Sheffield Teaching Hospitals Case Study
Kush Naik, Senior Catering Dietitian, Sheffield Teaching Hospitals NHS Foundation Trust • May 05, 2022

Sheffield Teaching Hospitals (STH) comprises 5 adult acute hospitals and a full range of community services in Sheffield. STH is one of the largest employers in the region with around 18000 staff. 



The Catering Department, managed by a team of dedicated professionals is responsible for providing safe, nutritious and healthy meals to all patients, staff and visitors in line with public health requirements.


We do this through operation of our main cook chill production facility (CPU) which produces in excess of 38,000 meals weekly and is based on site at Northern General Hospital, supported by a number of finishing kitchens, ward meal regeneration, Trust operated dining rooms and coffee shops.


STH Catering has been consistently accredited to the Soil Association Food For Life Served Here  (FFLSH) Bronze Standard since 2015 for the provision of patient meals and main meals in dining rooms. Based on their principles, 76% of the patient menu in 2020 was freshly produced. Meals produced are made using fresh, local and UK sourced ingredients where possible.


The following examples illustrate our commitment to the key principles of the FFLSH standard and the ‘Love British Food’ campaign, which bring multiple benefits to the local community and UK economy as a whole, whilst building on the quality and sustainability of services provided.

 

Animal welfare and food provenance


STH spends in excess of £500,000 annually on meat which carries the Red Tractor and Farm Assured standards. British welfare standards are some of the highest, preventing certain adverse practices in livestock farming which is still legal elsewhere. This means a high quality of meat is used in our recipes. 


Savoury Minced Beef with Homemade Cheese Cobbler, a popular choice on our patient and retail menu includes British beef and Henderson’s Relish made in Sheffield.


Local supply and local suppliers


All beef, chicken, gammon, turkey, pork and lamb used in our recipes are sourced from J W Young based in Sheffield who has supplied STH for over 25 years. Prior to obtaining FFLSH the price of product was a key consideration in choosing components of a menu and meat in many cases was not UK sourced. 


STH has been working in partnership with JW Young for 7 years to provide regional and UK sourced meat and there is a noticeable positive difference in the quality and flavour of meat used. Whilst UK farm assured sourced meat is more expensive than none-UK sourced, we have observed less wastage since choosing British due to improvements in the yield within dishes.


Catering for a large population such as a hospital has become an opportunity to source British products from nearby suppliers. This supports the local economy, reduces food miles and allows for quicker response times to delivery. Building relationships with small scale suppliers is a key step, ensuring that the supplier feels valued. They should recognise and be recognised for supporting the feeding of patients, staff and visitors in their local hospitals. Taking the time to source nearby products can also be beneficial during uncertain times of food supply, when food producers often rely heavily on imported goods from abroad. It is likely that the availability and supply of food is more assured when sourcing products nearby. 


Mike Maloney's Country Butchers & Bakers in Newark is located about 30 miles from the CPU. They supply Red Tractor Assured pork pies, sausage rolls and scotch eggs to the hospital, which are offered to patients as nourishing snacks. Traditional products like these are likely to be produced to the best standards by suppliers in Britain. Maloney’s source their pork from nearby farms in Doncaster, Wolverhampton and Chesterfield. Both the flour and butter used in the pastry products are also UK sourced. 


Brook Bakery, located just 2 miles from the CPU, bake fresh pre-packed goods for the dining rooms and café bars. Staff and visitors are offered a variety of sweet treats, such as teacakes, scones and lemon drizzle cake. Dining rooms also offer freshly prepared deli style sandwiches, made using Brook Bakery products. 


Supporting established food producers from the local area such as Maloney’s and Brook Bakery also increases the awareness of brands which consumers at STH may have not known are on their doorstep. This further contributes to the local economy and supports the community. 


Seasonality


At STH a 2 week rotating patient menu is designed twice a year, for Autumn/Winter and Spring/Summer. Developing new menus with the seasons allows for seasonal produce to be used in the recipes. This is when the product is at its finest quality, availability and price. The Spring/Summer 2022 menus feature Moroccan Lamb Tagine, utilising British spring lamb, and Courgette & Potato Frittata, when courgettes are at their optimum taste and texture in the Summer. 


