Implementation of national school food policy in special and alternative education: a mixed methods study
Marie Murphy, Iain Brownlee, Jessica Tanner, Emily K. Hope, Estera Sevel, Samantha Friedman, Margaret Defeyter, Gabriela Meira, Eleanor-May Ford, Anna Mathieson, Miranda J. PallanAbstract
Objective:
To understand how special and alternative education settings implement national school food standards and policy and identify challenges to and support for implementation.
Design:
Mixed methods study comprising (1) cross-sectional quantitative assessment of: (a) compliance with standards through menu review and researcher observation; (b) implementation of actions from the School Food Plan (SFP) through survey and (2) qualitative interviews with school staff.
Setting:
State-funded special and alternative education settings with pupils aged 4–18-years in England.
Participants:
Eight settings and thirty-seven school staff with a role in school food, including catering staff, school leadership, teaching staff and school governors.
Results:
The median level of compliance for all standards was 66·7 % (interquartile range (IQR) = 61·3–70·0), with highest compliance for lunchtime standards (median = 73·3 %, IQR = 68·2–75·3) and standards aiming to promote dietary variety (median = 73·3 %, IQR = 66·7–73·3) and lowest for standards that apply across the whole school day (median = 50·0 %,
Conclusions:
Special and alternative education settings had intensive, highly individualised approaches to school food that often conflicted with standards compliance. School food standards and policy need consider the unique challenges for these settings and the need for flexibility, adequate funding, tailored resources and staff training to improve quality of diets in this population.