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We are updating the terminology used when making diet and fluid recommendations for people with dysphagia (difficulties swallowing). We will be using the International Dysphagia Diet Standardisation Initiative (IDDSI) framework.

What is the IDDSI framework?

The International Dysphagia Diet Standardisation Initiative (IDDSI) have published new international standardised terminology and definitions to describe diet and fluid texture modification.

The framework consists of a continuum of eight levels (0-7) identified by text labels, numbers and colour codes to improve safety and identification.

Why do we need to change our current practice?

St George’s has adopted the framework in line with the Royal College of Speech and Language Therapists and the British Dietetics Association guidance, in addition to catering and thickener providers plans to also move to this framework.

In a recent straw poll of the St George’s Speech and Language Therapy (SLT) service it was identified that there were inconsistencies in recommendation terminology, with Speech and Language Therapists reporting between 1 and 5 different phrases used to describe the same consistency.

Click here to read more about our new diet terminology.

Click here to read more about our new fluid terminology.

The International Dysphagia Diet Standardisation Initiative 2016 – http://iddsi.org/framework/.
Attribution is NOT PERMITTED for derivative works incorporating any alterations to the IDDSI Framework that extend beyond language translation. Supplementary Notice: Modification of the diagrams or descriptors within the IDDSI Framework is DISCOURAGED and NOT RECOMMENDED. Alterations to elements of the IDDSI framework may lead to confusion and errors in diet texture or drink selection for patients with dysphagia. Such errors have previously been associated with adverse events including choking and death.