Eggs from free range hens


All eggs used to make the Courgette & Potato Frittata described above and all other egg based dishes featured on our menus are British Free Range.


Patient Satisfaction


Patient satisfaction rate has increased year on year after obtaining the Soil Association award in 2015. Over a 3 year period the patient satisfaction rate increased by 5%. Swapping to more British products is likely to have been a contributing factor to this increase. Analysing the views of the consumers after significant changes to the catering production can be a useful tool, such as when moving to more British products. Surveys and questionnaires form a key part of the quality agenda at STH. Unfortunately, due to the COVID-19 pandemic, limited exposure on wards has resulted in difficulties carrying out surveys with patients over the last 2 years. A key quality objective for STH Catering department is to re-establish surveys and questionnaires. 



‘Great Food, Good Health’


From a dietetic point of view, including British produce in the production of hospital meals and showcasing it on menus for patients, staff and visitors is beneficial in multiple ways. Featuring seasonal British produce on menus can be an educational tool for consumers about what to purchase when, whether from supermarkets or farm shops. The vitamin and mineral content of certain foods, such as vitamin C in fruit and vegetables, can degrade over time. If food has not had to travel as far, it is likely to be consumed quicker, and therefore the micronutrient content will be better.  Lastly, the food offered in hospitals should provide ideas and inspiration to patients, staff and visitors on how to have a healthy, balanced diet. British products such as milk, meat, fruit and vegetables, are all quality products which are recommended as part of the Eatwell Guide. 


Public health campaigns like consuming less but better quality meat means that recipes have been adapted by the Food Production Manager and Head Chef, to reduce the proportion of meat and increase the vegetable content. An example of this is the Butternut Squash and Chicken Curry available on our Spring/Summer menus.


Future Planning 


STH are constantly striving to improve the provision of healthy, sustainable meals using British produce. Work has started on upgrading the plant based options for the patient and retail menus, which will include plant based products from Wiltshire based supplier Devils Kitchen. A game pilot is also underway, which will feature lean, high protein meat such as venison from England and Scotland. 

