Thursday 15 November 2018
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Malnutrition: UK,s Silent Killer

Over 2,300 adults have needlessly died from diseases linked to malnutrition over a 10 year period
Malnutrition¹ is fast becoming the 21st century’s silent killer, with over 2,300 adults dying from illnesses related to poor nutrition in hospitals alone. This is a worrying figure for a developed nation such as the UK.
It is also likely that this figure doesn’t take into account the full scale of the problem, as Rick Wilson, Director of Nutrition and Dietetics, Kings College Hospital, explains: “Most people think that this figure underestimates the problem as it is not usually the case that Death Certificates are completed thoroughly.”
The National Association of Care Catering believes this figure must be bought to the attention of the Coalition as a lack of proper nutrition is badly affecting the health of older people.
Only this week a coroner in North West Wales raised concern at the “number of pensioners dying alone at home and lying undiscovered for weeks”. Speaking out at the inquest of a 70 year-old woman, he added that it is a “sad indictment on society where there is an increasing number of cases like this and one wonders whether society should be looking after its elderly better than it does”.
Despite these tragic stories, some local authorities are already putting up their Community Meals charges by as much as 75% and in some areas they are scrapping their meals services altogether. This is likely to mean more people will become malnourished and the costs of caring for them are likely to increase.
Figures show that currently £13.6 billion (BAPEN 2009 figures) is spent annually on treating malnutrition in the UK. Yet the NACC warns that making an investment in the care catering sector now, rather than cutting these services, will actually help save money in the long term. For example, research in Australia has shown that spending £1 on good nutrition is likely to save £5 on the health budget as care packages are reduced.

The biggest challenge facing the sector is the growing number of over 65 year olds - in 2008 the figure was 16% of the population and in 2033 it is estimated to be 23%. Dementia is also set to rise in the next 10 years by 34% - all will need good nutritional care.
The current changes to budgets across councils and social care will have a drastic effect on these growing figures.
NACC spokesperson added: “In 2003 £7.9 billion was spent on malnutrition. Is it a coincidence that after the ‘Fair Access to Care’ criteria were introduced in 2004 we saw a rise in malnutrition cases? After all many preventative services were cut. These cuts were most likely due to commissioning services changing the criteria level and only responding to “critical and substantial need”.
A recent report published by the NACC (‘Personalisation, Nutrition and the Role of Community Meals’ ( identified that those working in the care catering sector as being in an ideal position to monitor the health of older people and encourage them to eat well, lowering the risk of malnutrition. Regular delivery of meals to the home is key to ensuring older people have regular contact with others.
“However, the need for Local Authorities to cut costs due to slashed budgets is leading to a reduction in these services, with personalisation reduced to the lowest common denominator in some cases, meaning social interaction and its vital role in good health is ignored,” added the NACC spokesperson.

As older people become more socially isolated, physical problems prevent or make it extremely difficult for them to prepare, cook and/or eat meals. A lack of motivation, company, depression and forgetfulness, along with problems linked to Dementia, could also contribute to the lack of eating.
Due to the cuts in services some of these people will not be able to access social care systems and will literally drop through the net. Shorter days and cold weather will also take their toll.
“With rises in heating costs, rents, Day Care/Home Care costs, and community meal costs where would you draw the line and what would you give up? Would it be one of your meals a day or even two?” said the spokesperson from the NACC.
Where will these Community Meals budget cuts end? The action of Local Authorities will no doubt put more pressure on the NHS and care homes. But will it also see, worst case scenario, old people dying in their own home with no support?

Source NACC