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By Dr. Kathy Martin In celebration of International Women’s Day, 8 March 2020, NNEdPro shines a light on the women shaping its future and who make up more than 60% of the Global Innovation Panel. As a global platform singling out individual women who are contributing to its success is difficult but where better to start than one of its founding directors Pauline Douglas RD. Pauline is the NNEdPro Vice-Chair and Operational Governance Director (Education). As a registered dietitian, she has spearheaded development in nutrition education across the professions and with her passion for high quality, evidence-based nutrition practices is a force to be reckoned with. Next is Dr Minha Rajput-Ray, other half of the founding director Professor Sumantra Ray, Minha, alongside their daughter Nikitah reminds us all that occupation is important and the role of food and nutrition at all stages of life ensuring the person is at the centre of all that is done. Next in the list is Dr Kathy Martyn, who as a nurse and registered nutritionist heads the NNEdPro UK and Ireland regional network and co-leads the education & research in medical nutrition network, ERimNN. She also leads on Nutrition within the University of Brighton and Brighton and Sussex Medical School working closely with Sports and Exercise, Public Health, primary, secondary health care and community groups. Passionate about all things food, she works in the NHS and higher education, focussing on improving nutritional care in hospital. An enthusiastic mentor, she has supported students to develop innovative interventions - such as the Apple A Day project, run by medical students who volunteer to work in a secondary school in the UK to support children from disadvantaged backgrounds, by developing a better understanding of health and healthy eating. Working with NNEdPro since its inception in 2010, she has also had a lottery-funded grant to set up a sustainable primary school initiative - Kids Kitchen, encouraging children to cook and eat healthy food that culminates in the children running their restaurant for one night only. In 2014, she created the unique and innovative role of education and research dietitian to work at the Brighton and Sussex Medical School focusing on improving nutrition education in the undergraduate curriculum. This led to the recruitment of Elaine Macaninch, who has continued to develop undergraduate education alongside working with NNEdPro and more recently Culinary Medicine UK, where she is the nutrition lead and director. Elaine as a registered dietitian combines developing the nutrition curriculum at Brighton and Sussex Medical School with working in the NHS, with women who have gestational diabetes. As a leading figure within Culinary Medicine UK, she has shaped an innovative program that combines cooking with teaching for doctors and medical students so they are better equipped to start food conversations with their patients. Further afield NNEdPro is supported by Professor Eleanor Beck a dietitian who is Discipline Leader in Nutrition and Dietetics in the School of Medicine, Faculty of Science, Medicine and Health. Eleanor was part of the expert working group for the recent reviews of the National Competency Standards for Dietitians and the Advanced Accrediting Practising Dietitian and Fellow competency standards. Fellow NNEdPro Australian is Associate Professor Lauren Ball who is an Advanced Accredited Practising Dietitian, NHMRC Investigator and Lead of the Healthy Primary Care team at Griffith University. As a dietitian, Lauren is passionate about ensuring good nutrition health care across the professions and is a leading researcher in primary care with research grants totalling over 3million Australian dollars. NNEdPro has a strong history of supporting students and one of its finest is Dr Celia Laur who on completing her PhD has successfully instigated and implemented improvements to Nutritional Care in hospitals in Canada. The More2Eat program enabled 5 Canadian hospitals to work with researchers at the University of Waterloo to improve the nutrition care provided on one unit for a year. This innovative project set out to change hospital culture in a sustainable fashion that ensured malnutrition in the hospital was addressed. Celia also heads the GIP at NNEdPro and is the key organiser of the annual summer school based at Cambridge. Marjorie Lima do Vale as Visiting Academic/Project Officer has been working with the Swiss Re Institute, who are one of NNEdPro’s newest specialist organisation members, looking at causal inference pathways in diet-related risks to health and disease. She is also providing support towards the annual Cambridge Summit as a forum for policy dialogue and a focal point in the development of ‘I-KANN-25’, an International Knowledge Application Network in Nutrition aligned with the UN Decade of Action on Nutrition 2016-25. Our newest member is Breanna Lepre a visiting Academic/Project Officer who has already made a significant contribution to the RSM Nutritank 2020 conference held on 7 March 2020 and will be part of the operations and strategy team for the NNEdPro Summer School in Cambridge.

Geneva, 10th February 2020 By Sucheta Mitra, Jørgen Torgerstuen Johnsen and Jaroslav Guzanič Edited by Prof Sumantra (Shumone) Ray To achieve rapid sustainable reduction of all forms of malnutrition, for years NNEdPro has been enabling communities and empowering populations to create and implement nutrition sensitive health programmes and plans. Through its regional networks, NNEdPro seeks to empower both practitioners and the public through necessary tools, as well as develop programme areas to promulgate high quality and scalable nutrition knowledge translation achieving sustained impact in global health systems. NNEdPro does so in line with the United Nations Decade of Actions on Nutrition 2016-2025 (Nutrition Decade). After a welcome address by Professor Shumone Ray, Jaroslav presented the Swiss Association for Cooperation on Food Education from gastronomy to sustainability (development pathway 2014-2020), from learning and experience sharing to actions. The corporation aims to combine all aspects of culinary arts, nutrition, education, hospitality, innovation and sustainability. It is a Switzerland based network for communities to achieve global impact in food sustainability. It serves as an innovation hub for transformation of ideas, research, collective development and implementation of sustainable projects. The association is an independent continuity of an initiative to envision hospitality professionals, primarily chefs, as potential ambassadors for change. Nowadays, occupations such as chefs and food and beverage managers are more business oriented. However, current global development and demands only prove that these professionals need to be retrained in order to increase their potential to contribute towards sustainable development goals. Gaining additional knowledge from subjects like culinary nutrition, food psychology and education diplomacy is a priority. Further interdisciplinary networks aligned with project plans and new ideas will be integrated in the Swiss Network to secure a successful development pathway to achieve the regional and global outcomes as well as bridge the existing gaps. There is a strong presence of social enterprises and joint collaborations concentrating on the current development of hospitality, but almost none of them highlight the potential and importance of nutrition education to be implemented within a hospitality workforce and communities (relatively a new concept/area that might contribute to other regional networks). In support of this endeavour, the United Nations Educational, Scientific and Cultural Organization (UNESCO) and Food and Agriculture Organization (FAO) through its Education for Sustainable Development (ESD) Programme, fosters climate change awareness in primary education, through lifelong learning and across curricula development. This initial structure deserves further development of cooperation pathways in Switzerland and globally to create a knowledge platform for chefs and food specialists working on sustainable projects to get their work and vision supported by researchers and global nutrition organisations. In order to create more interactions among the main actors and stakeholders, the association will establish a Centre for Learning Design, which will consist of the following parts and stages: 1.LEARNING AND COLLABORATIVE PLATFORM (HOSPITALITY PROFESSIONALS, STUDENTS, COMMUNITIES) 2.INCORPORATING NUTRITION EDUCATION INTO HOSPITALITY CONCEPTS (INTERACTIONS AMONGST CHEFS) 3.TEST KITCHEN – MOBILE TEACHING KITCHEN – CULINARY LAB FOR A WORLDWIDE COMMUNITY 4.DEVELOPING/FORMING NEW EDUCATIONAL RESOURCES, COURSES AND PROGRAMMES From a future perspective, this project might bring an evidence-based source and provide needed records to support the ongoing research activities for developing a global knowledge platform. After Jaroslav, Professor Ray presented an overview of the NNEdPro Regional Networks Programme. This includes the International Knowledge Application Network Hub in Nutrition 2025 (I-KANN-25), the Nutrition Education Policy for Healthcare Practice Initiative, and the Mobile Teaching Kitchens Initiative. He continued to highlight the importance of developing a critical mass of self-sustaining knowledge, skills and capacity in Nutrition and Health, within the global healthcare and public health workforce, that results in significantly improved health practices and outcomes. The Nutrition Decade plays an important part in achieving this vision. Professor Ray continued explaining the conceptual framework stepladder from Food to Health which includes the steps from Food production to health status, wider determinants of diet, nutrition and health, and nutritional, knowledge and application. He pointed out that, classically when focussing on dietary choices and nutritional status we tend to forget to look at food production, nutrient quality and food environments for solutions to malnutrition related issues. The Swiss Regional Network will play a part in the local to global aim to extend reach via strategic partners and countries. It will seek to achieve this with three key initiatives across the NNEdPro Regional Network: the global online platform – the International Knowledge Application Network Hub in Nutrition 2025 (I-KANN-25), Nutrition Education Policy for Healthcare Practice (NEPHELP), and the Mobile Teaching Kitchen (MTK). Furthermore, Professor Ray presented and discussed the mapping exercise, building the architecture of nutrition education for health professionals, a joint strategic initiative with the World Health Organization. It focuses on developing enhanced architecture for nutrition capacity building within the healthcare professional workforce based on 4 pillars of the Nutrition Decade: Research, Implementation, Education, and Network. Based on the key areas highlighted in this mapping exercise, there is a need for: Individual and government pledges for adopting nutrition education in the community and healthcare as a priority, including establishment of frameworks for best practice, improved global data collection mechanisms and validated indicators, and establishment of national curricula for nutrition education across all healthcare sectors including development and expansion of online resources. Professor Ray concluded his presentation talking about the MTK initiative. The objectives of the initiative are to: Improve awareness (Knowledge, Attitude and Practice) of diet diversity and disease prevention, measure indicators of nutritional health, use cooking skills as a medium for education, provide resources and signposting for food security, and promote social empowerment as well as impact preventative health. More information on the MTK can be found here https://www.nnedpro.org.uk/neph. Currently over a hundred sessions have taken place in the micro entrepreneurship phase of this project where NNEdPro has collected customer satisfaction data, number of plates sold, number of people present, and time at the venue. Analyses strongly suggest its potential to expand to other areas. In addition, the MTK initiative has recently won commended status in the Emerald interdisciplinary research awards 2019/2020 which was announced February 2020. Jørgen Johnsen presented briefly on the newly Lancet double burden on malnutrition series published in December and the 10 double-duty actions. He finished with a reminder to the participants to keep the 10 double-duty actions in mind when working on, evaluating, and designing nutrition sensitive/specific programmes and policy. Dr Minha Rajput-Ray talked about diet and lifestyle in the workplace. She caught significant and positive attention by speaking about the importance of diets and what the common causes and reasons of the insufficient eating habits were. After giving a few examples and cases based on real experience, she highlighted several important factors described under the “DETTOL” formula: - Demand - Environment - Timing - Teamwork - Ownership - Leadership Dr Jeffrey Bohn presented on the causal inference: Unravelling the nutrition, longevity and type 2 diabetes tangle. His presentation focused on the fact that data-driven insight does not necessarily lead to evidence-based decision making. He continued by highlighting that most CEOs value data-driven insight, however, do not rely on evidence for key decisions and overlook data-driven insights to follow intuition. There are specific challenges with nutrition (and lifestyle) related research. It can be found within participant characteristics and behaviours confounding analyses as well as observational challenges. Some examples include time lag between dietary change and outcome may not be straightforwardly assessed and macronutrient intakes are typically highly correlated. He ended his talk about nutrition research issues by mentioning that without pre-registration of data protocols and analyses, how many analyses were performed, to what extent data were filtered cannot be known with any degree of confidence. These typical research behaviours impact the ‘p value’ estimates and interpretation. Dr Bohn continued to talk about causal inference and its criteria for determining a causal relationship and the difficulties we might face. For example, cognitive biases compromise the research, sample sizes are too small or suffer from selection bias, well controlled RCTs are often impossible to implement for practical and/or ethical reasons, etc. He ended his session by discussing the various structures underlie different causal relationships. Afterwards, Jaroslav pointed out in the Questions and Answers how working with healthy employees is important/crucial in order to motivate co-workers and teams to take proper actions/steps to incorporate elements of dietary health and sustainability into the work environment. He also shared some of the “behind the scenes” experience that certain problems including mental health issues and even addictions have been emerging in the hospitality industry. According to him, working long hours, a high-paced environment, consumption of sugar sweetened beverages, desserts and fast food during or after night/evening shifts may be linked to a lack of food education, which negatively influences eating habits. The Network soft launch was concluded by Dr Peter Van Dael – Vice president of DSM Nutrition summarising the key points from the presentations and Q&A. This was followed by an interactive workshop to shape the next steps in operationalising the network.

