but provides information for clinicians and clinical researchers to be better equipped at choosing methods or interpreting results from studies or projects. The resource is very easy to navigate with sub-headings to find information on specific methods, e.g. 24-hour diet recalls, diet histories, misreporting of diet and food composition. It is understandable and demystifies common terminology in this specialist area.

Over the past year I have used this resource to help improve my diet recall and diet history skills in clinical practice, a foundation of my work as a clinical dietitian. It has also been incredibly valuable to help me understand and critique the diet, anthropometry and physical activity measurement methods used in research studies to apply this to the care of my patients. As well as helping me to improve clinical practice, the resource has facilitated me with planning my own robust research project to apply for doctoral funding.

I think this toolkit deserves an award because it is a free, comprehensive, non-biased resource that is useful for improving clinical and evidence-based practice, for qualified dietitians, student dietitians and other healthcare professionals. The knowledge this resource provides should be shared widely so we can all benefit.


Patient Led Assessment for Nutritional Care (PLANC) in Palliative and End-of-Life Care 
Dorothy House Hospice, Winsley
Nominated by: Anne Holdoway, Clinical Lead Dietetics, Therapies Team, Dorothy House Hospice, Winsley

This nutrition assessment tool and supporting algorithms and resources were developed for use in both an in-patient and community-based setting by any member of the healthcare team, to identify and address nutritional issues (including malnutrition) amongst palliative patients and those receiving end-of-life care.

Utilising a practice development approach, the tool, algorithm and resources are the outcome of a 3-year organisational wide project led by 3 palliative care nurses – Agata Czerwinska, Jill Souter and Sarah Cooley – and supported by the Hospice's specialist dietitian.

With stakeholder engagement across the entire organisation, and representation from patients, carers, nurses, dietetics, catering, doctors and volunteers, the 'PLANC' – Patient Led Assessment for Nutritional Care tool – was developed to sensitively identify nutritional and dietary issues amongst palliative patients and those receiving end-of-life care. The 'PLANC' tool is supported by 2 algorithms that guide nutritional care and advice to alleviate symptoms and optimise nutritional status and quality of life according to the disease trajectory, with one algorithm focused on early to mid-palliative care and the other aimed at appropriate nutritional care in the last few weeks of life.

Following testing and refinement, the 'PLANC' tool and nutritional care algorithms have been adopted in practice to support all patients receiving care from the hospice (in-patient, out-patients, outreach centres and at home). A comprehensive range of patient/carer materials enable members of the healthcare team to not only identify the nutritional needs and concerns of patients and their carers, but deal with them in an effective and holistic way. The algorithms also ensure patients with complex dietary issues are identified and referred to a specialist dietitian at the earliest opportunity.

Through educational events and presentations at national conferences, the tool and resources have been adopted by other hospices across the UK and, more recently, by district nursing.

In 2017, the Care Quality Commission (CQC) awarded the Hospice an 'outstanding' rating with special mention given to the bespoke nutritional care offered to patients and their carers.

Ultimately, the PLANC tool, algorithms and resources, supported by structured and interactive educational events run by the hospice dietitian and nurse specialist have been central in promoting timely and individually tailored nutritional care and have raised the profile of nutrition and its importance across the entire organisation.

A summary of the project work and the positive change achieved can be accessed www.dorothyhouse.org.uk/professionals/resources-for-professionals. All diet resources are freely available on request.


PENG Clinical Update Course 
Parenteral and Enteral Nutrition Group (PENG) a specialist group of the British Dietetic Association (BDA)
Nominated by: Kate Hall, PENG Chair

Background: The first PENG Clinical Update Course ran over 30 years ago and has run at least annually since that time, developing significantly. The course ran for the first time in October 1985, as a CPD course for qualified dietitians with an interest in nutrition support, and was the brainchild of the original PENG Committee (Pat Bacon, Kay Carr, Rita Hopkins, Pat Howard, Ann Micklewright, Christine Russell, Doug Scott and Vera Todorovic). The Committee and other experienced dietitians (Alan Torrance and Moira Dixon) acted as the course tutors and each tutor provided hand-outs for their sessions. These hand-outs formed the basis of the very first PENG Pocket Guide to Clinical Nutrition. The course attracted dietitians who were working in, or had a specific interest in, artificial nutrition support and was so successful that it became one of the first courses to be validated by the BDA in 1989. The course has always been a series of lectures followed by workshops in smaller groups led by an experienced tutor. At the end of the course and following the formal teaching, delegates had to complete a case-based short answer exam followed by a written case study when returning to the workplace.

The PENG Clinical Update Course ran from 1989 to 2009 as a BDA validated course and during that time the course continued to evolve. Whilst the core topics (nutritional assessment, access routes and administration of enteral and parenteral nutrition) remained as key topics the course developed and incorporated the 'hot topics' of the day, e.g. immunonutrition, home enteral nutrition, refeeding and ethics, along with evidence-based practical case studies. There were many course tutors during this time all of whom have contributed in some way to the success of the course. There have also been several course leaders who have driven the course forward.

In 2010, there was a move within the dietetic profession for increased provision of Master's level learning and it was a natural progression for the Clinical Update Course to become a Master's module. Following a tender process, Queen Margaret University (QMU), Edinburgh, were successful in being given the opportunity to deliver the Master's module in conjunction with PENG, which was facilitated by Ailsa Kennedy course leader and Jacklyn Jones, nutrition and dietetic lecturer at QMU during this transition and who remains the academic link person for the course. This was not a straight forward task with many hurdles to overcome, including ensuring the correct number of learning hours could be achieved, ensuring the course content was suitable and ensuring the assignment was achieving Masters level learning. The assignment has evolved over the years to minimise the risk of plagiarism and improve critical thinking.

Quality: The course has always been highly regarded by the dietetic profession and continues to attract around 65-80 dietitians working in a range of clinical areas each year. Most delegates are working across the UK, but in recent years there have been delegates from further afield, e.g. Malta, Greece, Saudi Arabia, Spain and Australia.
The delivery of the course remains similar to the early iterations of the course in that keynote lectures are delivered, and then delegates are divided into small tutor groups which are facilitated by experienced tutors from a range of clinical and academic backgrounds where they can discuss the content of the lectures and share their practical experiences. The course content remains up-to-date and evidence-based. It is therefore not surprising that the course has for many years been, and continues to be, a flagship for PENG. This is in no small part down to all the course tutors and lecturers, PENG Committee members and all the delegates who have contributed and participated in the course over the years.

