Quality statement 2: Treatment

Quality statement

People who are malnourished or at risk of malnutrition have a management care plan that aims to meet their complete nutritional requirements.

Rationale

It is important that nutrition support goes beyond just providing sufficient calories and looks to provide all the relevant nutrients that should be contained in a nutritionally complete diet. A management care plan aims to provide this and identifies condition specific circumstances and associated needs linked to nutrition support requirements.

A nutritionally complete diet can improve speed of recovery and contribute to reducing admissions to hospital and length of hospital stays.

Quality measure

Structure: a) Evidence of local arrangements to ensure that people who are malnourished or at risk of malnutrition are offered a management care plan that aims to meet their complete nutritional requirements including underlying conditions, specific circumstances and associated needs.

b) Evidence of a local written protocol that all management care plans aim to provide complete nutritional requirements.

c) Evidence of local arrangements to ensure that care settings are able to provide appropriate nutrition support including artificial feeding when needed.

Process: The proportion of people who are malnourished or at risk of malnutrition who receive a management care plan that aims to meet their complete nutritional requirements.

Numerator – the number of people in the denominator who receive a management care plan that aims to meet their complete nutritional requirements.

Denominator – the number of people who are malnourished or at risk of malnutrition.

What the quality statement means for each audience

Service providers ensure that systems are in place for all people who are malnourished or at risk of malnutrition to have a management care plan that aims to meet their complete nutritional requirements.

Health and social care professionals give all people who are malnourished or at risk of malnutrition a management care plan that aims to meet their complete nutritional requirements.

Commissioners ensure they commission services that give people who are malnourished or at risk of malnutrition a management care plan that aims to meet their complete nutritional requirements.

People who have malnutrition (not getting enough calories and nutrients, such as protein and vitamins, to meet the body's needs) or who are at risk of malnutrition receive a management care plan that, in combination with any food they are able to eat, aims to provide all the nutrients their body needs.

Source guidance

NICE clinical guideline 32 recommendations 1.3.3 (key priority for implementation), 1.3.4, 1.6.7.

Data source

Structure: a) and b) Local data collection.

Process: Local data collection.

Outcome: Local data collection.

Definitions

Management care plan

This refers to the nutrition support provided alongside other dietary intake that aims to provide a person's complete nutritional requirements. The plan also takes into account any underlying conditions and the individual's specific circumstances and associated needs.

Complete nutritional requirements

This includes providing adequate energy, proteins, fluids, electrolytes, minerals, micronutrients and fibre, taking into account personal factors including physical activity levels.

Equality and diversity considerations

People's special dietary requirements, including those that are consistent with religious and cultural beliefs, should be taken into account irrespective of the underlying reason for these requirements.