Affiliates Session at Liverpool 2008

The Affiliates session on Day 2 was well attended and successful.

Sue Colley gave a presentation on the Development of the UGI Laparoscopic Nurse Practitioner.
Sue detailed her career and how her role has changed within her job description. For example, she can undertake the role of a doctor although she will defer if a doctor wants to do a procedure. Training is a big part of her role for doctors and nurses.

The free papers in the Affiliates Session centred mainly around Bariatric surgery:

  • Improving the bariatric surgical pathway: The Leeds approach
  • Copper and protein malnutrition following laparoscopic gastric bypass. A case of Berberi following laparoscopic gastric by-pass surgery
  • Vitamin A deficiency after laparoscopic duodenal switch

Mary O’Kane’s spoke on Dietetics – Removing the invisibility cloak. Mary is a dietitian who assesses patients and puts them on the MDT which is held fortnightly. She is the key person for assessing a patient and giving them the information they require prior to surgery.

Dietetics – Removing the invisibility clock
Authors: M O’Kane, J Barth, S Dexter, S Pollard, A Sarela, J Hayden, M McMahon
Leeds Teaching Hospitals NHS Trust

Abstract Content

Introduction: The allied health professionals’ (AHP) contribution to patient care is often hidden yet the AHP is well placed to lead aspects of patient care, improve outcomes and decrease costs. This paper will discuss the contribution of dietetic input into the bariatric pathway in Leeds.

Methods: The dietician, as an active member of the obesity MDT, contributed to the service redesign. A referral pro-forma was agreed with a common entry point into the surgical and medical services. The dietician led the development of the patient pathway ensuring that the timelines fit in with the 18-week targets and NICE obesity guidelines. The dietician sees and assesses all new referrals gathering further information. She leads the MDT and presents the patients’ cases for discussion about treatment options which may be the surgical route, medical route or return to the GP. She informs both the GP and the patient of the outcome. Obesity surgical clinics were re-organised so both dietitian and a consultant are present. Standard procedures for nutritional monitoring are followed by all. Problems with nutritional parameters are highlighted and the dietician will initiate corrective treatment.

Results: The most appropriate treatment option is agreed with the dietician having an active role. Consultant costs are decreased as patients proceed down the most appropriate pathway.

Conclusion: The dietician plays a more visible role leading aspects of patient pathway. This results in more effective use of resources and improved patient care.

Tom Palser updated the attendees on the National Oesophago-gastric audit. He also mentioned the QOL study which is being undertaken by a few trusts. This will go towards Peer review rather than doing a questionnaire.

Claire Sedgwick presented a national affiliate project which recommends an oesophageal cancer awareness week from April 20-25, 2009. Claire is in talks with transport leads in Newcastle to advertise the week which will culminate in a Ball. AUGIS supports the project.


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