It is difficult to quantify how far reaching the teaching has been and the impact it has had on the profession, but since the course started over 1000 registered dietitians have attended. It is therefore fair to assume that there has been a significant impact on dietetic practice in the UK as a result of the course. During this time the delegates have been supported by over 50 course tutors and guest lecturers all who have given up much of their own time to ensure the course continues to be delivered to a high standard. The course continues to be extremely well evaluated, some recent comments from delegates are included below. During recent times of austerity, PENG recognised that NHS training and education budgets were limited. In 2013, the PENG Committee agreed to provide equity for all and to encourage continued development of the profession they would provide a bursary for five delegates a year to have a fully funded place. The scheme is open to all PENG members and applications are considered by the PENG Education Committee. The course is evaluated annually and content amended to ensure it maintains its status and meets the needs of dietitians of the future working in nutrition support.

Innovation: The Clinical Update course is unique as it is the only profession specific Master's on nutrition support for registered dietitians. The Master's level status is valued by the profession and, as surveys of dietetic managers carried out via BDA have demonstrated, it is a universally recognised method of CPD. The course is supported by the PENG Pocket Guide to Clinical Nutrition, and the two are developed in tandem to ensure they are up-to-date with current evidence-based practice and provide an excellent resource for all professionals working in this clinical area.

Feedback:
"Thoroughly enjoyed this course and will go back to the department with a new approach to practice and reiterate the importance of always questioning practice. Thanks to all involved."

"Excellent course, very informative and provocative, making me think about many things I have been doing and re-think about the levels of evidence supporting my dietetic decision. A catalyst to encourage me to return to work to do audit and change my practice, love it!!"

"Overall, I have come away thinking more about what I don't know than what I do. Lots to read up on, some useful practical things I can start immediately, and I do feel better equipped and more confident to question and appraise practise and evidence. Thank you."

"All the tutors were inspiring. They are so passionate about their work it is infectious. A pleasure to meet them and all were very friendly. Great to meet faces and names I see in publications!"


New Product of the Year

Fresubin Intensive 
Fresenius Kabi Ltd


Fresubin Intensive is a new enteral tube feed, nutritionally complete in 1000ml, with a high protein (10g/100ml), moderate energy density (1.2kcal/ml) and a modified fat and carbohydrate formulation; specifically designed for early enteral feeding during the acute phase of critical illness once patients are haemodynamically stable. Fresubin Intensive ensures protein requirements can be achieved whilst avoiding the risk of overfeeding.

Fresubin Intensive aims to meet the nutritional demands of critically ill patients, with or at risk of malnutrition, in a relatively low volume whilst ensuring optimal metabolic and gastrointestinal tolerance. This novel product formulation contains 100% whey protein hydrolysate for easy digestion and absorption, is low in fat with MCT and contains a modified carbohydrate profile with a low glycaemic index.

Reaching patients' protein targets without providing excessive energy is challenging with traditional enteral formulas. Fresubin Intensive has the lowest ratio of non -protein energy to nitrogen currently available (52:1). Achieving early high protein (≥1.2g/kg/ day) without overfeeding energy is associated with lower mortality in a retrospective cohort of non-septic intensive care patients.1 A prospective pilot study by Looijaard et al2 aiming to determine the feasibility of reaching a protein target of ≥1.2g/kg ideal body weight/day after 96 hours of ICU admission, concluded that Fresubin Intensive enabled clinicians to achieve a high protein target early during ICU stay, without exceeding the defined energy target.

References: 1. Weijs et al. Crit Care. 2014; 18(6):701; 2. Looijaard et al. ESPEN 2017. ESPEN Abstract.


PaediaSure Compact
Abbott Laboratories

Good compliance to oral nutritional supplements (ONS) is key to maximise both clinical and cost effectiveness.1

Taste, mouth feel, aftertaste and volume can all affect patient compliance to ONS.1, 2 Undernourished patients in particular are more likely to be compliant with taking ONS if the product is palatable.2

In children who need nutrition support, clinical evidence shows that in addition to taste, an energy dense, lower volume paediatric ONS significantly improves compliance and nutritional intakes over standard paediatric ONS, leading to improved growth in these children.3

So, with both taste and compliance in mind, Abbott's PaediaSure Compact is a nutritionally complete paediatric ONS that squeezes the complete nutrition of PaediaSure Plus (200ml) into just 125ml with the same great taste.4 PaediaSure Compact is available in a range of great-tasting, kid approved flavours;4, 5 banana, strawberry and vanilla.

Food still comes first for most, so children should still have a good appetite after taking their ONS. With PaediaSure Compact, parents have reported that their child was able to eat/drink just as much, if not more, during lunch after drinking PaediaSure Compact.6

References: 1. Hubbard GP et al. Clin Nutr 2012;31:293-312.; 2. Glencorse C et al. Clin Nutr Suppl 2010; 69: abstract E164.; 3. Sorensen K et al. 2017 Improved Compliance, Nutritional Intakes and Growth with a High Energy Density, Low Volume Paediatric Oral Nutritional Supplement; Nutrition and Growth Conference 2017 - Amsterdam, The Netherlands.; 4. Data on file. Abbott Laboratories Ltd., 2017 (Sensory research and evaluation: PaediaSure Plus vs. PaediaSure Compact).; 5. Data on file. Abbott Laboratories Ltd., 2017 (Sensory research and evaluation: PaediaSure Compact banana flavour and PaediaSure Compact strawberry flavour).; 6. Data on file. Abbott Laboratories Ltd., 2016 (Satiety research).


PINNT/TeamTAG 'Medical Tag'
Patients On Intravenous & Nasogastric Nutrition Therapy (PINNT)

PINNT/TeamTAG developed a medical tag for people on home artificial nutrition (HAN).

The medical tag has been designed, with support from PN pump manufacturers/suppliers, to add verification that the rucksack they carry contains genuine medical equipment. In times of heightened security, it's an added layer of support for patients and their families. The tag has the international medical symbol, discretion and support was key to this tag. Where people are asked to leave their rucksack in a cloakroom or pass through security checks; the tag gives security staff the ability to make visual checks via a secure page on the PINNT website. They identify the pump they see with the pump on the screen, they then select this image to be taken to the technical specification the company website.

The QR code scans straight to the page, log in details are also provided. In addition to the tag each person is given a contact card for the inside of the rucksack. This too has the QR code and log in information. There is a place to record personal information too.

We want everyone who needs or elects to infuse their artificial nutrition in public to have an added layer of security. Verbal explanations will still be necessary, also when travelling the usual medical letters are essential.

It's unique because it's one of a kind, dedicated purely to feeding pumps.

It's available to all patient PINNT members. PN members were part of phase 1. Phase 2 is now being planned, enteral PINNT members will have access to the tag mid-May 2018.

