journal december 07 - Hospital Caterers Association
Transcription
journal december 07 - Hospital Caterers Association
HOSPITAL The Official Journal of the Hospital Caterers Association www.hospitalcaterers.org caterer DECEMBER 2007 New tea products contract from NHS Supply Chain Hotelympia 2008 Trinny and Susannah address hospital catering Water for Health HOSPITAL The Official Journal of the Hospital Caterers Association www.hospitalcaterers.org caterer Chairman’s Column 5 Branch News 6-9 HCA National Awards 2008 10-11 HCA Conference 2008 Food for thought… 12-13 Chefs at the ready for Hotelympia 2008 15 Trinny and Susannah address hospital catering 17-19 New tea products contract from NHS Supply Chain 21 Caterers claim nursing attitudes are chief barrier to good patient nutrition 22-23 Water for Health 25 Cleaning and hygiene supply solutions for the NHS 27 Cleaning standards affect patient choice 29 RAFAEL gathering debates public sector procurement in Northern Ireland 30-31 EDITOR EDITORIAL ASSOCIATE PUBLISHER Carolyn Robinson 23 Winchcombe Drive, Burton on Trent, Staffordshire DE15 9EN Judy Sykes Tel: 0161 442 5701 E-mail: [email protected] Tel: (07976) 398979 E-mail: [email protected] Website: www.hospitalcaterers.org Lansdowne Publishing Partnership Limited, 11-12 School House, 2nd Avenue, Trafford Park Village, Trafford Park, Manchester M17 1DZ. CONTRIBUTORS Gary Adamson, Linda Batchelor, Sonja Brine, Trevor Colcomb, Sewellyn Douglass-James, Allan Gimson, Bernie Grimes, Ron Hedicker, Graham Holman, Gareth Hudson, Stuart Kermack, Caroline Lecko, Carol Lendrum, Andrew Matthews, Michael Masters, Terry Reeves, Carolyn Robinson, Sandra Roberts, Craig Smith, Neil Watson-Jones, Adele Waters, Kingsley Verity, Stuart Wray. Tel: (0161) 872 6667 Fax: (0161) 872 6665 E-mail: [email protected] Hospital Caterer is published six times a year and is sent to all Members of the Hospital Caterers Association. It is available on subscription, £45.00 pa, Enquiries to the publishers. The HCA does not verify the claims made by advertisers as to the safety, efficiency or acceptability of their products. The views expressed in this Journal are not necessarily those of the Association. News, views and comments are always welcome and should be sent to Lansdowne Publishing. HOSPITAL CATERER 3 CHAIRMAN’S COLUMN The not so good summer months (weatherwise) are over and we are now into possibly our busiest time of the year with Christmas almost upon us. I am always amused by the fact that caterers become everybody’s best friend at this time of the year when extra favours are needed, such as more mince-pies for the ward or extra food treats or table decorations for staff gatherings and parties. But I’m sure the goodwill, support and assistance we give now helps to ensure that our services are appreciated and well recognised during the forthcoming year. Since my last column in October, both the Council of HCA, and it provides a range of actions to help tackle Europe Alliance’s ‘10 Key Characteristics of Good the problems of malnutrition in older people in hospitals Nutritional Care in Hospitals’ and the ‘Hydration Toolkit’ and care homes. Gordon Lishman, Director General of role. If it is to be done correctly it requires time and energy. I would recommend two things initially when taking up an Officer’s position and these are: have been launched. The Council of Europe ‘unveiling’ Age Concern, will be overseeing the delivery of the 1. Read the Constitution and Rules of the Association. took place at University College Hospital, with action plan. If you have not already accessed this representatives from many of the Alliance member publication I would highly recommend that you do so organisations in attendance. as I am sure it will be used as a method of assessing There is an agreement amongst members that the organisations’ commitment to the reduction of Alliance should continue to ensure that all the hard work malnutrition in the elderly. It is available from: completed so far does not wither away. To this end a www.dh.gov.uk/publications. An important and meeting has been arranged by Caroline Lecko of the interesting sentence in Ivan Lewis’s Ministerial foreword NPSA (National Patient Safety Agency) to look at the is: “Ultimately, it demonstrates the Department of safety elements of ensuring that our patients receive the Health’s aim that nutrition should be viewed as equally correct food and fluids for their requirements. Also, the important as a person receiving their medication”. HCA National Secretary, Sandra Roberts, has developed Let’s hope that this action plan, along with the 10 Key an excellent presentation about the 10 Key Characteristics and the Hydration Toolkit, will ensure Characteristics which will be made available to HCA that food and fluid demand a higher priority in all areas Members shortly. I recommend that Members use this of healthcare. Like all these initiatives, it is essential that presentation as an aid to promote food and nutrition all disciplines work together as a team to ensure that within Trusts as it does emphasise the need for people-centred care takes place. collaborative working. Posters of the 10 Key The organisation Healthcare Caterers International (HCI) Characteristics can be found on the British Dietetic now consists of 12 international associations who are Association’s website (www.bda.uk.com) and also on involved in catering in the health and care sectors. our website, www.hospitalcaterers.org. All Members of the HCA are automatically members of Similarly, the new Hydration Toolkit is an excellent aid for the HCI and can access the HCI website via the link on ensuring the well-being of our patients. The toolkit our website. It is well worth visiting to look at what is (which is featured on page 25) is well worth promoting going on around the world, to pick up information and to our nursing and medical colleagues and is available ideas and to use it as a resource for accessing via our website. It has been favourably commented on publications on a range of subjects. The HCI newsletter by colleagues from my Trust. Alison McCree, HCA will be available soon and this too can be accessed via Assistant National Secretary, was heavily involved in the the HCA website. There is also a site for job vacancies development of the Hydration Toolkit. so the world could become your oyster, that is, if you are At the end of October a publication entitled ‘Improving interested in working overseas. Nutritional Care - A Joint Action Plan’ from the This is the time of year for Branch AGMs and I would Department of Health and Nutrition Summit Stakeholders like to re-iterate what Carolyn Robinson stated in an was released. The publication was developed in article in the October Journal: that serving as a Branch conjunction with over 25 stakeholders, including the Officer is an extremely rewarding but often demanding 2. Ensure that the outgoing Officer provides an adequate hand-over and explains what has to be done and to what timescales. It is planned to hold a Branch Officers’ Study Day in January 2008 and I am sure that both former serving Officers and new Officers would benefit from attending. At this meeting, our National Treasurer David Williamson will also explain the need to maintain exact Branch finance records and the intricacies of VAT. As soon as a date and venue are agreed it will be circulated via e-mail. Finally I would like to wish all Members a very happy and enjoyable Christmas and best wishes for the New Year and to thank you all for supporting our Association and continuing to promote its values. Neil Watson-Jones National Chairman Hospital Caterers Association HOSPITAL CATERER 5 Branch News East Anglia Branch From Carol Lendrum Following the success of our 2005 Hot Cookery Competition the East Anglia Branch was pleased to be offered the superb facilities of the Norwich College and fortunate to have the organisational skills of their Operations Manager Mark Bradly for our 2007 competition. All we had to do was turn up! The Branch Members and team supporters nervously watched the activities on the big screen in the restaurant. Soon the dishes were on display in the kitchen and in the restaurant for us to discuss and taste. The standards were exceptionally high and we all agreed the judges had a tough decision to make. Luke Nobbs from West Suffolk Hospital, Bury St Edmonds, Stephen Rivett and Andrew Raspberry from James Paget Hospital, Great Yarmouth, Stuart Pearson and Chris Bumstead from Conquest Hospital, St Leonards-on-Sea and Michelle Jones and Marlena Domalenska from Anglia Support Partnership in Cambridge. Six teams were competing for our ‘top prize’ and the chance to take part in the final of the HCA’s Hospital Chefs Team Competition at Hotelympia in February 2008. The teams, representing hospitals in West Suffolk, Kings Lynn, Great Yarmouth, Cambridge, Aldeburgh and Hastings, soon lost their pre-competition nerves once they entered the kitchen and concentrated on producing their dishes under the scrutiny of our experienced judges, Geoff Wenman and Andy Walling, Chef and Lecturer. The winners were Sue Mayhew and Sharon Slaughter from Aldeburgh Hospital, Suffolk Mental Health Trust. Remember them? Yes, they were the gold award winners of the Hospital Chefs Team Class at Hotelympia in 2006. Close on their heels were Lisa Moore and Richard Lovell from the Queen Elizabeth Hospital, Kings Lynn. Lisa and Richard also won the hygiene award sponsored by Zenith and judged by Tony Huddlestone. The other competitors were David Riggs and Sue and Sharon each received a set of chefs’ knives, donated by Hobart and a £75 voucher from 3663. Lisa and Richard received champagne and Marks and Spencer vouchers donated by Nutri Pack and Nestle supplied the refreshments throughout the day. Grand Prix By Trevor Colcomb Thirteen Branch Members and guests recently gathered for the East Anglia Branch Grand Prix at Red Lodge Karting Circuit. The weather turned out to be fine with good conditions for racing. Too many cooks… the heat is on as the competition gets underway Central Branch The event involved one warm-up/ qualifying race of 4 laps, then four x 7-lap races, culminating in an 8-lap final. The twist came on the 2nd and 4th 7-lap race in that the slowest were put at the front of the grid. This led to the fastest trying to overtake on the first bend with mayhem being left in their wake. The competition was fierce and no quarter was given - sinister chuckles The winners: Sue Mayhew and Sharon Slaughter I would like to take this opportunity to thank the college, the judges, Branch colleagues and the companies who sponsored us. We owe the success of the day to them. could be heard when someone spun off whilst being overtaken! The overall winner was Joe Wells from Foodcare Systems, who stood in for his sister Amy at