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In Greater Glasgow and Clyde, we regard nutrition and hydration as an important part of patient care. We aim to comply with the catering specification produced by Health Care Facilities Scotland, HIS general FFNC standards and HIS Complex Nutritional Care standards.

On Line training in the use of the Malnutrition Universal Screening Tool is mandatory for all nursing and dietetic staff and this tool should be completed after admission of every patient.

All of our nurses have information about food fluid and nutritional care as part of their induction process and we have enrolled in the Care Assurance System

Food Fluid and Nutritional Care is Standard 8 in the CAS standards. Link Nurses have been appointed in each ward in acute care and a programme of education about mealtimes has been developed. This will be followed by a programme about complex nutritional care, with appropriate education depending on the ward speciality.

Nutrition Nurse Specialists work on each acute site within GGC.

Nutrition and Dietetics staff work on all acute sites and in the community.

On each acute site, there is a Nutritional Support Team which is multidisciplinary and includes nurses, pharmacists, dietitians and doctors. These teams deal with all parenteral nutrition and the more complex enteral nutrition in the acute division. All patients who require Home Parenteral Nutrition are managed via the Glasgow Royal Infirmary nutrition team.

The GGC Nutrition Resource Manual is available on the GGC intranet and includes advice for acute, adults and paediatrics.

In addition to ongoing formal and informal training of individual professions involved in nutritional care, there is an annual Clinical Nutrition Education event, aimed particularly at those involved in artificial nutrition support.

Governance for Food, Fluid and Nutritional Care is provided via the Food, Fluid and Nutritional Care Planning and Implementation Group which reports to the NHS Board. The FFNC PIG receives reports from a number of other working groups including Acute Food Fluid and Nutrition Operational Group, the Acute Clinical Nutrition Group, the Community Food Fluid and Nutrition Operational Group and the Community Enteral Feeding Group.

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