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Prize luxury foodie experience personalised for winner To enter: https://www.lovebritishfood.co.uk/community-competition Food Festivals taking place during British Food Fortnight: 21 – 22 Sept: Abergavenny Food Festival https://www.abergavennyfoodfestival.com/ 27 – 29 Sept Broadstairs Food Festival in Kent https://www.broadstairsfoodfestival.org.uk/autumn-2024-festival 28 – 29 Sept: Thame Food Festival https://thamefoodfestival.co.uk/ 29 Sept Louth Food & Drink Festival Lincolnshire https://lovelincolnshirewolds.com/events/view/3228/louth-food-drink-festival-2024 5 Oct Brecon Beacons Food Festival https://breconbeaconsfoodfestival.co.uk/ 5 th – 6 th Oct: Shop to Eat Local, Tatton Park, Knutsford, Cheshire: https://www.tattonpark.org.uk/events_at_tatton_park/event-listings/2024/october/shop-eat-local-weekend.aspx Quotes from our Directors and some of our Ambassadors: “As the years role by everything we hear informs us that using local and seasonal produce is becoming ever more important. It is, in fact, the only responsible way to cook and eat. We will be indulging in all that is seasonal, responsibly sourced and local in all of my restaurants during British Food Fortnight and in doing so will serve the most vibrant, fresh, nutritious and utterly delicious food that is best for us and best for the environment. “ Quote from Phil Howard, Chef and Restaurateur, Love British Food ambassador: “British Food Fortnight is of great importance to me because it celebrates the rich diversity of local produce, supports British farmers and fosters a connection to the land and heritage. It encourages the appreciation of high-quality, seasonal food that’s grown and produced sustainably. The national food celebrations promote community spirit, bringing people together through food festivals, farm visits, and educational activities, helping us to understand where our food comes from. 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This market’s catering suppliers provide premium, world class product to the vast majority of the Michelin starred restaurants in the capital,” Wanda added. “But it’s also true that they supply thousands more small independent businesses who rely on them for the quality product and service that keeps their menus fresh and exciting. Accessing independent restaurants to supply them is not something most growers can do easily, but knowing your product is featured on the menu of a high-profile, high-end restaurant must be a fantastic feeling. Our traders make that happen. Our customers demand, of course, that we provide a year-round supply of premium fresh produce from all corners of the world, but there is nothing to match the buzz in Buyers’ Walk when new-season homegrown produce arrives.” Wanda Goldwag OBE, Chair of Covent Garden Market Authority, where British Food Fortnight launched this year.
By Alexia Robinson 12 Sep, 2024
Love British Food, in association with its Official Retail Partner, Morrisons, is delighted to announce the launch of the 2024 Community Competition in celebration of British Food Fortnight. Running from 20th September to 6th October, the competition seeks to recognise and celebrate the individuals, organisations, and communities that are making “good food available for all.” This year, the Community Competition invites everyone to take part—from community volunteers, chefs, and caterers to businesses, schools, pubs, restaurants, retailers, care homes, hospitals, and even entire villages, towns, and cities. The aim is to spotlight activities that bring British food to life, and create a lasting legacy within communities. Alexia Robinson, Love British Food Founder, commented: "We are looking for an individual or a community that makes a difference during British Food Fortnight.” "Whether it’s a charity providing good food for a community, a care home engaging its residents with British produce or a school developing a vegetable garden - this competition is about highlighting the great work that goes on to make fresh, healthy British food accessible to everyone." How to Enter: Share Your Story and Make an Impact The competition is open to everyone who plays a role in making fresh, healthy British food more available in their community. Previous entries have included: Schools: Creating vegetable gardens or mini farms. Social Care: Organising regular food gatherings for the elderly and isolated. Community Leaders: Offering cooking classes through community hubs or local pubs. Retailers: Ensuring their store provides a reliable source of healthy seasonal food. Markets: Bringing fresh, healthy food into the heart of communities. Hospitals: Improving food options for patients and visitors. Pubs and Restaurants: Going the extra mile to offer seasonal, healthy menus. Charities and Community Groups: Working to ease food insecurity. To enter, participants should share their story of what they did during British Food Fortnight 2024 to make good food available to all. Take plenty of photos and post them on social media, tagging #BritishFoodFortnight. Entries should also be emailed to info@lovebritishfood.co.uk with a description of the activity in no more than 500 words. Judging Panel and Prizes This year's judging panel includes Liz Earle MBE, wellbeing broadcaster and Love British Food Ambassador; David Scott, Corporate Affairs Director at Morrisons; and Alexia Robinson, Founder of Love British Food. Liz Earle MBE, who has been involved with British Food Fortnight for over a