National Nurses Nutrition Group National Nurses Nutrition Group

Minutes of the NNNG AGM 6th July 2015

16.00 – 17.15

 

Ettington Chase Hotel, Stratford-upon-Avon

 

Full NNNG members signed in: Claire Humphreys, Loretta Bristow, Maria Bishop, Wendy Ling Relph, Donna Brooksby, Ffion Jones, Lynfa Lanzon-Miller, Margaret Collins, Resmi Rajesh, Cheryl Mackenzie, Colleen David, Cliona Taleb, Mia Small, Linda Warriner, Suzy Cole, Sarah Watkins, Lynne Colagiovanni, Kerry Donnelly, Ruth Brierley, Diane Woodham, Charlotte Bird, Kirstie Swannell, Georgie Adams, Kurt Boeykens, Sue Green, Lisa Noguera, Neil Wilson, Joanne Wakeling, Gillian Phillips, Julie Beresford, Christina Brookes, Emma Papworth, Michelle Baker-Moffat, Sarah Clinton, Krista Murray, Charlie Crabtree, Tracey Bamford, Hazel Rollins

 

Committee Present: Liz Evans (LE), Winnie Magambo – Gasana (WGM), Nina Cron (NC), Claire Campbell (CC), Barbara Dovaston (BD), Angie Davidison Moore (ADM), Carolyn Best (CB)

Apologies received: None

Minutes of the last AGM – July 2014 Agreed as a complete record

Matters Arising:

Survey Monkey Findings:

Blenderised food via enteral feeding tubes

CB displayed the results from the blenderised food survey sent out to over 200 NNNG members. 36 people completed the survey. Of those 16 had, or were aware of patients receiving blenderised food via enteral feeding tubes. The number of patients known to any one nurse varied between 1-9.

Responses regarding nursing involvement were diverse and included:

  • Having no involvement,
  • We need further guidance
  • Assisting in making an informed choice,
  • Discussing the benefits v risks,
  • Providing support,
  • Ensuring food is administered safely,
  • Showing the patient how to administer feed,
  • Needing to work with the dietitian.

 

More specifically respondents felt that advice should be given regarding tube care, reinforcing manufacturers’ advice, care of ancillaries, stoma care, hygiene, how to manage blockages and tube replacement.

BD mentioned that the BDA were involved in a project looking at the effect of blenderised food on the gut and micronutrients and questioned whether the NNNG should be involved in this. They are looking for additional funding. It was felt that this was not part of the nursing role and the NNNG should not therefore become involved.

LE advised that we should be using food hygiene laws to guide information and ensure food used is cooked to the correct temperature and advised that most Trusts do not allow food brought in from home to be reheated and this meant that nurses at ward level could not assist patients who wished to bring in their own blenderised diets.

It was felt that whilst the NNNG could provide suggestions (signposting) to include within a nursing risk assessment ultimately the final decision to support (or not) the use of blenderised food would be at a local level.

 

Twitter –CC sent out a Survey Monkey to all NNNG members via G mail earlier this year. Twenty four people responded to the survey. Feedback appears to show that there is little interest in developing a twitter account for the NNNG, therefore no further action will be taken.

 

Reduced NNNG fees for student nurses/ NNNG Constitution

This issue arose following the NNNG presence at the London Nurse Show in March 2015 and RCN Congress in June 2015.

To offer a reduced fee for student nurses would require a change in the NNNG constitution.

In addition, due to the increasing workload of the NNNG, the committee would like to see an increase in the number of committee members permitted within the group and would like to develop a number of sub-groups through which some of the work currently dealt with by the NNNG committee could be delegated, e.g. good practice guidelines, development of study days. This would also require a change in the constitution.

Following discussion within the meeting a general consensus of agreement was that a reduced rate of membership should be offered to student nurses.

No objection was raised to increasing the number of committee members within the NNNG that these two points should be given consent LE stated that the current NNNG Constitution agreed in 2006 would be updated and sent out to members of the NNNG for comment by November 2015.

