Aim: Screening and extended assessment of the nutritional status of patients on admission and on discharge from hospital were carried out. Description: The studies were carried out in four teaching hospitals, four provincial hospitals and four county hospitals in Poland. Subjects: Screening examinations were carried out for 3310 randomly selected patients (every 10th patient admitted to hospital, including 1916 female cases aged from 16 to 92 y and 1394 male patients aged from 16 to 100 y). Extended examinations were carried out on 210 patients aged from 16 to 87 y (including 122 female and 88 male). Main assessment parameters: Anthropometric (height, weight, body mass index (BMI), waist-to-hip ratio (WHR), arm circumference) and biochemical indices (erythrocyte count, haemoglobin concentration, white blood cell count, blood lymphocyte count and serum albumin serum concentration). The extended examinations included determination of antioxidant vitamins (A, C, E), vitamin B 12 and folic acid. Results: On admission to hospital, 10.43% of the patients surveyed had a BMI below 20 kg/m 2 , in 20.74% of patients serum albumin concentration was below 3.5 g/dl, indicating possible protein energy malnutrition. In addition, 21.02% had lymphocyte count below 1.5 Â 10 3 /mm 3 . During hospitalisation, deterioration in the nutritional status of the patient population occurred. On discharge from hospital, the percentage of patients with BMIo20 kg/m 2 increased to 11.21% and the percentage with low blood albumin (o3.5 g/dl) increased to 28.57%. On admission, vitamin C deficiency was present in 51.8% of patients, folic acid deficiency in 32%, vitamin E deficiency in 10%, vitamin B 12 deficiency in 6.8% and vitamin A deficiency in 1.4%. Vitamin deficiencies were present equally in malnourished, overweight and obese patients. Conclusions: In patients admitted to hospitals in Poland, malnutrition risk demonstrated by BMI was observed in 10.43% of patients. On the basis of biochemical indices, increased nutritional risk was demonstrated in 21% of patients. Vitamin malnutrition was seen in the majority of patients. A significant correlation between weight, BMI, arm circumference, blood lymphocyte count and the number of days spent in hospital was observed.

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Objective: Children and young people with an intellectual disability (ID) have complex needs which are best addressed through strong partnerships between the family and carers, health, education, disability services and other agencies. The SchoolKit® Clinic project is an initiative of the Metro-Regional Intellectual Disability Network (MRID.net) based on nearly three decades of provision of multidisciplinary 'clinics' conducted in the school setting. The SchoolKit® Clinic model provides interagency assessment and care planning in the naturalistic setting of the school optimising trust, open communication and collaborative processes, and allowing observation and involvement of the student in a familiar environment with minimal disruption to their routine. The SchoolKit® web-based multimedia resource toolkit provides the guiding principles, tools and resources for anyone who wishes to develop and establish SchoolKit Clinics in their community. This presentation will outline the model and introduce the online resource. Methods:The SchoolKit® Clinic model was based on the longstanding collaboration between the Kogarah Developmental Assessment Service (NSW Health) and Cairnsfoot Special School (NSW Department of Education and Communities) in the running of school-based health clinics. A collaborative, partnership approach with families, the school, specialist service providers and other government and non-government services was used to inform all aspects of current practise. Key features of the model were:• Multidisciplinary, interagency assessment and care planning meetings held at, and facilitated by, a child's school to support children and adolescents with disability and complex health and educational needs World Congress on Integrated Care 2014, Sydney, November 23-26, 2014.