Nutrition in Institutions

The importance of good nutrition for individual health and
well-being is widely recognized, yet for a significant number of
people who rely on institutions for food and nutrition, this
importance has not always been a primary consideration. People,
therefore, may find themselves consuming food they would not
ordinarily choose to eat, with, in some cases, restricted choices
precluding individual preferences and compromising health.

In recent years, there have been major advances in the quality
of catering in some areas, particularly schools. Other institutions
which have not been thrust into the media spotlight have fared less
well in terms of policy drive and commitment.

This insightful new book looks in detail at five institutions:
schools, hospitals, care homes for the elderly, prisons and the
armed forces. As well as providing a fascinating history of the
provision of food in each institution, each section considers:

• current policy and standards and their implementation

• adequacy of food provided with regard to the health status and
  dietary requirements of the people in the care of each
  institution

• efficiency of catering organization and issues relating to
  contract tendering, expenditure and procurement

A broad spectrum of further relevant issues is also covered,
including the meaning of food to those in institutions and
determinants of choice.

Auteur
Maria Cross (MSc) and Barbara MacDonald (MSc) are visiting lecturers at the University of Westminster, U.K.

Résumé
The importance of good nutrition for individual health and well-being is widely recognized, yet for a significant number of people who rely on institutions for food and nutrition, this importance has not always been a primary consideration. People, therefore, may find themselves consuming food they would not ordinarily choose to eat, with, in some cases, restricted choices precluding individual preferences and compromising health. In recent years, there have been major advances in the quality of catering in some areas, particularly schools. Other institutions which have not been thrust into the media spotlight have fared less well in terms of policy drive and commitment.

This insightful new book looks in detail at five institutions: schools, hospitals, care homes for the elderly, prisons and the armed forces. As well as providing a fascinating history of the provision of food in each institution, each section considers:

• current policy and standards and their implementation
• adequacy of food provided with regard to the health status and dietary requirements of the people in the care of each institution
• efficiency of catering organization and issues relating to contract tendering, expenditure and procurement
  A broad spectrum of further relevant issues is also covered, including the meaning of food to those in institutions and determinants of choice.

Contenu
Dedication. Acknowledgements.

Introduction.

Part 1 Schools (Maria Cross).

1.1 Introduction.

1.2 The health of UK schoolchildren.

1.3 A history of school meal provision to 2001.

1.4 Children's diets prior to the introduction of nutritional standards in 2001.

1.5 The 2001 national nutritional standards.

1.6 Monitoring the 2001 standards.

1.7 Nutritional adequacy and meeting standards.

1.8 Children's dietary choices post introduction of 2001 nutritional standards.

1.9 Nutritional standards in Scotland.

1.10 Nutritional standards in Wales.

1.11 Nutritional standards in Northern Ireland.

1.12 Government initiatives to improve the diets of children.

1.13 Non-government initiatives to improve food in schools.

1.14 The run up to the 2006 food-based standards and 2008/09 nutrient-based standards.

1.15 Interim food-based standards for school lunches.

1.16 Food-based standards for all other school food and drink.

1.17 Nutrient-based standards.

1.18 Final food-based standards.

1.19 Diverse diets and special dietary needs.

1.20 Target Nutrient Specifi cations.

1.21 Monitoring the new standards.

1.22 Current system of meals provision.

1.23 Catering contracts.

1.24 Catering staff.

1.25 Expenditure.

1.26 Procurement of school meals.

1.27 Free school meals.

1.28 The lunch box.

1.29 Food and cooking in the national curriculum.

1.30 School food post new standards.

1.31 Determinants of choice.

1.32 Diet and behaviour.

1.33 Good practice.

1.34 School meals in Europe and the US.

1.35 Discussion and conclusion.

Part 2 Hospitals (Barbara MacDonald).

2.1 Introduction.

2.2 The development of workhouses.

2.3 Food provision.

2.4 Current decade.

2.5 Other initiatives.

2.6 Alternative hospital catering facilities.

2.7 Events in 2007.

2.8 Hospital food Scotland.

2.9 Hospital food Wales.

2.10 Hospital food Northern Ireland.

2.11 Hospital food Europe.

2.12 Conclusion.

Part 3 Care homes for the elderly (Barbara MacDonald).

3.1 Introduction.

3.2 Workhouses.

3.3 Reform and the development of care homes.

3.4 Current decade.

3.5 Other initiatives.

3.6 Developments in 2007.

3.7 Scotland.

3.8 Wales.

3.9 Northern Ireland.

3.10 Europe.

3.11 Useful resources.

3.12 Conclusion.

Part 4 Prisons (Maria Cross).

4.1 Introduction.

4.2 The prison population.

4.3 History of prison food.

4.4 Food today.

4.5 Catering standards.

4.6 Expenditure, procurement and staffing.

4.7 Monitoring standards.

4.8 Nutritional adequacy and meeting standards.

4.9 Good practice.

4.10 What prisoners choose to eat, and what they know about healthy eating.

4.11 The prison shop.

4.12 The health of people in prison.

4.13 Diet, nutrition and criminal behaviour.

4.14 Prisons worldwide.

4.15 Discussion and conclusion.

Part 5 Armed forces (Maria Cross).

5.1 Introduction.

5.2 History of feeding the armed forces the Army.

5.3 History of feeding the armed forces the Navy.

5.4 Current provision.

5.5 Food and nutrient guidelines.

5.6 The provision of food during operations.

5.7 Monitoring of standards.

5.8 Catering costs.

5.9 Catering contracts and procurement.

5.10 Catering training. <p&gt...