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way, way. That means that we are moving on to our next speaker on. We are really honored to have nearly Marsala with us on d knew it is ah, specialist in and diabetic podiatry. And she is also leading the campaign for 24 are hot food for NHS staff on if any of you have worked right the night you will understand how important that is to be well nourished on If it's really closely with our theme today off humans in healthcare, that means patients. That means us healthcare professionals on actually looking after our staff so that we can look after other people and we're really honored have nearly with us to share a little bit of oy that Campion to share a little bit of white her work on why that's and importance nearly. I'm gonna hand straight over to you. Enjoy your Thank you. Thank you. Um, thank you for having me, so I really don't, you know, have to follow up after that amazing session that we just had it. So I tried my best. So, um, I'm just gonna share my screen now. Oh, and just get starts it right. Okay. So my my sessions about know hungry health of staff. Andi feels kind of introduced me. So my set my campaign is all about providing 24 7 you to the NHS to every single NH test trust in the country. Um and this means hot and cold foods onda have to be nutritious on delicious on affordable. This's Teo. So the whole point of this campaign is to provide positive mental on physical well being on in terms that improves the quality of patient care. A swell. So why did I start this? So I started it because, um, as you, as many of you probably know, I'm quite active on Twitter. So I have a well being National baking group called Bacon. Medics on what I was noticing was a common occurrence where people were talking about how they're hungry during night shifts. Now, as a podiatrist, I do night shift. So I wasn't aware that there's actually no food available hot food available at night on that. And if you forget your lunch, for example, or you are not able to prepare for your food at night, what happens is you basically go hungry for 12 13 hours So I started off this tweets decided, started campaign and asking the government for some answers and support some help on their response was quite able whelming. Um, unfortunately, it didn't start off very positively. There was quite a lot of negative response about how you should get your own food, how we should be more prepared. Um, Andi, Yes. Quite shocked, actually. But with every every negativity, there is always a positive response. And this was the overwhelming response I have got. So as you can see her that health care workers show you exactly what provisions they have at night. So you have, for example, half build buttoning machines, empty vending machines. Um, but the machines filled with chocolate bars and crests that is supposedly supposed to get you through 12 hours or 13 hours in your night shift on. And because he on the right spots in hand corner, someone accidently spilt their lunch. Um, or there's also being a cases where you have where someone's taking your lunch is Well, um, so, yeah, it's It's quite shocking to me that we live in the 21st century where there's no food provisions for those at night. on, do you? And the energy is is one the largest employees of the world and that this is how we treat our staff at night on, we expect them to make life changing decisions for patients. Um, and it's also very well known that night shift staff have, um ah, higher rate off. Um, long term pathology is the disease is such a zestymint heart disease, diabetes as they get older. So you're quite disadvantage from the get go, which is unacceptable, really? On just slight changes. Like having food at night for 20 or like 24 7, actually makes such a difference. Not just in the short term, but in the long term aspect. So and another part of my campaign is 24 7 foods. So, um, it's been poverty. Sorry. So we have this nurse, for example, as an example, she has been working, um, in the hospital where they have the staff food bank. Then she worked in primary care. So in a GP setting on d, she has no food available. She's actually struggling, so as a result, she has biscuits to keep her going every day on. As a result, she gets dizzy. She Her health is low. She's she's really struggling at work. So, yes, my campaign started for 24 7 food, but then it also incorporated food poverty, because I think they go hand in hand. Food affordability. Andi few provision is both so crucial. And to make sure staff off that is so important. So the Institute of Health and Social Care I carried out recent survey on we found only 10% off. Um, health care lack has had hot food available in their trusts. Um, on this, uh, 38% reported no food at all was available at all. So these are quite staggering numbers. If you think about it on this is where that costs again goes in with food poverty. You've got cost bearing from three pastor 7 lbs on. You know, there are some services out there that know that they they are the in the service available in a certain radius on Do you know they might take advantage of that and hike their prices up. So, for example, that was being a trust that has, um, being charging people nearly 3 lbs with ti slices up, and we questioned them and now they brought it down to 1 lb. But it you know, it's odd that it takes questioning or a campaign to put light on this on. This should be done from the get go onda the BMA. It's particular Visit Facilities charter also recommend that fresh meals should be available on occasion. Facility should be open 365 days a year. I'm also the independent review of NHS hospital food. Also, you know make a very important point where poor working conditions contribute teo feelings or stress on burn out on D, it leads to 45% to 63% risk or making major medical