NHS Tayside is implementing product changes to support the introduction of International Dysphagia Diet Standardisation Initiative (IDDSI). In order to support change, a product swap out for making up thickened drinks for dysphagic patients is planned for week commencing 4 June, 2018.
People who develop dysphagia as a result of illness often require a texture modified diet. There have been agreed UK national descriptors in use since 2002. These were not evidence based and were not universally adopted as best practice.
IDDSI has been developed by an international collaboration of health and industry professionals including dietitians, speech and language therapists and caterers, using evidence based systematic review. The new system describes a framework for the accurate delivery of texture and consistency of food and drinks.
The benefits of changing to the new descriptors are that they are evidence based, include fluids (unlike previous UK descriptors), improve patient safety and potentially enable research. A website has been developed to support implementation which includes some relevant resources and a toolkit developed to support local implementation.
The framework has been endorsed by the British Dietetic Association (BDA) and the Royal College of Speech and Language Therapists (RCSLT). Timelines for implementation are:
Communication: October 2017 – April 2019
Preparation: October 2017 – October 2018
Implementation in local care settings: April 2018 – April 2019
Training, Stock Swap over and Ordering
Nutilis Clear is being adopted as the recommended thickener for drink preparation for patients with dysphagia across NHS Tayside hospitals. Nutricia is in the process of training ward staff in the preparation of thickened drinks using Nutilis Clear.
From Monday, 4 June, a team of staff from Nutricia will be supporting implementation through removing ward held stock of Nutilis Powder.
All wards/departments currently stocking Nutilis Powder should place orders ASAP for Nutilis Clear, stock of which has been made available at the National Distribution Centre to accommodate NHS Tayside conversion.
The details for ordering Nutilis Clear are as below, note the product is supplied in single tins.
|SKU||Description||NDC Unit of Issue||Unit Price|
|225972||NUTILIS CLEAR IDDSI 175G 130187 EACH||EACH||2.50|
For further information or in queries please contact
Nutrition and Dietetics:
Angus: Steven Cameron – 01356 665032
Dundee: Ninewells Hospital – 01382 33875 Royal Victoria Hospital – 01382 423127
Perth: Perth Royal Infirmary – 01738 473215
Speech and Language Therapy:
Ninewells Hospital 01382 632931
Stracathro Hospital 01356 665049
Royal Victoria Hospital 01382 423085
Perth Royal Infirmary 01738 473714
Irene Pate 07718384397
Patient and carer helpline 08457 623653