PINNT provides resources to aid people who choose life, trying to keep things normal – this resource gives added security in times where rucksacks, giving sets and noisy pumps can be worrying or threatening to the general public and security staff just trying to do their job.

We support all safety measure while supporting those on HAN.

Community Nutrition Professional of the Year

Northern Trust led – Regional Prescribing Support Dietetic Team, Northern Ireland
The team: Marie-Claire Kane (Team Lead), Fiona Hegarty, Kathryn Duff, Aideen O'Hagan, Elizabeth Armstrong (Prescribing Support Dietitians), Ursula Quinn and Margretta McCully (Prescribing Support Assistants), Northern Health & Social Care Trust
Nominated by: Fiona Hegarty, Prescribing Support Dietitian, Northern Health & Social Care Trust


As a team comprising of prescribing support dietitians and prescribing support assistants, we deliver a clinical dietetic service in primary care regionally across Northern Ireland. Strong multi-professional working has been an essential element for the team, and closely working with GPs, pharmacy, dietetic colleagues, AHPs and members of the voluntary sectors, to mention a few, have been paramount. Our aim as a team is to promote the safe and effective prescribing of oral nutritional supplements, underpinned by providing patient-centred care in the management of malnutrition.

As a new team, working together over the past 8 months, patient-centred care has been at the forefront of our working. With this in mind, the team have identified and explored innovative ways of working to improve the delivery of this regional clinical service to patients and service users. An example of this was a pilot project in one HSC area which explored the provision of virtual clinics which received very positive patient feedback; therefore, future plans to deliver this service in other HSC areas regionally has now been proposed. The team have now been commissioned to deliver tele-monitoring service within nursing and care homes regionally aiming to further improve clinical outcomes, reduce patient time attending outpatient patients, enhance MDT working and, ultimately, improve patient care.

Since the development of the team, we have created an intranet and internet webpage to raise awareness of the role of our regionally prescribing support dietetic team in the identification and treatment of malnutrition within primary care. A platform which has been developed over recent months has been our team twitter account - @HSC_PSRD. As a relatively new team the response has been overwhelming, enabling our team to engage with other healthcare professionals and participate in key events, such as 'Nutrition and Hydration Week', which has not only raised the profile of our team but also the dietetic profession.

Non-clinical working has also been an essential component for the team. Various audits have been undertaken within primary care, one such piece of work has examined the knowledge and understanding of malnutrition amongst GP's across Northern Ireland. Ultimately, with the combination of both clinical and non-clinical achievements fulfilled by the team these can be brought to the forefront within our area of work to, ultimately, improve patient care and nutritional standards in both the present and future.


Wessex Academic Health Science Network Nutrition in Older People Programme Team

Programme Lead: Kathy Wallis
Nominated by: Kathy Steward, Area Matron, Andover and ARN ICT and Wheelchair services, Southern Health NHS Foundation Trust

The Wessex Academic Health Science Network (AHSN) Nutrition in Older People Programme Team (http://wessexahsn.org.uk/programmes/9/nutrition) has spent the past four years developing approaches to help to reduce undernutrition among older people living in the community.

They have been involved in several projects to evaluate integrated approaches to screening and nutritional care, such as the Pan Dorset Malnutrition Programme and the OPEN Eastleigh Project, which have allowed them to generate evidence and outcome measures to show that screening and care in the community can improve nutritional status, health, wellbeing and have significant financial impact. To date, their projects have screened over 6500 people and identified over 1500 people at increased risk, who have been given advice, signposting and support. They have also been involved in raising awareness and working with voluntary sector organisations to develop new ways of identifying undernutrition risk. They have provided awareness training to approx. 800 health and social care professionals and 100 voluntary sector workers. They are currently working with the Patients Association to develop a Nutrition Checklist, and have developed the Nutrition Wheel, an interactive tool to help initiate a conversation around nutrition.

Their freely downloadable OPEN (Older Peoples Essential Nutrition) Toolkit contains a wealth of resources to support the identification and treatment of undernutrition among older people living in the community (http://wessexahsn.org/OPEN-toolkit). Endorsed by the British Dietetic Association, the Toolkit meets the need for training packages across a range of community roles, awareness leaflets (general OPEN undernutrition leaflet, and leaflets on COPD and dementia), posters, videos (on general undernutrition and 'MUST'), a hydration toolkit, evaluation framework and generic care pathways which can be localised. The Toolkit was developed by a multi-disciplinary group (including dietitians and nurses) from the Wessex region, and has been piloted as part of the OPEN Eastleigh project. The toolkit has been widely adopted across Wessex and wider.

The resources developed by the Wessex AHSN in Older People Programme Team are currently supporting nutrition-related improvements in care across Southern Health NHS Foundation Trust as part of a project to implement and evaluate a new procedure for nutritional screening and treatment in the community. We included the resources from the OPEN Toolkit to provide new training for staff (showing up to 23% increase in measured knowledge score) and used the leaflets to improve practice. The videos are being used to develop e-learning for staff.

Staff feedback has been positive, including the following quotes, "Leaflets are not patronising", "Includes easy and basic advice" and "Excellent tools which should be more widely shared". As a result of the project, we have seen an increase in the number of patients being screened for malnutrition.


Kindly sponsored by Yakult
yakultlogo17
Yakult is delighted to sponsor the 2018 CN Award for 'Community Nutrition Professional of the Year'. For free educational and research information visit www.yakult.co.uk/hcp


Social Media Personality of the Year

Dr Peter Collins
Senior Lecturer, Course Coordinator, Nutrition & Dietetics, Faculty of Health, QUT, Brisbane, Australia and Founder of Clinical Dietetics on Facebook
Nominated by: Dr Alison Culkin, Lead intestinal Failure Dietitian, St Mark's Hospital


Peter is a passionate UK-trained dietitian, now living in Australia, who feels it is important for dietitians to actively engage with social media. After noticing an unmet need online, Peter started the Clinical Dietetics Facebook group in November 2016. This innovative way to promote and connect members of the dietetic profession from around the world has proved very popular; and in just a year the group has received 12,000 followers from 45 countries around the world. The page provides a platform for clinical nutritionists and dietitians to share their research and any guidelines that they have been involved in. Dietitians from Australia and New Zealand involved in the NHMRC Nutrition in Cystic Fibrosis guidelines used the page to publicise their work and in under a week the post received 500 likes and a reach of over 16,000 people.

More recently, Peter has started to explore the Community function on Facebook and dietitians are signing up to a closed discussion group. Dietetics is a relatively new and small profession and often great ideas are shared and important clinical questions asked behind the closed doors of respective dietetic association discussion boards. However, sharing of ideas and questions on an international stage is incredibly powerful and Peter hopes the Dietitian's Discussion group linked to Clinical Dietetics will create a supportive community of international dietitians and healthcare professionals (Professors of Medicine and Pharmacy involved with nutrition are members of the page and group!). It is a fantastic way to keep up-to-date in diverse areas of dietetics and do a bit of CPD on your journey to work.


