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