Demand for home parenteral nutrition (HPN) - to facilitate hospital discharge - is rising, but access to local services may be limited. [ 9 ] There are only two designated Intestinal Failure Units nationally: St Mark's Hospital, London and Hope Hospital in Salford. They are the only units to receive specific funding for this role, and are now oversubscribed.
Patients must receive training and information on HPN prior to discharge. An individual nutritional care plan is drawn up which includes feeding regimens and the required multidisciplinary input. Patients must be competent in the management of feeding systems and aware of common problems. All patients must be supported by a skilled team, which includes specialist nutrition nurses, dieticians and district nurses. Partnership with homecare companies for provision of HPN solutions and equipment is encouraged. GPs must also be closely involved to liaise with services and recognise potentially life-threatening complications. [ 1 ]