The third edition of the BDA Nutrition and Hydration Digest would not have been possible without the countless hours volunteered by the Digest working group. This document is a testament to the passion we all share for improving food and drink services in the healthcare setting. 

We would like to sincerely thank each of you for the time and effort you have put in to researching, writing, editing, critically reviewing, debating, proof reading and consulting with stakeholders. It is only with the combined expertise of the working party that we can produce the gold standard for nutrition in healthcare food service.

A special mention of thanks goes to Lauren Bowen, Chair of the Food Services Specialist Group, not only for her ongoing support, but her generous contribution to editing and proof reading of the third edition.  

Also, to Maxine Cartz and Helen Ream for their expert guidance, wisdom and help.

A big thank you as well to Jo Greening, Saachi Avis, Emily Stuart, Leanne McDowell and Amy Pratt for taking on extra tasks during the final months to help get the document over the line.

Thank you to Antony Antoniou for their design work and to Tom Tracey from the BDA for making the Digest an interactive online resource for the first time. Also, to Carlena Probert-Baulch from the BDA for her support and prompt answers to all our questions.

And finally, we would each like to thank our Co-Chair for their dedication and leadership of the review. 

Elise Kelly & Megan Hughes

Members of the working group




Megan Hughes (Co-Chair)

Continuous Improvement Lead, Registered Dietitian

London North West Healthcare NHS Trust

Elise Kelly (Co-Chair)

Specialist Food Service Dietitian


Helen Blackwell Catering Strategy Dietitian Inverclyde Royal Hospital

Saachi Avis

Specialist Food Service Dietitian

Committee Member of the Food Services Specialist Group

Mabel Blades

Freelance Dietitian

Member of the Food Services Specialist Group

Lauren Bowen

Head of Patient Food Service


Maxine Cartz

Healthcare Food Service Dietitian

Medirest, Compass Group UK & Ireland

Alexandra Coelho

Senior Specialist Dietitian -Food Services and Staff Health and Wellbeing

Guy’s and St Thomas’ NHS Foundation Trust

Katherine Crossfield

Senior Specialist Catering Dietitian  

Leeds Teaching Hospitals NHS Trust

Rebecca Deeley

Nutrition and Dietetic Manager

Tillery Valley Foods

Thomas Dodd

General Manager, Registered Dietitian

Birmingham Children’s Hospital

Jo Greening

Specialist Food Service Dietitian


Tara Hargreaves

Food Service Dietitian

NHS Lothian

Joanna Instone

Net Zero Food Programme Dietitian

NHS England and Improvement

Andy Jones

Catering Consultant

AJ Associates MD

Elaine Lane

Senior Catering Dietitian

South West Yorkshire Partnership NHS Foundation Trust

Rachel Liston

Senior Specialist Dietitian for Food Policy

Bristol Royal Infirmary

Hannah Locket

Senior Dietitian

Elior UK

Leanne McDowell

Specialist Food Service Dietitian


Vicki Pout Dietitian Kent Community Health

Amy Pratt

Principal Dietitian

Leeds and York Partnership NHS Foundation Trust

Helen Ream

Healthcare Food Service Dietitian

Medirest, Compass Group UK & Ireland

Annette Rugyendo

Specialist Food Service Dietitian

Imperial College Healthcare NHS Trust

Andrea Rymer

Registered Dietitian

The Vegan Society

Sadaf Saied

Business Support Dietitian


Craig Smith

Public Sector Catering Expert

Council Member of the Healthcare Caterers Association

Rosie Smith

Catering Dietitian


Ruth Smith

Company Dietitian

Anglia Crown

Emily Stuart

Company Dietitian

Apetito UK

Angela Tella

Consultant Dietitian

Illumina Lifestyle Consulting

Helen Willis

Managed Services Lead for Catering


Home Countries

Northern Ireland

Jill Curry

Dietetic Services Manager

Northern Health and Social Care Trust


Helen Blackwell

Catering Strategy Dietitian

Inverclyde Royal Hospital

Tara Hargreaves

Food Services Dietitian

NHS Lothian


Sandra Tyrell

Lead Procurement Dietitian – All Wales

Partneriaeth Cydwasanaethau GIG Cymru

(NHS Wales Shared Services Partnership)

Conflicts of Interest; Sourcing of Funding and Authorship

The work of the Digest review working group to produce this Digest was self-funded. Any costs incurred by the group were minimal. We would like to thank all members of the working party for giving their time and thank their employers for allowing them to attend meetings and in many cases set aside time to work on the Digest review.

A business case was submitted and approved by the BDA to cover the costs of the document design and production. Any other costs were borne by the Food Services Specialist Group, but these were kept to a minimum thanks to financial ‘ownership’ by all working party members.

All members of the working group signed conflicts of interest forms during the development of these guidelines. Signed copies are retained by the Co-Chairs of the working group and can be inspected by any interested party.

Stakeholder Groups and Organisations

Our stakeholders were invited to provide comments and suggested changes to the document where they felt that they were required. Thanks go to the following groups and organisations and the individuals who represented them in the first, second and/or third edition:

  • Age UK
  • Anaphylaxis Campaign
  • British Dietetic Association (BDA) 
  • BDA Critical Care Specialist Group
  • BDA Gastroenterology Specialist Group
  • BDA Haematology Specialist Subgroup
  • BDA Mental Health Specialist Group
  • BDA Obesity Specialist Group
  • BDA Older People Specialist Group
  • BDA Oncology Specialist Group
  • BDA Paediatric Specialist Group
  • BDA Renal Nutrition Specialist Group
  • BDA Sustainable Diets Specialist Group
  • Coeliac UK
  • Great Ormond Street Hospital (GOSH)
  • Hospital Caterers Association (HCA)
  • Hospital Kosher Meals Service (HKMS)
  • National Association of Care Catering (NACC)
  • National Hydration Network
  • NHS Supply Chain
  • British Association for Parenteral and Enteral Nutrition (BAPEN)
  • Royal College of Nursing
  • The Vegan Society