The perceived impact of the National Health Service on personalised nutrition delivery in the UK

R. Fallaize, A.L. Macready, L.T. Butler, J.A. Ellis, A. Berezowska, A.R.H. Fischer, M. Walsh, C. Gallagher, B. Stewart-Knox, S. Kuznesof, L.J. Frewer, M. Gibney, J.A. Lovegrove

Research output: Chapter in Book/Report/Conference proceedingAbstract


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 vs 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 focus group data relating
to PN service delivery collected as part of the Food4Me project in the UK and Ireland (IE) was
undertaken. IE data provided comparative analysis of a healthcare system that is not provided free at
the point of delivery. A total of eight focus groups were conducted, four at each site (Reading, UK and
Dublin, IE), between October and December 2011 using standardised semi-structured discussion
protocols. In total 73 participants were recruited. Two focus group discussion guides: ‘Consumer
Perceptions of PN’ and ‘PN business models’ were used in this research. Data were transcribed
verbatim, verified by an independent researcher and analysed using a ‘framework approach’. Overall,
both countries preferred for PN services to be provided by the government and delivered face-to-face,
which was perceived to increase trust, transparency and add value. Both countries associated
paying for nutritional advice with increased commitment and motivation to follow guidelines.
However despite the perceived benefit of paying, and contrary to IE, UK discussants still expected
PN services to be delivered free at the point of delivery 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.
Original languageEnglish
Title of host publicationBook of abstracts of the 11th NuGOweek nutrigenomics of foods
PublisherWageningen Academic Publishers
Publication statusPublished - 2014
Event11th NuGOweek Nutrigenomics of foods, Napoli, Italy -
Duration: 8 Sep 201411 Sep 2014


Conference11th NuGOweek Nutrigenomics of foods, Napoli, Italy

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