EndocrinologyDietitians Urge Health Ministers To Adopt A National Framework For Home Enteral Nutrition, Australia
Governments could be saving up to $7.88 million a year if they adopt a national home enteral
nutrition (HEN) service, according to Australia"s leading nutrition organisation1.
The Dietitians Association of Australia (DAA) said access to adequate food and nutrition is a basic
human right but many people relying on home tube feeding and nutrition supplements have poor
access to the nutrition support they need. And this varies for each State and Territory.
DAA CEO Claire Hewat said around 15,000-16,500 home patients access HEN2, due to conditions
such as stroke, head and neck cancer, and cystic fibrosis. She described the current HEN services in
Australia as "problematic and fragmented", and said this often resulted in compromised patient care
and unnecessary hospital readmissions.
Ms Sue O"Reilly, parent of HEN patient Shane, said: "Returning to Australia from the United
Kingdom, I was shocked and upset to discover how poorly co-ordinated and organised the HEN
system is in Australia compared to overseas."
Accredited Practising Dietitian (APD) Dr Merrilyn Banks said simple strategies, such as better access
to APDs and HEN formula and equipment, can help improve patient health and save health care
dollars.
"Providing a streamlined and efficient system for HEN will help discharge patients from hospital
sooner and prevent readmissions due to HEN-related complications with savings of up to $8 million,"
said Dr Banks.
In its recent submission to the Australian Health Ministers Advisory Council (AHMAC), DAA called
for a national framework to address inequities in accessing HEN services across Australia. The Health
Policy Priorities Principal Committee, which advises AHMAC, meets on Tuesday to discuss HEN
services.
DAA is calling on the Ministers to ensure all Australians requiring HEN services for their basic
nutrition needs have access to skilled clinical care, such as an APD, and affordable HEN formula and
equipment.
DAA thanked Nutricia Australia for providing funding to support a project officer to assist DAA
members develop the Association"s submission to AHMAC.
The Dietitians Association of Australia (DAA) is the professional body representing dietitians nationally. Accredited
Practising Dietitian (APD) is the only national credential recognised by the Australian Government, Medicare, the Department of Veterans
Affairs and most private health funds as the quality standard for nutrition and dietetics services in Australia. For more information visit
http://www.daa.asn.au
1. Towards a National Home Enteral Nutrition Service for patients requiring nutrition support at home, A
submission prepared by the Dietitians Association of Australia for the Australian Health Ministers" Advisory
Council, 2009.
2. National HEN Survey Results, Dietitians Association of Australia.
Dietitians Association of Australia