IHNAPA was set up to give a national voice to people who rely on artificial nutrition at home and in residential care, and to the families and carers who support them. Their care crosses acute hospitals, community services and the home, and too often no single part of the system sees the whole picture. Here is what we have done so far, and where we are focusing next. Advocacy for patients and families Advocated nationally for more than 100 patients receiving artificial nutrit