errors. So this is where I go back to say in that patient outcomes is a result of us. So how did I start my campaign? This is for any of you that feel inspired to start your own campaign. So I contacted my MP who started a petition in Parliament on. So far, we've got 26 on DPI signatures. So this is purely for funding, um four Trust to get a 24 77 service within the trust. So it's doing very well so far on later on in the in the year they should be come to a close, and we should get the results soon. I have a lovely campaign partner called celiac Mood Armor to is Master Chef winner on also a gastroenterologist. Um, it's really important to to do press to get you know, the word out there to get support out on. I think research is really crucial as well. So we're in the process of building quantitative and qualitative research because it hasn't been done before, So there's hardly any research. Upper, um, Andi were working really hard with GMC scores. Teo, try and get these research through and we go, and we're also trying to do a national survey with the B m A. To find out exactly the snapshot of where we are at the moment and where we need you to go. So it's a big effort. This is on the national scale, is not up at a local scales that it takes lots of time, effort and resources on by think it's really important to have a good team around you. So thankfully, I've got excellent marketing and calms group of got, um, amazing amazing team about me, and without this team, I would not be going as far as I can. I've got a team with people working in any chest. England people working for Parliament on but, you know, working in catering facilities. Onda again. This is so important, because without them on the resources and knowledge they bring in, I can't go really far with us on. But I'm working with trust at the moment to provide 24 7 hot food. So at the moment, I think I'm working about seven trusts comedy to bring 24 7 food within the services. So it's about having so being supportive on encouraging to get things done. So just, for example, since we started the campaign trust have been on board, So they've started doing hot meal trials. So you've got Dorsett Hospital who started doing the night shift Hotmail trials or lack of food bags. They had to food bands on got really nice, happy, smiling faces because you're picking staff well, being at the four friends and then you've got Livable Hospital that has decided to do seven days, 24 hour, um, opening off their beat, their bistro. So it's great actually s. So what are my next steps? My next steps are right. So we have What we've had is recommendations like we've seen from the health and social car bill. Um, sorry from the, um, National Review on different, um, the health and physically first is to charter, but it's not really going that far. Commendations only go so far. So what we're trying to do is hit head on, and we're trying to mandate to in parliament with health and care social bills. If this goes through, that means every trust has to about about provide some sort of 24 7 service at during night on weekends. So this is a big deal. And this should, um, be in effect next month, actually. So it's quite a busy period for us at the movement. I'm trying to do a national food poverty up, so I'm trying to get build an app where just can get involved by having this up. What this shows is unfortunately, with food poverty, there is a stigma on. People are ashamed. All of the situation they're in, but they shouldn't be ashamed because it's not there forward. It's It's to do with low pay for the amount of hard work they put end. Um, so this food that provides allows thie individually anonymous. So it looks like you're paying with Google pay. But really, what you're doing is, um, having your meal subsidized or having three meals provided through trust six extra. But no one knows that you have this voucher because you're paying with your phone. Um, we're working tirelessly. We trust provide 24 7 food and encouraging them. And so far, we've had such a overwhelming, supportive response on for catering teams and trust. So I feel like it's just going to go higher and higher and higher. Onda. Another crucial point is funding, Like with anything, you need funding behind you. So this is what we're trying to ask Parliament for on. But, um, hopefully that goes well. So, um, if you want to hear more, please. This is my website, and they're hungry. Staff dot co dot UK and you can follow us on Twitter or Instagram on board. But is it really so this is using my references on D. I think it's just Ah, yeah, reason from A If you're gonna do a campaign that um, you know, you need to have the drive to go through of it on. Do you need to have You need to have the passion for it because I think as you get on with the campaign, it gets so exciting that as you with time, it's kind of like a long marathon. So with time it you're you're resources Rendall down your your efforts dribble down. But you need to keep going so passionate, so important on do what you believe that's so important on what we're working on with trust is it's not a kind of one fit a lot category for everybody. So where it was supporting individual trust to go back to the staff, ask them what they want. Survey the staff. Um, look at your local demographics. See what, um, each trust me. So, for example, in south London, you've got quite a lot of Africa are being communities there. So jet chicken rice, except her would be so popular there that you wouldn't have that in Somerset, for example. So it's really important that trust. Look at the look communities, how their local businesses can support them on because I feel like local businesses have a lot of, um, passion and love for their local hospitals, So that helps a lot. So it's not just about 24 7 canteen food where there are a lot of