the last minute. (We suspected he might be a ringer but were assured this was not the case!) Everyone commented on how physically difficult it was without power steering - as some of the turns were tight and hard work but the event was enjoyed by all and there were no serious crashes. By the time we had retired to the local hostelry for our Branch Meeting everyone was ready for refreshments and something to eat. Many thanks to those who organised the event and all participants. From Linda Batchelor Stuart Pearson and Chris Bumstead from Conquest Hospital, Hastings, represented Central Branch in the East Anglia Branch’s Hot Cookery competition. They both thoroughly enjoyed the day and benefited from networking with chefs from other Trusts. Our thanks to the East Anglia Branch for hosting the event. Our November meeting was held at 3663 in Dunton Green, where we saw a demonstration of some of the company’s new products. Then, mid-December, the Central Branch Annual General Meeting took place at Willingdon Golf Club, Eastbourne. This event was well attended as always and was an opportunity for us all to let our hair down and enjoy a lovely three-course meal over a cracker or two after the AGM finished. Central Branch looks forward to an eventful 2008 and would like to take this opportunity to wish all Members of the HCA a Merry Christmas and a Happy New Year. 6 HOSPITAL CATERER …and they’re off! East Anglia Branch Members test their driving skills Branch News North West Branch From Sonja Brine Mick Brown, Catering Manager at Manchester Prison (formerly known as Strangeways) was our host for a recent Branch visit. Mick has worked at the prison for almost 30 years and he gave an excellent presentation about what life is like behind bars. He also spoke about his recent experience as a hospital patient and acknowledged the problems hospitals have when food is left at the mercy of non-catering staff at ward level. Mike has 1,200 prisoners to feed three times a day and whilst some of us may think that the prison menu of the 1900s still exists, consisting of gruel and suet pudding made from bulls’ heads, he explained that things have changed a bit since then. The HM Prison service in England meets the needs of up to 11 religions and provides the full range of dietary requirements that we would be expected to produce. A multi-choice menu is provided at lunch and supper and meals are transported to 17 areas around the Manchester site. The service is fresh cook and serve, with a food cost per prisoner of £1.65 per day. HM Prison’s Area Manager Owen Sidaway gave us a national overview of HM Prisons with details of future expansion. We were then treated to a buffet supper produced by prisoners who are training for NVQs in Catering, which is supervised by Manchester Prison’s Assistant Catering Manager, Donna Grime. 125 years of patient care These are crazy but exciting times for us at Salford Royal Hospitals NHS Trust as our major redevelopment programme continues. At the same time we’re working hard to ensure we maintain and improve standards and in the midst of it all we remembered to celebrate Hope Hospital’s 125th anniversary. To mark the occasion we had a church service at Hope Church in Salford where a representative from each hospital profession placed a tool from their respective trades on the altar. Dave Howdle, Assistant Head Chef, did the honours for the catering department and placed a chef’s hat there. This was followed by the burying of a time capsule in the hospital grounds, which included amongst the contents a copy of the 125th anniversary celebration menu of the meal the chefs had prepared for the patients to mark the occasion. A traditional afternoon tea was then served in the staff restaurant and on the wards during which a celebration cake, made by Head Chef Supervisor Julie Griffiths, was served. The Trust also held an awards evening for staff at Manchester United’s Old Trafford ground, and we are proud to report that of the 20 awards presented for outstanding performance, three went to Facilities. East of Scotland Branch From Gary Adamson What does a Scotsman, Welshman, Irishman, Australian and a Scouser have in common? Sounds like the first line to a joke and it may well have been as the answer to the question is that they were all present at a Branch night out at the Jongleurs Comedy Club in Edinburgh. laughter from our group I don’t think any of us fell into that category. Other recent Branch activities have included a visit to apetito in October and also our Branch Annual General Meeting which was held in Edinburgh at the end of November. Comedians from Ireland, Liverpool, Wales and Australia entertained us with their specific types of comedy throughout the night (some of which went straight over our heads). However, the event managed to put a smile on everyone’s faces after a long and stressful week at work. Sorry, but I cannot include any of the jokes as I am one of those people that forgets them two minutes after being told - and some may embarrass those with a sensitive disposition! But judging by the Chefs Julie Griffiths and Jane Hampson with catering staff who played the part of Victorian waiters and waitresses at tea West of England Branch From Stuart Kermack The West of England Branch held its Annual General Meeting in Fosters Restaurant at Gloucestershire Royal Hospital, with a good attendance from both Members and Associate Members. After a resume of the year’s activities the election of Officers for the coming year was held. Voted in were: ➨ Chair, Karoline Rowlands ➨ Secretary, Anna Warman ➨ Publicity, Stuart Kermack ➨ Treasurer, Caroline Darville ➨ Council Representative, Paul Shelley Many thanks to our Associate Member suppliers who provided an excellent range of snacks and a buffet lunch. Gary Adamson, Branch Secretary and Brian Robb, Branch Chairman, test the Food, Fluids and Nutrition specifications at Jongleurs We are holding our Dinner Dance on 25 January at Bailbrok House in the historic city of Bath, and we are honoured to have in attendance HCA President, Lady Waldegrave. For tickets and information, please contact Anna Warman, Tel: 01278 436 708; Mob: 07896 718 532, E-mail: [email protected] HOSPITAL CATERER 7 Branch News Northern Branch From Kingsley Verity Tees, Esk and Wear Valleys NHS Trust provides mental health services to County Durham, the Tees Valley and North East Yorkshire. In June 2006 we became the first NHS organisation in the north east to receive a prestigious award for the standard of our cleaning and catering services. And the Trust continues to lead the way in the region by being reassessed to receive the ‘Hospitality Assured’ (HA) accreditation for another year for 2007, at our hospitals across our Trust. The process of achieving HA, awarded by the Institute of Hospitality (IH), formally the HCIMA, involved independent assessors visiting a number of our Trust sites to assess 49 requirements under ten key steps, including organisational planning, customer feedback, training and development and service delivery. This year we were able to build on our previous success by increasing our scores in all areas of assessment without exception. This demonstrated that our hotel services team has succeeded in delivering their customer promise ‘to deliver excellence with value’. The Trust was formed in April 2006 following the merger of two Mental Health Trusts. Receiving the award is testimony to the high standards of service that we have continuously improved during the turbulent months of the merger, to meet the needs of our customers and establish high standards upon which to build as we move towards Foundation Trust status. A view echoed by Chris Parsons, Executive Director for Estates and Facilities Management, who said, “I am delighted with our improved HA assessment score. This really does demonstrate to our customers the high standards of the services we deliver.” 8 HOSPITAL CATERER Trent Branch From Allan Gimson Members visited the headquarters of A B Produce, a large potato and other vegetables processing company. The company has a modern 70,000 sq. ft. purpose-built factory on a 14 acre site at Measham near Swadlincote. Brian Hutchinson, National Business Development Manager, welcomed Members to the site and gave a short presentation on the history of the company and the range of products that they produce. A B Produce is fully accredited to British Retail Consortium (BRC) Global Standard. It currently supplies some of the Prison Contract and hopes to be included in the next round of NHS Supply Chain contracts. Brian explained that the company runs its own fleet of refrigerated delivery vehicles and already has planning permission to double the size of the factory on the present site, so increasing production volumes to meet NHS demand would not cause them any problems. Members then toured the facility, looking at the flow of product and segregation of clean and dirty processes. Specialised cutting equipment is used, which is capable of producing any size of prepared vegetables. Of particular interest was the machine for cutting Chateau Potatoes to a consistent size and shape (a far cry from your correspondent’s days as a kitchen porter, who carried out the work by hand). Members were very impressed both by the volume of production and the quality of the finished product coming off the lines. Our thanks to all the managers and staff at A B Produce for their hospitality. Our next event was the Branch Annual General Meeting and Christmas Social, which was held at Ringwood Hall, Brimington, Chesterfield, on 14 December. 