How well does FFNC meeting structure enable us to make a difference to nutritional care? by Nerys Cameron

2025-05-28 09:15:10 UTC

More nursing involvement

2025-05-28 09:15:29 UTC

Membership of the groups

2025-05-28 09:15:34 UTC

A lot of good work is going on

2025-05-28 09:15:34 UTC

operational groups - good to identify appropriate persons to be involved in different groups.

neryscameron — 2025-05-28 09:16:27 UTC

Ops groups established

2025-05-28 09:16:38 UTC

We have got off the starting blocks and reestablished groups

2025-05-28 09:17:24 UTC

the identification of cross over of work would be useful to identify to prevent reinvention of the wheel for every service and area - but it needs to work for everywhere

2025-05-28 09:17:26 UTC

Lots of groups up and running

2025-05-28 09:17:31 UTC

Operational group well organised and working well with good representation and action plan in place

2025-05-28 09:17:38 UTC

more joined up work between ops groups, better awareness of who is in each group and how to link together

neryscameron — 2025-05-28 09:17:41 UTC

Engagement from nursing across the hospital at RCH....meetings keep being cancelled

2025-05-28 09:17:49 UTC

there is an appetite for this work

2025-05-28 09:17:59 UTC

Lots of work happening and feel like things are being taken forward

2025-05-28 09:17:59 UTC

Wondering if paediatrics need own group - they currently link the Foresterhill group

2025-05-28 09:18:11 UTC

Pulling workstreams together

2025-05-28 09:18:12 UTC

Still forming and norming in some areas but the operational groups are making a difference in highlighting areas of work and good practice.

2025-05-28 09:18:25 UTC

Use some strategic group meetings to invite chairs of ops groups to ensure consistent vision for aims of work and awareness of work within the groups

2025-05-28 09:18:32 UTC

Greater sharing of information to prevent duplication of effort and save time

neryscameron — 2025-05-28 09:18:41 UTC

linkage between strat group and ops group...cross pollination of change ideas/imp projects across sector, via the strategic group (as discussed)

2025-05-28 09:18:52 UTC

presently a large focus only on the HIS standards for FFNC but there are many other standards covering nutrition

2025-05-28 09:18:53 UTC

Nursing engagement is challenging on Foresterhill group

2025-05-28 09:18:56 UTC

Operational group reports are good. Keeps work moving along and highlightes areas of concern.

2025-05-28 09:19:27 UTC

Identification of who is working on what to avoid duplication.

2025-05-28 09:19:47 UTC

other services willing to take forward/drive changes

2025-05-28 09:19:50 UTC

Know what the key strands of work are so we can drive focus on these

neryscameron — 2025-05-28 09:19:57 UTC

Should we have dietetics from each area on the strategic group? So...either vice or main rep for area?

2025-05-28 09:20:25 UTC

Areas are all working on different asepcts of FFNC which will allow swifter improvement across NHSG. It should also ensure once for Grampian work rather than silio working.

2025-05-28 09:20:43 UTC

prioritising work as there is so much that can be done but need to do bit by bit and in a coordinated way

2025-05-28 09:20:55 UTC

Have annual 'celebrating good work' meeting and plan for next year

neryscameron — 2025-05-28 09:21:27 UTC

Position ourselves for good oversight to enable influence back in own areas

2025-05-28 09:21:33 UTC

Need to share this wider across the organisation- again- celebrating excellence or quality meetings, and nationally

2025-05-28 09:21:38 UTC

Starting to include community nursing

2025-05-28 09:21:39 UTC

reminder of why we focus on this - the patient perspective and feedback is essential - nursing and medical staff love hard evidence of figures/audit but there is a softer side to nutrition and this needs captured

2025-05-28 09:21:45 UTC

Might need som subgroups to work pan grampain to achieve priority work eg GF education and shared learning note or menu analysis

2025-05-28 09:22:01 UTC

FFNC intranet site

2025-05-28 09:22:20 UTC

Whos who on the groups on the site

2025-05-28 09:22:44 UTC

Workplan for each standard - with timescales etc for everyone to see

2025-05-28 09:23:08 UTC

Have dieititians as co-chairs on each operational group

2025-05-28 09:23:10 UTC

Good buy in from nurses and some others

2025-05-28 09:23:24 UTC

Catering dietitian

2025-05-28 09:23:46 UTC

How could we utilise our students to do more on FFNC?

2025-05-28 09:24:06 UTC

FFNC conference?

2025-05-28 09:25:09 UTC

Care home involvement in Moray has been excellent

2025-05-28 09:26:06 UTC

Complex Nutritional Care Standards need focus and clinical co-chair

2025-05-28 09:28:18 UTC

involve nutritional link nurses

2025-05-28 09:28:41 UTC

Should we have public health representation on the strategic group?

2025-05-28 09:30:12 UTC

More structure within Dietetics to cascade the dietetic workstreams and joint working required pan grampian

neryscameron — 2025-05-28 09:30:22 UTC

Escalation of risk through Datix...improved channels for increased awareness further up the organisation

2025-05-28 09:33:27 UTC

Not really a change idea, but think we need to collect data to support the work we are doing- any data/ work which supports improvements in nutrition and hydration e.g. LEO project undertaken by Woodend staff to improved fluid recording/ snacks trolley

2025-05-28 09:36:41 UTC

We need the menus analysed so we have information

2025-05-28 09:43:01 UTC

the tools that we use as dietitians are influenced by other services such as nutrition companies, catering and nursing services delivering the action. We need to be able to define our tools -Reponsibility, accountability and authourity.

neryscameron — 2025-06-24 07:40:18 UTC

Dietitians to chair or co-chair FFNC area ops groups

neryscameron — 2025-06-24 07:41:14 UTC

Dietetic Committee Chair to sit on strategic FFNC

neryscameron — 2025-06-24 08:18:11 UTC

How to improve pull-through from strategic to ops groups is to be added to agenda of strategic groups: Consider common membership, ops group updates and clear goal setting across areas

neryscameron — 2025-06-24 12:32:34 UTC

To identify work where a cross-grampian approach is of benefit - Dietetic and Multiprofessional. To establish sub-groups for this work.

neryscameron — 2025-06-24 12:35:02 UTC

Identify workstreams where a national approach could be taken forward, and establish how we can make this happen