![]() In addition, people’s expectations about how their feeding tubes are managed are changing with respect to making decisions, choices and independence. For example, the number of patients with head and neck cancer and cerebral vascular accident (CVA) who may require enteral nutrition due to dysphagia is now on the increase. ![]() These people are now better diagnosed and managed, and are in fact living much longer due to advances in technology and developments in scientific knowledge. The individuals suffering from cardiovascular diseases, cancer and diabetes which are among the leading cause of death globally may require enteral feeding due to related complications such as stroke. Over the period, there has been a move away from a system that is primarily driven by national targets to that where standards are the main drivers for continuous improvement in quality. ![]() The developments in health and social care provisions have significant impact on enteral feeding in the community and appear to be driven mainly by resource allocation, market forces, political influences, advances in technology and the need for better patient treatment. Introduction There have been changes in the UK National Health Service (NHS) since its inception in 1948 although the changes have been profound in the last 10 years.
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