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Royal Bolton Hospital

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

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Royal Bolton Hospital

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  1. Royal Bolton Hospital Changing the whole food environment

  2. 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 for good nutrition as part of treatment goals & food for convenience. – trusted brand (hospitals perhaps more so?)

  3. Obesity Products high in fat, salt & sugar (HFSS) contributes significantly to obesity - If hospitals provide then fair to say ARE contributing to obesity by: 1. Increasing access to them 2. Giving credibility to HFSS food & drink products 3. Neutralising public health messages about potential harm

  4. Malnutrition Eating ‘energy-dense’ (ED) and/or high fat salt & sugar (HFSS) food/drink with little or no nutrition. Patients – may refuse, miss or only partially eat prepared nutritionally balanced meals if full on ED HFSS products Staff - facilitating short term energy boost intakes - weight gain - low nutrition Visitors – normalisation/promotion of HFSS products – may validate & encourage further consumption?

  5. We’ve made a start.... 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

  6. Traffic light labelling

  7. ‘Less’ campaign

  8. Weekly fruit & veg market

  9. Weekly mobile fruit & veg van on site

  10. After the changes

  11. WRVS shop

  12. Trust owned cafe

  13. Trust’s vending machines

  14. WRVS shop

  15. WRVS shop

  16. Next steps...remove multi-buys

  17. OK with this multi-buy

  18. What is acceptable trade within a hospital/NHS environment?

  19. Electronic cigarette shops - A known public health problem?

  20. Betting shops - public health problem?

  21. Fruit machines – Public health problem?

  22. ....Public health problem?

  23. “IS IT ACCEPTABLE FOR HOSPITALS TO PROMOTE & SELL PRODUCTS HIGH IN FAT, SALT AND SUGAR”? Yes No If put to a public vote?……..

  24. Take home messages.....

  25. Don’t have too much sugar!

  26. ALL hospitals need to run similar campaigns – it CAN & MUST be done! Individual hospitals can only make statements – a network of hospitals can start a revolution!

  27. 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

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