WILTSHIRE FARM FOODS
WILTSHIRE FARM FOODS NACC South West Specialised Nutrition Presentation December 2018
WILTSHIRE FARM FOODS Agenda • What is IDDSI? • Why IDDSI? • What does it mean? • Nutrition • Labels • Timescales • Diabetes • COPD • CKD
WILTSHIRE FARM FOODS Introduction to IDDSI
WILTSHIRE FARM FOODS What is IDDSI? • An international collaboration of dietitians, SLTs, food scientists, physicians, OTs, engineers, nurses and industry professionals. • The objective was to review existing dysphagia standards and create a global standard for categorising texture modified foods and liquids for people with dysphagia. • The aim is to have a common language that can be used for technical, cultural, professional and non-professional uses.
WILTSHIRE FARM FOODS THE IDDSI FRAMEWORK • A continuum of 8 levels (0-7) including both foods and drinks • Drinks are measured from levels 0-4 • Foods are measured from levels 3-7 • Cross-over in the middle
WILTSHIRE FARM FOODS WHY IDDSI? • Specific standards for each level • Clear characteristics and specifications • Additional testing methods specific to each level • Levels are defined by measurement Patient safety is key!
IS EVERYONE ON BOARD? WILTSHIRE FARM FOODS Endorsed by: IDDSI is supported by a variety of industry sponsors
WILTSHIRE FARM FOODS SO WHAT? apetito/WFF is part of the IDDSI UK Expert Reference group and has been sponsoring this initiative since 2014 as has The NACC • WFF adopted in 2010 with launch of our current Softer Foods range
NATIONAL DESCRIPTORS vs IDDSI WILTSHIRE FARM FOODS
WILTSHIRE FARM FOODS CATEGORY C vs LEVEL 4
WILTSHIRE FARM FOODS CATEGORY C vs LEVEL 4 National Dysphagia Descriptor- IDDSI level 4 Category C Food has been puréed or has purée texture Usually eaten with a spoon It is a thick puree Fall off a spoon in a single spoonful when tilted and continues to hold shape on a plate Fluid in or on the food has not thinned out or Liquid must not separate from solid separated off Hold its shape on the a plate or when scooped Show some slow movement under gravity but cannot be poured Can be eaten with a fork because it does not drop Cannot be drunk from a cup through the prongs The prongs of a fork make a clear pattern on the Not sticky surface It can be piped, layered or moulded Not lumps
WILTSHIRE FARM FOODS CATEGORY D vs LEVEL 5
WILTSHIRE FARM FOODS CATEGORY D vs LEVEL 5 National Dysphagia Descriptor- IDDSI level 5 Category D Food is soft, tender and moist Can be eaten with a fork It has been mashed up with a fork before serving Can be scooped and shaped on a plate Any fluid in or on the food is very thick Soft and moist with no separate liquid No hard, tough, chewy, fibrous, crunchy or crumbly bits Small lumps visible within the food Adult: 4mm lump size Biting is not required Lumps are easy to squash with tongue
WILTSHIRE FARM FOODS CATEGORY E vs LEVEL 6
WILTSHIRE FARM FOODS CATEGORY E vs LEVEL 6 National Dysphagia Descriptor- IDDSI level 6 Category E Food is soft, tender and moist but needs some Can be eaten with a fork or spoon chewing It can be mashed with a fork it usually required a Can be mashed/ broken down with pressure from thick, smooth sauce fork, spoon or chopsticks No hard, though, chewy crunchy or crumbly bits Chewing is required before swallowing No sticky food Soft, tender and moist throughout but with no separate thin liquid Pieces of soft tender meat must be served no bigger ‘Bite - sized’ pieces as appropriate for size and oral than 15mm processing skills Adult: 15mm pieces
IMPACT ON WFF RANGE – C & D/Level 4 & 5 WILTSHIRE FARM FOODS • Product redevelopment required to ensure compliance • Some changes phased in from September 2018 • Meals started to become IDDSI compliant from September • IDDSI compliant meals will still be compliant with old descriptors (C & D) • Consumers unlikely to notice many major changes – e.g. thickened sauces • New labels on IDDSI compliant meals as phased in – dual labelling • New label = IDDSI compliant • Fully compliant by March 2019
CATEGORY E/EXTRA TENDER/Level 6 WILTSHIRE FARM FOODS • Key change – All pieces 15mm or less (not just meat) • Minor changes e.g. moving from slice to diced carrot phasing in from December • Dual Purpose products: 1. Extra Tender: Targeted to those who want an easier to eat meal (protect sales & opportunity to improve in future) 2. Level 6 ‘Soft and Bite Sized’: TM range for those with dysphagia • Many products shared between ranges • Small number of standalone SKUs • Working to minimise SKU count impact • Further communication to be issued