As we trot past the first month of 2020 the world has changed once again as the United Kingdom is now officially outside the European Union following almost four years on the Brexit roller coaster. On the other hand the world is facing challenges like never before from both physical and biological environmental factors manifested as the Australian bush fires and the Wuhan Coronavirus respectively - both equally deadly and just as humbling - a reminder that the forces of nature would always have the last word. All of these global events and others, largely outwith our control, impact NNEdPro members who collectively are either located in or hail from a total of over 50 countries across six continents. However in all of our interactions I have been deeply impressed by both the resilience of colleagues who are affected as well as the camaraderie of their counterparts which once again highlights the bonds that link us all together as part of a global family. These common connections are underpinned by a shared vision around a better world with a lesser burden due to malnutrition in its various forms and one where the untapped potential of nutrition is fully harnessed for both the prevention and treatment of disease. Today, as the world stands at the mid point of the UN Decade of Action on Nutrition and NNEdPro is fully exploring the role that voluntary regional networks can play in knowledge application in the remaining five years of the decade. To this effect over 2020 we are strengthening as well as expanding the NNEdPro Regional Networks Programme across the globe. This month has seen coordinated activities across multiple parts of India as part of the Cambridge University TIGR2ESS Project and our novel intervention of Mobile Teaching Kitchens within this framework. Despite Brexit, in February we will come closer than ever before to European colleagues through the launch of our regional networks in Switzerland and Italy, followed rapidly by a new regional network launch in Mexico to complement our existing links to Latin America. Beyond this there are plans to break new ground into a number of countries including the establishment of regional network sections spanning Scotland, the island of Ireland, Wales and England to maintain insights into needs within as well as across regions. Linking together all our regional networks will be a purpose built digital hub - the International Knowledge Application Network Hub in Nutrition 2025 (I-KANN-25) - we expect this to emerge in its first physical iteration by the turn of 2020. Within each regional network, between now and 2025, we seek to facilitate two key initiatives in a sustainable manner: (1) Strengthening ‘Nutrition Education Policy for Health Practice’ (NEPHELP) to build nutrition capacity within health systems; and (2) Piloting our Mobile Teaching Kitchens (MTKs) model bringing together education, empowerment and entrepreneurship as a novel intervention to reduce the burden of nutrition and health inequalities in at-risk populations. Whilst I-KANN-25, NEPHELP and MTKs will be globally unifying initiatives, there will be a plethora of differences in the shape of these models between regions and we are excited to widen our learning through the diversity of insights this work will bring. Behind programmes and projects are the people who work tirelessly to make it all happen for the potential benefit of the populations we seek to serve. Over the last quarter of 2019 we have carefully refreshed the membership of our think-tank especially at its core and in the new year I have written individually and in groups to all categories of members to reiterate our joint commitments and to thank one and all for their countless inputs. I am delighted that from this edition onward we will be introducing you to individuals in the dedicated NNEdPro Virtual Core which forms the bedrock of all we do. Finally, we are also looking forward to bringing everyone together once again through our flagship annual summer events at Homerton College at the University of Cambridge and I look forward to seeing many of you at our Summer School, the ‘Confluence’, the International Summit or our Global Strategy Day where we will also explore our role in climate change and sustainability! Professor Sumantra (Shumone) Ray NNEdPro Founding Chair and Executive Director

We were privileged as the NNEdPro Global Centre for Nutrition and Health to close the 2019 calendar year with a key contribution to the national policy dialogue on tackling malnutrition in the UK health system through our convening of the Inside Government Forum on NHS Food and Nutrition Standards. The day consisted of a range of talks, from a number of leading multidisciplinary experts from across the United Kingdom representing key segments in the food supply chain for healthcare institutions as well as the interface with patients requiring the integration of hospital catering, dietetics and clinical care. The theme of the day was to combine the expertise of these different professionals together to discuss how to improve NHS food provision as well as nutritional care for patients and for staff. The day was chaired by Professor Sumantra Ray, NNEdPro Founding Chair and Executive Director, and started with an opening address from Phillip Shelley the Chair of the National Food Review. A key aspect of his talk was ‘The power of 3’ which was described as the collaboration between Caterers, Dietitians and Nurses to provide high quality food which can be delivered to patients. This was followed by an address by Paul Freeston, CEO of Apetito and Wilthsire Farm Foods, who explained how they have continued as the NHS’s number one food provider through focus on quality and delivery of their products. An interactive panel discussion including other speakers as well as personal insights shared by Lord Rea widened the discussion to consider the roles of other healthcare and support professions to augment ‘The power of 3’. After lunch, the afternoon was started by Dr Luke Buckner, NNEdPro Global Innovation Panel Deputy Co-Lead. This included an interactive discussion session including an overview of the Nutrition Education Policy for Healthcare Practice (NEPHELP) initiative, from which it was proposed that the ‘Power of 3’ could include Doctors as an interim between Nurses and Dietitians. The day also explored a number of other case studies building on a day of shared experiences from good practice across the country, such as technology for calorie monitoring for inpatients, to changes in “junk food” in hospital shops and even a hospital utilising space to grow its own vegetables with patients as volunteers. Overall the day was hugely efficient in bringing together both overlapping as well as disparate themes into a common framework, providing thoughts for key policy influencers such as Phillip Shelley to take away, as well as a platform for lead caterers to take ideas back to their respective trusts. Further to the opportunity to share our own experience and expertise, NNEdPro came away with key insights into the challenges facing catering departments and ideas of how by changing this we can begin to tackle NHS food and nutritional care standards upstream, whilst simultaneously closing the awareness gap at all levels of healthcare professionals in both primary and secondary care. This would move us towards a seamless patient journey with appropriate provision of food in both hospitals and the community as well as transfer of nutritional care between clinical settings. To hear more about the event listen to the very first episode of the NNEdPro podcast. This new platform will provide a forum for future discussion on all things NNEdPro, nutrition and healthcare. In this very first episode of the NNEdPro podcast, James Bradfield spoke with Dr Luke Buckner of the Global Innovation Panel about his recent attendance at the Inside Governments "Raising Hospital Food and Nutrition Standards Across the NHS" forum. James and Luke also discussed the logistics of feeding people in hospital, how nutrition is everyones business and what else Luke is getting up to. https://podcasts.apple.com/gb/podcast/nnedpro-global-centre/id1496856424?i=1000463945662 For more information please see the Inside Government Website, as well as for future events https://www.insidegovernment.co.uk.

