1. Calorie Posting for Catering Staff
Health Service Executive

2. Background FSAI (2012) What people need to know about calories
Strategic focus-HI
FSAI (2012) What people need to know about calories
on menus in Ireland

3. Healthy Ireland Framework 2013– 2025
A Framework for improved health and wellbeing

4. Healthy Ireland

5. Framework for Improved Health & Wellbeing
Healthy Ireland (Hi)
Vision
Where everyone can enjoy physical and mental health and wellbeing to their full potential, where wellbeing is valued and supported at every level of society and is everyone’s responsibility.

6. Government Plan = Healthy Ireland (Hi) 2013-2025
‘Everyone can play their part in achieving a healthy Ireland’
Provide the information to help others make the healthy choice
The government has a new plan called Healthy Ireland (Hi) Hi says that we should ‘Create an environment where every sector of society can play their part in achieving a healthy Ireland’. Everyone has a role and ours is to provide healthy options and the information for everyone to make the healthy choice. 6 6 6 6 6

7. Healthy Ireland in The Health Service-National Implementation Plan 2015-2017
The HSE has published ‘Healthy Ireland in the Health Services’ – an implementation plan for the Healthy Ireland Framework specifically focuses on the HSE, our workforce, our services and the people we care for. 
‘Healthy Ireland in the Health Services’ has identified three clear strategic priorities for action, because in one way or another, every part of the health service is engaged in improving health and wellbeing. The plan outlines a sector-wide focus on
System Reform - ensuring that we deliver the significant reforms which are underway to support a better health system
Reducing Chronic Disease - the biggest risk to our population’s health and our services
Staff Health and Wellbeing  - ensuring we have a resilient and healthy workforce 7

8. HI in the Health Services – National Implementation Priorities 2015
Calorie Posting
National Physical Activity Plan + Obesity Policy
Major Public Health Bills
(Alcohol, Standardised Packaging and Licensing of Sale of Tobacco)
Enactment of Bill for Healthy Workplace

9. Calorie Posting in the Health Services
Catering, facilities & Dietetics
Who
Providing calorie counts on food and drinks
What
HSE Staff, and Visitors
For
Help everyone make healthier choices
Why
We all know how important food is to our health. In our role within the HSE, in either catering or dietetics, we are connected to the food provided for ourselves, the HSE staff and the visitors to our premises as well as to the patients in our care. Our role of providing nourishment is important in helping all these groups of people to stay healthy. 9 9 9 9 9

10. The purpose of the calorie posting policy is to…
Encourage increased uptake of healthy food
and beverage options at HSE premises
Ensure that the organisation reflects best
practice in relation to healthy eating
Use calorie posting to promote and provide
health education
What is the purpose of the HSE Policy on Calorie Posting? 10

11. Why Calories Count?
2,500= Average number of calorie burned per day by a healthy male with normal levels of activity
I think we need to specify the age range of the healthy male here?? Full referencing needed for this too??

12. 12

13. Calories on menus – does it work?
Research in US shows that, when calories are on the menu beside the price, people eat:
152 calories less at Hamburger joints with each purchase
73 calories less at sandwich bars with each purchase
6% calories less overall each day
If calorie intake is reduced by this much in Ireland, it will have a major effect on our obesity problem.
(FSAI 2012)
Full reference in referencing list?? This could be split into 2 text boxes maybe?

14. Foods Eaten Away from Home
Account for about 25% + of daily calories
Research shows we underestimate calories
Sometimes no healthy options available
The food we eat while we are away from home can make up ?? more than 25% of our daily food eaten. We tend to underestimate the calories in food eaten away from home so it is important that we are able to access healthy foods while we are out and about. For many HSE workers much of the time spent away from home will be at work. That makes it important that our colleagues and ourselves have low-calorie healthy food choices to eat while they are at work. In addition, visitors to the HSE need to have healthy choices when using the food outlets in our service. Putting calories on our menus allows co-workers, visitors, and ourselves to make that healthy choice when using our food outlets. 14