Rob Cronin
Nutrition Support Dietitian (Cheltenham and Gloucester) and Social Media Rep within the BDA Critical Care Specialist Group
Nominated by: Kaylee Allan, Dietitian, North Bristol NHS Trust

Rob is currently social media rep within the BDA Critical Care Specialist Group alongside working as a nutrition support dietitian. During his time as social media rep the @bdaCare twitter account has gone from strength-to-strength, with over 800 followers. Not only does Rob enable collaboration between dietitians, but he has actively sought out other professionals who aren't 'twitter active' and created an inclusive atmosphere. This was demonstrated at the Critical Care Specialist Group Study Day in November 2017, where Rob spoke with such passion about the power of social media and the benefits to dietetics.

Rob sets a sterling example to others about sharing knowledge, promoting the good work of critical care dietitians and encouraging others to ask questions which starts useful dialog between professionals. I really feel his efforts should be recognised. Well done Rob!


Louise Robertson
Specialist Dietitian in Inherited Metabolic Disorders (Adults), Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust
Nominated by: Sian Porter, Registered Dietitian

Louise works as a specialist dietitian in the NHS, runs the blog Dietitian's Life (www.dietitianslife.com) with her colleague Sarah Howe, is active across all social media and is a busy working mum. Last Summer (from 26/06/17 to 30/06/17) Louise took over the NHS Twitter feed @NHS (https://www.england.nhs.uk/atnhs/curator-archive/louise-robertson/) and did an amazing job with interesting and engaging tweets which promoted nutrition, dietitians as a profession and showcased the work they do and so much more.

Louise is an entertaining presenter and regularly speaks about nutrition and social media at training days and events, encouraging other dietitians to get involved with excellent tips and advice.

Louise should be applauded for all she does. It is acknowledged that the blog is a joint venture but the nomination is particularly for her work on the NHS Twitter feed.


Paediatric Nutrition Professional of the Year

Nicola Burns
Paediatric Enteral Nurse Specialist, Nutricia AMN
Nominated by: Sophie Hirst, Clinical Practice Manager, Nutricia AMN


I would like to nominate Nicki Burns for the Paediatric Nutrition Professional of the Year award. Nicki joined my team as the Paediatric Enteral Nurse Specialist in June 2017, and has made significant changes to the way her caseload of 300 patients are managed, and always ensures patient safety and the care they receive is at the forefront of everything she does.

Nicki began to realise that approximately half of her patients did not utilise her support. The reason for this is simply that parents/carers were not aware that she existed. She also noticed some safety concerns, such as parents not performing pH checks pre and post feeding tube replacements at home, along with children being enterally fed in positions of lower than 30 degrees'. In order to address these issues, Nicki has designed and developed a newsletter (cleverly titled 'Nicki's Newsletter) that has been posted to all patients' families on her caseload. To put this project together, Nicki has worked alongside the managing healthcare professionals (dietitians), Nutricia communications and marketing departments, graphic designers and the entire Paediatric Home Enteral Feeding Team at Sheffield Children's NHS Foundation Trust. Nicki has designed an audit tool to monitor how effective this newsletter will be and has set up a specific email address for feedback to be sent to, including the option of future newsletters to be sent electronically. Nicki will pilot this project for one year with three newsletters in total: 1. Welcome to your team, 2. Back to School, 3. Merry Christmas. Each newsletter includes vital information for families, along with reminders about safe clinical practice, best care and changes to enteral feeding products. In addition to this, Nicki has developed a 'drop in clinic' for parent's evenings at the special schools in Sheffield. This is also promoted in her newsletter and parents are given the opportunity to attend the clinic and seek her expert advice should they wish.

Nicki's innovative and creative mind has led to the possibility of changes within the Nutricia Nursing Service as a whole, whilst also demonstrating how effective collaborative working can be, with her focus always being on the patients, their safety, and how best to improve the care they receive.


Dimitra Verra
Paediatric Dietitian, Hertfordshire Community NHS Trust
Nominated by: Brian Power, Lecturer in Nutrition, University College London

Dimitra is an exceptional Paediatric dietitian who sets the standard for patient care. She is patient, compassionate and driven. Nothing is too much trouble for her. She goes above and beyond the call of duty to support children and their caregivers and adopts an approach that is all about 'working with' rather than 'doing to'. For example, in response to patient requests, Dimitra set-up additional walk-in clinics alongside telephone consultations to provide a more personal approach for paediatric patients.

Dimitra collaborates on projects to support dietetic service development. For instance, she is currently engaged in a project to identify what factors improve children's adherence to dietary advice. She has also been recently involved in submitting a proposal that aims to capture paediatric patient reported outcome measures. This will give her paediatric patients a unique opportunity to give their feedback on their treatment experience and how it affects their lives. Her enthusiasm for these projects stems from her desire to improve dietetic practice. She is also involved in training dietetic students and supporting them to be evidence-based practitioners.

Dimitra's concern for the unique nutritional needs of children led to her involvement in promoting dietetic services to a local scouting organisation. Dimitra is also passionately involved in annual diabetic camps for children and adolescents with Diabetes UK. She also uses innovative technology to improve dietary self-management among her paediatric patients.

Her own personal dedication to paediatric care was recently recognised with a Rising Star Award at the Advancing Healthcare Awards 2017.


NutriciaELNlogo10089cmykKindly sponsored by Nutricia Early Life Nutrition
Nutricia Early Life Nutrition are delighted to sponsor the Award for Paediatric Nutrition Professional of the Year. For further information please visit eln.nutricia.co.uk.                            


The Geoff Simmonett 'Commitment to Patient Care' Award

Claire Abbott
Macmillan Oncology Dietetic Assistant, Royal Surrey County Hospital
Nominated by: Lindsey Allan, Macmillan Oncology Dietitian, Royal Surrey County Hospital


Claire has embraced the new role of Macmillan Oncology Dietetic Assistant with immense enthusiasm and a keen desire to learn.

Since her appointment, she has spent time out of work improving her knowledge by completing the Macmillan Online course on Nutrition Care. She has been awarded a Level 1 in Counselling (Interpersonal) Skills and is currently working towards a level 2 certificate.

The greatest asset to having Claire in our team has been her support in our clinics. Claire triages our clinics and has an amazing ability and intuition to prioritise those who need dietetic input on the day from those who just require reassurance and support, which she is able to provide admirably. As a result, our clinics are run more efficiently and effectively and our patients are getting the care they deserve.