LE apologised that there were plans to release updated NG tube insertion and care guidelines and nutritional care in dementia guidelines for conference but due to the increasing workloads this had not been possible.

 

Changes to NNNG website: Neil Wilson displayed a prototype for the new, updated NNNG website. Unfortunately it was not ready to be launched at conference. Plans for site to be fully functional in the next couple of months.

 

Chairs report

Nutrition and Hydration week 2015

NC represented the NNNG at the official Launch Nutrition and Hydration week in London and LE was invited to speak to nursing staff at St George’s Hospital Tooting about the work of the NNNG and why nutrition and hydration is so important to recovery and outcomes.

Power of Three Study Day

In March 2015 the NNNG contributed to the Power of Three study day with the Food Counts Group (a part of the BDA) and the Hospital Caterers Association.

Its purpose was to demonstrate how nurses, dietitians and caterers can work together to improve the nutritional care of our patients. It was very well attended by nurses, dietitians and caterers. Plans are in process for the next study day in 2016 which the NNNG plan to play a part.

London Nurse Show

Mark Allen, our conference organisers offered the NNNG us a free stand at the London Nurses Show in March 2015.

This is a brand new event, aimed at all acute nurses in secondary care. It is a CPD event covering all different aspects of clinical nursing, including oncology, IV, palliative care, cardiology, dermatology and nutrition. LE delivered a talk at the event around the importance of the nurse in good nutrition and hydration whilst CB, WMG and NC manned the NNNG stand. There was a lot of interest we managed to recruit a few members as well.

We have already been asked to return next year and run a workshop for nurses around NG tube positioning and care.

A number of queries raised by nurses visiting our stand related to the nutritional care of people with dementia reinforcing the need for our nutrition in dementia good practice guidance. We are also liaising with Mark Allen to set up a nutrition in dementia care study day either late 2015 or early 2016.

RCN Congress

As part of the longer term plan to raise awareness of the nurses role in nutrition, the NNNG had a stand at the RCN Congress in Bournemouth this year.  Over 350 nurses visited our stand.

BAPEN

At the BAPEN conference 2014, NNNG did a successful symposium on ethical dilemmas in nutrition and the patient with dementia which was well evaluated. Liz Evans was asked to represent the NNNG on a newly appointed Nutrition and Hydration Strategy Board earlier this year. The strategy group and the project is a sub-project coming out of the National Compassion in Practice Programme and following the recommendations made within the Mid-Staffordshire Inquiry and report. The aim of the project was to have a three year national strategy ready for launch at the Nutrition and Hydration week in March 2015 primarily for commissioners. However it now looks like this is going to be launched later this year

Digestive Disorders Federation week June 2015

The NNNG did not have a huge presence at DDF this year because it was in the same week as the RCN Congress and we had already committed to that. However BD co –chaired a symposium on Enteral Feeding whilst LE took part in a symposium around Nutrition support teams and talked about the role of the nutrition nurse specialist in the nutrition support team and minimising risk.

NPSA

NNNG members were recently asked members of the NNNG to comment on the NPSA Alert Misplaced Tubes 2011 – what the downsides were and how it could be improved. There was an overwhelming response. CB collated all the comments and LE sent them off to Caroline Lecko at NHS England. Any response will be fedback via Gmail.

New members to the committee

Following the resignation of Linda Warriner and Bridget Penney, CC and NC joined the committee in January 2015. Sue Green will be an associate member who will be taking the lead in education and research. Mia Small continues to represent the NNNG on BANS and now HIFNET framework and

Neil Wilson manages the website.

Other news

The NNNG continues to have members who are leading in innovation and who are providing fine role models for the future.

Congratulations are due to the following people;

Carolyn Best for receiving a distinction in her Msc in Clinical Nutrition

Ffion Jones and her team won Nutrition Nurse of the year at the British Journal of Nursing Awards in March this year for their work on reducing the incidents of X rays confirming position for NG tubes.

