Nutritional care standards

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Standards for food, fluid and nutritional care

Food, fluid and nutrition are fundamental to health and wellbeing, and therefore fundamental to quality and safety in healthcare.

These standards replace the previous 'Clinical Standards for Food, Fluid and Nutritional Care in hospitals' published by NHS Quality Improvement Scotland in 2003.

Standards scope

The standards apply to the care of all patients, paediatric and adult, in both community healthcare and hospital care in Scotland, whether directly provided by an NHS board or secured on behalf of an NHS board. Although the standards apply specifically to healthcare settings, they have been developed in recognition of the integration agenda and the principles that apply to standards in both health and social care.

National standards for social care are produced by the Scottish Government and regulated against by the Care Inspectorate.

Summary of standards

Standard 1: Each NHS board has a policy, and a strategic and co-ordinated approach, to ensure that all patients receive safe, effective and person-centred nutritional care, irrespective of specialty and location (hospital or community).

Standard 2: When a person is admitted to hospital, or to a community caseload, a nutritional care assessment is carried out. Screening for the risk of malnutrition is also carried out, both initially and on an ongoing basis. A person-centred care plan is developed, implemented and evaluated.

Standard 3: Formalised structures and processes are in place to plan the provision and delivery of food and fluid in hospitals, in line with Food in Hospitals.

Standard 4: Food and fluid are provided in a way that is acceptable to all patients in hospital.

Standard 5: Patients have the opportunity to discuss, and are given information about, their food, fluid and nutritional care. Patient views are sought and inform decisions made about the food, fluid and nutritional care provided.

Standard 6: Staff have the knowledge and skills required to meet patients’ food, fluid and nutritional care needs, commensurate with their duties and responsibilities, and relevant to their professional discipline and area of practice.

Published Date: 30 October 2014