Claire has been instrumental in setting up weekly group talks for patients and ensuring that relevant patient information is available to everyone at the Cancer Centre.

In September 2017, Claire was chosen to be a Macmillan Ambassador for Marks and Spencer. She was interviewed on local radio and attended events locally, where she promoted the Macmillan Coffee Morning, as well as the role of the dietitian in cancer care.

Claire is wholeheartedly committed to her role, ensuring that day-to-day activities run smoothly. She has set the standard for other teams in our department and as a result of her work and innovative approach to her job, others are now keen to develop Dietetic Assistant roles to improve patient care. She is a credit to our profession.


Jacqui Arnold-Jellis
Nutrition Nurse Specialist, Luton & Dunstable University Hospital
Nominated by: Dr Rui Gao, Consultant Gastroenterologist, Luton & Dunstable University Hospital

Jacqui is one of the longest serving adult nutrition specialists in the UK, with over 25 years' experience at Luton & Dunstable University Hospital. She managed to expand the team of nutrition nurses from a one-person team to current team of three nutrition nurses and one nursing assistant. She has provided excellent leadership and guidance to her team.

She is a highly motivated and hardworking professional, and works tirelessly to educate junior doctors and nursing staff in training days and grandrounds. She is responsible for writing and auditing numerous trust guidelines on clinical nutrition. She has built up an excellent working relationship with the community nutrition team with regular meetings to discuss various nutrition pathways.

She works extremely well with the rest of our multi-disciplinary nutrition team and leads our parenteral nutrition service. She shows an excellent fund of knowledge and a willingness to go beyond the usual role of nutrition nurses, demonstrating a commitment to continuity in caring for her patients. She has looked after thousands of patients during her time with excellent communication and compassion towards patients and relatives. She has received countless 'thank you' cards and positive feedback from grateful patients and their families.

I have always been impressed by Jacqui in terms of reliability, safe working and commitment to maintaining standards. Her counterpart in paediatric nutrition in our trust has received national recognition and was awarded a CBE. Jacqui is far too modest to ask for such recognition herself. Our team feels that she would be a worthy winner of this award.


Adele Hug

Macmillan Oncology Dietitian, Royal Surrey County Hospital
Nominated by: Lindsey Allan, Macmillan Oncology Dietitian, Royal Surrey County Hospital

Adele is an invaluable member of the general Oncology Team. She works tirelessly to improve the care offered to her patients and constantly strives to develop services.

Adele has been instrumental in the development and implementation of the DAIL (Dietetic Assessment in Lung Cancer) trial, which is researching the nutritional status of lung cancer patients at the start of palliative treatment. Her work won a Young Investigator Award at the 2016 World Lung Cancer Conference.

This year Adele has been working on improving care to neuroendocrine (NET) cancer patients and has jointly set up the Dietitians Interested in NETs Group (DING). The aim is to provide information and support at an international level for dietitians.

Adele even has time to work with Macmillan, regularly teaching on their Eat Well Feel Good courses, and is a DESMOND trainer for diabetes patients.

Her enthusiasm and work ethic are to be commended. In spite of a busy caseload, she never fails to support her team and she is a credit to the dietetic profession.


NutriciaHomewardNursingService17 Kindly sponsored by Nutricia Homeward Nursing Service
The Nutricia Homeward Nursing Service is the largest dedicated enteral nursing service in the UK. It has been supporting enterally fed community patients for more than 15 years.
www.nutricia.co.uk
 

Clinical Nutrition Professional of the Year

Dr Rui Gao
Consultant Gastroenterologist, Luton & Dunstable University Hospital
Nominated by: Dr Vivian Yiu, Consultant Nephrologist, West Suffolk Hospital/Addenbrooke's Hospital


Dr Gao started as a new Gastroenterologist and Lead in Clinical Nutrition at Luton & Dunstable University Hospital in September 2013. Since then he has worked tirelessly to transform an outdated and skeletal service into a first-rate nutrition service. Our hospital is a regional centre for bariatric surgery and head and neck cancer, with uniquely challenging demands on our services, and he has led the nutrition team to successfully meet these.

He successfully recruited two nutrition support nurses to double the workforce, and significantly re-organised the infrastructure. As chair of Nutrition Steering Committee, he leads a multi-disciplinary team to monitor standards for nutrition support, and implement an agreed process of audit for catering, nutrition and hydration support.

His team has worked hard to improve patient safety and care. He undertook a major review and redesign of clinic template and referral pathway, resulting in reduction of waiting time. He is considered a local and national expert in clinical nutrition, and regularly receives internal and external referrals for second opinion.

His nutrition team constantly audits performance of current equipment and was responsible for changing enteral syringes, which saved the trust £10000 per annum.

He is the main clinician and the only trainer in our hospital to carry out insertion of PEG (gastrostomy). Audit results show consistently better outcome than national average (5-8% 30-day survival versus average of 12%), with no serious immediate complications in the last four years.

Dr Gao set up an emergency review service for nutrition patients in endoscopy. His team improved community liaison and the referral pathway of nutrition patients in order to improve continuity of care.

His team have rewritten and updated half a dozen trust guidelines on key areas of clinical nutrition in the last five years.

He was responsible for setting up a bridled NG (nasogastric) service after gaining approval in Ethics Committee. This should improve quality of life and improve outcome for selected group of nutritionally vulnerable patients.

Dr Gao initiated multi-disciplinary meetings for complex nutrition cases. He regularly provides second opinions for such cases, as well as attend case conferences and review complaints in the area as a local expert on the subject.

He was a member of the trust catering outsourcing workgroup and was one of three people responsible for the final signing off of the £50 million project over five years. The new 'bespoke' catering service has received positive reviews from patients.

Dr Gao was instrumental in the successful transfer of the trust dietetic service in-house, and nutrition services to gastroenterology for more efficient management. He regularly guides and helps to manage the team of dietitians, and is responsible for interviewing new dietitians and distribution of dietetic workforce.

He is a member of BAPEN (British Association of Nutrition) and ANNet (Anglian Nutrition Network). He has contributed to questions for BAPEN's e-learning modules to train the next generation of experts.

He was a key member of the hospital gastroenterology team who won a prestigious national award, the BSG SAGE Award 2014, and were also finalists for two other national awards.

He is an accredited educational supervisor and clinical supervisor for a number of medical trainees. He has been a DMP or mentor for a number of specialist nurses for nurse prescribing course.

He has regularly delivered talks on gastroenterology and nutrition to national, local and hospital audiences with good feedback.

His team regularly provides training sessions for junior doctors and nursing staff on practical procedures. The team introduced a new e-learning module on NG tube positioning as part of junior doctor induction.