2008 starts with a Branch Meeting on 15 January at Lightwood House, Sheffield, at 15.30. Trent Branch would like to wish all our HCA colleagues a Merry Christmas and a Happy New Year. Trent Branch Members during their visit to A B Produce Oxford Branch From Craig Smith With no contributions from the Branch in the last two issues you may be forgiven for thinking that your colleagues in Oxford have fallen asleep - but no, we have been extremely busy. Since our last report we have had a number of interesting meetings, not least our visit to St Andrew’s Hospital, Northampton, which is managed extremely well by Graham Walker. The main topic of the day was an update from our dietitians who gave a comprehensive round-up of current thinking within the profession. The first talk was from Anne Donelan who covered the British Dietetic Association’s Toolkit for Dietitians. She also covered Nutritional Care and Good Hydration. A summary copy can be downloaded from the BDA website, www.bda.uk.com. We think the second talk came from Jackie Smith, but the lectern was so tall that all we could see was the top of her head. However, Jackie is a true trouper and has faced this before (the backside of a lectern) so has learnt to throw her voice very well. This trick managed to keep Ray Shepherd awake for quite a while so he and the rest of us now know a lot more about food allergies, which affect 5 to 8 per cent of children and 1 to 2 per cent of the adult population. Jackie also tabled a paper, Food Safety Aspects of Allergies A Caterer’s Responsibility. The third talk should have been by Korina Richmond, but she was unable to attend so Anne Donelan stood in and talked about Continuous Professional Development (CPD). Mabel Blades concluded a very informative session with her talk on Nutrition Training. Mabel has already trained about 2,000 people in various levels of accredited courses. The Branch then held a joint meeting at the offices of Electrolux with colleagues from the West Midlands Branch. The evening was rounded off nicely with a visit to a bowling alley, where David ‘Tiger Hips’ Jones showed us all how he had misspent his youth. Our Annual General Meeting was held in November where the plans for next year’s events were unveiled - watch this space. The Members of the Oxford Branch wish their colleagues across the country the very best of the Season’s greetings and a prosperous New Year. Branch News Wessex Branch From Terry Reeves Hampshire Partnership NHS Trust helped all of its patients and visitors get the recommended two portions of seafood a week, with its restaurants featuring a dedicated fish and seafood menu during National Seafood Week. West Midlands Branch From Sewellyn Douglass-James The hospitals involved were Moorgreen Hospital, Southampton, St James Hospital, Portsmouth, Gosport War Memorial, Portsmouth and Petersfield Hospital, Hampshire. Patients and visitors could choose from a specially created fish menu which included Fisherman’s Pie, Breaded Haddock and even a dish of Moules Mariniere cooked to order. Cold seafood salads and warming bisques completed the offer. Scott Jones, Head of Facilities and Environment of Hampshire Partnership NHS Trust, said, “Seafood has always featured heavily on our menu but we appreciate it’s often difficult to get people to eat enough of it. Also, many people are confused about which fish you can eat without damaging fish stocks. We have gone out of our way to make sure that all of the seafood we have on our menu comes from sustainable sources.” Seafood Week is now in its seventh year and is run by industry body Seafish. For further information or tasty recipes log onto www.seafish.org/2aweek Organisers of this year’s Branch Dinner Dance: Pat Bowman, Martin Cantor and Sewellyn Douglass-James The West Midlands and Oxford Branches held a joint meeting at the Electrolux offices in Aston, Birmingham, with 25 Members in attendance. One of the main topics of discussion was ideas, dates and venues for Branch meetings and events next year. After an entertaining business meeting we drove to Star City leisure park to have an evening of food, drinks and bowling. The bowling competition was won by none other than our National Chairman, Neil Watson-Jones. Well done, Neil. In November, almost 100 Members, guests and suppliers attended our Annual Dinner Dance at the Arden Hotel in Solihull. The evening started with Max the Magician who entertained us all at our tables and baffled us with his close-up tricks. Everyone is still asking how he got the £10 note into the lemon… Martin Cantor organised this year’s raffle and this was followed by dancing into the early hours. Many thanks to all our suppliers for supporting a brilliant night. The first meeting of 2008 will be held at New Cross Hospital, Wolverhampton, on 16 January. Merry Christmas to all our Members. Keith Ellwood, Catering Assistant at Moorgreen Hospital, Southampton Merseyside and North Wales Branch From Michael Masters The Countess of Chester Hospital has been awarded three Platinum ‘Eat Well’ Awards by Chester City Council. The awards recognise high standards in food hygiene, comprehensive and well documented hygiene policies and healthy nutritious options. They were won by three areas of the Trust’s catering: the coffee shop, the restaurant and the patient care service. City Council food safety manager Mark Green said, “Only 40 food preparation premises out of 1,100 in the Chester area have received this accolade and I am very confident in the Trust’s catering service and facilities. Joy Ingram, Countess of Chester Hospital Catering Manager and Chairman of the Merseyside and North Wales Branch, noted, “These awards recognise the hard work of the whole catering team at the Countess. Findings from the Trust’s own research and from the Healthcare Commission surveys have consistently shown high levels of satisfaction for the catering at the Countess and we will continue to provide our patients with food that is tasty, nutritious and safe.” The Countess promotes the Healthy Eating programme and meals are freshly prepared and cooked each day using fresh ingredients and traditional cooking methods. Presentation of the Eat Well awards (from left): Peter Herring, Chief Executive of the Countess of Chester Hospital, Mark Green, Chester City Council Environmental Health Officer, Joy Ingram, Sue Miller, Head Chef, Alex Farrell, Hospitality Manager, Craig Hough, Quality Control Manager and Nicola Cooper, Food Safety Officer HOSPITAL CATERER 9 HCA National Awards 2008 Outstanding Service Award Caterer of the Year Catering Service of the Year The search is on to find the worthy recipients of the HCA National Awards 2008. You have until Friday, 7 March to submit your nominations and just over a month later the winners will be announced at the President’s Dinner at the HCA National Conference in Birmingham (17 April). The winner of each category will receive £500, a trophy and certificate. This year we have 3 awards: Caterer of the Year (Sponsored by Hobart UK) Outstanding Service Award (Sponsored by Nutri Pack) “Nutri Pack place great emphasis on providing outstanding service to their customers and have particular pleasure in supporting the HCA Outstanding Service Award.” This award is presented to an outstanding professional who is a full, life or honorary member of the Association. The individual must have given many years of service to healthcare catering and must be able to demonstrate at least one of the following: ➨ Many years of dedicated service (typically in excess of 20 years). ➨ Contributed significantly to the aims of the Association and been pro-active within the Association, ie. held Branch or National Officer positions. ➨ Regarded as an ambassador to healthcare catering, developing significant services within the workplace during their career. 10 HOSPITAL CATERER “Hobart UK are delighted to sponsor the award for the Hospital Caterer of the Year, in recognition and celebration of the significant contribution the Hospital Catering Manager makes to the wellbeing and recovery of the patient, the patient experience and to the staff and visitors who use their services.” Is there anyone you want to champion who is hiding their light under a bushel? Do you know someone who: ➨ Demonstrates innovation and resourcefulness on a regular basis. ➨ Has made a significant contribution to healthcare catering within their Department. ➨ Has developed services for patients, staff, visitors. ➨ Has introduced new initiatives into their service, i.e. menus, information booklet, protocols or new styles of service. ➨ Has found ways to constantly work smarter. You probably know this person very well, work with them regularly and/or you may even take what they do for granted… Well, do this no more. Nominate them today. HCA National Awards 2008 Entry forms: Catering Service of the Year (Sponsored by ECOLAB) For each entry please complete an official application form, a copy of which is included as an insert in this issue of the Journal. Additional forms can also be downloaded from the HCA website www.hospitalcaterers.org/awards. “ECOLAB are delighted to sponsor the Award for HCA Catering Service of the Year. The innovation demonstrated to win such an accolade complements well our own business philosophy.” Eligibility: This award will be made to the hospital that has demonstrated Excellence in Hospital Catering as judged by the patients, and achieved through teamwork. Remember: The initial criteria for the award will be through achievement in the following areas: The nominee must be a Full Member of the HCA. (For the Catering Service Award at least one person must be a Full Member of the HCA.) ➨ Each entry form must be completed in full. ➨ Each entry must include at least a 500 word summary to support your application. ➨ Patient Satisfaction - 2007 Levels. ➨ Supporting evidence, such as menus, pictures, procedures, qualifications and any other supporting documentation must be included with your entry form. (This additional material should not form part of the 500 word summary.) ➨ Food Hygiene/EHO Reports. THE ORIGINAL AND TWO COPIES OF ALL INFORMATION WILL BE REQUIRED. ➨ PEAT Scores. ➨ Food Wastage Percentages. Hospitals must submit both the detail and results of the areas above, as well as providing a detailed summary of the service provided. This can include attachments such as areas of good practice, imaginative menus, opportunities for patient involvement, promoting services, use of modern technology, innovative service solution, working in a multi-disciplinary team etc. 2007 Award Winners Three hospitals will be shortlisted based upon the quality of the information provided, its presentation and content, and the finalist will be chosen from an on-site inspection process carried out by the judges. The closing date for entries is Friday, 7 March 2008 Entries should be submitted to: Sandra Roberts, National Secretary HCA, The Royal Wolverhampton Hospitals NHS Trust, Newcross Hospital, Wednesfield Road, Wolverhampton WV10 0QP Telephone No: 01902 307999 ext 8610. E-mail: [email protected] The closing date for entries is Friday, 7 March 2008 Outstanding Service Award - Mike Pearson Caterer of the Year - Andy Jones Newcomer of the Year - Robert McLaughlin Catering Team of the Year - Frimley Park Hospital NHS Foundation Trust HOSPITAL CATERER 11 HCA Conference 2008 Hospital Caterers Association 60th Anniversary National Conference Hilton Birmingham Metropole 17 - 18 April 2008 H past success, future challenge Food for thought… HCA National Conference 17 - 18 April 2008 We invite you to join us for the HCA’s 60th Anniversary National Conference, which will mark a major milestone in the Association’s history. The Conference and Exhibition are being held on Thursday and Friday, 17-18 April 2008 in the superb facilities of the Hilton Birmingham Metropole Hotel, National Exhibition Centre. Aptly named - ‘A Diamond Life - past success, future So take advantage of this opportunity to share best As the premier annual event for healthcare catering challenge’ - the Conference will celebrate the practice, focusing