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08.05.07
Hospital meals shock! Patients actually like hospital food - if it's local, fresh and organic


A pioneering partnership between the Soil Association and NHS Trusts in Cornwall is revolutionising hospital food. "Over boiled, soggy and nasty" meals have been transformed into patient pleasing menus that are providing good nutrition, boosting the local economy, cutting unnecessary food miles, and supporting sustainable farming and food production.

Today's report, 'A fresh approach to hospital food', summarises the remarkable achievements of the award winning Cornwall Food Programme which has succeeded in providing tasty hospital meals, made from fresh local and organic ingredients, to patients, without increasing costs, countering the alarming national picture of poor take-up and inadequate nutrition from hospital meals.

The scandalous state of school dinners, as revealed by the Soil Association's Food for Life campaign and greatly boosted by Jamie Oliver's involvement, has received much media and public attention, leading to improvements. Hospital food has also been the subject of much public and political hand wringing, but to date few significant or lasting improvements have been achieved, despite the Government's much hyped Better Hospital Food initiative headed-up by food critic and broadcaster, Loyd Grossman.

In contrast, the Cornwall Food Programme is succeeding in:

Pleasing patients: National surveys show 37% of patients leave hospital meals because they look, smell or taste unappealing. In contrast, 92% of patients served through the Cornwall project describe the food on offer as 'very good' or 'excellent'. Consumption of fish-cakes, previously made from frozen, compressed fish trucked from Grimsby (described by one patient as 'hard and tasty as a hockey ball') has risen dramatically since switching to locally-caught fresh fish and locally grown potatoes. Actual fish content also increased from 30% to 40%.
Boosting the local economy: As well as providing fresher, more nutritious food by sourcing food locally the programme is supporting the local economy: 83% of the Royal Cornwall Hospitals Trust's 2006 food budget was spent with companies based in Cornwall, totalling £910,000. Previously 60% of the budget was spent outside Cornwall. [5]
Cutting Food Miles: Overall the programme has cut annual food miles by 67%. Previously food was travelling 164,042 miles to reach patients, by switching to local suppliers that has been reduced to 53,596 miles.
Keeping to budget: All of this and more has been achieved without increasing costs overall, keeping within the Royal Cornwall Hospital's budget of £2.50 per day - showing local, fresh and organic meals could be served up by the NHS UK-wide.

HRH Prince Charles, as Royal Patron of the Soil Association and with his strong interest and support for the region through the Duchy of Cornwall, welcomed the success of the Cornwall Food Programme: "This shows what can be achieved within the very real constraints of NHS budgets and the rules governing public procurement contracts. Contrary to what some believe, it is generally the case that what is good for the environment is also good for our health, and good for business."

Peter Melchett, Soil Association Policy Director, said: "What has been achieved in Cornwall's hospitals is truly remarkable, but readily repeatable across the UK. The Cornwall Food Programme shows that the Soil Association's Food For Life targets of getting 75% unprocessed, 50% local and 30% organic ingredients into school and hospital food could be served up by the NHS UK-wide, whilst keeping within the modest food budget of £2.50 per patient.

"The programme is delivering a triple dose of benefits: decent food that helps patients recover; a boost to the local economy, sustaining the livelihoods of local fishermen, farmers and food producers, and a cut in food miles, so helping curb climate change that threatens the health of us all. The government should ensure this beacon of best practice is taken up by every hospital across Britain."

Mike Pearson, Cornwall Food Programme Project Leader, said: "It is my belief that NHS Trusts have a significant role to play within their local community and this is an example of a partnership that has benefited all concerned. What we see now is the ending of the first chapter, now that work has started on the construction of the Central Food Production Unit (CFPU) we will in the future be able to increase the number of local and organic food suppliers still further."

Both the Cornwall Food Programme (which was set up by the Cornwall Partnership Trust and is supported by all three of Cornwall's Health Trusts) and the Central Food Production Unit have received investment from Objective One EAGGF (European Agricultural Guidance and Guarantee Fund).