decade, commented: “I have been involved in British Food Fortnight for over a decade. I love how the event inspires communities to celebrate the wonderful food we produce in this country. But the stark reality is that not everyone has access to good food. So the spotlight of this competition on the availability and affordability of good food for all is something I feel deeply strongly about, particularly in my role as Commissioner for the Social Justice Commission. I am delighted to be the lead judge. If you are an individual or organisation working hard to make ‘Good food available to all’ in your community, we want to hear from you!” David Scott, Corporate Affairs Director at Morrisons, added: "At Morrisons we love British food and are delighted to be partnering with British Food Fortnight. We share the ambition for affordable fresh food to be available to everyone - it's one of our core values. So I'm honoured to be on the judging panel for this competition which profiles and rewards the unsung heroes in our community who are helping to ensure more people can enjoy great British food." The winning entry will receive a personalised foodie experience courtesy of Morrisons. To enter, send your story and photos to info@lovebritishfood.co.uk and post your activity on social media using the hashtag #BritishFoodFortnight. Full terms and conditions are available on the Love British Food website.  https://www.lovebritishfood.co.uk/community-competition
By Jane Peyton 06 Sep, 2024
I am an accredited beer sommelier and the founder of the School of Booze. Whenever I’m educating about beer one of the questions I am most often asked is ‘What is the difference between ale and lager’. The answer gives me the opportunity to talk about The Family Tree of Beer. This is how I explain it. Picture a Venn diagram. Each of the three interlocking circles contains one of the following words: Ale, Lager, Wild Fermentation. Each is a branch of the family tree of beer. Where the circles overlap, the headline is BEER. Each branch contains sub-branches, which represent the various beer styles. Ale includes IPA, Barley Wine, Mild, Porter, Weizen and dozens of others. Lager incorporates Helles, Pilsner, Märzen, Schwartzbier, Bock and several more. Wild fermentation comprises Lambic, Faro, Gueuze (three Belgian styles) and others, all of them acidic and sour and often mistaken in blind tasting for cider or wine. Only a handful of British brewers produce wild fermentation beers – most of them are ale and lager brewers. What Determines The Branch That Beers Sit On? The main factor is the strain of yeast used in fermentation. Ale brewers employ a strain of cultured yeast known as Saccharamyces Cerevisiae which ferments quickly at temperatures between 16-20 ̊ C (60-68 ̊F) adding fruity aromas and flavours known as esters to the beer. It is often referred to as warm fermenting or a top fermenting (denoting the direction the yeast cells head in the fermentation vessels). Lager brewers used a strain of cultured yeast called Saccharomyces Pastorianus often referred to as a bottom fermenting (denoting the direction the yeast cells head in the fermentation vessels) or cool fermenting yeast which ferments slowly at lower temperatures than ale yeast - between 10-15 ̊ C (50-59 ̊F) and confers a crisp body to the beer by fermenting one of the sugars (melibiose) that ale yeast does not. Lager yeast produces fewer esters than ale yeast and so lagers are often described as ‘clean’ to drink. Wild Fermentation brewers do not use cultured yeasts, instead they encourage untamed non-conformist wild yeast spores, such as a strain called Brettanomyces (also known as Brett), that float in the air or that colonise wooden beams or beer barrels in the brewery. They also rely on wild microbes such as Pediococcus and Lactobacillus. The aromas and flavours bestowed by the yeast and microflora are unpredictable and complex and include sourness. But to confuse the issue there are mixed fermentation beers such as Flanders Red Ale and Oud Bruin (another Flanders speciality) which are fermented with ale yeast and then aged in oak barrels where wild microflora imbue sourness. And beers described as kettle sours or fruited sours are fermented with ale yeast and then lactic bacteria is added during the brew for the characteristic tang. The Importance of Water’s Mineral Composition With ale and lager the mineral content of the brewing water is also a factor. A glass of beer is composed of up to 95% water. The chemical composition of water is one of the factors that determines which branch the beer styles belong to. Look around the world and note what the heritage style of beer is brewed in that area and you can make a guess about the mineral content of the water. For instance, historically Burton on Trent in the Midlands was celebrated for India Pale Ale (IPA) and the reason is river Trent water is high in calcium sulphate which makes the best IPA. River Thames water is high in calcium carbonate and London was renowned for Porter and dark Stout beers. In ales, the water is high in mineral salts and the type of salt is influential. Water high in calcium chloride is good for making sweeter beers such as Mild. Water with high levels of calcium sulphate and bicarbonates is perfect for dry beers such as India Pale Ale and it also enhances hop aromas and flavours. Water high in calcium bicarbonate is used to make dark Stout. Water low in mineral salts is ideal for lagers such as Pilsner - this showcases the sharp bitterness of hops and the sweet biscuit of the malts. The presence or absence of mineral salts makes a difference to the body of the beer. Brewers can treat the brewing water by adding or subtracting minerals. Ales tend to be fuller bodied than lagers, which have a lighter body and crisp texture. Many brewers I know studied chemical engineering or biochemistry at university and understand the complicated science of brewing. For readers who are not biologists or chemists my explanations of yeast and water are simplistic accounts but are intended to be straightforward and easy to understand. Cheers! ***** Jane Peyton is the drinks ambassador for Love British Food and is the founder of the School of Booze and author of several books including The Philosophy of Beer – signed copies here .