on what and how we need to adapt to managers, hotel services and facilities professionals Association’s proud history and recognise the contribution meet the impending demands, embrace service change and suppliers, this particular event is one that you can’t that Members have made to its continuing success. and redesign and strengthen partnership working. afford to miss. Looking to the future challenge, the packed The finalised Programme will be distributed to Members I look forward to seeing you in Birmingham. Conference Programme will be essential, offering in the next few weeks and thereafter will also be Carolyn Robinson, Conference Secretary speakers from the NHS, industry thought leaders, available on the Conference website: E: [email protected] senior practitioners and other stakeholder organisations. www.hospitalcaterers.org/conference. M: 07976 398 979 Conference Programme Preview Introducing Cyrus Todiwala… The Conference Organisers are making excellent progress with finalising the Conference Programme, and to whet the appetite here’s a preview of two of the sessions: Media Commentator, TV personality, author and award winning chef, Cyrus Todiwala MBE is Proprietor and Executive Chef of the Café Spice Namasté Group, renowned throughout the world for its innovative and fresh approach to Indian cuisine. Committed to the philosophy of lifelong learning, he feels that training in his restaurants is ‘almost a religion’, and was instrumental in the establishment of The Asian and Oriental School of Catering with support from the Skills Development Fund and The Single Regeneration Budget (SRB). Cyrus is a Director of Investors in People and a great supporter of the ‘Standard’ - the tried and tested flexible framework initiative that helps organisations succeed and 12 HOSPITAL CATERER compete through improved people performance. He is incentive for chefs to seek a career in that sector whilst currently a Trustee of Learning for Life, a charity dedicated the perception is that hospital food is largely pre to improving educational opportunities for young people in prepared and requires no culinary skill in the making. the Sub-Continent and Afghanistan. Closer to home, he is “The sector needs to add some glamour to the job and also President of The Time & Talents Association, a charity make it vibrant again. It needs to rekindle the spirit of dedicated to improving the lives of the elderly and sick in fresh, clean, healthy, nutritious and economically South East London and working with the local community. prepared meals and it must chart a progression path for On hospital catering Cyrus believes that the Hospitality the enthusiast who also wishes to serve the community Industry in general has never considered the Health whilst chasing a career.” Sector to be under its mantle. He says, “Even though So we are delighted that Cyrus is delivering the hospital catering provides a service which is critical in its first session of Conference on Day 2, Friday services and much needed in its offering, there is no 18 April 2008. His presentation will focus on ‘training HCA Conference 2008 provision for hospital chefs for the future’, where he will challenge the audience to consider and answer the question: “Why has the Hospital Catering Sector been so lax in promoting themselves and offering young chefs the chance and the choice to seek a career in that industry, with clear guidelines that may thereafter offer them the opportunity to work in the mainstream sector if And whilst we’re thinking about ‘food for the belly’, the final session on Day 1 of Conference on Thursday, 17 April guarantees to deliver plenty of ‘food for the brain…’ one wishes to.” So get your thinking caps on because it promises to be a lively, informative and entertaining session. The Go MAD Thinking System Do you believe that results are linked to the quality of what they really want to make a difference about people’s thinking? If you believe this to be true, then and how they do that. And two - we will invite them the next question to consider is whether or not people to take on a personal responsibility to do something can improve the quality of their thinking in order to about it.” improve personal and business performance? Obviously there is only so much that can be done in The Go MAD Research & Consulting Group a 40-minute session, so Go MAD will position the specialises in developing people’s ability to achieve areas and issues discussed as ‘eye-openers’ rather results. They offer a unique, research based, solution than solutions to problems so by the end of the focused, thinking system that equips people with the session you will have been helped to make some mindset and skills to think clearer, quicker and more choices about what you want to make a difference ➨ Investors in People Champion Organisation (2005). creatively to make worthwhile, measurable business about and will also have considered some creative differences on a consistent basis, making significant ways of how you can achieve that. ➨ Springboard Special Award (2005). personal and business improvements. Presented by Ricky Muddimer, Go MAD’s Head of all audience participants will be given a copy of the ➨ Green Apple Award for Environmental Best Practice (2005). Possibility Development, the session will invite you to book ‘Go MAD - The Art of Making A Difference’, an consider how you can make sure the patient eats the easy to read and a practical personal effectiveness food on the plate and how caterers, healthcare and book, which will help you identify the areas you facilities managers can really ‘Make A Difference’ and want to make a difference about and how to apply assist in raising the profile of the catering/facilities the skills and techniques covered in the session at service as a core service within your organisation. Conference when you are back at base. Ricky says, “…we focus on the thinking rather than The Go MAD Research & Consulting Group work the doing. We will help individuals to think more in the corporate arena, in the Health sector, effectively for how they can Go and Make A Difference in education and the community, helping for themselves, their department or organisation. organisations to ‘Make A Difference’, and we’re We don’t tell people what to do. We help people to pleased that they are on board to help us to think more clearly, quicker and with greater clarity. Make a Difference. See their website for more “But, essentially, there are two things we can information and testimonials from their satisfied guarantee. One - we will raise their awareness about clients: www.gomadthinking.com/about_clients.htm Cyrus’ Awards and Accolades: ➨ MBE for contribution to education and training. ➨ British Curry Awards Industry Personality of the Year 2007. ➨ Cateys Education and Training Award (2005). ➨ Edge Employers Award (2005). ➨ Tio Pepe ITV London Restaurant Awards 2004 - Outstanding Contribution to London Restaurants. ➨ BIBA 2005 Restaurant Personality of the Year. ➨ National Training Award 1997. ➨ Culinary Honour of Merit - Epicurean World Master Chefs Society. ➨ Honorary Professor- Thames Valley University’s London School. But that’s not all… At the close of Go MAD’s session, For further information and booking details for Conference 2008, contact Lansdowne Publishing, T: 0161 872 6667, or visit www.hospitalcaterers.org/conference HOSPITAL CATERER 13 Chefs at the ready for Hotelympia 2008 All the heats have now been held around the country for the next HCA Hospital Chefs Team Competition - or Hot Cookery Competition as it is popularly known within the Association which sees its grand final at Le Salon Culinaire 2008 at Hotelympia on 21 February. Ron Hedicker, a Member of the HCA’s West of England Branch who is organising the competition, reports on preparations for the event and unveils the Trusts and hospitals who will be sending teams to the ExCel Exhibition Centre in London to compete for the top awards. Hotelympia provides chefs and caterers with the opportunity to demonstrate the skills and abilities of staff working in the Healthcare environment and to show the real contribution they make towards patient recovery and well-being with healthy and nutritious meals. It is also the hospital chefs chance to prove their commitment, their passion and their ability to stand shoulder to shoulder with the very best of chefs in the wider catering fraternity. Preparation for Hotelympia 2008 has continued in earnest throughout this year. Selections began with the first regional competition, organised by Denise Richardson and Chris Ley of the Wessex Branch, which was held at Southampton City College in February 2007. The next competition had hospital chefs competing in the North East Chef of the Year competition at Gateshead Leisure Centre in May, which was supported by Ron McKenzie former organiser of the Hot Cookery Competition - and by Members of the Northern Branch. Then, in May, Jan Robinson and fellow Members from the Merseyside and North Wales Branch organised a ‘Let’s Get Cooking’ competition at the Royal Welsh Show. This was followed by another heat in October at Norwich City College, organised by Carol Lendrum, Trevor Colcomb and Carole Clarke of the East Anglia Branch. The winning team from Hotelympia 2006, Sharon Slaughter and Sue Mayhew, once again drew the honours at this final heat and together with 11 other teams will represent their respective Branches at the grand final on 21 February. The 12 teams that will compete (including 2 reserves) are from the following Trusts and hospitals: ➨ Mersey Care NHS Trust. ➨ Mid Cheshire Hospitals NHS Trust. ➨ Royal Devon and Exeter NHS Foundation Trust. ➨ East Sussex Hospital Trust. ➨ Aldeburgh Community Hospital. ➨ Queen Elizabeth Hospital, Kings Lynn. ➨ Nottingham University Hospitals NHS Trust. ➨ Friarage Hospital, South Tees Hospitals NHS Trust. 