Dear Colleagues and Friends of NNEdPro This month marks the completion of a challenging but highly successful operational transition over 2019 as we have evolved into a truly global think tank working with resilience across borders. As we draw an end to another exciting year, we bring your attention towards highlights and recent events that NNEdPro has been involved in as well as celebrating the achievements of some of our key members and collaborators. As I reflect on 2019 I am minded to look back not only over the year gone by but in fact the past 5 years as we incorporated as a social enterprise in 2015 anticipating an independent and international life course into the future. The half decade since then has comprised an exponential phase in the journey of NNEdPro from an extramural programme hosted within the MRC Elsie Widdowson Laboratory in Cambridge to an interdisciplinary Global Centre headquartered in Cambridge but holding together a consortium of stakeholdings from four Universities at its apex, a number of key strategic partnerships and also convening an expanding geographical reach through regional networks across six continents. In the text of highlights below, are summary points that underline the collective achievements that have been made possible over 2015-19 thanks to countless contributions from each and every member of NNEdPro in multiple capacities. I simply cannot give thanks enough to do justice to the vanguard of efforts that have led to the current moment in our journey as we are poised and ready to take on even bigger challenges in a much better prepared manner than ever before. My unreserved and heartfelt thanks to one and all! Amongst the multitude of events that we have either driven or contributed to over the last quarter of 2019 one date – the 11th of December – strikes me as particularly poignant due to a hat-trick of events that we had the opportunity to impact as stewards of the NNEdPro mission: on that day we led an Inside Government Forum on NHS Food and Nutrition Standards, setting the stage for parliamentary dialogue in 2020; simultaneously we had invited speakers at a key national conference for the pharmaceutical sector emphasising the importance of nutrition and prevention alongside therapeutics; and to complete the triad of opportunities one of our key members delivered a nutrition awareness session to a large collection of General Practitioners spanning the East of England. In many ways these engagements highlight some of the work that lies ahead to impact the health service, influence therapeutic thinking and impact primary care where some of the biggest wins can be made in protecting populations from the effects of the double burden of malnutrition. 2020 promises to be a significant year for both NNEdPro as well as all actors involved in the United Nations Decade of Action (2016-2025) which reaches the half-way mark next year. With this edition we wish you all a peaceful holiday season, a fantastic start to the New Year and we hope to see you all soon in our upcoming events! With season’s greetings and festive cheer on behalf of the entire team at NNEdPro Global Centre for Nutrition and Health Professor Sumantra (Shumone) Ray NNEdPro Founding Chair and Executive Director - Director of Research in Food Security, Health and Society (P/T), School of Humanities and Social Sciences, University of Cambridge | Governing Body Fellow of Wolfson College Cambridge - Professor of Global Nutrition, Health and Disease (P/T), School of Biomedical Sciences, Ulster University - Visiting Professor (Hon), School of Public Health, Imperial College London - Presidential Board Advisor (Hon) at University of Parma - Co-Founder and Chair (Hon) of BMJ Nutrition, Prevention and Health at the British Medical Journal Group NNEdPro Highlights (2015-19): Evolution from project to programme to Global Centre EDUCATIONAL EVENTS World Congress of Public Health workshops in 2015 followed by launch of Regional Networks with regular meetings:⁃ India x10 ⁃ UK & Ireland x6 ⁃ USA x6 ⁃ Australia & New Zealand x4 ⁃ Morocco x1 ⁃ Brazil x1 5 International Summits, 4 Summer Schools, 3 Global Strategy Workshops and 2 Nutrition Weeks with Cambridge University 10th Anniversary in 2018 with launch of BMJ Nutrition, Prevention and Health Hosting external conferences in 2019: International Society for Nutrigenetics and Nutrigenomics and Optimal Nutrition Care for All ACADEMIC OUTPUTS Over 100 significant presentations locally, regionally, nationally and internationally - both invited and competitive - at scientific meetings and conferences as well as over 200 outputs including over 100 peer reviewed publications in 5 years MARKERS OF ESTEEM Awards and recognition over 5 years including: Complete Nutrition Outstanding Achievement, Innovate-2-Succeed, BMA Research Charities, BMJ Education Team, Medical Nutrition Industry International, Global Challenges Research Fund, Economic and Social Research Council and University of Cambridge Interdisciplinary Awards

Mobile Kitchen continues to sell out in Kolkata We are thrilled with the warm response that Mobile Kitchen has received this year in Kolkata, demand has been rising which has been motivating the women and project team. Join the team for a pre-Christmas & New Years Eve bite in Salt Lake. Dates: 23, 24, 26, 27, 30 & 31 December 2019 Time: 1 - 4pm Venue: Salt Lake, BD Block, near Tank no. 4 The purpose of Mobile Teaching Kitchens We launched a new animation to explain the purpose behind the 'Bhavishya Shakti' mobile teaching kitchen initiative in India and plans for the future, please share widely amongst your networks! Fundraising continues The Confluence Fundraising event On 23 November 2019, the community of Cambridge and surrounding areas continued to gather to raise awareness of climate change as well as fundraise for the Mobile Teaching Kitchens. Thank you to all the children, families and friends for participating. View pictures from the event here. Fundraising will continue, to support Mobile Teaching Kitchens please click here Mobile Teaching Kitchen poster presentations win awards Congratulations to members of the NNEdPro team who recently won the poster competition based on our Mobile Teaching Kitchen cognitive construct analyses at Cambridge Language Sciences Annual University Symposium 2019. View poster abstracts here.

December saw NNEdPro participate in and/or run a number of key impactful events raising awareness amongst a wide audience. On 11 December we saw a hat-trick series of participation in three events where members of the virtual core shared key messages across to Policy Makers, Business and Health professionals alike. Professor Shumone Ray chaired the Inside Government Interactive Forum on 'Raising Hospital Food and Nutrition Standards Across the NHS' where Dr Luke Buckner ran an interactive session on Nutrition Education Policy for Healthcare. Meanwhile on the same day, Dr Minha Rajput-Ray gave a NNEdPro presentation at Genesis in London, the major biotech/pharma conference organised by One Nucleus each year. Simultaneously, Elaine MacAninch RD ran a session on behalf of NNEdPro and its sister organisation ERimNN to over 70 GP's at the NHS East of England Diabetes training day. On 12 December, Dr Tim Eden RD, supported by Matheus Abrantes, Elaine and Shumone ran a very well attended nutrition workshop for foundation doctors at Barts and the London in Royal London Hospital. Overall, this was a great way for NNEdPro to end the year on a note of engagement and impact and watch this space for more information on outcomes

The Cambridge Conference of the Optimal Nutritional Care for All campaign (ONCA) was held at the Cancer Research UK Cambridge Institute and University Arms Hotel on 19th and 20th November 2019. Here respected speakers from all over Europe came together to discuss and speak about good practice in nutritional care. NNEdPro had the privilege of co-hosting the conference with key organisations in clinical nutrition such as the British Association for Parenteral and Enteral Nutrition (BAPEN), the European Nutrition for Health Alliance (EHNA), Patients on Intravenous and Naso-gastric Nutrition Treatment (PINNT), the British Dietetic Association (BDA), members of Cambridge University Health Partners (CUHP) and the British Specialist Nutrition Association (BSNA). A special thanks to the organisers of ONCA (Frank de Mann, Patrick Praaning and Joost Wesseling) for choosing NNEdPro as a venue organiser to bring the best of Cambridge to the conference and members of the NNEdPro team who supported the organisation process were Jorgen Johnsen, Matheus Abrantes and Sumantra Ray along with Michael McGirr and Jonathan Lang who supported logistics during the meeting. Minha Rajput-Ray and Harrison Carter were key NNEdPro speakers at the event. Presentations and more pictures are available at here. Day one: Welcome remarks from Professor Olle Ljungqvist, Dr Trevor Smith and Professor Sumantra (Shumone) Ray. The conference kicked off with a welcome message from Professor Olle Ljungqvist, Chair of ENHA followed by Dr Trevor Smith, President of BAPEN. Our own Founding Chair and Executive Director of NNEdPro, Professor Shumone Ray continued the welcome remarks reminding everyone that Cambridge has been the academic home to 120 Nobel Laureates and 14 British Prime Ministers. In addition to, on the very ground close to where the first day of the conference was held, at the Medical Research Council’s Laboratory of Molecular Biology, Watson and Crick discovered the double helix of DNA whilst more recently Ramakrishnan elucidated the structure of the ribosome. Also on a more nutrition-related note, in Cambridge there has been a 90-year legacy of Human Nutrition Research owing to the seminal insights of Elsie Widdowson and Robert McCance – perhaps the first known scientific partnership between a dietitian and doctor that has been so ahead of its time – this has formed the basis for our modern understanding of nutrition as a cognate scientific discipline. Professor Ray ended his welcome remarks by implying that this conference is an opportune moment to re-discover the potential that optimal nutrition can have both in the prevention and treatment of illness. He also pointed out that this journey is of course not without its hurdles but that the path that ONCA and its partners have set out will accelerate both implementation as well as impact in nutrition for patient and population benefit. The Trinity: Patients, Professionals and Decision makers The Decision makers What do politicians need to know and how can politics help further improve the person-centred nutritional care? Lord Andrew Lansley, shared his story as a former cancer patient. He discussed that the implications of disease, not just on physical health, but on mental health and the