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Health chiefs are preparing for hospitals to run out of imported food for patient meals if the UK crashes out of the EU without an agreement.
Caterers have been told to hunt for “substitute foodstuffs to maintain nutritional balance” of meals, amid fears that supplies will be cut off by a no-deal Brexit , a government letter reveals.
Schools, the armed forces and “any kind of mass catering” will also be affected, a committee of MPs has been told.
The head of the body that represents catering associations for the public sector, said he was “very, very concerned” that supplies would be hit, even if the back-up plans worked for a few weeks.
Andy Jones, of Public Sector 100, told The Observer that about 40 per cent of food for hospital patients is imported from the EU, including chicken and salad, much of it “just-in-time” to ensure speedy delivery.
“It is not just of case of whether we will be able to get enough, if there is no deal, but also whether we will be able to afford it,” he said.
“Good food is vital for patients. Food is like medicine. If patients don’t get it then in some cases they will not get home.
“One thing we will see I think is disappearing choice. People will just be given what we can get our hands on.”
Sarah Wollaston , the Conservative chair of the all-party health select committee, which was sent the letter, said: “It is becoming ever clearer that we are not just facing a shortage of drugs but also many other things that hospitals need to function.
A historic moment: thousands march to demand Final Say on BrexitShow all 65 1 /65A historic moment: thousands march to demand Final Say on Brexit A historic moment: thousands march to demand Final Say on Brexit An estimated 700,000 people marched through London to demand a final say on the withdrawal agreement
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A historic moment: thousands march to demand Final Say on Brexit Red smoke from a canister hangs in the air as around 100,000 demonstrators march through London during a People's Vote anti-brexit demonstration savings banners and placards Anti-Brexit People's Vote March for the Future in London
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A historic moment: thousands march to demand Final Say on Brexit
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A historic moment: thousands march to demand Final Say on Brexit Mayor of London Sadiq Khan takes part in the People's Vote March for the Future in London, a march and rally in support of a second EU referendum.
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A historic moment: thousands march to demand Final Say on Brexit Final Say campaigners take part in the peoples vote march for the future in London 20/10/2018 Protesters wearing final Say shirts and holding placards
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A historic moment: thousands march to demand Final Say on Brexit
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A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
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A historic moment: thousands march to demand Final Say on Brexit MP Chuka Umunna (left) and MP Vince Cable (right) as MP Anna Soubry (centre) addresses Anti-Brexit campaigners at a rally after the People's Vote March for the Future in London, a march and rally in support of a second EU referendum.
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A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
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A historic moment: thousands march to demand Final Say on Brexit A People’s Vote march attendee calls for a Final Say
Angela Christofilou
A historic moment: thousands march to demand Final Say on Brexit Demonstrators with banners 'We're with EU' during the People's Vote March for the Future in London, Britain, 20 October 2018. Reports state that the 'March for the Future' is to be led by a column of young people and call for a People’s Vote on the Brexit deal. After marching through central London, there will be a rally on stage in Parliament Square, including speeches from Mayor of London Sadiq Khan.
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A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
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A historic moment: thousands march to demand Final Say on Brexit
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A historic moment: thousands march to demand Final Say on Brexit Protesters at London’s march for the future in October
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A historic moment: thousands march to demand Final Say on Brexit Editor of The Independent Christian Broughton speaks to demonstrators in Parliament Sqaure after they take part in a march calling for a People's Vote on the final Brexit deal, in central London on October 20, 2018. - Britons dreading life outside Europe gathered from all corners of the UK to London on Saturday to try to stop their country's looming breakup with the EU.
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A historic moment: thousands march to demand Final Say on Brexit A poster at the March for the Future in October
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A historic moment: thousands march to demand Final Say on Brexit Anti-Brexit campaigners take part in the People's Vote March for the Future in London, a march and rally in support of a second EU referendum.
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A historic moment: thousands march to demand Final Say on Brexit
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A historic moment: thousands march to demand Final Say on Brexit Final Say campaigners take part in the peoples vote march for the future in London 20/10/2018
Angela Christofilou
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit Anti-Brexit campaigners take part in the People's Vote March for the Future in London, a march and rally in support of a second EU referendum.
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A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit Demonstrators hold placards as they take part in a march calling for a People's Vote on the final Brexit deal, in central London on October 20, 2018. - Britons dreading life outside Europe gathered from all corners of the UK to London on Saturday to try to stop their country's looming breakup with the EU.
