Have you implemented IDDSI yet? The date for implementation of the new IDDSI guidelines was 1st May.  Key issues to consider include:

  • Documentation of the IDDSI textures and thickened fluids in your clinical software and in kitchen documentation
  • Training for care and kitchen staff on the differences between the Easy to Chew and the Soft and Bite Sized Diets
  • How have your residents currently receiving a soft diet been re-classified in the new guidelines? You will need support from your speech pathologist

Our Meal Plans for Older People Manual has been revised for IDDSI. If you have purchased a version over the past 12 months, you will receive an updated version. For more information or to purchase the manual, click here.


How many allergies is your organisation catering for? Do you know if they are true allergies or are they intolerances? Or dislikes? How do you know?

When a resident is admitted to an aged care home it is very important to clearly document any
reported allergies or intolerances. Many individuals are confused and believe they are allergic
when they have any type of reaction to a particular food. Nursing staff should determine:

  • What reaction occurs after eating the food?
  • What symptoms are experienced?
  • Is it a medical emergency?
  • How much of the food can be tolerated e.g. none vs. a little bit in cooking?
  • Is it really just a dislike of that food?
  • The GP and family should be consulted.
  • The Food Service Manager or Chef may also be involved to clarify the dietary details.
  • Some individuals should be referred to the dietitian to clarify dietary needs.

NPA will explore the differences between food allergy and intolerance and some of the resources available to you in the next few newsletters. 


Food allergy is an immune system reaction to a protein in a specific food. It causes the release of
antibodies and histamine, and the histamine triggers symptoms. Allergy symptoms can start within minutes to an hour of eating the problem food. Symptoms can vary from mild to severe. Even tiny amounts of a problem food can cause serious reactions in very sensitive people. Occasionally food allergy can cause a severe life-threatening reaction.

Food  intolerance can be caused by a range of substances that occur naturally in food,
as well as additives. Unlike food allergy, reactions are not caused by an immune response to food proteins. However, histamine can be released as part of the reaction, and symptoms can be similar. Most people with food intolerance can manage a very small amount of the food with no ill effect.


Online e-learning Presentations

Have you attended NPA's Improving Nutrition in Aged Care Seminar? We are now offering the seminars as a series of online e-learning presentations.

Also updated for IDDSI.

Read more

Resources for Aged Care

NPA has developed a set of resources and information for aged care homes.They have recently been upgraded- both the content and the look and feel of the resources.You can begin accessing them from our website now. 

Includes resources for IDDSI.

Read more