NUTRITIONAL CONSIDERATIONS WILTSHIRE FARM FOODS • Aims/considerations • Aim to maintain or improve position where possible • Dietary codes and allergens to consider • Traffic Lights to consider • Product development ongoing
WILTSHIRE FARM FOODS LABELLING • Three levels of identification • Numbers • Name descriptions • Colour Codes • Interim dual labelling approach 6 – 12 months • Our approach has been researched with customers
WILTSHIRE FARM FOODS IDDSI TIMESCALE
WILTSHIRE FARM FOODS WFF TIMESCALE March 2019 September 2018 Autumn/Winter 2018 WFF fully compliant with IDDSI SOME new IDDSI compliant products and Further IDDSI training at regional meetings Cat C,D,E terminology no longer in use labels begin to filter in to range (Level 4 More Level 4/5/6 IDDSI compliant products filter in only) SS19 Literature/comms full IDDSI Standalone IDDSI explanation - consumer flyer explanation/terminology Intro to IDDSI in brochures IDDSI eLearning module for WFF teams • 1 st products with IDDSI label from September 2018 – limited numbers/customer impact • September 2018 – March 2019: Transition period ‘old’ descriptors C,D,E still in place
SPECIALISED NUTRITION WILTSHIRE FARM FOODS • Diabetes • COPD • CKD
WILTSHIRE FARM FOODS DIABETES
WILTSHIRE FARM FOODS DIABETES – WHAT IS IT? Diabetes is a lifelong condition that causes a person's blood sugar level to become too high. Type 1 – where the body's immune system attacks and destroys the cells that produce insulin Type 2 – where the body doesn't produce enough insulin or the body's cells don't react to insulin
WILTSHIRE FARM FOODS DIABETES – WHAT IS IT?
DIABETES – WHY SHOULD WE WORRY? WILTSHIRE FARM FOODS
DIABETES – WHAT ARE THE SYMPTOMS? WILTSHIRE FARM FOODS Complications: Over a long period of time, high glucose levels in the blood can seriously damage the heart, eyes, feet and kidneys
WILTSHIRE FARM FOODS DIABETES TREATMENT Type 1 Type 2 Healthy Eating Always Insulin Heathy Weight Regular Exercise Medication may be or become necessary
WILTSHIRE FARM FOODS Type 2 diabetes and diet 90% of people with Diabetes have type 2 diabetes Type 2 is more common as you get older Therefore WFF focus will be on type 2 diabetes
WILTSHIRE FARM FOODS DIABETES AND FOOD What is recommended in the Long Term? A healthy, balanced diet: Eating regular meals Plenty of fruit and vegetables Eating less saturated fat, sugar, salt and starchy high fibre carbohydrates Following a healthy, balanced diet will help to control blood glucose, blood fats and blood pressure, as well as helping to maintain a healthy weight
TYPE 2 DIABETES AND DIET WILTSHIRE FARM FOODS
WILTSHIRE FARM FOODS DIABETIC FOODS It is not true that if you have diabetes you will need to eat a special diet. You should eat a healthy diet high in fibre, fruit and vegetables and low in fat, salt and sugar Since healthy eating advice is the same for people with diabetes as it is for other people, the idea of special ‘diabetic ‘ foods is out of date ’
WILTSHIRE FARM FOODS COPD
WILTSHIRE FARM FOODS COPD – WHAT IS IT? The name for a collection of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease
COPD – WHAT ARE THE SYMPTOMS? WILTSHIRE FARM FOODS People with COPD have difficulties breathing, primarily due to the narrowing of their airways. Typical symptoms of COPD include: Increased breathlessness when active A persistent cough with phlegm Frequent chest infections
WILTSHIRE FARM FOODS COPD TREATMENT Treatments include: • stopping smoking – the most important action • inhalers and medications – to help make breathing easier • pulmonary rehabilitation – a specialised programme of exercise and education • surgery or a lung transplant – although this is only an option for a very small number of people
COPD AND ISSUES WITH EATING WILTSHIRE FARM FOODS Breathlessness- Weight changes- Poor appetite- a symptom of COPD that can Due to either poor appetite or Due to struggling with breathing make eating effortful sedentary lifestyle Bloating- Dry mouth- Taste changes- Air gulping while eating due to Caused by inhalers and using Caused by a dry mouth or breathlessness oxygen medication
SIGNPOSTING TO A GOOD DIET WILTSHIRE FARM FOODS Take into account: • Low Appetite and/or Loss of Weight • Chewing/Swallowing difficulties • Healthy & Nutritious
SIGNPOSTING TO A GOOD DIET WILTSHIRE FARM FOODS
Recommend
More recommend
