Malnourishment, alcohol and co-payments

Age UK on Monday brought out a report on malnourishment amongst the elderly in hospitals, and not being fed properly when they are there. The actual press release however talked about nurses thinking that a relative of their own who was malnourished could enter hospital and without this being picked up. This is a different issue of screening on admission rather than not eating properly as an in-patient.  Both are important and highlight the need for greater accountability from nurses themselves and weight to be an outcome indicator, rather that simply ticking the box of having a ‘system’ as referenced by the DH response.

Alcohol consumption is in the headlines today, with alcohol related deaths and admissions rising by 40% (in 10 years to 2009) and 65% (in 5 years) respectively. We don’t think anything is going to improve until prevention and repercussions are taken more seriously. This would include shortening licensing hours, increasing taxes on alcohol, fining repeat offenders notified by either the police or A&E or their parents if they are under 16.

And last week Alasdair Palmer highlighted in the Telegraph that there is an urgent need to sort out the issue of co-payments because even if you have paid for a drug privately, you can only receive it in separately from NHS care, which is often impossible. We’d like to come up with a workable solution, let us know if you’d like to be involved.


About Julia Manning

Julia Manning is a social entrepreneur, writer, campaigner and commentator. She is based in London and is the founder and Chief Executive of 2020health, an independent, social enterprise Think Tank whose aim is to Make Health Personal. Through networking, technology, research, relationships and campaigning 2020health has influenced opinion and action in fields as diverse as bioethics, alcohol, emerging technologies, fraud, education, consumer technology and vaccination. Julia studied visual science at City University and became a member of the College of Optometrists in 1991. Her career has included being a visiting lecturer at City University, a visiting clinician at the Royal Free Hospital, working with south London Primary Care Trusts and as a Director of the UK Institute of Optometry. She specialised in diabetes (University of Warwick Certificate in Diabetic Care) and founded Julia Manning Eyecare in 2004, a home and prison visiting practice for people with mental and physical disabilities using the latest digital technology, which she sold to Healthcall (now part of Specsavers) in 2009. Experiences of working in the NHS, contributing to policy development, raising two children in the inner-city and standing in the General Election in Bristol in 2005 led to Julia forming 2020health at the end of 2006. Julia is a regular guest on TV and radio shows such as BBC News, ITV’s Daybreak/ GMB, Channel 5 News, BBC 1′s The Big Questions, BBC Radio, LBC and has taken part in debates and contributed to BBC’s Newsnight, Panorama, You and Yours and ITV’s The Week. She is mum to a rugby-mad son, a daughter passionate about Shakespeare, and wife of a comprehensive school assistant head-teacher. She loves gardening, ballet, Zimbabwe, her Westies Skye and Angus, is an honorary research associate at UCL and a Fellow of the RSA.
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