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Healthier and more sustainable catering guidance: specification for menu analysis 1. Scope To review and re-analyse example menus contained PHE’s catering guidance for healthier and more sustainable catering to meet certain food and nutrient based standards and wider, bespoke criteria. 2. Person Specification A registered dietitian or nutritionist who has access to the appropriate software required to conduct the work, and experience of developing and analysing menus. 3. Core menus required 3 X 7 day core menus within PHE catering guidance ‘healthier and more sustainable catering: a toolkit for serving food to adults’. Available at: https://www.gov.uk/government/publications/healthier-and-more-sustainablecatering-a-toolkit-for-serving-food-to-adults o Men aged 19-74 years o Women aged 19-74 years o Mixed adults aged 19-74 years 2 X 7 day core menus within PHE catering guidance ‘healthier and more sustainable catering: a toolkit for serving food to people in residential care’ Available at: https://www.gov.uk/government/publications/healthier-and-more-sustainablecatering-a-toolkit-for-serving-food-to-adults o 2 example menus for mixed adults aged 75+ years (example menu 2 and example menu 3 within the guidance). 4. Menu analysis All 5 core menus listed above (for food and drinks) need to be revised as appropriate to: meet food based standards (ie for fruit and vegetables, fish, and for red and processed meat) meet current dietary reference values for all macronutrient and micronutrients, and meet nutrient based standards (calculated using dietary reference values and taking into account relevant nutrient excesses/insufficiencies for each population group as appropriate), as set out in PHE’s catering guidance o over the average of seven days and for each eating occasion (ie breakfast, lunch evening meal, and snacks including drinks) meet the wider requirements of Government Buying Standards for Food and Catering Services (ie nutrition-related criteria therein), public health responsibility deal salt targets and front of pack labelling as appropriate (as set out in PHE’s catering guidance) Contractors should take note of specific requirements regarding methodology set out in Annex 1. 5. Supplementary menus 5 core menus to be adjusted to meet the above but with: 10% of total energy from free sugars (as defined by WHO*) and 30g AOAC per day 7% of total energy from free sugars (as defined by WHO*) and 30g AOAC per day 5% of total energy from free sugars (as defined by WHO*) and 30g AOAC per day *WHO definition of free sugars: All monosaccharides (such as glucose, fructose) and disaccharides (such as sucrose or table sugar) that are added to food by the manufacturer, the cook or the consumer, as well as sugars that are naturally present in honey, syrups, fruit juices and fruit concentrates. NB: PHE will be able to provide advice with regard to estimation of free sugars and AOAC fibre should this be necessary. 6. Summary of outputs Brief project report outlining requirement, methodology and results to include: 5 Core menus and 15 supplementary menus with foods incorporated to meet the food based standards highlighted (eg fruit and vegetables, fish etc) Tabulated data for each menu to include: o DRV for all macronutrients and micronutrients as daily average and for each eating occasion averaged over 7 days o Nutrient standards for macronutrient and micronutrients, where appropriate, as daily averages and for each eating occasion averaged over 7 days o Results of each menu analysis meeting the above criteria Sample table templates are provided in annex 2 7. Timescale Project report to be submitted by 31 December 2014. 8. Cost We anticipate that this work would attract a maximum daily rate of £600. Nutrition Advice Team Diet and Obesity 28 August 2014 Annex 1: Analysis Methodology Key points: 1. Suitable software, which incorporates data from McCance & Widdowson’s Composition of Foods, most up-to-date Summary Edition, and other robust data sources must be used. Where data in McCance & Widdowson’s Composition of Foods may be out of date other up to date data sources should be used and referenced. 2. PHE will provide the successful contractor with reports relating to the original menu analysis to include portion sizes/data sources. Beyond this, standard portion sizes can be taken from published typical portion size data for adults http://www.foodbase.org.uk/results.php?f_report_id=82 and the publication Food Portion Sizes (MAFF). 3. PHE’s standard conditions for nutrient analysis (including recipes) are provided below for reference purposes and should be adhered to, where appropriate. PHE standard conditions for recipe development and/or analysis methodology 4. Using suitable software, which incorporates most recently published data from McCance & Widdowson’s Composition of Foods series, the Contractor will analyse recipes and provide a summary report of each, outlining macronutrient content and sodium/salt content, and other micronutrients as requested as well as a list of ingredients and quantities analysed and full details of any assumptions (inc weight losses). Data in McCance & Widdowson’s Composition of Foods series may be out of date so where relevant use other data sources for up to date info and reference this source. 5. The summary report will give nutrient content both ‘per 100g’ and ‘per serving’. Where a recipe does not specify a serving size, the Contractor will estimate the serving size by, for example, using the publication Food Portion Sizes (MAFF), or by using Food Standards Agency published data on typical portion sizes for adults and children. Where the Contractor has made an estimation of the serving size, a note should be placed on the recipe summary report to advise how the estimation was derived. 