Regional Summer Seminar25th June 2014

Brakes Group Head Office, Covent Garden

09:15 – Registration & networking - All 09:50 – Welcome & Sponsors (Brakes) - MXT / PA 10:00 – Business Meeting

◦ Last Meeting Minutes - VR◦ Minutes from National Executive Meeting - MXT◦ General NACC Update - NR◦ AOB - All

10:45 – Coffee Break & Care Cook Viewing 11:15 – Malnutrition Task Force Presentation - LC 11:45 – Coeliac UK Presentation - KM 12:15 – Sanctuary Care Live Presentation - MO 12:45 – Lunch & networking, sponsored by Brakes 13:30 – Industry Nutrition Update & FIC Presentation - ES 14:15 – 2014 Road Relay Interactive Workshop - All 15:30 - Depart

Business Meeting- Last Meeting Minutes

- Minutes from National Executive Meeting-General NACC Update

- AOB

Lesley CarterPartnerships & Projects Programme

Manager

Malnutrition task force and the importance within the care sector

Independent group of experts across health,

social care and local government, united to

address the problem of preventable

malnutrition in older people

To ensure the prevention and treatment of To ensure the prevention and treatment of

preventable malnutrition is embedded in all care and preventable malnutrition is embedded in all care and

community support services as well as raising community support services as well as raising

awareness amongst older people and their familiesawareness amongst older people and their families

Research, workshops, learning examples and case studies

Understanding the issues

Understanding what looks good

Finding out what interventions have already taken place to tackle malnutrition - being clear on what has worked

Poor breathing and Poor breathing and cough from loss of cough from loss of muscle strength muscle strength

Psychology –Psychology – depression & depression & apathy apathy

Poor Immunity Poor Immunity and infections and infections

Decreased Decreased Cardiac output Cardiac output

Hypothermia – Hypothermia – decline in all decline in all functionsfunctions

Renal function – Renal function – limited ability to limited ability to excrete salt excrete salt and waterand water

Loss of muscle and Loss of muscle and bone strength - falls bone strength - falls and fracturesand fractures

Impaired gut Impaired gut integrity andintegrity and immunity immunity

Impaired wound Impaired wound healing and healing and susceptibility to susceptibility to pressure ulcerspressure ulcers

Liver fatty change, Liver fatty change, functional declinefunctional declinenecrosis, fibrosisnecrosis, fibrosis

Potential causes of malnutrition in older people

Guides forGuides forFood and beverage providersFood and beverage providersHospitals Hospitals Care homesCare homesLocal communitiesLocal communitiesCommissionersCommissioners

Available to download fromAvailable to download fromwww.malnutritiontaskforce.org.uk

Five principles for best practice

① Raising awareness

② Working together

③ Identifying malnutrition

④ Personalised care, support and treatment

⑤ Monitoring and evaluation

Phase 3 Testing

The Five Pilot Sites

Change Management Process

How has the Change Management programme been received by the different participants in Health Communities?

What are the successes with the Change Management programme?

And what are the issues? (i.e. lessons for improving effectiveness)

How successful was the pilot program?

A written evaluation report for each of the five sites

Follow our progress

Keep in touch . . .

Lesley Carter

Projects and Partnerships Programme Manager

lesley.carter@ageuk.org.uk

Kathryn MillerFood Policy Lead, Coeliac UK

Mark Ord & Chris HillyardHotel, Catering & Support Services

Managers

Lunch kindly sponsored by Brakes

Eileen SteinbockHead of Health & Nutrition, Brakes

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What it is What we will do What our customers will need to do

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EU regulation Brings together

◦ Food labelling ◦ Food allergens◦ Nutrition labelling

Came into law October 2011 Must comply by December 2014

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Nutrition labelling to be mandatory, will be in a different order

Allergy advice line no longer allowed Allergy information in ingredients list,

brakes will highlight allergens in BOLD

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Change to every piece of packaging Trying to coincide with new branding Any product produced after December 2014

must be in FIC compliant packaging

We may have long shelf life products in 2015 or beyond

New packaging will be seen from the end of 2013

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Sodium no longer declared

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This is food sold in catering Must provide allergen information Information on 14 allergens Will no longer be able to say

◦ ‘I do not know what is in the food’

◦ Applies to all catering

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Cereals containing gluten

Crustaceans Eggs Fish Peanuts Soya

Milk Nuts Celery Mustard Sesame seeds Sulphur dioxide Lupin Molluscs

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Cereals containing gluten◦Wheat◦Barley◦Rye◦Oats◦Spelt◦Kamut