Andrea Cartwright was, last week made a member of the BAPEN role of honour for her services to nutritional care over the years.

Treasurer’s report

The NNNG made a £5000 profit last year

£35,000 in current account by close of year 2014

Expected balance at the end of current year is £31,000.

Reduction in balance is attributed to increased costs including RCN Congress £2,500, reduction in NNNG membership and increased meeting costs for NNNG committee.

BD discussed the issue of personal liability to committee members. In a recent conversation it was highlighted to BD and LE that without NNNG liability insurance personal finances of the NNNG committee are at risk of a claim is made. With NNNG liability insurance personal liability of the committee will be £10 each. A vote was put to all NNNG members present. Agreed by all at the meeting that NNNG should change charity commission status and have public liability insurance, Barbara to arrange as soon as possible.

Also discussed changing charity commission status. Currently holds committee members liable.

Option to change liability so that committee only holds a £10 liability.

Payment for membership:

There have been a number of problems with people paying for membership using the current process. Barbara raised the possibility of using direct debits for membership payments.

Neil Wilson highlighted that as a charity the NNNG could not use direct debits. Standing orders had been used in the past but had to be set up by the individual member and were not the responsibility of the NNNG. He quoted a previous member who had contacted him to reclaim membership fees for 4 years as she had not stopped her standing order after changing jobs. Using standing orders would also lead to a delay in any payment coming through and therefore a delay in receiving log in details.

Neil highlighted that if the name and address used are not the same as the details on the card used for payment it will not be accepted. Therefore if using a company card it may prove unsuccessful.

Following a show of hands the decision was made to continue with the current process and not pursue standing orders.

Secretary’s Report

Membership to date is 251 members    (314 for the same period last year). Reason for the drop in membership is Nutricia stopped enrolling all of their Homeward nurse in the last year. In 2014 we had 114 Nutricia nurses join the NNNG in 2015 the number was 33.

Membership includes 111 hospital based nurses, 59 industry nurses (Nutricia 33, Fresenius 13 (19), Abbott 7 (5), Baxter 6(3). (2014 numbers in brackets)

13 associate members including 9 dietitians, 1 anaesthetist, 4 reps/ product specialists (Corpak 2, Inspiration 1, Pennine 1).

Communications report:

Three NNNG newsletters per annum, two sponsored by Nutricia and the third, the Conference special sponsored by Corpak

Angie asked for volunteers to contribute to the newsletter

Date and timing of conference 2016

Aiming for 4th and 5th July 2016. The NNNG will be 30years old. Venue to be agreed. LE asked whether conference should remain mid country or should the venue change. Options offered included Bournemouth or Leeds (where the NNNG started in 1986)

 

Any other business

NNNG Good Practice Guidelines:

Following discussions within the NNNG committee it was felt that charging £12.50 for guidelines to non-members was preventing some people for accessing the guidelines. Neil highlighted that enquires into the guidelines on the NNNG website was frequent this did not translate into sales.

Barbara stated that we needed to cover the costs of printing.

Within the group present the decision was made to charge £5 for a printed copy of each of the Good Practice guidelines but they would be free to download from the NNNG website.

NNNG Study day Northern Ireland

NC discussed plans to set up a nutrition support study day in Northern Ireland. Discussions were being undertaken with Rosie Smyth, a NNNG member.

Discussed whether a charge should be made to delegates or places offered free. Decision made that if free places offered people don’t always turn up. Decision made that a nominal fee of £15 should be charged

ESPEN Nursing Special Interest Group

CB had a meeting earlier in the day with Kurt Boeykuns, Nutrition Nurse Specialist from Belgium who is working with ESPEN to develop a Specialist Interest Group in Nutrition Nursing. Kurt already has a number of interested nurses from across Europe and has asked for representation from the NNNG. NC will be Kurt’s link within the NNNG. We will provide further details of this work as it becomes progresses.