Fleur offers a practical and down‑to‑earth look at enteral feeding, taking delegates through the stepwise pathway from oral nutrition support to NG, NJ, PEG, PEG‑J and jejunostomy feeding. Using NICE guidance and real clinical examples, she explores how to balance clinical need with expected benefit, treatment burden and what matters most to patients. The session also touches on off‑licence tube use and the importance of proportionate, patient‑centred decision‑making. Delegates will leave with clear frameworks to support MDT discussions and approach complex feeding decisions with confidence.

The session will revolve around the challenges supporting patients with percutaneous jejunostomy feeding tubes; with a focus on the challenges involved with off-label medical devices and the efforts being made to improve care for patients and their carers.

Short presentation explaining what happended to the supply of the AMT bridle and what actions are now in place.

This symposium follows the journey of a homecare patient from hospital to home, focusing on what matters most: confidence, safety, and continuity of care. It explores how multidisciplinary discharge planning and individualised care pathways support safe transitions. The session highlights nurse‑led training reinforced by a Patient Training Pack and QR‑linked procedure videos, designed to build confidence and independence at home. It also examines ongoing support, including personalised clinical relationships, annual reviews, and 24‑hour advice line access. Finally, it demonstrates how integrated communication and clinical governance systems enhance visibility, safety, and quality throughout the patient journey.

In September 2024 a national Radiographer-led pathway was launched with the aim of reducing the number of NG tube related Never Events. At last years NNNG conference we outlined the details of this pathway and had good engagement from a number of Trusts and Health Boards. Today we will provide an update on progress and key learning points from the pilot phase.

Foregut DGBI can lead to severe, misunderstood symptoms that place patients at high risk of malnutrition, repeated admissions and escalating interventions. This talk explores why symptoms and nutritional decline occur, the nuanced role of enteral and parenteral nutrition, and the challenges of balancing validation with avoiding harm. Central to the session is the role of the multidisciplinary team: how coordinated, consistent input across gastroenterology, dietetics, nursing, psychology and allied professionals restores function, reduces unnecessary medicalisation, and supports safe nutritional rehabilitation. Practical nursing takeaways emphasise recognition, communication and supportive feeding approaches.

NNNG AGM: 13:10 - 13:40

This session explores best practice in preventing, identifying, and managing line infections associated with Central Venous Access Devices (CVADs) within the homecare setting. It focuses on knowledge and practical skills required to deliver safe, high quality care outside of the hospital environment. Covering infection prevention strategies, early recognition of complications, and effective monitoring techniques. Overview of patient safety, through discussing what we are currently delivering through our reporting, monitoring, trending of CLABSI infections, and empowering our nurses and patients to reduce infection risk.

Suzy Cole and Linda Broomfield, co chairs NGSIG will be talking about the work of the interest group, the development of the NG audit tool, publication of a new position paper on NG tube safety, the education of radiographers in NG xray interpretation and future plans for the NGSIG 2026/2027.

This talk will be about how to support an eating disorder patient by reducing the fear of managing them, to find a supportive pathway. Importantly also looking at those with disordered eating and how these challenges do not necessarily fit in with those with a diagnosis of eating disorders but who can create a significant level of anxiety in their management plans. It is recognising the reason for admission, to address that and then for discharge planning. Sounds simple but as we know a lot can change but all helps to inform on a positive discharge - and sometimes not and that is ok. There is also no time scale but being fully aware of the pressures of ward environments bed capacity and pressures for all sources - to try to navigate this while having an very unwell patient who tells you they are 'fine'.