navigating this pdf In this pdf, you are able to turn pages as in a traditional book, change the magnification of the page you are viewing, and return easily to previous page views. BOOKMARKS – Bookmarks are located in the navigation panel on the left hand-side. They preview all pages within the pdf and can serve as a table of contents. Simply click on the designated section and it will link you directly to the selected location. CONTENTS – If you would like to go to a specific page in each chapter, click the Contents page in the Bookmark panel. The contents page consists of sections within each chapter and the corresponding page number is located on the right hand-side. Click on the page number to go to the corresponding page within the document. You can return back to the contents page via the bottom left-hand corner prompt. Healthier Food and Drink Choices • User Guide Live Life Well @ Health Healthier Food and Drink Choices for Staff and Visitors in NSW Health Facilities User Guide Back to Contents 1 Acknowledgement The NSW Department of Health gratefully acknowledges adaptation of elements of Queensland Health’s A Better Choice: Healthy Food and Drink Supply Strategy (2007). NSW DEPARTMENT OF HEALTH 73 Miller Street NORTH SYDNEY NSW 2060 Tel. (02) 9391 9000 Fax. (02) 9391 9101 TTY. (02) 9391 9900 www.health.nsw.gov.au This work is copyright. It may be reproduced in whole or in part for study training purposes subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above requires written permission from the NSW Department of Health. © NSW Department of Health 2010. Centre for Health Advancement. SHPN (CHA) 090098 ISBN 978-1-74187-351-1 For further copies of this document please contact: Resource Distribution Unit Locked Mail Bag 5003 Galdesville, NSW 2111 Tel. (02) 9879 0443 Fax. (02) 9879 0994 Further copies of this document can be downloaded from the NSW Health website www.health.nsw.gov.au May 2010 contents What you’ll get from this guide 5 Live Life Well @ Health 8 What is Live Life Well @ Health aiming to achieve? 8 What facilities and food outlets are applicable? 8 Why is Live Life Well @ Health needed? 9 Guiding Principles for Live Life Well @ Health 9 Requirements of Live Live Life Well @ Health 10 Healthier eating 11 The Australian Dietary Guidelines 12 The Australian Guide to Healthy Eating 14 The traffi c light approach 15 The GREEN category – Best Choices 15 The AMBER category – Select Carefully 17 The RED category – Limit 18 The nutrition standard 20 The nutrition standard for Live Life Well @ Health 20 Nutrient criteria to identify RED foods and drinks 20 The marketing standards 24 Marketing standards for Live Life Well @ Health 25 Marketing based on the 4 P’s 25 contents cont. Applying Live Life Well @ Health 27 Interpreting nutrition information panels 28 Example of applying Live Life Well @ Health: A snack and drink machine 32 Accessing healthier product offerings 33 Contracts, leases and tenders 34 How to assess your food outlet 34 The improvement checklist 35 Voluntary support through healthy fundraising 37 Useful information 38 Useful websites 39 Useful publications 40 Glosary 41 References 43 Appendix: Ready reckoner of ‘applicable foods’ 44 commonly sold in NSW Health facilities What you’ll get from this guide This ‘User Guide’ is designed for those who are involved in putting the policy directive Live Life Well @ Health: Healthier Food and Drink Choices for Staff and Visitors (PD2009_081) in to practice. Food service managers/ personnel, retailers and caterers operating within NSW Health, as well as contract managers, will fi nd it particularly useful. The User Guide explains the Live Life Well @ Health Nutrition and Marketing Standards and provides practical information on how to apply them. A ready reckoner is included to help simplify the task of classifying healthier and less healthy foods. The User Guide is not intended to be read from start to fi nish. Select the sections that are most relevant to your work and experience. You may wish to check your progress against pertinent sections of the Implementation Checklist. The User Guide can be downloaded from the NSW Health website: www.health.nsw.gov.au 5 ✓ Most nutritious ✓ Low in fat, sugar and salt ✓ Low in kilojoules (calories) ✓ Some nutritional value ✗ But with extra fat, sugar or salt ✗ Extra kilojoules ✗ Least nutritious ✗ High in kilojoules Back to Contents Live Life Well @ Health What is Live Life Well @ Health aiming to achieve? What facilities and food outlets are applicable? Why is Live Life Well @ Health needed? Guiding Principles for Live Life Well @ Health Requirements of Live Life Well @ Health Live Life Well @ Health Live Life Well @ Health What is Live Life Well @ Health aiming to achieve? Live Life Well @ Health