Why is this initiative important?
- Nutritious food supports healthy ageing and is essential for optimal patient treatment and recovery. Food also provides a sense of wellbeing and emotional comfort and is an important expression of cultural identity.
- Poor nutrition is common and significantly contributes to the burden of disease. In Victoria, the community cost of chronic diseases such as type 2 diabetes, many cancers, obesity and some mental health disorders is substantial and growing.
- The Targeting zero: report of the review of hospital safety and quality assurance in Victoria found that malnutrition is a common preventable hospital-acquired complication.
- Food is more than a vital component to supporting health. Providing food that meets preferences for taste and variety is particularly important for aged care residents.
- Sourcing of local and Victorian grown and produced food, where possible, will contribute to the provision of healthy and high-quality food and support local economies.
About the review
The review was informed by existing government policy, including:
A project reference group provided overarching guidance and comprised key stakeholders, including representation from metropolitan, rural and regional health services, central production kitchens, public sector residential aged care services, dietitians, food service management, Health Purchasing Victoria and a consumer (patients/aged care residents) representative.
What was in scope of the review?
The review, conducted from October 2019 to February 2020, covered foods and drinks provided to inpatients and aged care residents in Victorian public hospitals and Victorian public sector residential aged care facilities:
- At the bedside – via the general inpatient/resident menu (Full Ward Diet) and
- Through retail food outlets (in house) and all vending machines located in health services.
- The nutritional value (healthiness according to the Australian Dietary Guidelines)
- Quality – including taste, variety and cultural diversity
- Patients'/consumers' experience of the food
- Whether the food is locally produced in Victoria.
What was not in scope of the review?
The following matters were not within the scope of the review:
- Therapeutic/medically required diets (except ‘soft’ and ‘minced moist’ texture modified diets).
- Private retailers i.e. retail food outlets (cafes, kiosks, franchises, convenience outlets) located on health service premises that operate under a lease or sublease arrangement.
- Food safety (hospitals already abide by strict food safety regulations and standards).
- Non-government residential aged care facilities and non-government hospitals.
- Local food procurement practices of retail food outlets within health services.
In addition to online surveys and site visits of health services, the review included feedback from the Victorian community about food served in our health services. There was feedback from a public survey on the Engage Victoria website and from hospital patients via the Victorian Health Experience Survey. In addition, residents living in some of our public residential aged care facilities were consulted about their lived experience regarding food.
The development of new and revised nutrition and quality food standards for patients and aged care residents is underway. In addition, new standards for paediatric patients are being developed.
Other recommendations will be implemented in a phased approach, based on priority and available resources.
Key review findings and recommendations, can be found in the summary report, which can be downloaded.
Media release - Nutritious, quality, local food for hospitals and aged care.
Healthy choices: providing and promoting healthier food choices through hospital retail and vending
Hospitals and health services play an essential leadership role in helping the health workforce and visitors make healthier food choices.
Healthy choices: policy guidelines for hospitals and health services provides guidance on improving the availability and promotion of healthier foods and drinks available on hospital and service premises. The guidelines apply to retail outlets such as cafeterias, cafes, coffee shops, canteens, mobile kiosks and vending machines on hospital premises. The guidelines do not apply to inpatient food services, client or aged-care resident meals and food and drinks brought home by staff.
These guidelines are part of a framework, which also include setting-specific policy guidelines to support the implementation of Healthy Choices in sport and recreation centres, workplaces and parks.
The framework includes the Healthy choices: food and drink classification guide, which explains how to categorise food and drinks as GREEN (best choices), AMBER (choose carefully) or RED (limit).
Advice, training and resources for putting the guidelines into practice are available from the Healthy Eating Advisory .
For more information and to view the guidelines visit the Healthy choices for retail outlets, vending machines and catering section.
Update – April 2021:
- A new Healthy choices policy directive for health services was announced by the Victorian Government on 12 April 2021.
- This new policy directive will apply to in-house managed retail outlets, all vending machines and all catering within public health services.
- The new policy directive will follow the existing Healthy choices: food and drink classification guide for food. However, with new guidance for drinks.
- High sugar (RED category) drinks will be required not to be sold or promoted in all vending and in-house retail outlets. (Previously this was 0% to a maximum of 20%)
- This new policy directive will be introduced around mid-2021. Health services will be given time to meet this new policy directive, with it being phased in.
- In the meantime, health services should continue their great efforts in implementing the Healthy choices guidelines in all of their retail outlets.
- Further information about this new policy directive will be provided in the coming months.