Common use of Indication Clause in Contracts

Indication. ACBS indications for Oral Nutritional Supplements (ONS) apply and must be clearly documented within the patient’s dietetic record of care and on any other relevant paperwork e.g. ONS product request forms / letters. ACBS indications vary for different products, therefore it is sensible to consult the English Drug Tariff which has a definitive list of ACBS indications and specifies these for each ONS product: English Drug Tariff There is a list of standard indications which apply to some ONS products: Short bowel syndrome Intractable malabsorption Pre-operative preparation of patients who are undernourished Proven inflammatory bowel disease Following total gastrectomy Dysphagia, bowel fistulae or Disease related malnutrition However it is important to note than many commonly used ONS do not have standard ACBS indications. People who do not meet the ACBS criteria should be advised about suitable food fortification and the option of purchasing suitable over the counter ONS. The NHSGGC Clinical Guideline: ONS Prescribing in Adults (oral use): Six stage approach provides guidance for all health and social care staff involved in ONS prescribing, use and monitoring across all settings.