aims to make healthier choices easier choices by improving the nutritional quality of foods and drinks which are available and promoted to staff and visitors in NSW Health facilities. Broadly, the expected outcomes of Live Life Well @ Health are: • increased range, number, availability and promotion of healthier food and drink choices • decreased availability and promotion of less healthy foods and drinks. ‘Applicable foods’ in Live Life Well @ Health are: • s ingle serves of pre-packaged, commercial, ready-to-eat foods and drinks, including snack items, heated single food items and mixed meals • all confectionary including pick ‘n’ mix confectionary • products packaged for display • fresh fruit • all sandwiches (including rolls, foccacia, wraps etc) • al salads. As a result of Live Life Well @ Health it is expected that by December, 2011 at least 80 per cent of ‘applicable foods’ offered to staff and visitors through any NSW Health food outlet will be healthier choices. What facilities and food outlets are applicable? Live Life Well @ Health is applicable to all facilities managed by NSW Health including hospitals, community health centres or clinics, rehabilitation centres and offi ce buildings. Live Life Well @ Health applies to all situations where ‘applicable foods’ are made available to staff and the general public in all NSW Health facilities including: • cafeterias, canteens and cafes • kiosks and coffee carts • vending machines • c atering provided at functions, meetings or special events eg internal meetings, meetings with external partners, workshops and conferences, including those conducted by external agencies • L eased premises that sell food or drinks eg newsagents, chemists, and other retail outlets. Back to Contents 8 Healthier Food and Drink Choices • User Guide Live Life Well @ Health does not apply to: • i n-patients for whom nutrition is frequently part of their clinical management. This means that the policy excludes meals and snacks served to in-patients by the health facility. It also excludes any food and drink products supplied to in-patients through ward trolleys managed by volunteers as a patient service • ‘applicable foods’ that staff or visitors bring from home eg birthday cake • f ood prepared in a health facility for outside client groups such as Meals on Wheels clients or nursing home residents, as there will usually be existing specifi cations for such meals • e vents, prizes and fundraising activities, including outlets and vending machines contracted by a hospital auxiliary • foods prepared or cooked on-site in a health facility, except for salads and sandwiches. Why is Live Life Well @ Health needed? The relationship between diet and health is irrefutable. Good nutrition is essential for the normal growth and development of infants and children, physical and mental health throughout life, 1 resistance to infection and protection against chronic disease. Poor nutrition is an important risk factor for a number of preventable diseases, including cardiovascular disease, type 2 diabetes, stroke and some cancers. Diets high in saturated fat, sugar and salt and low in plant foods are associated with high blood pressure, elevated blood 1 cholesterol, overweight and obesity. As is the case for Australia in general, NSW is facing an 2, 3 obesity epidemic affecting more than half of adults and almost one in four children. 4 One-third of the Australian food dollar is now spent on foods sourced outside the home. Such foods often contain high levels of fat, sugar and salt. It is important that people can make healthier choices when buying from food outlets outside the home. Live Life Well @ Health provides a framework to improve the availability and promotion of healthier foods and drinks across all NSW Health facilities, making healthy choices easier choices for staff and visitors. This approach is in keeping with directions provided by the World 5, 6 Health Organisation. Live Life Well @ Health is needed because NSW Health: 7 8 • has a responsibility for leading the promotion of healthier lifestyles in NSW • has an important role in modelling healthy eating to staff and visitors • has a responsibility to provide staff with healthier food and drink choices. Guiding Principles of Live Life Well @ Health When applying Live Life Well @ Health, facilities should be guided by the following principles: • It is important to provide consistent messages about healthy eating in line with the Dietary Guidelines for Australian Adults, the Dietary Guidelines for Children and 1, 9, 10 Adolescents and the Australian Guide to Healthy Eating. • T he approach is primarily concerned with increasing access to healthy food choices. Less healthy food choices will be restricted, but not banned. Back to Contents 9