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#1 Posted : 10 May 2005 16:42:00(UTC)
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Posted By J Knight Hi Folks, We have had a visit from an SEHO to one of our hospices. Apart from conducting a full H&S Inspection (as he 'didn't know whether we would be LA or HSE enforced') he has said that he has grave concerns about us serving scrambled eggs. I have a number of real issues with this, and have in the past succesfully fought a similar ruling on boiled eggs, but every situation is different, and I would really appreciate any advice from people who might have been in similar situations in the past. Note that this is a hospice, providing end of life care. People often have very limited appetites, and the fact that they will ask for food is a matter of some importance in itself, and we are of course morally obliged to give them what they ask for. This is, then, a matter of informed choice; somebody is terminally ill, they ask for scrambled egg, we say 'no it might make you poorly': I ask you! I'm not arguing that people with terminal illness should be heedlessly exposed to risk, but they know what the risks are in the case of scrambled eggs (am I really writing this?) and they take them of their own free will. So, specifically, is there a particular risk from eating scrambled eggs? Note that on the issue of soft-boiled eggs we were eventually given authoratitive advice that even soft-boiling, provided the white is solid, will ensure that the whole egg has been above 60 degrees C for long enough to kill any nasties, so will scarmbling do the same. Note also that our supplier carries out spot testing, as do the producers they buy from. Also note that we have been serving scrambled eggs since the cows (or chickens) came home and we haven't had a problem yet. So if anybody has a good, sound, evidence based perspective on the risks in this situation I would be happy to hear it, also any accounts of dealing with similar decisions. Sorry to rant on, but this sort of thing just makes life (and in this case death) difficult, and we could do without it, John
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#2 Posted : 10 May 2005 16:48:00(UTC)
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Posted By Jonathan Breeze John, Did he also advise you to cut down the Horse Chestnuts in the hospice grounds and only use loo rolls with their cores removed? It's elf'n'safety innit?
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#3 Posted : 10 May 2005 16:55:00(UTC)
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Posted By steve williamson Tell them to go away and look at the factors and do a proper risk assessment. Is that the best issue they could find in a healthcare setting? Stevew
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#4 Posted : 10 May 2005 17:00:00(UTC)
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Posted By gburgess No need to get too eggcited about this one. It would be a bit eggstreme to stop cooking them on the account of an SEHO who has had his brains scrambled. Just take eggstra care and ensure that the eggs are piping hot throughout and ensure that your eggs are tested by the supplier. This is no yoke and I hope you are eggstatic with my reply..................if not I'll just boil my head (hard boiled obviously). Regards Greg If this was all he could find to comment on then you can be pretty chuffed.
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#5 Posted : 10 May 2005 17:08:00(UTC)
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Posted By Bill Elliott There could be a risk from contracting food poisoning from eggs scrambled depending entirely on how they were made and what they were made from. Eggs - I hear you say. Scrambled eggs made "properly" are unlikely to reach a temperature that would kill sufficient bacteria - should there be any present. There are ways round this - buy eggs from reputable suppliers, rotate stock, refrigerate them during storage etc etc - this will form part of your "due diligence" defence should it be necessary. Alternatively you could use pasteurised liquid egg, although these are genrally only available in litre quantities, so scrambled egg for one is out! If the scrambled egg is made, like so many things these days, in a "microwave oven" I doubt there would be sufficient bacteria to cause a problem- tastes digusting mind! Really you ought to be trying to ensure that you doing your reasonable best to minimise the risk - and after all - as you say, the terminally ill have the final say.
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#6 Posted : 11 May 2005 14:24:00(UTC)
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Posted By J Knight Thanks for your reponses, both the humorous and the serious. We are looking at ways of establishing due diligence, as I say we're talking to the supplier about their precautions, and as some of you have guessed the general standards of food storage, stock rotation and food preparation in the place in question are extremely high. It has been one of the most striking things for me since starting my current post to see just how good hospices are and how seriously duties of all types are taken. If only every workplace was up to that kind of standard (we'd all be out of work for a start!). I'll let you know if anything else transpires, John
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#7 Posted : 11 May 2005 15:42:00(UTC)
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Posted By Ken Taylor They serve these in hotels and restaurants - which are also inspected by EHOs and I have not heard of a prohibition for scrambled eggs in any of these. I'd be inclined to make sure they are being properly cooked, carry on serving and see what happens at the next visit.
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#8 Posted : 11 May 2005 16:01:00(UTC)
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Posted By Jonathan Breeze Ah, but Ken - it's not the same is it? If you feed contaminated eggs to the terminally ill, they might die! ...Oh, hang on... On a serious note, take a look at Jack's reply (no 20 I think) on the Loo Rolls - The Saga Continues thread. If your eggs are already Lion marked and your kitchen has records for stock rotation and temperature checks, then you've just about done everything reasonably practicable anyway.
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#9 Posted : 11 May 2005 21:50:00(UTC)
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Posted By Gareth Richards I take it this guy is new in the job, tell him to get a life, because the people you're dealing with don't have much left, you have more to worry about than an egg, i take it the chef's know what they're doing, keep them fresh and stock rotated.
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#10 Posted : 13 May 2005 23:09:00(UTC)
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Posted By Nigel Singleton BSc Hmm - wonder how many scrambled egg - 'big breakfasts' McDonald's have served. Don't ever remember a case of food poisoning attributed to them. Seriously there is one easy way round this, take a few sample probe thermometer checks of the scrambled egg to prove you are cooking to a temperature that will kill salmonella. File this as you risk assessment with guidelines to the cooks to always cook the eggs to the same level. End reult 'Due dilligence'
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#11 Posted : 14 May 2005 00:08:00(UTC)
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Posted By TBC The SEHO should get round to the hotel in Northampton I stayed at on Wednesday night. The scrambled eggs there were 'rubbery' no not chinese for lovely, I'm sure the sausages winked at me and the black pudding could be used for brake pads.
