I have followed with interest the debate around the proposal to bring celebrities into the domain of NHS catering with the objective of improving the quality of food service to patients ('Too many cooks spoil the froth', news focus, pages 1819, 23 November).

It can matter not one jot if the food is of a high standard, because if the patient cannot reach the food because the tray has been put too far away, cannot manipulate the cutlery provided to get the food from the plate/bowl into their mouth, cannot swallow the food even if they can get it into their mouth, or needs encouragement to eat because of poor appetite, they will still go hungry.

All of these scenarios have contributed over the years to the malnutrition found in the NHS.

The NHS undeniably has areas of excellence where none of this occurs, but there are still too many areas where it does.

The quality of food served to patients cannot be blamed in isolation for the level of waste generated at meal times.

Until the intake of food is given the same status as medication in contributing to the treatment of patients, the situation will change very little - Loyd Grossman or no Loyd Grossman.

Kathy Giles Head of occupational therapy services Ceredigion and Mid Wales trust