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The IDDSI (International Dysphagia Diet Standardisation Initiative) framework consists of definitions to describe texture modified foods and thickened liquids, where drinks are measured from Levels 0-4, and foods are measured from Levels 3-7.  

NHSGGC Dietetics has worked closely with our Speech and Language Therapy colleagues to produce a series of videos about IDDSI and Dysphagia. For more information about Speech and Language Therapy within NHSGGC, please see their website below.

The first 3 videos provide an overview of IDDSI and dysphagia, including all IDDSI levels 0-7, hydration and food fortification. This now includes a video from the Speech and language therapy team on how to assist a resident with eating and drinking.  

The videos thereafter show demonstrations by an IDDSI trained chef. This gives insight into how some everyday foods can be modified to the correct recommended textures. The videos are broken down into the different components of the meal for easy accessibility. 

Speech and Language Therapy talk on Dysphagia and IDDSI of video
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NHSGGC – General Safer Swallowing Advice: how to assist someone to eat and drink
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Food, Fluid and Nutrition Nurse Talk on IDDSI Levels 1-4 and Hydration
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Dietitian Talk on IDDSI Levels 5-7 and Food Fortification
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Meet the Chef
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IDDSI Thickening Instructions and Testing Methods for IDDSI Levels 1-4
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Peaches Flow Test IDDSI Levels 0-4
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IDDSI Level 3 Peaches
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IDDSI Level 4 Peaches
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IDDSI Level 5 Peaches
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IDDSI Level 6 Peaches
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IDDSI Level 6 Peaches Fork Pressure Test
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IDDSI Level 7 Peaches
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Comparison of Peaches Level 3-7
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IDDSI Level 4 Salad
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IDDSI Level 5 Salad
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IDDSI Level 6 Salad
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IDDSI Level 4 Chilli
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IDDSI Level 5 Chilli
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IDDSI Level 6 Chilli
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IDDSI Level 4 Rice
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IIDDSI Level 5 (and 6) Rice
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Plating Up a Texture Modified Meal
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NHSGGC Dietetics has worked closely with our Speech and Language Therapy colleagues to produce an IDDSI snack poster, which provides both sweet and savoury snack ideas for diet level 4 through to level 7 ‘easy to chew’.