Annual Report and Accounts - The Great Western Hospital

• As a result of complaints and concerns regarding meals’ quality on-going weekly checks of
meals service is carried out. This has improved resulting in positive PEAT (Patient
Environment Action Team) reports
• A pilot project to improve patient’s meals experience and reduce wastage was introduced in
2010 through the Productive ward meals module. Due its success the menu-less meals
programme is being rolled out to the rest of GWH site, as appropriate.
• Dieticians identified a significant amount of food wastage and dissatisfaction from patients
with diabetes and ward staff regarding the diabetic snack provision. Subsequently a new
snack choice has been introduced which has been well received by patients and staff and is
predicted to reduce wastes and produce some cost savings.
• The Productive ward team identified a system designed to improve patients’ hydration
needs. The trial of the “Hydrant” in 2011 was so successful it is being rolled out to other
areas
• It was identified mid 2011 that the menus did not fully cater for patients with dysphagia. The
dieticians, Speech and Language Therapists and Carillion are working on the development
of a separate soft menu to improve choice and suitability of texture for these patients. An
interim menu is currently in place prior to introduction of the finalised version
• Women and Children’s directorate and paediatric dieticians identified that MUST is not
appropriate for children and no other equivalent screening tool exists. The paediatric
dieticians have developed a nutritional screening tool for 0-5 year olds.
• Update of pictorial menu completed.
CHART - GWH Site – MUST (Malnutrition Universal Screening Tool) 2011/12
MUST Monthly Compliance 2011-12
%
C
o
m
p
l
i
a
n
c
e
100%
95%
90%
85%
80%
75%
70%
65%
60%
55%
50%
% MUST
Linear (Target)
Wiltshire Community Sites:
Wiltshire Community Services were being integrated with the Trust throughout 2011. Both elements
of the Trust were using MUST but training programmes, targets and audit methodology have been
different. The Nutrition Steering Groups have been merged and a new integrated Trust Nutrition and
Hydration Steering Group has been established which is developing a comprehensive work plan. This
should ensure more consistent reporting and activity in the coming year
Wiltshire conducts a qualitative audit 6 monthly. For the purposes of this report an average of all
wards is used for the key parameters of the audit.
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