burden that this places on loved ones as well as oneself. He highlighted that over the past 3 years when hunger and poverty have been on the rise whilst simultaneously obesity is increasing across the globe, there is an issue trying to tackle obesity and malnutrition at the same time. He emphasised that nutrition has a massive effect on patient outcomes and that the NHS responds to leadership, however different leadership brings different outcomes, currently the NHS is leading itself, but a dedicated clinical nutrition leader is required. Lastly, he ended with pointing out that patients benefit from long term follow up nutritional advice but that not everyone receives this, many patients leave the hospital with a poorer nutrition status than prehospital, from this we can determine that post hospital nutrition care is definitely required. The new health and social care landscape in the UK: opportunities to improve nutritional care Ben Howlett, Managing Director of Public Policy Projects, talked about nutritional policy and the current reforms and health landscape with an aging population and growth in demand. There are more than 1.3 million over the age of 60 who are in or at risk of malnutrition. He continued to say there is a lack of emphasis and in the new UK health and social landscape there are opportunities to improve nutritional care. He further implied that we should learn from each other countries represented in ONCA to imply them to UK too. He highlighted the report on the importance of nutrition to the integrated care debate and its view on a better nutritional practice, collection of data, education and training of health professionals, and lastly a description of a whole system approach. He ended his talk going through the nine recommendations on which you can find further detailed information in the report. The Societies BAPEN, PIINT and UK Malnutrition Awareness Week: Good Practice in multidisciplinary collaboration Carolyn Wheatley the chair of PINNT discussed putting patients at the centre of good nutritional care, to have the ability to facilitate a quality support and education network for patients receiving artificial nutrition, to connect the patients so as they do not feel isolated. She expressed it is important to ask the right patients for their opinions. Because the least vocal patients are the ones who are struggling and require the most focus. Lastly, she highlighted that there is a need to engage widely to develop and acquire the right resources for patients. BAPEN and PINNT are committed to improving the nutritional care for patients and with the help of their collaborators promise to consult, engage and listen. Trevor Smith, President of BAPEN, continued the topic of empowering people to take responsibility and self-screening for malnutrition risk and highlighted the UK malnutrition awareness week. He further explained key messages such as being clear that losing weight is not a natural part of ageing; look out for relatives, friends and neighbours; and check your own weight and that of your loves one using an online self-screening tool. Furthermore, he specified that health and social care professionals should: increase the use of the “Malnutrition Universal Screening Tool (MUST)”; and submit nutritional screening data to BAPEN’s nutrition portal to help collect UK malnutrition data. The Patients Are the needs of individual patients being met? Monika Malickova, a parental nutrition (PN) patient from Czech Republic and the head of the international patient group ‘PACIFHAN’ talked us through the desire to ensure equal access to care and equipment whilst prioritising areas of greatest unmet need. PACIFHAN are tenacious as they are committed to ensuring complementing the health care and services that patients receive. Monika also discussed the importance of raising awareness for Home Artificial Awareness (HAN) whilst simultaneously working in unison to improve quality of life and provide a network of support for patients as no two patients are the same. She also called for collaborators to work synergistically “If we work together then everyone achieves more, we need to be united”. Patient safety in nutritional care Dr Frances Healy who is the Deputy Director of Patient Safety for National Health Service improvement / Education (NHSi/E) discussed finding a way of addressing problems before they lead to harm, highlighting that there should be prioritisation of updating practice standards on a global level, whilst sharing what we know to be true and works for the NHS with other countries so that we can all collectively strive for better global healthcare education, by working on prevention and implementing proper and consistent training. We can effectively assume the role of planning and coordinating the education of several generations of healthcare workers on new and improved medical practice. He ended with a discussion of the importance of food labelling the correct product, information and allergens on hospital foods for patients and the detrimental consequences which can so easily be avoided as an example of learning from the past mistakes to improve the future of healthcare. Updates from Paris, keynotes and plenary debates 4 content tracks by patients and professionals Prevalence and Economics studies Pavel Tesinsky reminded us all malnutrition is still a problem even in highly developed countries, however, a problem does not exist if not recognised. There is a current problem of recognising, defining, consequences, impact and providing a solution for malnutrition, however, there is a solution that is being worked on. He continued with stating that malnutrition is a health, social, public and economic problem, and there is a need to put malnutrition on a public health agenda. As a world free from all forms of malnutrition where all people achieve health and wellbeing provides a far less strenuous and more bountiful society. There have been collective efforts to advance nutritional care, validated screening tools provide consistent criteria across different groups, care settings and countries. Nevertheless, there are also economic considerations: the cost of disease and how much does malnutrition cost our health service or the patients? He ended with discussing that what we need to do is to treat malnutrition as a major public health issue and provide a model that can be adapted and applied to treating the crises. There is a unified need of building health and economic data into an effective communication strategy so that we can improve on the current situation. ONCA has provided a platform for a bridge between clinicians, scientists, patients, politicians, media and public. Lastly, his take home message was “We need to make scientific data more available and support education at every level”. Nutrition in Medical Education, patient versions of nutrition guidelines Cristina Cuerda updated the audience on ESPEN’s nutrition education in medical schools (NEMS) where she elaborated what was learned from the ONCA Paris meeting in May 2019. She continued by presenting the results of an ESPEN survey on NEMS and contents of the ESPEN position paper within ONCA delegates. She had previously presented the paper at NNEdPro’s 5th International Summit on Medical and Public Health Nutrition Education and Research in Cambridge. Their work has received interest of collaboration from international network for health workforce education, European Hospital and Healthcare Federation (HOPE), and Standing Committee of European Doctors (CPME). She ended her presentation by proclaiming the next EPSEN NEMS meeting on January 19th 2020. Cristina was followed by Gaston Remmers from the European Patient Forum (EPF), where he expressed aims should first and foremost raise awareness of the role of nutrition and diet in managing long-term conditions, maintaining optimal health and quality of life. He continued to explain that EPF provides a strong patients voice to drive better health in Europe. He ended with a discussion of the enormous potential for creativity whilst acknowledging the contribution and ingenuity of patients to nutritional skills developments in care institutions. Nutritional care in hospitals and the community Elizabet Rothenburg discussed the need for nutritional care not only in hospitals but throughout the community. There is a structured and preventive care process for preventing adverse events by identifying risks at an early stage. The sooner the risk has been identified the sooner and easier we can effectively analyse the causes and plan an intervention before a follow up. She continued pointing out that malnutrition affects multiple problems that are intertwined leading to multiple morbidity. However, not all those at risk of malnutrition receive preventative measures or the treatment that is needed to help identify the causes of malnutrition in individual cases. At the end she pointed out we need nutrition teams to be more inter-professional including dietitians, physios, occupational therapists and dental health specialists to ensure the top level of care for our patients. Internist, Medical Director In-Hospital Nutrition Program Amsterdam UMC Martin Soeters discussed that malnutrition leads to longer stays in hospitals for patients. He wanted to highlight there has been an estimated cost of malnutrition done in the Netherlands which is upwards of 1.8 billion Euros. He continued to point out we know that there is a need to address malnutrition not only to improve the quality of healthcare but to reduce the economic burden on our global