Enteral nutrition cut to ease PCT budget

GP practices across Shropshire have been told to limit the use of enteral nutrition after spending over £500,000 in under a year.

In a letter to all GP practices in the area, Telford and Wrekin PCT announced that £579,325 had been spent on enteral nutrition between May 2006 and April 2007.

In terms of the amount of money spent on drugs in Shropshire, enteral nutrition is ranked third behind atorvastatin and fluticasone.

In the letter, Jacqui Duffy, head of medicines management at Telford and Wrekin PCT, advised GPs that 'sip feeds should not be used as general supplements for poor appetite'.

'They should only be prescribed in accordance with national guidance and they should not be a first line option', the letter says.

'If a patient is identified using a malnutrition screening tool to be in need of nutritional support, first line treatment should be to encourage an increase in calorie intake by dietary measures.'

However, Shropshire GP Dr Christopher Lisk said that it was dieticians and nursing home nurses rather than GPs who were pushing the use of enteral nutrition.

The patient will be discharged on enteral nutrition from hospital for the GP to continue in the community, said Dr Lisk.

'We are spending £500,000 a year on laziness. We should be encouraging nursing home staff and carers to make a cheap and nourishing broth, which is just as effective as enteral nutrition'

Enteral nutrition is, however, important for those patients that live on their own without any support, stressed Dr Lisk.

Comment below and tell us what you think

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Boris Johnson, Sajid Javid and NHS chief executive Amanda Pritchard at Downing Street press conference

GPs offered £15 per jab as government sets 31 January COVID-19 booster deadline

COVID-19 vaccine payments to GP practices will rise nearly a fifth to £15 per jab...

Houses of parliament

Evidence for mandatory NHS staff COVID-19 jabs 'not good enough', says Lords committee

Evidence to support government plans to require all NHS staff in patient-facing roles...

Dr Farah Jameel

Practices 'need substantial support' to step up Omicron response, warns BMA GP chair

General practice is already facing unsustainable pressure and will need 'substantial...

JCVI COVID-19 immunisation chair Professor Wei Shen Lim

JCVI backs immediate expansion of COVID-19 vaccination to combat Omicron variant

The COVID-19 booster campaign should expand immediately to people aged 18-39 and...

Close up of hand holding sample tube with 'Omicron' handwritten on side

Government urged to 'free up' GP practices and expand steps to control Omicron

GPs have called for immediate action such as suspension of QOF to allow practices...

(Photo: Mike Kemp/Getty Images)

Coronavirus: Key guidance GPs need to know about COVID-19

GPonline provides an overview of the key guidance relating to coronavirus, including...