2008 www. hotelympia.com The rules of the competition are as follows: ➨ The Competition requires that a team of two chefs who work in healthcare catering or the NHS prepare, cook and present a two-course (starter or dessert and main) plated meal for four covers within one hour. ➨ At least one course must be hot. ➨ The meal should be suitable for a generic NHS customer with emphasis on reduced saturated fats, sugars and salts and it must be nutritionally sound. ➨ The cost of the ingredients of the meal must not exceed £1.50 per patient and detailed costs must be included. ➨ The principle protein item of the main course must be chicken which, together with the accompanying vegetables, must all be sourced either locally or from within the United Kingdom. ➨ Both courses must also be suitable to be adapted to produce 50 portions using similar ingredients. ➨ Competitors must provide all the ingredients. Congratulations to all the teams who have successfully competed in the regional heats and have been selected to participate in what is one of the world’s most prestigious culinary events. Commiserations to those who were unsuccessful this time and it is hoped that the valuable experience learned will not deter you from entering again for Hotelympia 2010. ➨ Salisbury Hospital. Finally, a huge thanks to HCA Members who have helped organise all the cookery events throughout the year, to those who have released chefs from busy kitchens to participate and also to the chefs within the Health Service who will continue to offer a superb service to the public while their colleagues compete at Hotelympia. Slight changes have been made to the rules of the competition to highlight that a typical menu in the health service should be nutritionally balanced with consideration given to using fresh locally produced ingredients. Ron Hedicker, former Associate Catering Manager at the Royal Devon and Exeter NHS Foundation Trust, is Business Development Manager for Falcon Foodservice Equipment. ➨ Darlington Memorial Hospital, County Durham and Darlington NHS Foundation Trust. ➨ Southampton University Hospitals NHS Trust. HOSPITAL CATERER 15 It was very much a case of ‘if you can’t stand the heat then get out of the kitchen’ when celebrity fashionistas Trinny Woodall and Susannah Constantine turned into catering assistants for a day at the Princess of Wales Hospital in Bridgend. Celebrity fashionistas Trinny (left) and Susannah Trinny and Susannah address hospital catering Less than two hours after donning what they referred nation’s workplace and can often be ‘dowdy, unflattering, Without telling anyone, Barbara e-mailed the producers to as ‘dinner lady uniforms’ and trying their hand at uncomfortable, uninspiring and depressing.’ and, shortly after, researchers contacted the hospital. sandwich preparation, working in the central dishwash The idea of turning to Trinny and Susannah for help Much to the catering team’s delight, arrangements were area and serving behind the hot food counter in the with choosing a new uniform for the catering assistants made for three of them, Kath Haines, Catering Supervisor, hospital restaurant, the doyennes of high street fashion came from Barbara McCarthy, Senior Catering and Catering Assistants Cindi Williams and Katie Pope, to were desperate to get back to their more glamourous Supervisor at the Princess of Wales. She explains, travel to Greenwich in London to take part in the filming of lifestyles in London. “The existing uniforms were looking shabby, the girls a scene featuring more than 100 employees from different The straight-talking duo were visiting the Princess of said they felt drab and they kept asking me when work environments modeling their existing uniforms. Wales as part of filming for their latest television series they’d be getting new ones. I happened to see Trinny Cindi recalls, “It was really exciting, a fabulous day. ‘Trinny and Susannah Undress the Nation’ which and Susannah on TV one evening and I thought it would We were met by a chauffeur who gave us a bit of a tour featured on ITV 1 during November and December. be really wonderful for the team’s morale if they could of London on the way to Greenwich and it was great to One episode focused specifically on uniforms which, as take part in one of their programmes, have a make-over meet Trinny and Susannah. They were really nice. It was the programme explained, are worn by one-third of the and get super new uniforms at the same time.” almost too much for us all to take in.” HOSPITAL CATERER 17 Trinny and Susannah address hospital catering The doyennes of high street fashion serve surprised customers in the Princess of Wales restaurant The wheels were also set in motion for Trinny and Susannah to visit the Princess of Wales Hospital to experience for themselves the valuable, behind-thescenes and often unnoticed work the catering assistants do and to gain a better understanding of the conditions the uniforms have to stand up to. The duo were transformed from ‘ladies who lunch’ to ‘dinner ladies doing the meal service’ - and, as the programme shows, they found the duties slightly more challenging than they expected. After a short while they were screaming to Barbara that they couldn’t stand the work and “wanted out!” - much to the amusement of the catering assistants looking on. As one says to camera, “They’re acting like spoilt brats.” The months of expectation, excitement and a taste of showbiz for the 15-strong catering team who took part in the making of the programme culminated when the episode was screened on 18 December. Now, with all hospital Trusts free to choose their own catering uniforms, Chris is campaigning for the Trinny and Susannah inspired design to be considered as a universal uniform for NHS catering. Although a few practical modifications were needed at a later stage - including a change to the embroidered name badges bearing the title ‘Princess Dinner Ladies’ the new uniforms were generally voted a hit by the whole team. And hospital management were delighted when the cost for each came in under budget. Meanwhile the Princess of Wales catering team has had a few months to settle in to their new uniforms and staff are now being consulted over some warm additions to the range for the winter months, such as fleeces, gilets, body warmers or even thermal T-shirts. It was the job of Chris Church, Catering Manager at Princess of Wales Hospital and former Chairman of the HCA Wales Branch, to liaise with the production team to ensure that the planning stages went smoothly, uniform budgets were adhered to - and to step in if he felt the programme’s focus was not quite to the benefit of his staff. “At first the producers wanted to feature the dining staff in the restaurant but we persuaded them to work with the catering assistants to give them a bit of recognition for the invaluable contribution they make to the running of the hospital and to patient care. They’re the lowest paid group of staff in the kitchen yet they do an extremely difficult job in often unpleasant, hot conditions and we thought this would be a great way to highlight their roles.” Barbara concludes, “The whole experience lasted several months from the producers’ first visit to the hospital to the actual programme screening. It was really exciting for everyone to be involved and made a real difference to the girls. It has given everyone a real boost.” Filming at the Princess of Wales Barbara also had to give Trinny and Susannah a dressing down of her own - she tackled them about constantly referring to catering assistants as dinner ladies, a title she said none of the team liked, and this resulted in a profuse apology to the girls on air from Trinny. Trinny and Susannah acknowledged the old uniforms were practical but described them as ‘grungy with no style and no shape’. Susannah says, “If I felt I looked good I would find it a lot easier to do this job. In a hospital it’s so easy to work out who does what, but in the case of dinner ladies their uniform is so muddled there’s no clear definition of what their role is or who they actually are and that’s not right. Why should they be invisible?” They set about redesigning them with the help of workwear and uniform suppliers Alexandra PLC. Out went the shapeless white polo shirts and trousers and in came more stylish navy trousers and white blouses with pink checked trim for the catering assistants and pink and white checked shirts for the supervisors. Navy check shirts were provided for male members of the team and comfortable new shoes and hats were provided for all. The Princess of Wales Catering team in their new uniforms HOSPITAL CATERER 19 New tea products contract from NHS Supply Chain NHS Supply Chain has negotiated a national contract on behalf of the NHS for the supply of tea products. The new offer recognises the importance of meeting both patient and front-of-house requirements and comprises an extensive range of competitively priced products that have been independently evaluated for quality. The contract complies with OJEU (Official Journal of the European Union) requirements so NHS customers can be confident that all public purchasing needs have been met. Expanded range In the NHS, as elsewhere, the principal demand for tea is everyday black tea and NHS Supply Chain currently supplies some 140 million of these teabags each year. The new contract now ensures a wider range of these products are available to the NHS via the following brands: ➨ Tetley ➨ PG Tips ➨ Typhoo ➨ Little Big Tea Company While demand for everyday black teabags remains strong, there are also some key developments in the market occurring as a result of changing lifestyles in the UK - developments NHS Supply Chain has recognised by introducing a number of innovations. For example, one key change is the increase of eating and drinking on the go. In response to this, NHS Supply Chain has introduced a new range of ‘Tea on the Go’ products, combining cup, teabag and lid all in one unit. This ensures the quality of the tea, whilst enabling products to be more portable. The two brands available through NHS Supply Chain are produced by Typhoo and PG Tips. Also increasing is consumer demand for new and interesting products, resulting in a growth in popularity of speciality and infusion teabags. To help the NHS meet these demands, the new NHS Supply Chain contract has been expanded to include the following ranges: ➨ Infusions - Twinings and Typhoo ➨ Speciality - Twinings and Taylors of Harrogate Ethical sourcing Ethical sourcing has become a high profile issue today, especially in the food industry. Whilst there is no simple definition of ethical sourcing, broadly speaking it refers to the adoption by suppliers of a code of conduct relating to social and/or environmental practices. Significantly, all tea products supplied via NHS Supply Chain are ethically sourced from suppliers who are independently audited and accredited by one of the following bodies: ➨ Ethical Tea Partnership ➨ Rainforest Alliance ➨ Fairtrade The Coffee Shop partnership Since April 2007, NHS Supply Chain has been supporting the introduction of more than 30 coffee shops throughout the English NHS through close working relationships with NHS Trusts and key suppliers. The increased range of tea products will help to further establish their success. As part of the new contract, NHS Supply Chain has negotiated with suppliers to work with NHS customers to make merchandising support available. This is particularly important for front-of-house to ensure increased customer awareness and optimisation of counter space. The merchandising available includes point-of-sale items, display racks and posters. For further information on the full tea product range or the coffee shop initiative, please contact Gareth Hudson, Category Manager, Ambient