innovations out there. So you've got 24 7 food vending machines. Smart bridges, which provide chilled food. I looked at a company in two weeks ago, which actually provide shield food, which is warmed up through steaming so it doesn't provide a dehydration process. It provides a hydration process to the foods. There's so much innovation out there. We just I don't think we've ever had a platform where we can bring it all together on. This is what this campaign has done. It's brought a platform where we can provide all of these different sort of innovations and things on just provide passion, because I think everyone's passionate about food, food, food. In my culture. Food shows how you care about people, so if you care about people, you feed them until you know they're absolutely full on. That's what I'm trying to do. I'm trying to teach. As with cave it, I think it's fair to say that people feel unappreciated. People feel like they're efforts have gone down. There's a huge staff retention problem in the any chest. And I feel with bringing, you know, physical mental health. We're well being back in the forefront. What we can do is bring, you know, solve the staff retention problems show people that actually, we care about the hard work, your pitting in. We care about the long hours you're putting in on on, you know, you care. You mean a lot to us. Uh, and I have to admit, before I start this campaign, I didn't realize have what a huge issue it's being like. For example, there was this junior doctor on duty he had. He was so hungry. All the had access to was Rita Becks on it. He filled the Weetabix with a juice like a squash, and he just started eating it because there was no food available. I mean, when did we start treating health care workers as animals? I mean, I wouldn't even be that to an animal. It's it's really awful to see what we're going through on. Do you know, can we blame people believe in the NHS as a result of what they're what having to deal with? Not really. I don't think so. So that's why I'm trying to shed a light to this, not just through publicly, but through Parliament on. But it's not being easy. It's not. It's not being uneasiness Road, but like I said, it's with passion that's in driving me through it through helping people on. I hope that this isn't just a short term thing, that this leads a legacy and it's long term. And I also know that, you know, way are this just isn't a national issue is a white scale issue. So I guess this talk is to inspire other people to start this in their own countries as well, because it's so important. Um, Andi, you know, like I said, this is unprecedented circumstances on D. I would really appreciate your support. So at the moment I'm doing this in England and Wales that my aim is to get this done in Scotland on island. So putting, putting really what I say, um, to action. Really, To say that this is going to be a national campaign on DWI will work hard for my aim is that within a year, only trust in the entire country should have 24 7. What Three provisions in place on. So far we have. So, for example, um, we've got a 24 7 canteen in North Embryo. We've got a 24 7 canteen in Liverpool now, which is amazing with, um, working with a port Smith at the moment switch. Uh, just, for example, on DWI got innovations in place that Kings Hospital. So they have a smart fridge in the emergency department, which has really changed things. You know, you get feedback from people saying that, actually, this has really helped my wellbeing. This has really I actually feel like I am more, um, more attentive. I can you know, patient outcomes improved as a result. I would don't want a doctor treating me or operating on me. He hasn't eaten for 12 to 13 hours. So you've got businesses. I think what the problem is any chest trust look at other NHS trust to see what they're doing, but we need to look outside of that. Netflix and Google, for example, provide free hot food food at, um, like, five star for mission is the standards. Um, so, yeah, now I'm like, Netflix and Google. Can you please, You know, give me a job? Because I would really appreciate that. Um, so, yeah, I think they need to start looking outside and see what other businesses are doing on. They're not just doing it for stuff well, being they're giving. Get to attract the's amazing talents out there and be, like work for Netflix. Work for Google. We've got this, and, you know, that's amazing. Many available. And it's not just limited to three or four. Sort of. You know, you can sort of the varieties they've got four blow menu of, like, 30 to 20 varieties of food from, like, four tillers. Teo salads, Teo, you know, chips. And it's amazing. So why can't we have that in the NHS? I mean, Okay, he doesn't have to. We're happy to pay for our food, but we should also be, um, attracting amazing talent into an HS. I mean, such a amazing service we have here, which is not seen anywhere else in the wells. So really, we need to value our staff, and this is what this is all about. Really? So yeah. Thank you. Nearly Thank you so much for showing a little bit about your journey in the couple of ways, right? So from okay you have from the campaign perspective, which is super important on about that campaign is all a bite, but also what that feels like to actually run their campaign on down on some of the positives and some of the negatives. I've got some really interesting questions, and I'm going to start with she here joyous question. And he says, Hey, nearly I've been fooling your Campion recently and I think it's really quite amusing. Is there any scope for this in Scotland on D if sodium anything going on in Glasgow? Guessing, Uh, she here is working in Glasgow. I've just come off nights. I'm I've pretty much ordered, like myself through delivery each night. Many people are also fasting