He has received the national Clinical Excellence Award in recognition of his clinical work.

Most of all, he is an extremely kind, compassionate and understanding doctor who treats his colleagues and patients with respect and dignity. His patients simply adore him and the team he leads.


Bruno Mafrici
Senior Specialist Renal Dietitian and Team Lead, Nottingham University Hospitals NHS Trust
Nominated by:NUH Acute and Care Dietitians, Nottingham University Hospitals NHS Trust

Bruno is nominated due to his incredible commitment and passion for enhancing nutritional care, promoting the dietetic profession and for being an incredibly supportive, kind and inspiring member of our team. He began his dietetic career as a dietetic assistant and, although having Italian dietetic qualifications, undertook further study whilst working full-time to obtain his British dietetic qualifications. Since then he has progressed through the ranks from a basic grade up to undertaking a secondment as a Dietetic Service Manager. Bruno reaches a wide professional audience through his social media presence (e.g. on Twitter) and the work he undertakes both within Nottingham University Hospitals (NUH) and outside.

He has worked as the Clinical Lead for Renal at NUH for 8 years. Through his dedication to enhance nutritional service delivery to this patient group, the renal team has grown from 2 dietitians to 5, supported by a dietetic assistant. He regularly undertakes clinical audit and research to ensure continuous service improvement, whilst supporting and encouraging others to do the same.

Some of the projects he has been involved in are:

  • Devising a local agreement allowing a Band 7 dietitian to initiate, change and stop phosphate binders independently after completing competencies. This was achieved as part of an 8-month pilot project where the total cost of prescribing binders reduced from £39,108.40 (month 1) to £31,331.20 (month 8). He is working on a new agreement for all NUH renal RDs with enough experience to be able to change and stop binders, in addition to advising on their initiation.
  • Developing an in-house haemodialysis nutrition support referral tool – MAHRT (Malnutrition Haemodialysis Referral Tool) – which he is currently in the process of validating the tool with an aim to publish.
  • Encouraging and supporting other staff research projects, such as phosphate counting and developing a service using meal replacement plans for weight loss for renal patients, considering clinical factors such as the stage of CKD, medical treatment and electrolyte levels.

Bruno is so dedicated to the dietetic profession that he also undertakes significant additional nutrition-related roles, outside of his clinical one. such as PENG lecturer for their annual study days; PENG Pocket Guide reviewer for the upcoming 2018 publication; Chair-elect of the Renal Nutrition Group; and Lectures at University of Nottingham.

Furthermore, alongside all of the above, some of his significant personal achievements include: achieving British Citizenship (ensuring he will remain as a practicing dietitian in the UK); raising money for our Hospitals' Charity by putting on 4 weeks of Italian lessons; setting up his own biscuit company – The Little Italian Biscuit Company; and running an allotment, supplying the department with endless jam and chutney

Bruno is a very much valued member of the NUH team who goes above and beyond what is required of him both as a leader, colleague and friend. He is an empathetic and generous man who makes our working lives, dietetic professional development and the care for many patients so much better...all with a touch of Italian flair! The profession is all the better for having Bruno and we believe he is thoroughly deserving of this award



Tom Welbank
RD, Advanced Clinical Practitioner, Sheffield Teaching Hospitals Foundation Trust
Nominated by: Sean White, HEF Dietitian, Sheffield Teaching Hospitals Foundation Trust

Tom is a Dietitian by registration and is employed as an Advanced Clinical Practitioner (ACP) Specialising in Enteral Feeding at Sheffield Teaching Hospitals Foundation Trust. To our knowledge Tom is the first Dietitian in the UK to perform de-novo gastrostomy insertion following the Per-oral Image Guided Gastrostomy (PIG) method. He has placed ~200 and now does so independently, as well as training SpRs.

In addition, other radiological procedures for enterally fed patients, including gastrostomy, jejunostomy and gastrojejunostomy tube insertion, replacement and removal, Tom leads the patient selection and referral vetting for the trust.

There are significant risks for both patients and the technician performing the intervention, which includes immediate death, perforation and peritonitis.

Tom has taken on this advanced practice role and is starting to develop different areas within the trust, such as pathway development for paediatric transition which in many areas of healthcare is an important and sometimes frustrating area due to the need of development.

Tom is leading the service, so in addition to his day-to-day interventional role he is developing the service in his own time.

He is dedicated to making things better for patients and is leading the way for dietitians to take on advanced practice roles. Becoming able to perform this role has been very challenging for Tom as the governance and professional registration aspects of a novel dietetic role are complex and challenging.

Tom has supported patients from diagnosis to end of life in a variety of clinical conditions, including oncology, neurology and stroke. Gaining a significant insight into both the clinical and home-life aspects of tube feeding, Tom has championed a patient-centred holistic approach within his acute role.


CN Writer of the Year

The individuals that write for CN Magazines – your No.1 clinical, medical and health nutrition publication – are an integral component to the Magazines success. Our author's go to great lengths to research, write and product articles that are interesting, topical and share best practice. Below you will find details of the contributors that have stood out during 2017/2018.

Rowan Clemente
Specialist ICU Dietitian, North Bristol NHS Trust


During 2017-18, Rowan provided an exciting article series on Neurology. The series included articles on: Nutrition in Traumatic Brain Injury [CN 2017; 17(2): 11-13]; Myasthenia Gravis (authored jointly with Sophie Brazier) [CN 2017; 17(4): 30-32] and Guillian-Barré Syndrome [CN 2017/18; 17(6): 18-20]. The series explored areas of nutrition support in neurology that not all would be familiar with, examined the evidence surrounding best practice in these areas, and shared Rowan's expertise in this area.


Christina Connolly1 and Danielle Welsh2
1. Specialist Stroke Dietitian, London North West University Healthcare NHS Trust; 2. Specialist Speech & Language Therapist, Oxleas NHS Foundation Trust

Christina and Danielle have clearly demonstrated through their articles the importance of multidisciplinary working, by coming together to write articles, such as 'Texture, Modification & Dysphagia' [CN Focus 2017; 9(2): 39-41] and 'To PEG, or not to PEG, capacity is the question' [CN 2017; 17(5): 30-32]. Christina, as a Specialist Stroke Dietitian, and Danielle, as a Specialist Speech & Language Therapist, have been able to combine their expert knowledge to provide articles that are not only interesting but that have provided readers with a practical source of information based on the latest evidence and best practice.