Food, E: [email protected] About NHS Supply Chain NHS Supply Chain, operated by DHL logistics, delivers customer-focused, procurement driven services to the NHS and other healthcare organisations. Overseen by the NHS Business Services Authority, its key services include: ➨ Procurement ➨ Logistics ➨ E-commerce ➨ Customer and supplier support Across the following key areas: ➨ Theatre/surgical services ➨ Medical ➨ Food and facilities (including office supplies) ➨ Clinical markets • Orthopaedics • Cardiology • Pathology • Ophthalmics • Renal • Dental • Resonance imaging This enables health providers to achieve sustainable value, focus on patient care and control costs. Based in Alfreton, Derbyshire, the business employs around 1,600 staff in seven locations. For further information, visit www.supplychain.nhs.uk HOSPITAL CATERER 21 Exclusive survey shows that teamwork is vital to end the scandal of patient malnutrition Caterers claim nursing attitudes are chief barrier to good patient nutrition by Adele Waters Today’s nurses have already been accused of being ‘too posh to wash’. Now catering managers are accusing them of having a snooty attitude towards feeding patients. In a survey carried out by the Hospital Caterers Association for Nursing Standard, almost 70 per cent of respondents said ‘nursing attitudes’ are the chief barrier to patients getting a successful food service. Almost all caterers who responded to the snapshot survey also said nurses need a greater understanding of nutrition and its importance in patient care. unregistered care workers or ward hosts to feed In follow-up interviews, caterers blamed nurses - from auxiliaries to those at board level - for paying lip service to patient nutrition and not regarding it as an important component of patient care. “Florence Nightingale was happy to wash and feed Many claim there has been a shift in attitudes since nurse education moved into universities, leaving nurses believing that serving meals and helping patients to eat is beneath them. Hull and East Yorkshire Hospitals NHS Trust offers Caterers also accuse qualified nurses of vanishing at mealtimes to have their own breaks, leaving food.’ He says, “I know wards are busy, but this is basic patients. One manager in Dorset, who does not wish to be identified, says, “I have heard two comments from senior nurses that sum up their outlook. One ward manager said, ‘It is not an important part of my patient care.’ The other said, ‘I am paid too much to feed patients.’ patients and make them feel comfortable, but today’s nurses think that because they have a degree they do not have to do the basics.” 18 different menus to its 1,300 patients across 56 wards each day. Billy Cunningham, Head of Catering, says he heard of one nurse who declared, ‘I don’t do stuff. Nutritional intake is as important as the medicines patients receive. Nourishing a body properly aids recovery - we know that patients’ hospital stays are reduced if they are properly nourished.” A Berkshire-based caterer says, “Nurses believe serving meals is not part of their job - it is beneath them. Also, their role has changed. They have so much administration to complete that they may see mealtimes as a chance to catch up on paperwork. Real change has got to come from senior nurse managers, who just pay lip service to patient nutrition at patient environment meetings.” The snapshot survey gathered feedback from 28 senior caterers across ten of the association’s 13 English regions and some Scottish regions. Most caterers who responded to the survey - 85 per cent - felt that nurses should get more training in nutrition and how to help patients eat. Hull head of catering Billy Cunningham: ‘Nourishing a body properly aids recovery.’ 22 HOSPITAL CATERER Caterers claim nursing attitudes are chief barrier to good patient nutrition One catering manager, who works in the northern region and wishes to remain anonymous, says, “A senior nurse asked me whether beverages are part of nutritional intake. It really hit home that she did not understand something very basic.” The catering manager says that good ward leadership is the most important factor. “When you walk on a ward, you know straight away whether or not there is good leadership. The place feels well organised and the ward manager will have made sure there are sufficient nurses available to help with mealtimes. By contrast, other wards are in disarray and you know that when the food trolley arrives, the nurses will go for a break.” The survey found a wide variation in spending on NHS food, with one trust spending just £1.90 per patient per day and the top spender in Plymouth spending £6.32. The average was £2.77. Despite widespread media attention focusing on malnutrition in hospitals, the average spend has only risen by 9p since last year. And although most areas have increased spending, some have seen cuts. In three - Wessex, West Anglia and the West Midlands - catering managers, who have as little as £2 to spend per patient per day, say their budgets do not allow them to provide If there is a problem, have a meeting and be open to But she says the survey highlights two issues: “Good ward a ‘nutritionally balanced menu’. They estimate that they making changes.” leadership is essential and nutrition has to become a should be spending more than £3. Debbie Dzik-Jurasz, co-director of the RCN clinical priority for nurses. That is what our campaign Nutrition But hospital caterers are adamant that their main battle leadership team and the driving force behind the Now is trying to reinforce.” is to get nurses to help patients improve their nutritional college’s ‘Nutrition Now’ campaign, agrees that solutions status in hospitals. HCA Chair, Neil Watson-Jones, says, depend on team working. “Where nurses have good “The biggest concerns this survey has raised are nurses’ relationships with catering staff, dietitians and ward attitudes and patients not getting access to the food they housekeepers, mealtimes work better than when there require. It relates to the changes in nurse training and the is no discussion between these parties. But it is not just way nurses work. Their priorities have altered. They are about nurses. Everyone has a responsibility to develop focused on clinical care rather than holistic care. They no these relationships, including caterers.” longer see patient nutrition as part of their role.” Chief barriers to a successful service Attitude of nurses 68 per cent Poor communication between ward and catering department 57 per cent Lack of protected mealtimes 46 per cent Lack of ward hosts 43 per cent Low food budget 21 per cent Care is about more than a clinical intervention. It is also Contracting out of catering services 14 per cent about making the patient journey comfortable.” Respondents could name more than one factor. Back to basics Neil continues, “I do not want to blame nurses. They have taken on more clinical work while coping with staff shortages. But I would like to see a return to basics. He suggests caterers should have an ‘open door’ policy so that nurses and other staff can visit and learn more about their work. This could help to improve This article first appeared in Nursing Standard relationships and collaborative working. “But it is not on 10 October 2007. all one-way criticism,” he adds. “Caterers need to Reprinted with kind permission from understand better the dynamics of how a ward works. RCN Publishing HOSPITAL CATERER 23 Water for Health Hydration Best Practice Toolkit for Hospitals and Healthcare The Hydration Best Practice Toolkit for Hospitals and Healthcare, created by the National Patient Safety Agency (NPSA) and the Royal College of Nursing (RCN), was launched this autumn by the Chief Nursing Officer for Wales, Rosemary Kennedy. Its launch marks the start of a programme of work to improve the hydration and fluid management of patients in hospital. Caroline Lecko, Nutrition Lead, NPSA, explains the thinking behind the toolkit and what it contains. The Hydration Best Practice Toolkit for Hospitals and ➨ Hydration and healthy ageing discusses the Healthcare has been developed in partnership with the concept of age as a factor in poor hydration and HCA, Health Facilities Management Association, NHS then goes on to highlight the benefits of good Supply Chain, the Patients Association, the Healthcare hydration in older people. Commission and Water UK. ➨ Water and cancer prevention examines the through to serving suggestions to make water appetising. 7. Sample menu for providing adequate fluids within healthcare The sample menu demonstrates the opportunities The toolkit has been created as a resource within evidence related to the impact of good hydration the RCN’s ‘Nutrition Now’ campaign and it aims to on the three of the commonest cancers and assist healthcare staff and service providers to suggests that drinking enough water can reduce This fact sheet provides information on the introduce good hydration to hospital patients and the risk of developing cancer of the large bowel, advice and best practice currently available to staff and to implement the health benefits of drinking breast and prostate and urinary tract. healthcare professionals from a range of enough water. ➨ Water in the workplace outlines the importance for providing water to hospital patients. 8. Hospital guidance and standards organisations, including the HCA and the World Water is essential to health and is one of the six of good hydration for staff and explores the basic nutrients for life. However, water is often benefits to both employers and employees. considered the forgotten nutrient. Evidence from Consideration is given to both the health benefits This section provides a short check list to enable the NPSA’s National Reporting and Learning System and the environmental factors. healthcare staff to assess the water facilities These fact sheets have been written by an within their organisation. It asks the fundamental Independent Researcher and Senior Policy question: ‘Is fresh and wholesome water Executive from the British Medical Association. available to your patients, staff and visitors has identified dehydration as a patient safety issue: medical evidence shows that good hydration can assist in the management and prevention of many medical conditions. 4. Frequently asked questions Health Organisation. 9. How good are your water facilities? throughout the day?’ The toolkit This section aims to answer some of the frequently The toolkit contains fact sheets and advice to enable asked questions relating to the provision of drinking The quiz has been developed to assist in the healthcare staff to improve water consumption water to hospital patients. Questions range from training of junior nursing and non-clinical staff. for hospital patients and hospital staff. It contains: how to make tap water taste as good as possible, It is a fun way of testing out knowledge and 1. Introduction to the toolkit to how much water patients should drink. raising awareness about good hydration. This section identifies that the responsibility for The answers provide healthcare staff with solutions making hydration a top priority lies with everyone for good hydration in hospitals. in the hospital environment, from the catering 5. Did you know? Facts about water as a nutrient 10. Try the hydration awareness quiz 11. Hydration best practice - hospital water audit The final fact sheet provides an audit tool to assess current hydration practices and Twenty eight facts about water from the cost and encourages staff to score themselves and to quality to serving suggestions provides healthcare develop action plans to improve hydration within benefits of providing water staff with useful information relating to water as a their organisations. This fact sheet identifies some of the medical nutrient, along with some surprising facts relating The toolkit is available at www2.rcn.org.uk/ conditions that good hydration can assist in to the cost of providing tap water to patients. campaigns/nutritionnow/tools staff through to the chief executive. 2. The health and economic preventing or treating and considers the economic benefits of providing good hydration. 6. Practical tips for encouraging and resources/hydration water consumption For further information related to the This section provides information and tips to nutrition work of the NPSA please contact for the health benefits of hydration encourage water consumption from developing Caroline Lecko on 020 7927 9568 or via This section contains three fact sheets. a hospital policy, to procurement of equipment e-mail at [email protected] 3. ‘Wise up on water’ medical evidence HOSPITAL CATERER 25 Graham Holman, Category Specialist at NHS Supply Chain, talks about the organisation’s new national contract for cleaning and hygiene solutions which is designed to meet the demands of the NHS. Cleaning and hygiene supply solutions for the NHS NHS Supply Chain manages the procurement and supply of more than 500,000 healthcare products to the English NHS, and has recently launched a new range of cleaning solutions to help support healthcare organisations across the country. The two-year contract, which was launched on 1 October, brings a standardised and consolidated range of products to the NHS, which includes dishwasher detergents, degreasers, oven cleaners, hard surface cleaners, disinfectants and associated products, and offers both value for money and product choice for catering and cleaning professionals. Improving cleanliness and infection control With the issue of hospital acquired infections never far from the media spotlight, particularly concerning MRSA and Clostridium Difficile, the new product range is designed to support Trusts in combating infections in combination with best practice cleaning and hygiene regimes. Benefits The new contract offers a number of significant benefits to customers: ➨ Products are listed with selling prices in the NHS Supply Chain Catalogue. ➨ Professional support is provided, with all suppliers on the contract being able to offer advice and support concerning the application of their products. ➨ Full details of the new contract including data sheets (COSHH) can be downloaded from the NHS Supply Chain website. Using NHS Supply Chain All products are supplied via NHS Supply Chain’s ‘stock’ route. This means that customers can consolidate their orders and receive products within 48 hours of ordering (preferred delivery day allowing). NHS Supply Chain’s supply route offers the following benefits: Time saving - hospitals can place one consolidated order and get the products required. Convenience - they can use an online ordering system to order cleaning products. Consolidated invoicing - invoices are sent directly to trust Finance Departments. Support - trained customer services teams are on hand to help. Reliability - our service level for these products is above 98 per cent. Zenith (GWP) Hygiene Systems Tel: 07817 579876 Products: Range of dishwasher detergents, degreasants and hard surface cleaners. British Salt Limited Tel: 01606 839232 Products: Dishwasher and boiler salt for water softening in granules and tablets. Evans Vanodine International PLC Tel: 01772 322200 Products: Disinfectant cleaners, surface cleaners, kitchenware stain removers, oven cleaners, cleaning gels, glass/stainless steel cleaners and floor cleaners. Darcy Limited Tel: 01925 412608 Products: General purpose neutral detergents, cream cleaners, powder sanitisers, hard surface cleaners and a comprehensive range of air fresheners. ➨ Product prices are competitive and savings are available for NHS Trusts who switch supply to the new contract lines. Flexibility - if required, we can arrange 24 hour service. Coventry Chemicals Limited E-commerce - end-to-end electronic transaction capability. Tel: 024 7663 9739 ➨ The range has been rationalised from 81 in the previous contract to 48 for the new contract so there is more focus and clarity for NHS customers. Suppliers ➨ The majority of products listed in the NHS Supply Chain catalogue are illustrated with supporting technical information. ➨ Several new products have been introduced. For example, a complete range of liquid dishwasher detergent products from Zenith/GWP, and bacteria killing solutions from Evans Vanodine. Following the procurement tender process, NHS Supply Chain awarded the new contract to five suppliers. The suppliers and products are as follows: Further information For further details contact Graham Holman, Category Specialist. E-mail: [email protected], Telephone: 01244 582801. Products: A range of quality bleach products and liquid pine disinfectants. New contracts for 2008 Next year, NHS Supply Chain has a rolling programme of new contract implementations that will assist NHS Trusts in their cleaning and hygiene requirements. The new contracts will include the supply of floorpads, kitchen scourers, catering/domestic gloves, sackholders, bins/waste containers, electrical cleaning equipment, steam cleaners, manual cleaning equipment and microfibre cleaning systems. National Colour Code for Cleaning Materials The NPSA has been made aware that there is some confusion about the applicability of the National Colour Code for Cleaning Materials to central/production kitchens. The Code was never intended to apply to these areas and only impacts on catering services to the extent that they take place at ward level. This would mean that ward kitchens or anywhere else away from the central kitchen where food is prepared and/or served would be included in the Code, similarly staff involved in the preparation and serving of food and/or the cleaning of catering and kitchen equipment. - are unlikely to make their way into food - there is no requirement for this and Trusts wishing to continue using blue are entirely at liberty to do so in these areas. Whilst there is no fundamental reason why green should not be used for cleaning cloths etc used in central kitchens since these items - unlike e.g. dressings/plasters For information about the Code, visit www.hospitalcaterers.org/ library/generalinformation HOSPITAL CATERER 27 Cleaning standards affect patient choice Andrew Matthews, National Chair of the Association of Healthcare Cleaning Professionals (HCP), explains the current challenges facing cleaning services within the NHS especially around ‘healthcare acquired infection’ (HAI) and its perceived relationship to cleaning by the general public. seen many changes in the NHS. But its basic reasons for There is no doubt that, in general, the public believes loss of limb or even death and they will simply choose that a dirty hospital contributes significantly to acquiring not to go there. an infection, whilst most research demonstrates that it Investing in well researched cleaning methods will singularly does not. contribute towards reducing the spread of infection It would be foolish to completely disregard good within a healthcare environment. What cannot be hygiene standards in the effort to reduce HAI within underestimated in the business of healthcare and making We consistently try to keep our members abreast of the latest developments especially around HAI; whether it is latest research or general thought patterns relating to HAI or specific organisms such as MRSA. We do this through our in-house newsletters, internet networking, website or our very successful annual AHCP conference. a healthcare environment. But what is generally patients better is a high standard of cleaning. The one key agreed is that it is a combination of many factors effect the cleaning team has on a patient’s well-being that helps to reduce the amount of HAI within our is reassurance and this reassurance is increasingly healthcare establishments. having more impact on the various aspects of healthcare. The UK’s overall infection rates are similar to those Many patients being admitted to hospital are anxious in other European countries at around 9 per cent. not only because of the treatment they need but also There are many established infections including MRSA about what infections they believe they could catch. and Clostridium Difficile that we know about, but there This must have an effect on their treatment and recovery. are many new strains emerging that are more virulent Therefore organisations who ignore the value of their and difficult to treat. cleaning service will ultimately suffer in many ways, As the Patient Choice agenda marches on, patients will not least in terms of their bottom line financial viability. increasingly decide where they want to go for treatment Many organisations are finding it difficult to balance the based on information they know and understand and books at the moment so now is the time to remind them can pass judgement on. They may not understand the of the importance of including their cleaning services in intricacies of the medical treatment a particular hospital their budgets and not to take short term measures that provides, but if one gets the reputation of being a ‘dirty may impact in the future. hospital’ patients will equate low standards of cleaning So where does the AHCP fit in to all this? The AHCP has with catching an infection which could potentially lead to been in existence for the best part of 32 years and has existence have not changed. They are: ➨ To support its members. ➨ To work with and influence Government initiatives. ➨ To work in partnership with cleaning service suppliers. We have recently published our business plan which clearly sets out our aims and objective for the forthcoming year. One of those objectives is to work in close partnership with our ‘sister’ organisations such as the HCA and the National