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A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou
A historic moment: thousands march to demand Final Say on Brexit Final Say campaigners take part in the peoples vote march for the future in London 20/10/2018 campaigner wrapped in EU flag
Angela Christofilou
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit
Angela Christofilou/The Independent
A historic moment: thousands march to demand Final Say on Brexit Final Say campaigners take part in the peoples vote march for the future in London 20/10/2018
Angela Christofilou
A historic moment: thousands march to demand Final Say on Brexit Demonstrators pass Trafalgar Square as they take part in a march calling for a People's Vote on the final Brexit deal, in central London on October 20, 2018. - Britons dreading life outside Europe gathered from all corners of the UK to London on Saturday to try to stop their country's looming breakup with the EU.
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A historic moment: thousands march to demand Final Say on Brexit Demonstrators wave Union and European flags and hold up placards as they pass Trafalgar Square, taking part in a march calling for a People's Vote on the final Brexit deal, in central London on October 20, 2018. - Britons dreading life outside Europe gathered from all corners of the UK to London on Saturday to try to stop their country's looming breakup with the EU.
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A historic moment: thousands march to demand Final Say on Brexit Demonstrators hold placards as they take part in a march calling for a People's Vote on the final Brexit deal, in central London on October 20, 2018. - Britons dreading life outside Europe gathered from all corners of the UK to London on Saturday to try to stop their country's looming breakup with the EU.
AFP/Getty
A historic moment: thousands march to demand Final Say on Brexit A demonstrator holds a message during a march calling for a People's Vote on the final Brexit deal, in central London on October 20, 2018. - Britons dreading life outside Europe gathered from all corners of the UK to London on Saturday to try to stop their country's looming breakup with the EU.
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A historic moment: thousands march to demand Final Say on Brexit Anti-Brexit campaigners take part in the People's Vote March for the Future in London, a march and rally in support of a second EU referendum.
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A historic moment: thousands march to demand Final Say on Brexit Demonstrators take part in the 'People's Vote March for the Future,' in central London, Britain, 20 October 2018. Reports state that the 'March for the Future' is to be led by a column of young people and call for a People’s Vote on the Brexit deal. After marching through central London, there will be a rally on stage in Parliament Square, including speeches from Mayor of London Sadiq Khan
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A historic moment: thousands march to demand Final Say on Brexit A protester brandishes an Independent t-shirt during the Brexit March
Angela Christofilou
A historic moment: thousands march to demand Final Say on Brexit Anti-Brexit campaigners take part in the People's Vote March for the Future in London, a march and rally in support of a second EU referendum
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A historic moment: thousands march to demand Final Say on Brexit Tens of thousands of people take part in People's Vote March for the Future in central London. The march organised by the People's Vote campaign is led by young people calling for a People's Vote on the Brexit deal
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A historic moment: thousands march to demand Final Say on Brexit Anti-Brexit campaigners take part in the People's Vote March for the Future in London, a march and rally in support of a second EU referendum
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“Food is one them. The cost and work involved in dealing is staggering. Surely there is a better use of time and money.”
The letter, released to the committee, has been sent by the Department of Health and Social Care (DHSC) to all hospitals, saying the potential food shortage will be “managed centrally”.
It reads: “Instructions will be given to major producers of patient meals to put in place contingency arrangements, to account for short supply of certain ingredients.
“Guidance will be provided to hospital caterers, procurers of patient food and catering services, and PFI providers on actions to take in preparing to use substitute foodstuffs to maintain nutritional balance of patient menu/meal offerings.”
In recent evidence to the committee, Saffron Cordery, the deputy chief executive of NHS providers , the trade association for NHS trusts, explained: “It is a widespread issue – it will not just be about catering for hospitals.
“This will be any kind of mass catering, so schools and the armed forces. We will be looking across the piece.”
Ms Cordery said the preparations would not be simply for a matter of weeks, adding: “We are talking about contingency arrangements over a period of time.”
And, asked about medicine shortages, she told the MPs: “I have a number of worst nightmares actually.
“The timing and the timescales are critical. There has not been sufficient time for national‑level planning, frankly, although it is speeding up now.”
A Department of Health and Social Care spokesperson said: “As part of our contingency planning, we are taking all necessary steps with NHS England, suppliers and pharmaceutical companies to ensure patients continue to receive the high standards of care they expect.”
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