healthcare systems. There is a need for better care, education and research. Regarding care there is a need for better food throughout the care facilities that we provide so that we can deliver the taste and choice of food that the patient requires and also ensuring the optimised intake of macro and micronutrients. Lastly, he mentioned education and the need to effectively ensure that our nutrition assistants, nurses, doctors’ medical students and patients are all on the same wavelength involving nutrition education and the importance of taking preventive measures when it comes to malnutrition and motivating patients to eat. Public awareness and policymaking Rachel Power, Chief Executive for the Patients Association, presented the value of building relationships with the public on compassion, collaboration, inclusion and empowerment. The vision is one of a society where we collectively work together in unison to enhance the physical and mental wellbeing in our communities and individuals whilst improving the quality of the services that are provided, maximising input and eradicating waste. Working together cannot be a one-size-fits all exercise. However, there are principles for working together that hold true universally. She ended with the need to accommodate the individual and collective needs of our patients in addition to committing to working together on a personal, organizational and long-term basis. The desirable principles for achieving the most while working together are to be proactive, be prepared to invest time and effort, empowerment ensure that all the resources are accessible and shared with everyone so that all can contribute to the decision-making process. Co-creating the patient pathway Follow up Paris Spring Meeting: Outcomes ONCA survey Joost Wesseling from ONCA presented the headlines from the explorative survey with 84 participants from 28 different countries. Some of the main considerations by the participants where: education (in staff and patients); evidence-based practice/protocols; multidisciplinary team/network/communications; integrated nutritional care into existing pathways or protocols in medical and surgical units; screening/assessment; and monitoring medical therapy/reimbursement. He concluded from the patient nutritional pathway survey that it is an important and inspiring topic and the pathway will continue to be an important topic for the campaign. It has created a lot of valuable input for next phase research: together with ONCA members and their communities. Integrating nutritional care into the patient pathway across health and social care systems: Why and how? Dr Rebecca Stratton, Chair of BAPEN Malnutrition Action Group, pointed out that malnutrition is still costly to patients and society. Thus, to improve identification of malnutrition and use of the right nutritional care to improve outcomes, to benefits patients, saves money and benefits society. She further explained we must continue to embed screening and treatment into practice across health and social care by embracing technology. Learn from others, empower other professionals, work across disciplines, settings and keep the relevance. Moreover, to use evidence, guidelines and pathways nationally and locally to improve malnutrition management. This could be done by involving patients and carers. She finished by encouraging us to be strongly vocal about malnutrition and be confident in the value managing it brings to patients and to society. Experiencing a patient pathway Marek Lichota, from Appetite for Life, was diagnosed with Crohns Disease in 2002 and experienced a haemorrhage in 2005, subsequentially, he required four surgeries which cost a lot of time and pain. He felt that there was a lack of nutritional support as he ended up severely malnourished resulting in a weight of 48kg. He further discussed the patient’s perspective with an eye-opening talk regarding a lack of nutritional assessment at key stages in the patient pathway. In addition to this, the clinical significance of chronic disease is responsible for 85% of deaths in the EU and 80% of healthcare costs. Marek called for the data to be shared so that we can collectively improve the quality of care that is provided for patients. In recent years a larger part of the patient pathway has taken place online. There is a need for quality patient content that could be available via websites or social media as currently the scale of information available on social media is to vast to access quality relevant information by harnessing social media to deliver good nutritional advice from healthcare professionals. This will allow us to become closer to patients to lead their nutritional pathway. Marek has now got his quality of life back with parenteral nutrition. How can we learn from a (Digital) Customer’s Journey Dr Pawel Kabata, from the Medical University of Gdansk, talked about the importance of influence that social media and internet has on people. He continued explaining the issues with his experience as a social media medical influencer where storytelling mixed with health promotion and education reach out too many followers. The digital patient pathway is where technology meets medicine and he urged us to take control of the pathway with good quality content that could attract, be patient tailored and disease specific. He further explained that in todays rushed society website versus social media plays a bigger role. Social media gives a direct viewer feedback with real time engagement while websites are a reliable source of information it is often too much for the general person. He finished the first day of the conference by encouraging us to be more active on social media by spreading the real-life content, using our own experiences or patient stories, make people engage by sharing stories and hide the science inside, thus, being closer to people to lead the nutritional pathway. Day two Introductions Exchange Good Practices Nutrition Education in Healthcare Practice: Implementation Pathway Project Our own Dr Minha Rajput-Ray NNEdPro Medical Director and Dr Harrison Carter of the NNEdPro Collaborators Network started the day by presenting the Nutrition Education Policy for Healthcare Practice (NEPHELP) initiative. They had previously presented the winning proposal for this work at the Medical Nutrition industry International Awards at ESPEN in 2017. It was developed from a need for multidisciplinary approach to nutrition care in hospitals recognised by many of the doctors participating in the 2018 Cambridge/EoE Junior Doctors study with patients and carers sub-study. Some of the key findings from the sub-study were: 50% had never spoken to a doctor about food or nutrition, believed doctors do not have enough knowledge or time and will not advise them on food, and patients and carers who were provided with nutrition advice often could not follow due to lack of understanding of technical term and lack of guidance on actual food choices especially in disease conditions affecting intake. They continued their presentation by highlighting the launch of NNEdPro UK and Ireland regional network and the nutrition implementation coalition (NNEdPro, ERimNN, Nutritank and Culinary Medicine UK). They ended their presentation by laying out the next steps towards integrating capacity building and care pathways, where some of the steps are patient centred educational standards should be formulated across undergraduate and postgraduate curricula and form part of mandatory training in the NHS. Essential steps in the Nutritional Care process Dr Clare Shaw, Consultant Dietitian at the Royal Marsden NHS Foundation Trust, discussed the management of malnutrition and focused on nutrition screening and assessment and diagnosis of malnutrition in the nutrition care process. She expressed that nutrition screening tests must be sensitive to identify those at risk while specific to rule those not at risk and enough training for effective implementation is needed. The improvements in identification of malnutrition and management rely on a sensitisation of the multi-disciplinary team by clinical dietitians, physicians and nurses. This can be achieved by feedback on progress of projects, daily ward huddles and weekly nurse update meetings. Lastly, she discussed the importance of targeted nutrition interventions and individualised nutrition support. Workshops on: Good practices exchange market; and how can we develop the campaign to serve individual EU patients’ needs and drive self-care? At the end of the last day’s session the conferenced held a workshop where the delegates could contribute and shape the patient nutritional pathway. At first, they were divided into round tables for interactive exchanges between the country delegations where good practices were discussed. Each table then presented their key points at the end of the first session. The second session divided groups into interactive brainstorms following up yesterday’s plenary discussion to develop/continue the ONCA campaign’s four content trackers: Measure, Education, Implement and Influence. Each delegate had been assigned one of the four content trackers out of their own interest of methods. Both sessions were documented to be presented in the next ONCA conference in 2020. At the end of the last day Frank de Man and conference chairs summed up the conference and confirmed that the next ONCA conference will be held in Denmark 2020. Stay tuned for more information! Written by Michael McGirr, Jonathan Lang and Jørgen Torgerstuen Johnsen. Edited by Sumantra Ray.