Carleen Kelemen, Director of the Objective One Partnership, said: "Good quality, locally grown food is a successful recipe for healthy communities. This report endorses the confidence Objective One has had in the Cornwall Food Programme and the national praise it has already received."

It all started with a sandwich…

In 2001, a patient at the West Cornwall Hospital complained his sandwich wasn't only unappetising, it wasn't local either, coming all the way from Oxford. This got the catering manager thinking: why transport food over 250 miles if we can source a fresher, tastier, sandwich locally?

Patient surveys reinforced the instinct to go local. The results clearly showed that patients preferred meals freshly prepared in the hospital kitchens to those from a national supplier. "Exceptionally good", praises one patient, "The best hospital food I have ever come across", enthuses another.

For further information please contact Clio Turton, Soil Association press office, on 0117 914 2448/07747 021 117 or email press@soilassociation.org.

The Objective One Programme for Cornwall and the Isles of Scilly has invested in the Cornwall Food Programme and the Central Food Production Unit through the European Agricultural Guidance and Guarantee Fund (EAGGF).

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Editor's notes:

1.

Simon Eccles, then chairman of the junior doctors' committee of the British Medical Association, voiced the concerns of NHS professionals in 2005: "Patients aren't getting enough fruit and vegetables and what they do get is often over boiled, soggy and nasty."

A report published last year by the Commission for Patient and Public Involvement in Health (CPPIH) found that hospital patients were still being provided with food that was not what they wanted and served at the wrong temperature, with unappetising meals being left uneaten and supplemented by food brought in by family and friends. Based on a national survey of over 2,200 patients, the CPPIH reported that 37% of patients had left meals because they looked, smelled or tasted unappetising.

2. 'A Fresh Approach to Hospital Food - The Cornwall Food Programme pioneering tasty, healthier and more environmentally friendly hospital meals', will be launched on Tuesday 8 May 2007, 11am to 1pm at the Knowledge Spa, Treliske. For more info contact Organic South West on 01208 79888 or osw@soilassociation.org.
3. The Cornwall NHS food programme was runner up in the 'Ethical Contribution Award' category for the Observer Food Awards 2007. Mike Pearson, Cornwall Food Programme project leader, was shortlisted for the Hospital Caterer of the Year and Roy Heath, Sustainable Food Development Manager, won first prize in the Newcomer of the Year category for his work on local and organic food procurement. Other awards include: awarded Gold for 'Best Local Food Initiative' in the Soil Association Organic Food Awards 2006; Highly Commended 2005 in the Government Opportunities Awards; Highly Commended November 2004 in the Health Service Journal; Highly Commended 2002 and 2004 in the Building Better Healthcare Awards.
4.

A recent Which? survey found only 18 per cent of NHS patients were satisfied with the overall quality of the food provided and Age Concern warned last year that six out of ten older people were at risk of becoming malnourished or their situation getting worse, in hospital. Malnourished patients tend to stay longer in hospital, experience more complications and are at greater risk of dying than well-fed patients with the same illness, so it's vital that people receive good quality food when ill.

Diet-related illness costs the economy up to £7.4 billion a year in medical care and working days lost.

A Royal College of Nursing (RCN) report revealed that nearly half of UK nurses (42 per cent) say they do not have enough time during their working day to ensure patients get good nutrition.

5.

In 2004 the Chief Medical Officer threw his weight behind sustainable procurement in his annual report: "Public sector organisations are major employers, purchasers and service providers…public sector food procurement and provision policies as well as practices could make a real contribution to improving the health of our country and to sustainable development."

The NHS spends over £500 million on food every year, serving over 300 million meals in about 1,200 hospitals.

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Clare Morgan
Media Relations Manager
Objective One Partnership Office
Castle House
Pydar Street
Truro TR1 2UD
Mobile: 07973 813647
Telephone: 01872 223439

cmorgan@cornwall.gov.uk

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