Author(s): Ojo O
This paper examines the impact of the changes to health and social care on enteral feeding in the community, outlines implications for practice and offers recommendations to ameliorate the challenges. It is now clear that there have been significant changes especially in the last 10 years in health and social care provisions in the UK with an overarching effect on enteral nutrition in the community. Advances in technology, increasing demand and treatment costs, the need for improvement in quality, economic challenges, market forces, political influences and more choices for patients are some of the factors driving the change. Government’s vision of a modern system of health and social care is based on initiatives such as clinically led commissioning, establishment of Monitor, shifting care from acute hospitals to community settings, integrating health and social care provisions, Quality, Innovation, Productivity and Prevention (QIPP) program and the concept of “Big Society”. These strategies which are encapsulated in various guidelines, policies and legislation, including the health and social care Act, 2012 are clarified. The future challenges and opportunities brought on by these changes for healthcare professionals and patients who access enteral nutrition in the community are discussed and recommendations to improve practice are outlined. View Full-Text
Referred From: http://www.mdpi.com/2072-6643/4/11/1709
Author(s): Davis TME
Author(s): National Collaborating Centre for Chronic Conditions
Author(s): Hanif MW, Valsamakis G, Dixon A, Boutsiadis A, Jones AF, et al.
Author(s): Masso-Gonzalez EL, Johansson S, Wallander MA, Garcia-Rodriguez LA
Author(s): Sedgwick JEC, Pearce AJ, Gulliford MC
Author(s): Ojo O
Author(s): Alberti KG, Zimmet PZ
Author(s): Nielsen J, Christensen DL
Author(s): Gagnon AJ, McDermott S, Rigol-Chachamovich J, Bandyopadhyay M, Stray-Pedersen B, et al.
Author(s): Rosenstock J
Author(s): United Nations, General Assembly
Author(s): Leung G, Stanner S
Author(s): McKeigue PM, Shah B, Marmot MG
Author(s): NICE
Author(s): Chege MP
Author(s): Hanson MA, Gluckman PD, Ma RCW, Matzen P, Biesma RG
Author(s): Luke A, Cooper RS, Prewitt TE, Adeyemo AA, Forrester TE
Author(s): Centre for Public Health Excellence at NICE, National Collaborating Centre for Primary Care
Author(s): NICE
Author(s): Earland J, Campbell J, Srivastava A
Author(s): International Diabetes Federation (IDF-2011) IDF Diabetes Atlas
Author(s): Esposito K, Maiorino MI, Ciotola M, Di Palo C, Scognamiglio P, et al.
Author(s): Walker KZ, O’Dea K, Gomez M, Girgis S, Colagiuri R
Author(s): Nantel G
Author(s): Wyness L
Author(s): Widanagamage RD, Ekanayake S, Welihinda J
Author(s): Food and Agricultural Organisation/World Health Organisation
Author(s): Burger KNJ
Author(s): Hare-Bruun H, Nielsen BM, Grau K, Oxlund AL, Heitmann BL
Author(s): Aston LM, Gambell JM, Lee DM, Bryant SP, Jebb SA
Author(s): Hassan A, Elobeid T, Kerkadi A, Medhat M, Suheil G
Author(s): Al-Dhaheri AS, Henry CJK, Lightowler HJ, Cheik Ismail LI, Al-Hanourani HM
Author(s): Sharma S, Cruickshank JK
Author(s): Weinrich SP, Priest J, Reynolds W, Godley PA, Tuckson W, et al.
Author(s): Delisle HF, Vioque J, Gil A