“Nutrition is the next big thing for health systems” – From the 4th Annual Meeting of the NNEdPro ANZ Regional Network Newcastle, December 2019 Written by Breana Lepre Digital support by Michael McGirr and Matheus Abrantes Edited by Eleanor Beck, Jennifer Crowley, Melissa Adamski and Sumantra Ray Check out some photos over the duration of our stay. https://www.flickr.com/photos/nnedpro/albums/72157712045452388 On 2nd December 2019, NNEdPro, the Global Centre for Nutrition and Health, in partnership with the Nutrition Society of Australia and BMJ Nutrition, Prevention and Health, held the 4th annual meeting of the ANZ NNEdPro Regional Network at the University of Newcastle, Australia. The meeting was well attended by over 30 dietitians, nutritionists, geneticists, medical practitioners, academics and representatives from health and professional associations including the Australasian Society of Lifestyle Medicine. Titled “Advocacy, Implementation & Application”, the workshop aimed to update new and existing members of the NNEdPro ANZ Regional Network of the important work being done to strengthen the nutrition-related capacity of the healthcare workforce within the region and beyond. The focus of the workshop was on nutrition competencies for all health professionals, including methodologies for the development of competency standards. Examples from different professional organisations and existing nutrition competency standards and strategies were shared as case studies for adoption. The opening remarks were delivered by ANZ NNEdPro steering committee member, Professor Caryl Nowson, from Deakin University and Professor Sumantra Ray, Founding Chair and Executive Director of NNEdPro. Following the opening remarks, an interdisciplinary range of experts presented their knowledge on what health professionals may be able to deliver to improve health, given the opportunities. Methodologies on existing nutrition competencies for medicine, nutrition scientists and dietitians were all discussed (Robyn Perlstein, A/Prof Susan Torres and Professor Eleanor Beck). Dr Michelle Reiss, a general practitioner focusing on healthy lifestyle discussed the simple messages that may be required for individuals. Professor Jane Conway described the difficulties for nurses in being the “doer” in all aspects of patient care and encouraged the audience to consider the realities of practice when promoting nutrition competencies for health professionals. Finally, Dr Emma Beckett challenged us to consider the practice versus the promise for nutrition and diet and genetics. Dr Jennifer Crowley drew us back to consider the current status of nutrition education for medicine and how best to advocate for, implement and promote nutrition education in health professionals. This provided the perfect segue to the latter part of the workshop, where attendees were divided into smaller groups for discussion. Stimulative discussion groups were facilitated by A/Prof Lauren Ball, from Griffith University, and Professor Clare Wall, from Auckland University on Nutrition in Medical Education for 2020-2025. The provocative discussion focused on strategic advocacy for nutrition in health systems – a top-down approach to integrating nutrition in medical education in Australia and New Zealand and on activities required to achieve the NNEdPro vision of equitable, accessible and adequate nutrition education for all medical students and professionals. The discussion groups provided a platform for inspiring discussion for a pathway for future impact in this space, such as a policy tool for more comprehensive integration of nutrition into ANZ medical schools. After the group activity, Professor Sumantra Ray presented a summary and future direction for the NNEdPro global strategy, from the WHO capacity building blueprint to interdisciplinary mobile teaching kitchens, an innovative intervention which has shown to be effective at improving students’ dietary behaviours and competency in nutrition counselling. There is a promising future for the status of nutrition in health systems, with attendees leaving the workshop with a renewed sense of vigour for the vision of NNEdPro, which seeks to improve the health of individuals, families and populations by weaving nutrition into medical and health care systems. We thank all new and existing ANZ NNEdPro Regional Network steering committee members and workshop attendees for their contributions and dedication. If you would like to know more about the ANZ NNEdPro Regional Network visit: https://www.nnedpro.org.uk/aus-nz . For information on the upcoming NNEdPro Summit or Summer School 2020, held in Homerton College at the University of Cambridge in July 2020, please visit: https://www.nnedpro.org.uk/upcoming-events.

Brighton, 6th November 2019 By Marjorie Lima do Vale and Jorgen Johnsen Edited by Dr Kathy Martyn and Prof Sumantra Ray Acknowledgements: Elaine MacAninch, Dr Minha Rajput-Ray, Nikitah and Matheus Abrantes Malnutrition, in its many forms, negatively impacts individuals, families and communities as well as posing significant challenges to healthcare systems. The NNEdPro Global Centre for Nutrition is committed to making a key contribution towards the global campaign to end malnutrition by 2030, in line with the United Nations (UN) Sustainable Development Goals agenda and UN Decade of Action on Nutrition (2016-2025), by addressing nutritional inequities while undertaking good quality research and training professionals in nutrition and health. This complex set of tasks, however, it's not meant to be taken by no one single organization, it requires collaboration across different sectors in society. On November 6th, ERimNN (Education and Research in medical Nutrition Network) in collaboration with NNEdPro Culinary Medicine and Nutritank, organised the 1st NNEdPro UK Regional Network meeting and the 2nd Brighton Nutrition Showcase. The meeting took place in Brighton, UK and brought together individuals and organisations across the UK to present exemplary initiatives on nutrition and foster future collaborations. The event served as the official launch of the NNEdPro Regional Network of UK and Ireland, the annual meeting for which will be held in Brighton. In addition, there will be section meetings in Northern Ireland, Scotland and Wales. The network will host the Nutrition Implementation Coalition, which is a strategic alliance between NNEdPro, ERimNN, Nutritank and Culinary Medicine UK and was also officially announced at the event. For further information about the coalition click here. The network meeting incorporated ERimNN’s 2nd Brighton Nutrition Showcase hosted at the Brighton and Sussex Medical school (BSMS) and supported by the University of Brighton and NNEdPro. The night started with the presentation of the programme ‘An Apple a Day’, led by medical students at BSMS. As part of the programme, medical students deliver nutrition lessons to 11-12y olds in a local school. Medical students that participate in the programme not only become more knowledgeable and skilled in nutrition topics, but most importantly, they get a chance to empower adolescents to make healthier decisions in terms of eating. The initiative is mentored by ERimNN and NNEdPro members Elaine Macaninch (RD) and Kathy Martyn.(RN RNutr) and is supported by the University of Brighton Active Student volunteering scheme. There has been growing interest from medical students and the number of medical students engaged as mentors on the programme has grown from 4 to 15 since its conception. Another student led initiative presented in the showcase was Nutritank, a think tank originating in Bristol founded by Iain Broadley and Ally Jaffee and now present across 20 medical schools in the UK. Nutritank aims to increase nutrition and lifestyle education in the curriculum of medical students. Nutritank also collaborates with Culinary Medicine UK (CMUK). Elaine Macaninch explained more on the concept behind CMUK. This team is composed of multi-professionals including doctors, dietitians, chefs and psychologists. The aim is to teach the foundations of clinical nutrition to medical students and health professionals through a combination of online theoretical components and using the kitchen as a classroom, cooking eating and discussing food to build empathy and clinical communication skills to address the many barriers to making dietary change. Also to promote a multiprofessional approach to nutrition interventions sensitive to the needs of our patients, working across professional boundaries but appreciating when to refer on to nutrition professionals such as dietitians. Dr Jenny Blythe from the Queen Mary University, then introduced the ‘Bags of Taste’ programme that also aims to improve nutritional medical education. Bags of Taste is a cooking and dietary behaviour change model located at 11 local boroughs in the UK. Medical students from the Queen Mary University of London participated in one of the culinary classes led by Bags of Taste. They learned not only about nutrition, but also about behaviour change theories and poverty and its complexities. Emily O'Brien, from the Brighton & Hove Food partnership, outlined the complexities of food poverty in Brighton and the city wide initiative that aims is to make healthy, sustainable and fair food available for all. Their food strategy plan for 2018-2023 has engaged almost 100 