By Jenny Jefferies 06 Sep, 2024
‘We are what we eat, so eat something natural’ is one of my mantras. So when you consume an alternative product made from a variety of unknown ingredients such as a ‘plant-based’ cheese pretending to be a Brie or a Camembert, or a product acting like a chicken (which is very much like halloumi). It. Doesn’t. Work. Vegan food mimicking the real deal does not cut it for me. The plant-based ‘bacon’ is far too uniform in its appearance (it looks like a zebra crossing on the plate) and ‘perfect’ in it’s execution; it doesn’t have the natural fat oozing out of the meat, there are no streaks of splendid peccadillo colours, and the flavour is bland at best. So why are we judging plant-based food on how close it can be to natural animal products? They’re completely different and the vegan or ‘plant-based’ alternative cannot come close. It’s like judging Jane Austin to a Charles Dickins novel; they’re both still art and creative in their own right but completely different. The former doesn’t try to emulate the other, or indeed fall beneath its other shadow, the novel just celebrates its own creativity upon its own merit and this is what vegan and plant-based food can and should do too. Highlight the importance and significant diffidence of plants but please leave the cheese and bacon aspirations to the sheep, cows, goats and pigs. I thoroughly believe that vegan and plant-based food can shine and provide a balanced alternative and/or supplementary diet with a beautiful and sustainable homage to our plant life. Please let us celebrate plant-based food; harvest the produce and make products that allow the plants to shine and make them the star of the show, (as well as all the animals). There’s room in the world for plenty more stars and our plants deserve it. The therapeutic, medicinal and nutritional power of plants cannot be overestimated. They are, after all, the source of what gives us life! The carbon cycle illustrates how we can all live together in a harmonious and productive way. Plants on land and in the ocean convert carbon dioxide to biomass through photosynthesis. The carbon returns to the atmosphere when the plants decay, are eaten and digested by animals. I think there is so much beauty in nature’s simplicity and wonder, and we often learn so much from Mother Nature. Aren’t we lucky to be living in a country where we have so much produce and can enjoy the luxury of this vast choice to satisfy all of our individual diets and preferences? Meat, dairy, fish, seafood, vegetables, cereals, chillis, beer, wine, culinary lavender, edible flowers, sugar, honey, herbs and so much more! Whatever diet you choose to live by – whether you are vegetarian, pescatarian, vegan, omnivore, flexitarian – aren’t we lucky that we have this luxury of choice when other people in the world are not so fortunate? Consuming ‘better’ meat, is perhaps only desirable and achievable for possibly the most affluent demographic of our society? The good and philanthropic intentions are there, but in practice, I personally don’t think this is realistic or indeed achievable. We conveniently forget that there are currently 8.4 million people in the UK who are living in poverty which is the equivalent of the population of london. Insisting that we should get the best quality meat that money can buy is a little ignorant and patronising. However, Great Britain does have the best animal welfare standards in the world, and for those who can afford the luxury of choice, we can, and should, be eating 100% pasture-fed livestock. Please don’t eat lamb from New Zealand of beef from Australia, but please do support our British food producers; especially our farmers. The provenance of our food is of the upmost importance and crucial to the education of our children. Simply knowing where our food comes from lends each and everyone of us a deeper understanding of the world, nature and the circle of life. Whether or not you live in the town or in the country, coast or inland, bridging that gap is what I help try to do. To understand and appreciate our food, we need to know how it’s produced I believe wholeheartedly that we, as a nation, need to support our British food producers now more than ever before and to ensure we educate and communicate to the general public the right information, especially about regenerative agriculture, and sustainable fishing, and not incomplete, sensationalist propaganda. This is so people can make informed decisions and choices that’s good and right for them. So with more plants, and better meat, we need to support our farmers, because without them there is simply no food. My other mantra is to ‘buy local, buy sustainably, buy seasonally, and when you’re in this country, please buy, and love British food’. Follow @jennyljefferies
