Royal Bolton Hospital Changing the whole food environment

Hospitals Significant reach and influence within local community. staff, patients and visitors. large workplace employing thousands of people. daily interaction with thousands of patients & visitors Requirement to tackle staff ill health and promote good health (Boorman) Desire to provide good nutrition as part of treatment goals plus food for convenience. NHS – trusted brand (hospitals perhaps more so?) Significant for visitors

Obesity

Food and drink high in calories, fat & sugar contributes significantly to obesity - If hospitals supply fair to say are contributing to obesity by: supplying giving credibility to HFSS food & drink products neutralising wider public health messages about harm

Malnutrition

Eating energy dense food with little or no nutrition. Patients – may refuse, miss or only partially eat prepared nutritious meals if satiated by HFSS products Staff - facilitating their short term energy boost intakes - weight gain - low nutrition Visitors – normalisation/promotion of HFSS products – may vaildate & encourage further consumption?

Removed salt from tables. Removed high-sugar drinks & high-fat crisps from sale*. Restricted size of chocolate bars (max 60g), flapjacks, muffins and large packets of biscuits (includes WRVS shops) Established weekly fruit & veg market & mobile fruit & veg van for staff & visitors Traffic light labelling on restaurant menu. Prohibiting multi-buy deals e.g. buy one get one free or 3 for price of 2 Developed the ‘Less’ campaign to support physical changes Redesigned children's’ menu encouraging healthier meal choices Established a Food and Nutrition Working Group Developed a trust food policy Working with Council Leisure Services to mirror improvements

We’ve made a start....

Traffic light labelling

‘Less’ campaign

Weekly fruit & veg market

Weekly mobile fruit & veg van on site

After the changes

WRVS shop

Trust owned cafe

Trust’s vending machines

WRVS shop

WRVS shop

Next steps...remove multi-buys

OK with this multi-buy

What would people say is acceptable trade within a hospital/NHS environment?

Electronic cigarette shops?

Betting shops or…

Fruit machines?

Public vote……..

IS IT ACCEPTABLE FOR HOSPITALS TO PROMOTE & SELL PRODUCTS HIGH IN FAT, SALT AND SUGAR? Yes No

Take home message:

“Why am I here today”? We NEED other hospitals to run similar campaigns. Individually we just make a statement but as a group we start a movement!

THANK YOU

Gary Bickerstaffe Health Improvement Specialist (Health Settings) Room 23, Rivington Unit, Royal Bolton Hospital Tel: 390749 xt 5749 gary.bickerstaffe@boltonft.nhs.uk