Skip to main content

Making fresh, local food -- the healthy alternative for hospitals

The Globe and Mail ran a very interesting Saturday cover story on plans to increase fresh, nutritious, local, and hospital cooked food at Scarborough Hospital. It deserves quotation.

"People in power have begun to recognize the link between health and good food, and believe it should be heeded in a place that caters to the ailing. Paradoxically, hospital patients are fed some of the nation’s cheapest food – each meal costs less than three dollars per person. Much of it goes into the trash: About 40 per cent of what kitchens dish out is rejected. Administrators everywhere are struggling with this and low patient satisfaction; many admit they would never feed their families the low-budget food their kitchens serve to patients....

"The most tantalizing prospect involves adding fresh or local foods and returning to scratch cooking. Most Canadian hospitals have long since given up the basics, such as distilling soup stock from simmered bones, in favour of convenient powdered mixes. Some have gutted kitchens altogether, lured by the 30-per-cent labour cost savings that comes with installing what the industry terms “kitchen-less” systems. These consist mainly of 're-thermalization' units used to reheat food that is prepared offsite in massive kitchens. They formulate nutritionally correct meals with scientific precision.

"These systems, which gained popularity in the 1980s, are “the only way of operating an efficient food service operation within the funding envelope of the Canadian Public Health Care system,” according to material published by Burlodge, a large meal delivery equipment vendor.

"Ms. Maharaj’s mission (at Scarborough Hospital) is to prove that scratch cooking is a feasible panacea in this publicly funded, cash-strapped system. She’ll try to do it by shifting the hospital’s procurement – when it’s cheaper – to produce certified by the sustainability inspection group Local Food Plus. She imagines a pot of curry on the fire to appeal to multicultural tastes; recipes will be sent up to patients on friendly prescription-type cards so they can replicate them at home.

"She has her work cut out for her: Hospital kitchens have long been seen as little more than a cost-centre ripe for cutbacks. That she has taken on the challenge is already a small victory for the food movement, which has long eyed the health and education systems as avenues for democratization. “Food needs a champion. It needs someone to fight for it,” she said. “What you eat directly impacts your health and recuperation.”

"The reams of studies documenting this led the hospital to hire Ms. Maharaj after winning a $191,000 grant from the provincial government and the Greenbelt Fund.... Propelling the effort is the belief that nutritious food is a public-health tool, one that can address many of the issues that cause illness – obesity, heart disease, diabetes – and drive up healthcare costs."

A tray holding a hospital lunch is pictured at Scarborough General Hospital on Friday June 24, 2011.

Sophia Lynton prepares sanwiches in the kitchen at Scarborough Hospital in Scarborough, Ont., June 15, 2011.OCHU is campaigning for fresh, local and nutritious food, cooked and prepared in local hospital kitchens.


Leslie Carson, manager of food and nutrition at St. Joseph’s Health Centre in Guelph, a 330-bed facility adds, “People underestimate how conventional cooking really gives your employees a sense of creation.… there is no joy in unpacking frozen lasagna from a box. But there is joy in making something from scratch.”


We have all had enough ready-prepared food made in distant, corporate food factories.




Comments

  1. "...there is no joy in unpacking frozen lasagna from a box."

    Dietary workers have been morphed into factory workers, not FOOD SERVICE workers. It's difficult to take pride in one's work when it's no longer created by you.

    "...prove that scratch cooking is a feasible panacea in this publicly funded, cash-strapped system. She’ll try to do it by shifting the hospital’s procurement – when it’s cheaper – to produce certified by the sustainability inspection group Local Food Plus."

    It absolutely is possible. Most families purchase according to what's seasonally available, therefore cheaper. Restaurants often do the same thing...offer seasonal menus. It would likely save hospitals money to co-ordinate menu planning in the same manner.

    We all know a healthy diet is pinnacle to a healthy lifestyle so it only stands to reason that hospitals should be leaders in setting that standard.

    ReplyDelete

Post a Comment

Popular posts from this blog

Ford government fails to respond to 72% increase in COVID inpatient days, deepening the capacity crisis

COVID infections continue to drive up hospital costs and inpatient hospitalizations in Ontario. For the most recent fiscal year (April 1, 2022- March 31, 2023) hospital stays related to COVID cost $1.221 billion, according to new CIHI data.   This is about 4% of total hospital spending, creating a very significant new cost pressure beyond the usual pressures of population growth, aging, inflation, and rising utilization.   Costs for COVID related hospitalizations increased 22.2% in Ontario in 2022/23 from the previous fiscal year, rising from $999 million to $1.221 billion.  That rise is particularly notable as the OMICRON spike of late 2021 and early 2022 had passed by the the 2022/23 fiscal year.   The $222 million increase in COVID hospitalization costs came in the same year as the Ford government cut special COVID funding and, in fact, cut total hospital funding by $156 million.     In total, there were 60,653 COVID hospitalizations in Ontario in 2022/3, up from 47,543 in 2021/2. 

More spending on new hospitals and new beds? Nope

Hospital funding:  There is something off about the provincial government's Budget claims on hospital capital funding (funding to build and renovate hospital beds and facilities).    For what it is worth (which is not that much, given the long time frame the government cites), the province claims it will increase hospital capital spending over the next 10 years from $11 billion to $20 billion – or on average to about $2 billion per year.   But, this is just a notional increase from the previous announcement of future hospital capital spending.  Moreover, even if we did take this as a serious promise and not just a wisp of smoke, the government's own reports shows they have actually funded hospital infrastructure about $3 billion a year over the 2011/12-2015/16 period. So this “increase” is really a decrease from past actual spending. Even last year's (2016-17) hospital capital funding increase was reported in this Budget at $2.3 billion - i.e. about 15% more th

The hospital crisis: No capacity, no plan, no end

While Canada has achieved universal public healthcare coverage, that does not mean conservative forces have given up trying to erode that coverage and expand corporate care where it does not currently exist. The battle has become particularly intense in Ontario under the Ford Progressive Conservative government, which is implementing serious cuts to the level of care and moving to bring in for-profit mini-hospitals. Inadequate Staffing.   Less and less of hospital spending is on staff.   Employee compensation as a share of hospital expenditures has consistently shrunk in Ontario. This is not some immutable law of hospital development.  It is in stark contrast with the rest of Canada, where compensation has become a larger share and now accounts for 67.1%. Hospitals in provinces other than Ontario now have 18 percent more staff per capita than hospitals in Ontario. Overall, if Ontario had the same staffing capacity as the other provinces and territories, there would be another 33,778 full t