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And the Runner(s) up of the LBU Chris Wade Award for Clinical Innovation 2018 are....

Chloe Halmshaw and Barbara Valentine 

Chloe Halmshaw write-up 

Aim of the Negotiated Project

The aim of the project was to learn more about IDDSI (International Dysphagia Diet Standardisation Initiative) and to develop a presentation to present to the Speech and Language Therapists to teach them about the framework. 

Identifying the outcome

The purpose of the project was to be able to take leadership on a project to teach the Speech and Language Therapists about the IDDSI framework and what they need to do to implement it into their team. It was an educational purpose for myself as well as the professionals I was on placement with. The project was developed to make it easier for the Speech and Language Therapists to understand and to know how to implement IDDSI.

The evidence

British Dietetics association and Royal College of Speech and Language Therapists (2018) UK IDDSI Implementation Checklist [Online]. Available From: <https://www.rcslt.org/clinical_resources/dysphagia/iddsiimplementationchecklist>[Accessed 13th May 2018].

Hanson, B (2018) 9th May. Available from: < https://twitter.com/benhansonmech>[Accessed 13th May 2018].

International Dysphagia Diet Standardization Initiative (2017) IDDSI e-bite [Online]Available from: <http://myemail.constantcontact.com/IDDSI-E-Bite--Implementing-IDDSI--Kempen-Pilot-Project.html?soid=1124597382375&aid=uZTbQRRgzCg>[Accessed 13th May 2018].

International Dysphagia Diet Standardization Initiative (2018) [Online] Available from: <http://iddsi.org/> [Accessed 13th May, 2018].

Lam, P et al (2016) The International Dysphagia Diet Standardisation Initiative (IDDSI) Framework: The Kempen Pilot [Online] Available from: < http://iddsi.org/wp-content/uploads/2017/08/bjnn.2017.13.sup2_.s18.pdf> [Accessed 13th May 2018]

Nestle Health Science (2018) Recommended dosage for 200mls of liquid [Online] Available from <https://www.nestlehealthscience.co.uk/brands/resource-dysphagia/resource-thickenup-clear>[Accessed13th May, 2018]

RCSLT (2018) Statement on the Implementation of the International Dysphagia Diet Standardisation Initiative (IDDSI) [Online] Available from:<https://www.rcslt.org/clinical_resources/dysphagia/statementoniddsi> [Accessed 13th May 2018]

After completion of the task

The project has led to a better understanding of the IDDSI framework as well as how it is going to affect services and clients around the world. The project has led to me being able to educate others about the framework and it has increased my evidence base skills. This is because I had to find evidence about IDDSI and IDDSI supporting information to present to the Speech and Language Therapists. It also led to an increase in the awareness of IDDSI as there was talk about it in the office and how they were going to deal with the change as a team. 

Educator Feedback

The Speech and Language Therapists expressed that the presentation was useful for them and it helped clear up some confusion with the different stages of the IDDSI and the similarities and differences between IDDSI and the national descriptors. They reported that the project and the delivering of the presentation has helped them begin to decide how they are going to implement the change and what they are going to have to do as a team to ensure that the change goes as smoothly as possible.

Barbara Valentine write up 

Aim of the Project:

To research The International Dysphagia Diet Standardisation Initiative (IDDSI) and present findings to the community and acute stroke speech and language therapy team.


The SLT team identified that whilst they were aware of the new standardised diet descriptors for dysphagia being implemented in April 2019, they felt they had had little time to build awareness and reflect upon the implications for their team and the wider MDT. They requested a powerpoint presentation to provide them with an overview of IDDSI, to specifically include:

  • Overview of IDDSI
  • The differences and similarities between current descriptors and IDDSI
  • The tests used for fluid/ texture in the IDDSI framework
  • Potential pros/ cons of IDDSI
  • RCSLT position


A number of sources were used to inform the content of the presentation including the IDDSI website, RCSLT website, Nestle website and the Twitter account of a member of the IDDSI consultation team where current information and photos were obtained. Current research of a pilot carried out of IDDSI was also referred to in the presentation (Lam et al, 2016)

Outcome: The presentation

Educator Feedback:

The SLT staff team were pleased with the presentation and commented that it had initiated discussion regarding the IDDSI tests for modified diet and fluids. They requested the presentation be uploaded to their computer files at the placement setting so that it can be referred to as they begin the process of implementing IDDSI. 

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London Speech Therapy
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