Scottish Government Consultation on Proposed Options to Improve and Assure the Nutritional Standard of Food in NHSScotland Hospitals
This consultation has been launched to seek views on proposed options to improve and assure the nutritional standard of food and catering in NHSScotland hospitals based on the refreshed 'Food in Hospitals' guidance from Health Facilities Scotland.
Annex A
Essential criteria for the provision of nutrients for hospitalised adults[19]
| Nutrient (/ day) |
Nutritionally vulnerable patients |
Nutritionally well patients (DRVs) |
Provided |
|---|---|---|---|
| Energy (kcal) |
Adults 2250 - 2625a |
Adults 1800 - 2400b |
Daily |
| Protein (g) |
60 - 75 |
56 |
Daily |
| Total fat (% food energy) |
Not specifiedP4F |
<35 |
Averaged over a week |
| Saturated fat (% food energy) |
Not specified |
<11 |
Averaged over a week |
| Carbohydrate (% food energy) |
Not specified |
>50 |
Averaged over a week |
| Free sugarsc (% food energy) |
Not specified |
</=5%P5F |
Averaged over a week |
| Fibred (g) |
not specified |
30 |
Daily |
| Sodium (mg) |
< 2400 |
< 2400 |
Daily |
| Salt Equivalents (g) |
< 6 |
< 6 |
Daily |
| Vitamin A (µg) |
700 |
700 |
Averaged over a week |
| Vitamin D (µg) |
10e |
10e |
|
| Calcium (mg) |
> 700 |
> 700 |
Averaged over a week |
| Potassium (mg) |
3500 |
3500P |
Averaged over a week |
| Iron (mg) |
> 14.8f |
> 14.8f |
Averaged over a week |
| Vitamin B12(µg) |
> 1.5 |
> 1.5 |
Averaged over a week |
| Folate and Folic Acid (µg) |
> 200 |
> 200 |
Averaged over a week |
| Vitamin C (mg) |
> 40 |
> 40 |
Averaged over a week |
| Waterg |
Men 2000ml |
Men 2000ml |
Daily |
a Estimated Average Requirement (EAR) for males and females 65+ years.
b 10TBAPEN10T recommendations for the energy requirements for the 'unwell' hospital patient are 1.3 to 1.5 times resting energy expenditure that equates to approximately 25-35kcal/kg/day (using midpoint as minimum value to prevent malnutrition this equates to 2250 - 2625 for 75kg individual). 111T Recommendations are based on reference weights used for 10TDRV10Ts.
C Free sugars are all monosaccharides and disaccharides added to foods by the manufacturer, cook or consumer, plus sugars naturally present in honey, syrups and unsweetened fruit juices. Lactose when naturally present in milk. [19]
d Average population intake of AOAC fibre for adults (16+) to increase to 30g/day by increasing consumption of whole grains, pulses and vegetables.
e The provision of food that will provide >10 µg/day vitamin D is difficult. Individual patients may still require additional supplementation, especially older patients and those who are in long-stay care and house/hospital bound.
f When catering solely for older adults, use 10TRNI10T for individuals 50+ years (9mg/day).
g Values assume dietary intake: if no food intake corresponding figures are 2000ml for women and 2500ml for men.
Contact
Email: Billy Wright
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