Nuts◦Almonds◦Hazelnuts◦Walnuts◦Cashews◦Pecan◦Brazil nuts◦Pistachio◦Macadamia

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Must be available◦ Back of house manual◦ Internal Website ◦ Access to central database of recipes

Provision ◦ Advice to consumer that this information is available

Notice in restaurant On the menu Customer website Verbal communication with customer

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Packaging ◦ FIC requires allergens to be included in the

ingredient list◦ The name of the allergen must be emphasised in

the ingredient list (Brakes Bold) Other sources

◦ Information to be available at the point of purchase List on-line Product advice sheets

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Long lists◦ Match to approved

buying lists◦ Inclusion in recipe

analysis systems

Brakes CodeProduct Title Contains Peanuts Contains Other Nuts Contains Egg Contains Fish Contains Milk89 Whole Grapefruit Segments in Light SyrupN N N N N94 Whole Mandarin Orange Segments in Light SyrupN N N N N

102 Whole Orange Segments in Light SyrupN N N N N186 Baked Beans in Tomato SauceN N N N N187 Sliced Beetroot N N N N N244 Italian Peeled Plum Tomatoes N N N N N255 Dessicated Coconut N N N N N261 White Vanilla Flavour Ice CreamN N N N Y268 Seedless Raisins N N N N N301 Caster Sugar N N N N N308 Granulated Sugar N N N N N318 Vanilla Pods N N N N N533 Long Grain Rice N N N N N544 Short Grain Pudding RiceN N N N N548 Red Lentils N N N N N551 Yellow Split Peas N N N N N554 Green Split Peas N N N N N557 Cereal Broth Mix N N N N N560 Dried Marrowfat Peas N N N N N562 Pearl Barley N N N N N563 Haricot Beans N N N N N564 Butter Beans N N N N N568 Semolina N N N N N740 Dark Pitted Cherries in Light SyrupN N N N N801 Raspberry Flavour J elly CrystalsN N N N N802 Strawberry Flavour J elly CrystalsN N N N N803 Orange Flavour J elly CrystalsN N N N N804 Lemon Flavour J elly CrystalsN N N N N839 Puff Pastry Pie Tops N N N N N965 Sweetener Granules SachetsN N N N N

1020 Tuna Cheesey Bake N N N Y Y1050 Cannellini Beans In WaterN N N N N1068 Cooked Supreme Of Chicken (Pasteurised)N N N N N1069 19mm Cooked Diced Chicken Breast N N N N N1071 Chicken Korma N N N N Y1075 Cottage Pie N N N N Y1080 Cooked Roast Chicken DrumsticksN N N N N1085 All Purpose Pastry Mix N N N N Y

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Ingredient Milk Soya Gluten from Wheat

Nuts Fish Crustaceans

Cod N N N N Y N

Prawns N N N N N Y

BrakesBéchamel Sauce

Y Y N N N N

Potato N N N N N N

Cream Y N N N N N

Pepper N N N N N N

DISH Y Y N N Y Y

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Wrapped so will have allergens on the packaging

Caterer does not need to do anything more

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Understand the 14 allergen list Collect allergen information about all your

prepared products Collect recipes Collect menu ideas (recipes and

accompaniments) Build your own allergen data bank Have a protocol for keeping this up to date Train staff in handling allergen enquiries

Do this before December 2014!

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Certified by AfN Easy to use online or print and read Tests after each module, certificate 4 modules

◦Intro to balanced diet◦Eating well in healthcare sector◦Malnutrition & diabetes◦Dysphagia, dementia & menu planning

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https://elearning.brake.co.uk

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This is our competition !!!This is our competition !!!

Tuesday 11th November Collect Meal from the South West Region – Hampshire tbc 7 x handover points across the region during the day

◦ Most imaginative forms of transport◦ Landmark venues / iconic settings◦ As many people who can help as possible◦ Need loads of help with PR / Vehicles / Video / Pictures / Drivers……the list goes on◦ MXT to give some examples of the offers we have had so far……..

We need to start to plan the day within our region Handover to the Midlands Region either that evening or the next

morning in Cambridgeshire / Suffolk borders We will make ours the best and most ‘high profile’ segment of the

week Need to get a draft plan agreed and any idea is a good idea. MXT / Viv / Cathy to lead a group…