Patient Safety Agency. With many managers controlling multi services they need to be able to benefit from the knowledge and networking opportunities of all these associate organisations. In broader terms we will continue to support our members on a daily basis. We exist to offer professional support. All these issues I have briefly discussed were addressed at our national conference and exhibition earlier this year. For more details about the Association’s conference; the speakers’ presentation and general information about the organisation, please visit the website: www.ahcp.co.uk The Association of Healthcare Cleaning Professionals represents over 600 individual managers of cleaning, hotel and support services across the public and private sectors nationwide. HOSPITAL CATERER 29 Pictured outside Greenmount College where the Conference was held (from left): David Frost from the Organic Centre Wales and one of the founder members of the Rafael Project, Bernie Grimes, WHSCT Catering Lead for the Project, Michelle Gildernew, Northern Ireland Minister for Agriculture MLA and Lianna Gallagher, Project Co-ordinator representing Strabane Farmers Forum RAFAEL gathering debates public sector procurement in Northern Ireland The Northern Ireland Branch of the HCA and the Northern Ireland RAFAEL (Renaissance of Atlantic Food Authenticity and Economic Links) European Project Group recently co-hosted a one-day Conference in Antrim. More than 80 delegates debated the many challenges relating to sustainable procurement in public sector catering and learned more about how the RAFAEL Project - which focuses on healthcare catering - supports the use of local produce in the whole life cycle of patient healing. RAFAEL is a three-year EU-funded Interreg Project which started in January 2005 to increase the availability of local authentic food systems - covering all the food chain from production to consumption and to contribute to public sector engagement in sustainable procurement. The RAFAEL partners are from nine regions of Europe within Spain, Portugal, France, England, Wales and Northern Ireland. The main focus of the RAFAEL Project in Northern Ireland centres on Hospital Catering food procurement in the North West. It supports and encourages local food producers and processors to co-operate and develop in order to successfully compete for business in the public sector, specifically in healthcare and schools. The conference, held at Greenmount College in Antrim, was chaired by the Northern Ireland HCA Branch Chairman, Simon Moody. Bernie Grimes, Hotel Services Contracts Manager for the Western Health and Social Care Trust, and an HCA Northern Ireland Branch Officer, is the catering lead for the RAFAEL Project in Northern Ireland. She was responsible for organising the event which was the penultimate gathering for the Project which ends in December 2007. 30 HOSPITAL CATERER All the key activities carried out as part of the RAFAEL Project have been delivered through the Western Health and Social Care Trust with the support of the Regional Procurement, Investing for Health, Northwest Organics and DARD (Department of Agriculture and Rural Development). The conference was designed to engage the interest, support and influence of key stakeholders in taking forward the positive outcomes of the Project from the past three years and to reinforce the important roles we can all play in adding value to sustainable local procurement in healthcare catering. The delegates included representatives from the HCA, the Catering Management Association of Southern Ireland, Department of Agriculture and Rural Development and the Department of Health. Local food producers and processors also attended. In her keynote address to the conference, the Minister for Agriculture, Michelle Gildernew MP MLA stated, “The success of the RAFAEL Project is a great example of how Government can target resources more effectively for everyone’s benefit.” She expressed her delight at the many achievements of the Project partners in increasing opportunities for local producers and processors to supply the public sector market. The Western Health and Social Care Trust’s Chief Executive, Elaine Way, stressed the importance of tackling climate change and promoting sustainability both issues which are high on the agenda of EU policy makers and Government. She reminded delegates of the five main healthy option goals set in 2005 by DEFRA Food and Farming Minister, Lord Whitty: ➨ To raise production standards. ➨ To increase the number of tenders from small local producers. ➨ To increase the demand for healthy food. ➨ To reduce environmental impacts. ➨ To tackle barriers to supply. Lord Whitty had recommended that public sector lead the way to achieving these goals, stating that if some schools and hospitals can provide highly nutritious fresh locally sourced food with organic options then why can’t more? This project pilot scheme was one of the first stepping stones towards examining the supply chain in Northern Ireland and looked at how public sector caterers could RAFAEL gathering debates public sector procurement in Northern Ireland source their food in a more ecological and ethical way. And Elaine indicated her commitment to continue encouraging the use of local food in our hospital menus. Andrew Elliott, Director of Health Development - who was representing the Minister for Health, Michael McGimpsey MLA - welcomed the opportunity to support and contribute to the principles of the RAFAEL Project charter. He acknowledged the key role of the RAFAEL partnership and emphasised that failures to make public sector food procurement play a role in improving the health of Northern Ireland could have some very serious and costly effects for the health of the population. Andrew went on to describe the work of the Food Standards Agency in actively encouraging local business in Northern Ireland to produce food that is low in fat, salt and sugar, provide healthy sustainable choices including organic options, fair trade produce and improve food labelling. He outlined the Department of Health, Social Services and Public Safety (DHSS) key priority which is to fight against obesity. And he stressed the important role public food procurement has to play in improving the health of the Northern Ireland population together with the Investing for Health strategy partnership approach and collaborative work with local people, groups, communities and organisations. Bernie Grimes reflected on the highs and lows, the challenges, the progress and the lessons learned throughout the three years of the RAFAEL Project. She went on to describe the key activities of the Western Health and Social Care Trust’s Catering Managers who ensured the Project objectives were delivered. These included: ➨ Networking with local producers. ➨ Supporting ‘Meet the Buyers’ events. ➨ Organising RAFAEL theme days for patients and staff. ➨ Hosting organic breakfasts and organising RAFAEL Project displays. ➨ Promoting the Project through networking with other similar projects. ➨ Involving and working with dietetic colleagues. ➨ Facilitating educational and promotional events. ➨ Promoting the Project to HCA Members. Delegates heard how the Project succeeded in increasing the amounts of fresh local organic food products which are now included in patient and staff menus such as local organic milk, local farmhouse organic ice-cream, local fresh fruit and vegetables and locally produced natural mineral water. (From left): Michelle Gildernew, Northern Ireland Minister for Agriculture MLA, meets Mike Hall, HCA National Vice-President Looking on is HCA Member Bernie Grimes These initiatives are contributing to increase the awareness of the importance of good wholesome fresh, well-cooked, well presented food in aiding patients’ recovery. the RAFAEL Project, particularly in engaging the market for ‘Meet the Buyer’ events and working with all the Project partners and the wider public sector. Bernie then went on to share with the audience some of the lessons learned from the Project: for example, the importance of all stakeholders working in partnership. The key messages delivered were summarised as: protect local farms, support local cultures, value local producers and enjoy local food. Rick Wilson, Director Dietetics/Nutrition at King’s College Hospital, London, began his presentation, ‘the Road to Recovery - Food is Healing,’ by reminding delegates that food and beverage services provide the foundations for all treatment. He said that there is no pill for every ill, obesity will bankrupt the NHS and under-nutrition in hospitals is common with an estimated 40 per cent of patients malnourished on admission. Rick concluded his presentation by reminding us that we cannot have functioning hospitals if patients do not have access to sufficient food and water. John Moore, Senior Rural Connect Advisor with the Department of Agriculture, has played a key role in the RAFAEL Project steering group. He has responsibility for identifying and meeting the development needs of local farmers in the north west Tyrone area and he gave delegates a most interesting and real life account of his role in the Project. Ann O’Reilly, Northern Ireland Chief Executive for Age Concern, gave an excellent presentation on Age Concern’s ‘Hungry to be Heard’ campaign. She highlighted the two main concerns most frequently raised by older people and their relatives and friends: the unsuitability of the food served and the lack of assistance given to elderly people with eating. Ann’s presentation emphasised the importance of food awareness for everyone involved in the care of this very vulnerable group - including all healthcare professionals, family and friends - stressing that not everyone can speak up or has relatives to speak on their behalf or help them at mealtimes. Teresa Molloy, Regional Director, Regional Supplies Services, began her presentation, ‘A Fresh Prospective in Public Procurement’ with a brief history of the Northern Ireland Regional Supplies Organisation. She described the role of the organisation in facilitating and supporting Mike Hall, HCA National Vice-President, then spoke about ‘Delivering a First Class Patient Focused Catering Service’. As always, in his usual jovial manner, Mike gave the audience a wake-up call, challenging the hospital caterers, Trust Chief Executives, Directors and senior civil servants present to recognise the importance of hospital food in the overall patient experience. Mike’s key messages were: ➨ Understand the changing environment. ➨ Understand the role you can play. ➨ Make sure your voice is heard. ➨ Be part of the corporate teams striving to deliver excellent NHS patient care. The conference concluded with an open forum and the feedback received indicated a very successful and well-received event. HOSPITAL CATERER 31