Morning Call: pick of the papers

The ten must-read pieces from this morning's papers.

1. New friends race to end an old war (Financial Times)

If the Afghan war was ever winnable, it was lost when the US decided to invade Iraq, says Philip Stephens.

2. You can raise spending and balance the budget (Independent)

The balanced budget stimulus presents the Chancellor with an opportunity in next week's Budget, says Mehdi Hasan.

3. Sticking with Gordon Brown's flawed policy keeps people in poverty (Daily Telegraph)

Government efforts to tackle deprivation will fail while the Treasury is tied to an old agenda, argues Fraser Nelson.

4. The strife is not o'er. The battle may be lost (Times) (£)

The monarchy has adapted itself well to the modern age, writes Philip Collins. The Church has not - and, sadly, is dying out.

5. Osborne must help the squeezed middle and tax the top (Guardian)

Liberal Democrat priorities are clear - easing the pressure on household budgets and clamping down on tax avoidance, write Tim Farron and David Laws.

6. Why another Tory EU rebellion is now on the cards (Daily Express)

Tory MPs do not want to see taxpayers' money wasted on a lost cause, says Stewart Jackson.

7. Why quantitative easing is the only game in town (Financial Times)

The right fear has to be that QE will not work well enough, not that it will be damaging, writes Martin Wolf.

8. George Osborne's budget will mirror Europe's Ebola economics (Guardian)

From Greece to Germany Europe's been seized by a collective psychosis - our own government cuts to the bone voluntarily, writes Polly Toynbee.

9. We simply can't afford to pay for our old age (Daily Telegraph)

Britain must learn to be self-reliant again before the country's triple-A rating is lost, says Jeremy Warner.

10. Universities need the guts to break this Faustian pact with research (Guardian)

As long as university academics claim privileged public sector status, the agony of their bondage to the state will continue, says Simon Jenkins.

CREDIT: PETER DAZELEY/PHOTOGRAPHER’S CHOICE
Show Hide image

The overlooked aspect of patient care: why NHS catering needs a revolution

The NHS performs so many miracles every day – in comparison, feeding the sick should be a doddle. 

A friend recently sent me a photo from her hospital bed – not of her newborn baby, sadly, but her dinner. “Pls come and revolutionise the NHS” the accompanying text read, along with a plaintive image of some praying hands. A second arrived the next morning: “Breakfast: cereal, toast or porridge. I asked for porridge. She said porridge would be ‘later’. Never arrived. (sad face).”

Contrast this with the glee with which another friend showed me his menu at a Marie Curie hospice a few weeks later. He seemed to have ticked every box on it, and had written underneath his order for syrup sponge and custard: “extra custard please”. It wasn’t fancy, but freshly cooked, comforting food that residents looked forward to – “like school dinners”, he sighed, “but nice”.

To be fair, though budgets vary significantly between hospital trusts, a reliable estimate suggests £3.45 per patient per day as an average – only slightly more than in Her Majesty’s prisons, though unlike in prisons or schools, there is no legally enforceable set of minimum standards for hospital catering. As Prue Leith writes in the foreword to a 2017 report by the Campaign for Better Hospital Food, “this means hospital food is uniquely vulnerable to a race to the bottom in terms of food quality, and patient care”.

Plate after plate of disappointment is not only demoralising for people who may already be at a low ebb, but overlooks the part food has to play in the recovery process. Balanced, appetising meals are vital to help weaker patients build up strength during their stay, especially as figures released in February suggest the number of hospital deaths from malnutrition is on the rise. According to Department of Health findings last year, 48 per cent of English hospitals failed to comply with food standards intended to be legally binding, with only half screening every admission for malnutrition.

The Campaign for Better Hospital Food’s report, meanwhile, revealed that only 42 per cent of the London hospitals that responded to its survey cooked fresh food for children – even though the largest single cause of admissions in five-to-nine-year-olds is tooth extraction. Less than a third of respondents cooked fresh food for adults.

Once the means to produce fresh meals are in place, they can save trusts money by allowing kitchens to buy ingredients seasonally, when they are cheaper. Michelin-starred chef Phil Howard, recently tasked by the Love British Food organisation to cook their annual lunch on an NHS budget, explained that this, along with using cheaper cuts and pushing vegetables centre stage, allowed him to produce three courses rather than the two he’d been asked for. Delicious they were, too.

Andy Jones, a chef and former chair of the Hospital Caterers Association, who was there championing British food in the NHS, told me the same principles applied in real healthcare environments: Nottingham City Hospital, which prepares meals from scratch, saves £6m annually by buying fresh local ingredients – “I know with more doing, and voices like my small one shouting out, we will see real sea change.”

Unusually, it’s less a question of money than approach. Serving great hospital food takes a kitchen, skilled cooks and quality ingredients. But getting every hospital to this point requires universal legal quality standards, like those already in place in schools, that are independently monitored.

Nutrition should be taken as seriously as any other aspect of care. The NHS performs so many miracles every day – in comparison, feeding the sick should be a doddle. 

Felicity Cloake is the New Statesman’s food columnist. Her latest book is The A-Z of Eating: a Flavour Map for Adventurous Cooks.

This article first appeared in the 18 April 2018 issue of the New Statesman, Enoch Powell’s revenge