angina. Ramadan haven't been able to get hold of anything to break their fast because everything is closed. I guess there's a wider question there. Isn't there by, actually, Are we? Are we inclusive in our our healthcare foods provision, Especially for those people here fasting, right? Yeah, I think him Ramadan's. It did to my heart because I've been fasting while trying to do a food campaign s Oh, yeah. It's not it. I can Exactly what you go for. Sure. Um that, Yes. I am looking to bring it into Scotland. Um, Andi. Yes, I agree. Delivery is not a great ideal to have, um, like, special when you're fasting, usually that the deliveries are quite high in carbs and calories on it's quite expensive as well, so it's not really viable. Um, So I'm actually working with uber eats at the moment on Working with Mark Marks expenses that we hit Smith on Starbucks Elise major companies to try and get everyone involved to help all of you guys. Actually, what's really important is that these major major companies are realizing that actually, we need to help help healthcare staff on provide them 24 7 food on. So yeah, I'll be working with these companies to make sure that the the service that provide are affordable for you guys and try and get health healthy options and therefore you'll, um yeah, I'll be working with Scotland and Ireland, Wales in England. Try and get this done for everybody. I completely agree. What you guys are going for is not right. You know, we shouldn't have to have services that are closed at night just because people who are the top boats go home at 9 to 5, and they, I don't know, probably forget that everyone else is working afterwards, So it's not not acceptable, really? On the question. I kind of think is, why has this been going for so far, like so long, like 50 60 years? Um, and I feel like, um really a lot of it's got to do with funding. And people usually put, you know, healthcare services, you know, like treatments except your clinical stuff at the top, which they should. But then also catering should be at the top is Well, um and also I feel like people think this has been going for so long people have managed to Why should we change things? Eso this dizzy? These are things that I'm trying to challenge. These are things that I'm trying to. I'm trying to change people's way of thinking. So I'll let you guys know how it goes on on dure. Hopefully next time you know, we see you in a year. You should be saying telling me how you Well, Fagina is you've got food available. I think it's an incredible question from GM PSAs. Well, a really good question. So thank you for your presentation. Having worked in small district general hospitals with smell very small canteens. Unlikely small budgets. Are there any good ways to help facilitate getting food to staff 24 7 on a very small scale. Yes. So I'm currently working with trusts at the moment who are, like, more District General Hospitals s Oh, they won't be able to provide, like, 24 7 canteen food. So what I've what I'm saying is this isn't a tick box exercise for trusts. So on This isn't like a one size fits all. So, for example, um, North Hampton, who I'm working at the moment is a very small general hospital. And what they have available is free mills for staph, Um, like canteen food that hasn't been sold or, you know, food that they're making the kitchen out of hours. But unfortunately they're canteen is so like it's like on the lower grounds, and it's not the fact accessible. So what we're trying to encourage them to do is provide, like, indoor agree service So people, actually, you know you've got someone delivering these onto the war's putting them in the fridge is so they're available for people. People don't because, you know you know what it's like. Well, you got, what, 20 minutes for a break on by the time you get to the canteen, that's your 20 minutes gone. So we're trying to make it accessible for each General district hospital out there. So there's there's many innovations that they can use. You've got that indoor, you greet service, you've got a staph fridges. So, like I said that this is like healthy foods. So you've got, like, a bowl food that you know, Children, noodles, chilled chicken and rice on. Do you put it in the microwave for three minutes and that's your meal done. So that's what we're trying to encourage. There's huge innovations out there, like, for example, the East Lancashire Hospital have this amazing innovation where they've got I don't like using the term value machine, but just for your image imagination, just use the We'll just pretend it's of admission, but they provide pizzas. They provide chips, they provide pastries. They've got a salad bowl vending machine they've got smoothies, vending machine. So really, there is so much out there that we can provide for everybody, regardless off the scale of the hospital. Amazing on Go on. I think that is reflected from some of the comments in the audience is, well, nearly so. And she hears, just replied and said, This is amazingly thank you for it is such an important part of morale. We aren't really integrate places far as morale is concerned, and stuff like this will make a real difference on. But I think I think that's really important. Kind of completes this. A story off humans in healthcare, right? We we are humans and healthcare. All of us are humans and healthcare patients and staff on. But, uh, we just want to thank you nearly for the work that you're doing that to really highlight that and make sure that we are cared for so that we can kind of care for other people. Unfortunately, don't really have much more time for questions nearly, but just to say massive. Thank you for talking this morning for showing little bit bite work and the work that you're doing and thank you for the Campion that you are running and all of the very best with it