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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