Resources to assist with transition to the International Dysphagia Diet Standardisation Initiative (IDDSI) framework

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A resource alert has been issued to eliminate the use of the imprecise term ‘soft diet’ and assist providers with the safe transition to the International Dysphagia Diet Standardisation Initiative (IDDSI) framework, which introduces standard terminology to describe texture modification for food and drink.

A range of resources to assist providers with this transition are listed below.

Resources from the IDDSI

The IDDSI framework

The IDDSI has developed a standard terminology with a colour and numerical index to describe texture modification for food and drink. A range of resources have been developed by IDDSI and can be used freely with the acknowledgements advised on their website.

Resources include printable posters and labels, conversion charts, audit sheets, implementation guides, presentations, publications, shared resources from other users and a link to the IDDSI YouTube site, where they have videos and webinars available for viewing.

Resources from the Royal College of Speech & Language Therapists and the British Dietetic Association

Primary care and pharmacy

The implementation of IDDSI means that the numerical descriptor for the recommended fluid thickness for patients will change. Scoop sizes will also change and the number of scoops required to reach their recommended thickness will be different. Please advise patients or their carers to read the changed instructions on their tins of thickener, and contact their speech and language therapist if they have any concerns.

Further resources from NHS Improvement

NHS Improvement will develop a short video for front line staff to understand why these changes are important, and what support they should expect to see to help them manage the transition to the new descriptors. 

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