Within the UK, the NHS has updated its criteria for categorising different diet textures for people with swallowing difficulties. This means that what was formerly known as Category C, Category D and Category E texture categories are being replaced by new terminology and standards.

The new IDDSI (International Dysphagia Diet Standardisation Initiative) standards have been created by a collaboration of industry professionals to create a global standard for categorising texture-modified foods. This means that there will be less confusion about the terms used to classify a specific texture diet across different countries.

If you or someone you know has been diagnosed with dysphagia, they may have been referred onto a specific food texture diet by a healthcare professional. Following IDDSI guidelines this could include, amongst others, Level 4 (Puréed), Level 5 (Minced) and Level 6 (Soft & Bite-Sized). However the challenge is making sure that food meets the correct texture to ensure that it is safe for them to eat.

To check that food is the right texture to meet the requirements of aLevel 4 Puréeddiet, there are 3 key tests that can be used to check that the consistency is correct, as detailed by our Dietitian, Emily Stuart, in the video.

Fork Pressure Test- Using the prongs of a fork, you need to be able to make clear indentations on the surface of the food.

Fork Drip Test- When scooped up with a fork, the food should sit in a mound and not flow or drip below the prongs of the fork.

To check that food is the right texture to meet the requirements of aLevel 5 Minceddiet, there are 3 key tests that can be used to check that the consistency is correct, as detailed by our Dietitian, Emily Stuart, in the video.

Fork Drip Test- When you scoop up the food with a fork, the food must sit in a pile or mound on the fork and does not easily or completely flow or fall through the prongs of the fork.

Spoon Tilt Test- When scooping up food with a spoon, the food should be cohesive enough to hold its shape. When you tilt the spoon, the full spoonful should slide off the spoon easily.

To check that food is the right texture to meet the requirements of aLevel 6 Soft & Bite-Sizeddiet, there are 2 key tests that can be used to check that the consistency is correct, as detailed by our Dietitian, Emily Stuart, in the video.

A Level 6 compliant food texture should include bite-sized pieces which must be no bigger than 1.5cm in size.

Spoon Pressure Test- You should be able to cut or break down the food into smaller pieces when you put pressure on the food with the edge of a spoon.