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The perceived impact of the National Health Service on personalised nutrition service delivery among the UK public

Lookup NU author(s): Dr Arnout Fischer, Mark Walsh, Dr Sharron Kuznesof, Professor Lynn FrewerORCiD



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Personalised nutrition (PN) has the potential to reduce disease risk, and optimise health and performance. Whilst research has shown good acceptance of the concept of PN in the United Kingdom (UK), preferences regarding the delivery of a PN service (e.g. online versus face-to-face) are not fully understood. It is anticipated that the presence of a free at point of delivery healthcare system, the National Health Service (NHS), in the UK may have an impact on end-user preferences for deliverances. To determine this, supplementary analysis of qualitative data obtained from focus group discussions on PN service delivery collected as part of the Food4Me project in the UK and Ireland was undertaken. Irish data provided comparative analysis of a healthcare system that is not provided free at point of delivery to the entire population. Analyses were conducted using the ‘framework approach’ described by Rabiee [Rabiee, F. (2004) Focus-group interview and data analysis, Proceedings of the Nutrition Society, 63(4), p. 655.]There was a preference for services to be led by the government and delivered face-to-face, which was perceived to increase trust and transparency, and add value. Both countries associated paying for nutritional advice with increased commitment and motivation to follow guidelines. Contrary to Ireland however, and despite the perceived benefit of paying, UK discussants still expected PN services to be delivered free of charge by the NHS. Consideration of this unique challenge of free healthcare that is embedded in the NHS culture will be crucial when introducing PN to the UK.

Publication metadata

Author(s): Fallaize R, Macready AL, Butler LT, Ellis JA, Berezowska A, Fischer ARH, Walsh M, Gallagher C, Stewart-Knox BJ, Kuznesof S, Frewer LJ, Gibney M, Lovegrove JA

Publication type: Article

Publication status: Published

Journal: British Journal of Nutrition

Year: 2015

Volume: 113

Issue: 8

Pages: 1271-1279

Print publication date: 01/04/2015

Online publication date: 27/03/2015

Acceptance date: 17/12/2014

Date deposited: 28/01/2015

ISSN (print): 0007-1145

ISSN (electronic): 1475-2662

Publisher: Cambridge University Press


DOI: 10.1017/S0007114515000045


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