This is the award entry for the Naso-Gastric (NG) Feeding Sofa, entered by Pineapple Contract Furniture in the Best Furniture and Fixtures category
The naso-gastric (NG) feeding sofa is a joint collaboration in design between Andy Johnston Associates, the Ellern Mede Services (CAMHS Tier 4 Eating Disorders), and Pineapple Contracts.
The objective was to dramatically improve safety and clinical effectiveness of NG feeding, while reducing the emotional and mental impact on the user.
It also improves operational efficiencies, such as reduced staff and service user injury, loss of man hours, and increased staff welfare.
Ellern Mede is a 10- bed unit that admits young people with eating disorders and various comorbidities, including challenging behaviour, self-harm and violence and aggression due to a refusal of treatment and a fear of eating.
Due to young person’s diagnosis, nutrition and medication are often administered via a Naso-gastric tube with the use of physical restraint. During a day there can be between 2-18 NG feeding treatments under restraint per day. The duration per feed is approximately 15 minutes and a minimum of four staff members are used for each feed.
Infection control from purging behaviour and spillages of aspirates is a consideration and injuries to staff and patients due to unsuitable NG feed sofas can occur.
In order to retain the human and user experience at the centre of the design for the new product, the value creation and delivery process was validated by users and staff throughout the design phase.
Using means-end theory, every aspect of the sofa was taken as an individual opportunity to solve a problem:
Benefits include a safer process, lower costs, less time consumed in NG feed under restraints, a reduction in the risk of back injuries, less sick leave, improved infection control, and fewer staff members needed per feed.