partners. One of their projects is a community kitchen where people can learn to cook on a budget. One of the discussions during the Q&A were the challenges in meeting deprived individuals and communities where they are currently in terms of resources and skills. Continuing the discussions around challenges in nutrition from the client/patient perspective, Heather Duff, shared her experiences in following a strict diet protocol, the paleo protocol, which was “a weird, wonderful and expensive experience”. Heather talked about the (un)feasibility and (un)sustainability of strict diets. In addition to the potential negative impact of such diets on individuals’ mental health. For her, being supported by a nutritionist was key in dealing with the plethora of information available. She also highlighted how difficult it was to discuss food and nutrition with her doctors. Sandeepa Soni, an oncology dietitian and Chris Smith, a paediatric dietitian, discussed their experiences and challenges in providing the best treatment for patients. Issues such as uncertainties in the face of emerging evidence and patient’s difficulties in keeping up with prescribed treatments were covered. As the last speaker, Prof Sumantra Ray, NNEdPro Founding Chair and Executive Director, outlined work to date and the future steps to of the Regional Network in supporting. The Nutrition Implementation Coalition will provide steering to the UK and Ireland Network, seeking to deliver on the main objectives of the regional network including the NEPHELP (Nutrition Education Policy for Healthcare Practice) and MTK (Mobile Teaching Kitchen) initiatives as well as providing key UK and Ireland inputs to I-KANN-25 (International Knowledge Application Network in Nutrition 2025) which joins together all of NNEdPro’s Regional Networks across the globe. The night ended with Nikitah, the NNEdPro Junior Ambassador, inviting all attendees to support the upcoming MTK fundraising event, ‘The Confluence’ which explores a new but important theme within NNEdPro pertaining to climate change, sustainability and food security. Check out the photos of the event

July 2019 saw NNEdPro strengthen ties with nutrition networks and leaders in the United States. Represented by Sumantra Ray, Shivani Bhat, Zubaida Qamar and Maria Korre, NNEdPro was at the Society for Nutrition Education and Behaviour (SNEB) Annual Conference in Orlando, USA from 26 to 30 July 2019 where they engaged with stakeholders and launched the US Regional Network as well as strengthened ties with SNEB through the joint-IANE membership program. With over 20 attendees, the US Regional Network was well attended by dietitians, community workers and researchers interested in international nutrition education and research which led to the development of several objectives that can tie US initiatives with the world and bring international initiatives to the US to improve and integrate nutrition in healthcare practice. NNEdPro is pleased to strengthen relationships with SNEB by contributing to initiatives via the Division of International Nutrition Education as well as via providing discounted membership to SNEB members to the IANE Scheme. Following a positive response to the new membership scheme, we are very pleased to announce that the IANE membership scheme will rolled out globally starting September 1st 2019. Check out the USA Regional Network page

Geneva, June 2019 The world today faces challenges from malnutrition in all its forms. One in three people are being directly affected by either underweight, micronutrient deficiencies or overweight, obesity and diet related non-communicable diseases. In fact, unhealthy diet is now the top risk factor for global deaths and is contributing to a vast number of people living with ill-health. However, nutrition capacity building among health personnel, who are often front runners in any given health systems, remains an under-prioritised issue. On 27th June, NNEdPro the Global Centre for Nutrition and Health, in collaboration with the Department of Nutrition for Health and Development (NHD), at the World Health Organization (WHO), organised an interactive training workshop on the importance of nutrition education at the WHO headquarter in Geneva, Switzerland. The workshop, titled ‘’Bringing Nutrition into Health Systems: From Global Training Architecture to Local Implementation Models’’, was aimed to provide the WHO interns, who are aspiring to be the future experts within their respected health fields, with the necessary nutrition knowledge and tools. The opening remarks were delivered by the Director of NHD, Dr Francesco Branca who was delighted to co-host the very useful and first of its kind nutrition workshop for all the WHO interns. Organised jointly with the WHO human resources team, the workshop was conducted by Professor Sumantra Ray and Jorgen Johnsen from NNEdPro as well as Lina Mahy and Niisojo Torto from WHO. During the presentation the interns received an overview on malnutrition in all its forms; how it manifests, its risk factors and how our food systems is transitioning and contributing to unhealthy diets. Furthermore, they were informed about the Global Nutrition and diet-related non-communicable disease targets, outcomes from the Second International Conference on Nutrition, nutrition’s role in the 2030 Sustainable Development Goals agenda and the United Nations Decade of Action on Nutrition (Nutrition Decade) 2016-2025. The objective was to inspire and encourage the interns to identify potential solutions to end malnutrition in all its forms, through the use of an interactive presentation. The majority of the interns at WHO did not have a nutritional background, however as most of them would likely end up in health policy, medical research and practice or other health related fields, it is potentially important for them to understand how nutrition can affect health outcomes and how intertwined nutrition really is in determining health policy. Further to the discussion, NNEdPro’s work as a global centre for nutrition and health was presented through NNEdPro’s four pillars: Training Professionals, Strengthening Research, Implementing Solutions and Addressing Inequalities. The mobile teaching kitchen model was presented and introduced as an action-research case study to be inspired by, and to think of how it could be modified and implemented in different geographical regions to help the interns with their brainstorming session. A key focus throughout the interactive presentations was nutrition education and training. This is not only a missing element in public health and healthcare professionals, but a vital solution to our global challenges of ending malnutrition by 2030. During the latter part of the workshop, the interns were divided into smaller groups where they identified a region or country of their choice, applying various aspects of the Mobile Teaching Kitchen Model and envisioning solutions to close existing nutritional gaps in those regions. After the group exercise/activity, the interns presented their ideas for a similar nutrition knowledge model and suggested sustainable practices across health systems to solve malnutrition. The session for the workshop was structured around the aforementioned malnutrition issues and what the Nutrition Decade (2016-2025) can achieve in terms of scaling up nutrition needs. The regions picked by the interns and discussed spanned Central America, Australia, China, Senegal and USA. Their target populations ranged from immigrants, indigenous populations, rural communities and children in urban areas. The main problems tackled were unhealthy diet or lack of nutritional knowledge. All of them focused on community-based solutions whether it was involvement in food preparation, community gardens or cooking fairs, as well as healthy carpool groceries for easy access after school hours. Overall the challenges they highlighted were legal issues, potential resentment, transient and hard to reach populations, lack of funding opportunities, and resource for implementation. The outcomes, on the other hand, were inspirational. The majority of them foresaw outcomes like empowerment/leadership, healthier populations, increased nutritional knowledge, and increased community engagement. And this was just a recap of the positive, solution-oriented atmosphere! A lot of good and innovative ideas were shared and could potentially have an impact if further built on and funded! What is next? Maybe another workshop next year? Or recurrently each year? Funding for one or more of the projects? Who knows with the next generation of engaging and enthusiastic health experts! Key Takeaways: · Strengthen nutrition knowledge, attitudes and practices amongst WHO interns; · Use the NNEdPro Mobile Teaching Kitchen model to inspire the interns to develop other models that may help contribute to lessen the malnutrition burden in different regions; · Enable a Global Public Health Interns Network. Written by Jorgen Torgerstuen Johnsen, Sucheta Mitra and edited by Sumantra Ray Among the first Global Public Health Interns Network members are: Alina Lack, Alyssa Palmquist, Ashley Moore, Cecily Wang, Florence Munro, Hannah Bergman, Juliette Mchardy, Karolina Zhukoff, Margherita Cina, Minjoung Shin, Nagouille Ndiaye, Neha Bhaskar, Neha Dhawan, Rachel Mathison, Rim Mouhaffel, Rishika Reddy, Sean Flannigan and Yu Zhang.