Harriet Smith
CN Student Columnist, Student – Nutrition & Dietetics BSc, King's College London

Harriet approached CN Magazines a couple of years ago with the intention of creating a column that would appeal directly to students studying to become the dietitians and nutritionists of the future. Harriet's columns have demonstrated her ability to communicate on topics that really matter to her fellow students. Harriet's recent three-part series focusing on the differing careers within the nutrition and dietetic arena, which involved her interviewing a range of nutrition and dietetic professionals, provided our student readers with food for thought when it comes choosing a future career. Harriet steps down from the Student Column this year as she completes her Nutrition & Dietetics BSc.


Kindly sponsored by Fresenius KabiFKlogo
Fresenius Kabi proudly sponsors the Award for 'CN Writer of the Year' helping provide insight and professional development to UK Dietitians.
www.fresenius-kabi.co.uk


Student of the Year

Maria O'Keeffe
Student, BSc Nutrition and Health, University of Roehampton
Nominated by: Sue Reeves, Principal Lecturer, University of Roehampton


Maria is an extremely enthusiastic and hard-working student who has almost completed her BSc Nutrition and Health at the University of Roehampton; a degree accredited by the Association for Nutrition.

Throughout her three years at Roehampton, Maria has volunteered at Growhampton; a sustainability programme run by the Students Union for students, staff and the local community. The programme encourages students to consider environmental issues, focusing on food and food production and social responsibility. The programme provides inexpensive, organic, locally grown fruit and vegetables to the student run cafe on campus and the community.

Maria has played a significant role in creating an edible campus where different produce is grown throughout the year. She has been involved in all the processes, from planting seeds to harvesting crops and washing, cutting and selling salads at the weekly food market. Maria is not afraid of hard work and has turned compost, weeded flowerbeds, pruned apple trees to describe just a few activities. Largely due to her involvement with Growhampton, Maria has conducted research into the different methods for growing nutritious and environmentally friendly food for her innovative dissertation, comparing hydroponic, organic and inorganic soil-grown crops.

Maria is extremely active and generous with her time. In addition to her work with Growhampton, Maria has volunteered over 200 hours teaching fitness classes for Sport Roehampton. She was an elected Student Programme Rep and has attended courses in leadership, communication, organisation and team work as part of her training for this role. She is always happy to help her fellow students.

Maria hopes to continue her engagement with sustainable food production when she graduates this summer.


Katie O'Sullivan
Final year student of nutrition and dietetics, Trinity College Dublin/Dublin Institute of Technology
Nominated by: Siobhan Quigley, Community Dietitian, HSE West Community Nutrition and Dietetic Service, Mayo, Ireland


Katie has been working on her final year undergraduate thesis on the topic of paediatric dietitian's attitudes and experiences of blended tube feeds in Ireland since January 2018.

She is a diligent student who went above and beyond the brief she was given. She has demonstrated a keen interest in this emerging area of dietetic practice, linking with key researchers and opinion leaders around the globe in this area, carrying out a literature review and survey of dietitians on this topic. She is passionate in her work on this project and her results, once published, will be the first of their kind to be made available in Ireland. They will be used to inform how current dietetic resources are used in this area, how dietitians support families making the choice to use this form of tube feeding, as well as inform future training needs and resource development required to support dietitians working in this area and the families they work with.

I, along with my supervisor colleagues working with Katie, fully support this nomination.


Dana Suitor
Student Dietitian, Western Health and Social Care Trust
Nominated by: Aideen McEneaney, Community Nutrition Support Dietitian, Western Health and Social Care Trust

Dana put 100% effort into her placement. She excelled when given difficult tasks and high targets to reach. Her fun, friendly manner and positive outlook shone through, with many staff, including those outside dietetics, commenting on these qualities and her great motivation to learn. Her kind, considerate manner showed greatly with service users; she made them feel at ease, developed a strong rapport with them and they trusted her. Something that many students find difficult.

Dana completed her project 'Do higher protein supermarket products have a role to play in the treatment of malnutrition within patient homes and nursing homes?' to a standard that I have not seen before from a student. The work she did for it was immense and beyond what was expected. Because of this high standard, the ready reckoner that Dana developed as part of her project has now been established as a core dietetic resource, which is being used by all the dietetic teams in the WHSCT.

Dana's dedication to promoting dietetics was also seen when she designed and 'manned' a health promotion stand. The display was bright, informative and attracted many people. Dana was very at ease speaking to the public. She demonstrated a keen interest to 'get the right, evidenced-based message' across and to build on the slogan of 'Trust a Dietitian'.

Dana was a valuable asset to the department. She was grateful for the opportunities afforded to her. She leaves behind a legacy of her amazing project and ready reckoner and one of very fun and fond memories to everyone whose path crossed hers. I can see nothing but a successful career ahead for Dana.


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nutrinovo, the company behind the innovative 'ProSource' and 'HyFiber' range of products, is delighted to be sponsoring the CN Award for Student of the Year – helping to support the nutrition professionals of the future.
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Outstanding Achievement

Dr Alison Culkin
Research Dietitian, St Marks Hospital
Nominated by: Rhys White, Clinical and Operational Lead Dietitian, Guys and St Thomas' NHS Foundation Trust


Alison is an incredible advocate for the dietetic profession, working extremely hard to develop the profession across a number of areas. She is a member of the Parenteral and Enteral Nutrition Group (PENG) of the British Dietetic Association (BDA) and is a tutor lead for the highly regarded PENG Clinical Update Course. Her leadership of this course has ensured its continued development over recent years, and it still attracts over 60 dietitians every year and is always extremely well evaluated.

Alison is also integral to the coordination, delivery and development of the St Mark's intestinal failure course, which is an essential training course for dietitians, as well as doctors, nurses and other healthcare professional working in intestinal failure and with patients on home parenteral nutrition.

Most recently, Alison was the first dietitian to become a supplementary prescriber. Not only was Alison integral in working with the BDA to ensure that the dietetic profession was able to become supplementary prescribers, but since completing the course she has shared her experience in articles and at multiple study days/events to encourage others to apply and take on these extremely important roles.

Anyone that has worked with Alison, or seen her speak at an event, will have been immediately struck by her enthusiasm for dietetics and her absolute drive to see the development of the profession, she is a true champion for dietetics.


Anne Holdoway
BSc RD FBDA, Consultant Dietitian
Nominated by: The PENG Committee

Anne's experience within private healthcare, the NHS and industry spans more than 25 years. After gaining clinical experience in several London teaching hospitals, she pursued a career in industry, initially as a Company Nutritionist, then a Product Manager, followed by a move into international product development. Anne returned to the clinical profession in 1993, working across many specialist areas, including gastroenterology and nutrition support, conducting research and audit, successfully securing new services into healthcare Trusts and the voluntary sector and, more recently, in the commissioning of dietetic services in palliative care. Anne developed a successful private practice in tandem with NHS positions. Anne's current clinical roles include developing a new service in palliative care and chronic disease management in conjunction with her private practice.