15. The calorie posting policy says that…
Calorie information should be displayed
a) On all food and drink items sold
b) Based on a standard portion
c) At ‘point of choice’
d) Per portion or per meal
With daily needs per person so the information
makes sense

16. High Calorie Foods Lower Calorie Foods
Mainly with fat and sugar and of little nutritional value
Often highly processed & high in salt
High Calorie Foods
More vitamins, minerals and fibre
More natural state and more variety
All food groups included
Lower Calorie Foods
Energy or calories do not tell us about the nutrition contained in our food. However, high calorie foods tend to have lots of sugar and/or fat in them, neither of which gives us a lot of nutrition. So it is best to choose lower calorie foods with lots of nutrition as our main calorie intake for the day. 16

17. The Policy includes…
Instructions for providers of food, snacks and drinks to staff, visitors and patients(not in-patients)
Outlines where and how to post calories, how to tell people about it and how to make sure the system works

18. Other Reasons to Calorie Post
Happy Heart at Work Award
HIQA Audits
Calorie posting will now also be part of the Happy Heart at Work Award :
To achieve the Silver award you will need to have calorie posting for lunchtime meals
To achieve the Gold award you will need to be have calorie posting for all meals.
In the coming months audits on nutrition and hydration will become mandatory for HIQA
Will need to have all patient meals and snacks analysed for nutritional content 18

19. What about inpatient meals?
Calorie posting not required for inpatient meals
Specialised Menus needed for very sick inpatients
Liaise with the hospital dietitian
Calorie posting is not required for inpatient meals
Inpatients who are acutely unwell need specialised menus that this policy doesn’t apply to
Please liaise with your hospital dietitian is there are any changes that impact on inpatient menus 19

20. HSE -Calorie Posting Policy
The policy states that for calorie posting to work these steps must be followed in all HSE facilities
In place for all food and drink items on sale
Shown clearly at ’point of choice’ for the customer
Shown per standard portion or per meal
Available on the daily needs for an average person to help the customer to understand
Calorie information must be
I don’t think the last sentence re the ‘daily needs’ flows very well…any suggestions

21. ‘Point of Choice’ Calorie Posting
At ‘Point of Choice’ calorie informati on must be clearly presente d and beside the price.
If there is more than one ‘Point of Choice’, calories must be posted at each point.
Typical ‘Point of Choice’ locations include:
Printed menus
Menu boards
Chalk boards
Shelf edging
Counter display tags
Table centres
Flyer-style menus

23. Implementation of Calorie Posting
Gain buy in/ support/commitment from hospital management and set up a Working Group
Build awareness of calorie posting - Inform all stakeholders at the start including staff, service users, and visitors of plan and the date calorie posting starts
Allow sufficient resources/time
Train staff & encourage staff buy-in
Again, Fiona maybe 2 boxes??

24. Implementation of Calorie Posting
Set up software package for inputting recipes, standardising recipes & source calorie information
Standardise portions
Monitor progress & outcomes before during and after
Maintain the implementation of the policy
Again maybe split into a couple of text boxes?

27. References
Food Safety Authority of Ireland (2012) What people need to know about calories on menus in Ireland.
DOH (2013) Healthy Ireland Framework for improved health and wellbeing 2013 – 2025
FSAI (2013) Menucal Calorie Calculator
Food Safety Authority of Ireland (2012) Calories on Menus in Ireland – a Report on a National Consultation June

28. References cont
Irish Universities Nutrition Alliance (IUNA) (2011) National Adult Nutrition Survey-Summary Report
TILDA (2014) Obesity in an Ageing Society
Heinen, M., et al. (2014) The Childhood Obesity Surveillance Initiative (COSI) in the Republic of Ireland: Findings from 2008, 2010 and 2012 [Online]. Available from:  
Growing Up in Ireland (GUI) Infant Cohort At 3 years Dec
Growing Up in Ireland (GUI) Cohort study at 9 years (2008)

29. Compiled by…. Christine Gurnett, Senior Health Promotion Dietitian
Fiona Finneran, Hospital Dietitian
Gwen Rice, Senior Community Dietitian
Laura Molloy, National Health Promoting Health Services Coordinator