6. Similarly, where the weight of an individual ingredient is not specified, the Contractor will estimate it. Where a weight of an ingredient has been estimated, the weight should be listed as part of the summary report and a note added where appropriate on how the estimation was derived. 7. For each cooked recipe the Contractor will take into consideration weight losses as a result of cooking, as outlined below in points 15 to 18. 8. The Contractor will pay attention to cooking methods for each recipe and consider whether it is appropriate to analyse the recipe as a whole, or to separate out components (for example, for some pasta dishes the pasta might be cooked as an integral part of the main dish, eg pasta bake, whilst for others, the pasta might be cooked separately, eg spaghetti bolognese). 9. Any accompaniments included in the recipe, such as potatoes and vegetables should be included in the analysis of the recipe. 10. Brands can be used in analysis / development but should be anonymised in the descriptions. 11. For each recipe the list of ingredients should be in the same order as used in the method. 12. Each recipe should include the number of servings the meal provides. 13. Each recipe should include cooking and preparation times. 14. The Contractor should be specific with quantities, eg ‘400g tin of tomatoes’ rather than ‘tin of tomatoes’. Calculating weight losses of cooked dishes 15. To calculate weight loss for each recipe, the Contractor will estimate the weight loss of the recipe as a whole, rather than the weight loss of individual ingredients within it by applying the percentage weight loss values given for standard recipes in Appendix 4.4 of McCance and Widdowson’s ‘The Composition of Foods’ (6th summary edition), or in the associated RSC/MAFF supplements. 16. Ingredients will be assigned either raw or cooked in the recipe, to allow direct comparison to a similar standard recipe for estimation of weight loss. 17. Where a specific standard recipe is not available the Contractor will estimate the weight loss of the dish using a recipe the Contractor considers to be similar. 18. Where no standard recipe is available that is considered to be similar enough to the recipe being analysed, the Contractor should contact PHE for advice. PHE Standard Conditions for Food Diary Development and/or Analysis Methodology 19. The Contractor will analyse food diaries as supplied. These are likely to be real food diaries with only basic information, for example generic foods rather than branded, with or without weighed data. Where possible, PHE will give guidance to participants prior to completion of food diaries, for example, suggesting detail on general household portion sizes to allow for a more accurate dietary intake analysis. 20. Using suitable software (to be agreed prior to a Contract being awarded) the Contractor will analyse food diaries provided with a summary report. The summary report will preferably be in Excel format, which outlines overall macronutrient and sodium/salt intake per day, or other micronutrients as requested as well as details of any assumptions made, for example on portion size (point 23). Additional reports might be requested for individual pieces of work, for example, a comparison of each day’s intake against dietary reference values for various nutrients. Need to include other data (referencing the source) where McCance & Widdowson’s Composition of Foods data is outdated. 21. Contractors shall consider how best to interpret data where lack of detail is available, and follow the methodology as outlined in points 24 to 27. 22. Brand names can be used in analysis / development but should be anonymised in the description. Calculating portion sizes: 23. Where the weight of a food or meal is not given, the Contractor will estimate the weight by, for example, using standard portion sizes from typical portion size data for adults and children published by the Food Standards Agency, and the publication Food Portion Sizes (MAFF). Where the Contractor has made an estimation, a note should be placed on the relevant summary report to advise how the estimation was derived. Where descriptions are lacking: 24. Where a food or drink description could be interpreted in more than one way, for example “milk” could be skimmed, 1% fat milk, semi-skimmed or full-fat, an average option, in this instance semi-skimmed milk, should be selected if, with a note of this made in the summary report. 25. Where a food or dish is not available within the Contractor’s software, a ‘best match’ should be used where available, with a note of this made in the summary report. 26. Where the Contractor is unclear which option to analyse, or where a similar food or recipe is not available within the Contractor’s database, the Contractor should consult PHE for guidance and agreement. 27. The Contractor should be aware for both analysis and/or development of food diaries and of recipes that data is sometimes incomplete in McCance and Widdowson (M&W) food composition tables. For example, if using the M&W supplement ‘Cereals & Cereal Products’ data is not included for saturated fat. This will likely be reflected in analysis software and may result in underestimation of nutrients. The Contractor should, where possible, alert PHE to any likely gaps for a given piece of work, especially where comparison of data against healthy eating recommendations for fat, saturated fat, sugar and salt might be affected. Data in McCance may also be out of date so where relevant use other data sources for up to date info and reference this source Annex 2: Sample Table Templates Table 1: DRVs and nutrient based standards (calculated using dietary reference values and taking into account relevant nutrient excesses/insufficiencies for each population group as appropriate) Nutrient DRV Derived Breakfast Lunch Dinner Snacks daily target target target target nutrient values using nutrientbased standards Table 2: Nutrient analysis of menu X Nutrient DRV Derived daily nutrient values using nutrientbased standards Nutrient provision from menu (daily average over seven days)