Anne also acts as an advisor to industry and holds several national positions in the dietetic profession and in multi-professional organisations. Through Anne's dietetic leadership in the field of clinical nutrition, and specifically coeliac disease, she was the dietetic voice for the development of the NICE guidance for coeliac disease – ensuring that the dietary management/intervention for those diagnosed with coeliac disease is not only evidence-based but is timely and appropriate for the individual.

Anne has been an active member the Parenteral and Enteral Nutrition Group (PENG), a specialist group of the BDA, since 1992. Anne was elected as Chair in 2010 and in this role led the group from strength-to-strength, with PENG members being at the centre of all activities undertaken by the Committee. Anne has worked collaboratively with all core groups of BAPEN, often consulting with the groups when PENG developed resources for contribution/involvement as appropriate – e.g. the development of the enteral tube feeding and parenteral nutrition resources which were jointly developed by PENG, PINNT and NNNG. Prior to becoming Chair of PENG, Anne held other active roles within the PENG Committee. Anne has also held roles within BAPEN Executive, BAPEN Council, BDA Council, NICE, the National Nutrition and Hydration Action Alliance, the British Society Gastroenterology, and is an Associate Editor of the Journal of Human Nutrition and Dietetics.

Anne became the Chair of a multi-professional consensus panel focusing on malnutrition in 2011. Through her chairmanship, Anne has bought together various multidisciplinary stakeholders to develop the Managing Adult Malnutrition in the Community Pathway and its associated resources. The Managing Adult Malnutrition in the Community Pathway is the first comprehensive, concise, multi-professional guide produced in the area of malnutrition and endorsed/supported by ten key professional associations. This pathway has gained national recognition, including a CN Award for Resource of the Year.

Anne received an Ibex Award from the BDA in recognition of her contribution to dietetics and, more recently, was awarded a Fellowship of the BDA in 2016, which is highest honour which the Association can bestow upon a member in recognition of their achievements.

Anne regularly speaks at conferences/meetings, publishes research, and writes articles on the importance of clinical nutrition, including a regular column for CN Magazine – Dietetic Comment. Anne acts as a voice of dietetics, working to drive change and improvement for dietitians but, more importantly, for patients and their carers – through evidence-based practice and outcomes driven practice.

Anne is dedicated to nutrition and dietetics, giving up much of her free time to contribute to all the groups and initiatives she has and continues to be involved in. Through her drive to improve nutritional care, Anne has influence practice for the better. Acting as a mentor, Anne has enabled and inspired other professionals to be involved and thrive in the area of dietetics and other associated disciplines – always having the needs of patients and their carers at the forefront. Anne is a fabulous role model and individual to look up to. Her enthusiasm is infectious.


Ruth Newton

MSc, MRPharmS, Chair of British Pharmaceutical Nutrition Group (BPNG)
Nominated by: Professor Gil Hardy, PhD FRSC FASPEN, Auckland, New Zealand

Ruth Newton is Chair of the British Pharmaceutical Nutrition Group (BPNG), a founder member group within BAPEN. She is a long serving active member of BAPEN and before her election as Chair of BPNG in 2014, was Vice Chair from 2008-2014, and Education & Training Officer for the previous 6 years. Ruth served as Chair of the BAPEN Education & Training Committee, representing Pharmacy, from 2008-2010. She is currently Pharmacy Representative for the ENFit Committee.

As Chair of BPNG, Ruth has been the lead negotiator with the Royal Pharmaceutical Society (RPS) for BPNG to become affiliated training partners. After an extensive accreditation process, lasting over a year, Ruth achieved this major success in April 2017 and received the certificate acknowledging BPNG as one of only four RPS Accredited Foundation Training Partners. For BPNG members this means access to more pharmaceutical training opportunities through the RPS, which 'aims to set the standards for training, development and education for pharmacists and their teams, enabling them to advance, specialise and develop against the changing needs of patients and the public'. BPNG, under Ruth's leadership, is now working on a series of post graduate educational modules, including nutrition, in conjunction with other key professional partners within the RPS.

A registered UK pharmacist, having graduated from Keele University with a Post Graduate Diploma in Clinical Pharmacy followed by a Masters with Distinction for her thesis on 'A pharmaco-economic analysis of a Home Intravenous CIVA service', Ruth is passionate about parenteral and enteral nutrition, and has dedicated her professional life to improving education and clinical practice for pharmacists and other healthcare professionals.

She was the principal pharmacy lecturer on the BAPEN Nutrition Team Training (Grasmere) Courses and then course organiser for almost 6 years during which time she ran the follow course at Crewe. She is a regular Lecturer on 'Monitoring of Parenteral Nutrition' at the annual BPNG Fundamentals of Nutrition Course, and has been a P/T Post Graduate Clinical Tutor at the University of Keele and an Honorary Lecturer for The School of Pharmacy since the year 2000.

Ruth has a wealth of practical experience in the formulation, manufacture and administration of parenteral nutrition (PN), having worked in the field for over 25 years; first, as Specialist Pharmacist and then Production Manager for Aseptic /Nutrition Services at University Hospital of North Staffordshire until 2015 when she was appointed Lead for Surgery, Nutrition & Medical Education Pharmacist at Countess of Chester Hospital.

As though her heavy hospital workload and volunteer work for BPNG and BAPEN hasn't been sufficient, Ruth has found time to serve as Chair of the Home PN West Midlands HPC collaboration for regional contracts. Ruth has also been Co-Editor of all editions of Drug administration down enteral feeding tubes, published by The Pharmaceutical Press since 1999, and co-authored (with T Bowling and L Timmins) and presented a Poster at the 2000 Madrid ESPEN Congress with a follow-up publication in Clinical Nutrition, entitled 'Changes in parenteral nutrition supply when the nutrition support team controls prescribing'.

Her tireless work in the field of clinical nutrition has been recognised by the Pharmaceutical Care Awards Hospital Section two years running for 'development of a cost-effective hospital nutrition team' and for 'cost effective analysis of a centralised home intravenous service for cystic fibrosis patients' and, in 1998, she was recipient of the BPNG BRIT award for services related to pharmaceutical research into intravenous nutrition.


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Abbott's nutrition business partners with healthcare professionals worldwide to offer the most trusted names in nutrition products for every stage of life.
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The CN Team are delighted to reveal the 2018 CN Award winners, click here. Thank you to the readers that took the time to nominate their colleagues for an Award, those that voted and, of course, the companies that have sponsored a specific Award – without all of which this year's CN Awards would not have been such a great success.