By Alexia Robinson 06 Sep, 2024
The UK’s much-anticipated British Food Fortnight returns in two weeks from 20th September to 6th October 2024, marking its 23rd year as the nation's leading celebration of all things British food. Set against the backdrop of the harvest season, this year’s event promises to be bigger and better than ever, with activities, promotions, and celebrations taking place across the country. This annual event, embraced by communities, retailers, and the public sector alike, is a unique opportunity to highlight the diversity and quality of British food. The fortnight is supported by local communities as well as being backed by most of the major food service organisations and the public sector meaning that schools, hospitals, universities and care homes join pubs and restaurants in celebrating British food. Morrisons is the Official Retail Partner having signed a three-year partnership with the organisers, Love British Food. A Message from Love British Food Founder, Alexia Robinson: “We are thrilled to see British Food Fortnight growing stronger each year. This celebration is about more than just food; it’s about community and sustainability. We are excited to partner with Morrisons, who have been exceptional leaders on British food and farming. Their commitment to making good food available for all aligns perfectly with our mission. With so many exciting activities planned, we hope everyone will join us in celebrating the very best of British food.” Highlights of British Food Fortnight 2024: Morrisons Involvement: throughout British Food Fortnight Morrisons will be celebrating the best of autumn's British produce, meat and fish on Market Street with great value prices and in store marketing displays. In addition, the community champions that are based in all of Morrisons supermarkets and work closely with the communities surrounding each store will be rewarding local groups who focus on increasing access to fresh, seasonal British food. Community Focus: The British Food Fortnight Community Competition, in association with Morrisons, returns to celebrate individuals and volunteer organisations making “good food available for all.” Liz Earle, wellbeing entrepreneur and broadcaster, will lead the judging panel, focusing on the availability and affordability of good food in communities. “I have been involved in British Food Fortnight for over a decade. I love how the event inspires communities to celebrate the wonderful food we produce in this country. But the stark reality is that not everyone has access to good food. So the spotlight of this competition on the availability and affordability of good food for all is something I feel deeply strongly about, particularly in my role as Commissioner for the Social Justice Commission. I am delighted to be the lead judge. If you are an individual or organisation working hard to make ‘Good food available to all’ in your community, we want to hear from you!” Liz Earle MBE, wellbeing broadcaster and entrepreneur and Love British Food ambassador “At Morrisons we love British food and are delighted to be partnering with British Food Fortnight. We share the ambition for affordable fresh food to be available to everyone - it's one of our core values. So I'm honoured to be on the judging panel for this competition which profiles and rewards the unsung heroes in our community who are helping to ensure more people can enjoy great British food.” David Scott, Director of Morrisons Corporate Affairs New Competitions: The Great British Pie Challenge, a new addition for 2024, invites school and hospital chefs to compete against hospitality chefs in creating the ultimate British pie. Judged by Michelin-starred chef Phil Howard and Master Chefs of GB’s Ben Bartlett, the competition has already garnered significant interest, particularly among hospital caterers. Nationwide Participation: Over 2,800 schools, 10+ universities, 20+ hospitals and many care homes will showcase British food on their menus, promoting nutritious and sustainable eating. Leading food service organisations like Aramark, Sodexo, Chartwells and Brakes are also participating with special promotions and events. Hard-Hitting Campaigns: During the fortnight, Love British Food will release a set of ‘wishes’ for a national food strategy, to be presented at the Labour Party Conference. Leading chefs will sign a letter highlighting supply chain challenges in sourcing British food. National Harvest Service: The event will conclude with the National Harvest Service at Southwark Cathedral in London. This year’s service is being run in partnership with City Harvest, the food charity that redistributes 1.2 millions meals a month to those in need across London. The service takes place in a different city every year during British Food Fortnight. The Harvest Torch is travelling from Peterborough, where the service was held last year, to London. Her Majesty The Queen who instigated the National Harvest Service at Westminster Abbey in 2013, supports the service every year. Looking Ahead:  British Food Fortnight promises a dynamic program of activities designed to engage and inspire communities, businesses, and public sector organisations to embrace British food. From farm visits for NHS caterers to school menus and national competitions, the event showcases the best of British food production and the importance of making good food available for all.
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