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#12 Posted : 14 May 2005 18:44:00(UTC)
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Posted By Ken Taylor Come to think of it, we have had scrambled eggs at residential IOSH events before now and I am convinced that the odd EHO has been present and participating.
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#13 Posted : 16 May 2005 12:33:00(UTC)
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Posted By Dave Wilson As an ex EHO if I was this persons boss I would be asking why they are not utilising the LA resources in a proper manner eg Him! Tel him to go and boil his head!!! Ask him/her 'specifically' what breach of food safety / hygiene legislation you are likely to get prosecuted for! that will be the jellies and other wobbly foods regs! 1854 etc.
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#14 Posted : 16 May 2005 12:44:00(UTC)
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Posted By J Knight Thanks Dave, that made me larf! It does seem like he was digging for something he could complain about; I mean, conducting an H&S Inspection because he wasn't sure whether a Hospice (registered as an Idependent Hospital, btw) is HSE or LA enforced. Not only is it HSE enforced (so he obvioulsy had no right to conduct such an Inspection) but this particular place has its own H&S Adviser who is MIOSH, RSP, so standards in that department are very good anyway. Here's a thought, did he commit an offence under s33 'falsely to pretend to be an Inspector'? Does congealed custard come under the wobbly food regs? Or would that be the Yellow Stuff Eaten by the Brits Directive of 2004? John
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#15 Posted : 16 May 2005 13:49:00(UTC)
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Posted By Diane Thomason This one blows Death By Loo Roll out of the water. I do hope the newspapers don't get hold of this - we'll be hearing all about the elfnsafety jobsworths denying terminally ill people the food they want.
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#16 Posted : 16 May 2005 14:01:00(UTC)
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Posted By Davina Clark Hi John Some NHS Hospitals only use pasteurised eggs and these dont taste any different. (I worked within NHS Catering Department before I moved full time over to H&S, and this was used to provide scrambled eggs for all patients, especially those who were extremely ill and infirm) Pasteurised Eggs are available from suppliers like Brake Brothers Frozen Foods, Fife Creamery etc. and usually come in at a good price. One of your existing suppliers may be able to help. Hope this helps, but I know its eggsaperating! See ya Davina :)
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#17 Posted : 16 May 2005 14:03:00(UTC)
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Posted By Robert K Lewis As a non-newtonian fluid custard has a special set of regs for such types of material could be the Non-Operative of Newtonian Shear (End Now or Soon Exceptions) Regs shortened to the NONSENSE regs. It doesn't beat the attempted Blair acronym for the DTi change though This is a post modern world so lets take a reader centred approach to interpretation Bob
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#18 Posted : 16 May 2005 14:03:00(UTC)
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Posted By Jez Corfield Very Bizarre! - Presumably the hospice has its full HACCP undertaken and documented? If this is ok, and he hasnt raised any associated problems about systems, supplies or equipment related to preparation of the eggs, he is surely on to a loser. Was it a verbal recommendation made in relation to something he observed perhaps, or did somebody maybe make a specific complaint? I struggle to see how he could make this stick. If it was in a report, please, please let us know how he phrases this one... The right of the indivindual to eat what they want is important, as is the right of vulnerable people to be served safe food, but you seem to have all the angles covered, and this particular EHO clutching at straws. I could see this ending up in the papers...... Jez
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#19 Posted : 16 May 2005 14:24:00(UTC)
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Posted By Gerry Knowles I would tell this guy to "go away" and look at more important issues. The fact that eggs are scrambled they are "fully cooked" and as long as the chef rotates stock and applies basic principles of catering like keeping food hot. I cannot see a problem. I would guess that the meals are prepared almost to order which is yet another safeguard. I would like to say that I think that people who work in the hospice field provide need to be able to focus on the real needs of the patients and provide them with the level of comfort they require in their last days. Keep up the good work Gerry
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#20 Posted : 16 May 2005 14:57:00(UTC)
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Posted By Terry Price Just to develop the question of scrambled eggs, I wonder if all the correspondents on this subject are aware that in many cafes, and not just 'greasy spoon' ones, scrambled eggs are prepared using the coffee machine steam jet. The spin off from this is that this increases the staff to noise exposure from this equipment as it diversifies and increases its normal use (making coffee) Diversification in coffee as a consumer product by the introduction of 'designer coffees', i.e. half as much coffee, half as much milk, twice as much air and at twice the price (cafe latte, for example) has also increased staff to noise exposure. Has anyone any data on this subject? This is not for a course, just something I have observed in my daily life - drinking designer coffee and eating scrambled eggs. Any comments? Terry Price
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#21 Posted : 16 May 2005 16:23:00(UTC)
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Posted By Mark Talbot This is ridiculous, and I would agree with the approach - "tell me what I am in breach of, and ask your manager to confirm your interpretation". As a sideline though, eggs are available in whole, yolk, or whites, options in the same type of cartons as fresh fruit juices. All are pasteurised so as long as they are in date and used promptly when opened, they would be fine, regardless of the "wetness" of the eggs. The same goes for powdered eggs, which if made to the correct strength is very acceptable. I can't really imagine MacD's using shell eggs - how long would that take to train the staff? Mark
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#22 Posted : 16 May 2005 18:15:00(UTC)
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Posted By Jack John, Re the enforcement bit even if he shouldn't be enforcing HASAWA he does have the right to enforce the FSA (even if he does it badly!) so you won't be able to get him on the trespass argument! You say he 'said he had grave concerns'. Did he include them in his report/letter?
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