Redesigning the fast food food environment to make everyday takeaways healthier

The Challenge

There are over 8,000 fast food outlets in London alone and each meal served provides on average 68% of recommended daily calories. The link between number of fast food outlets, fast food consumption and obesity rate is well established, plus there’s a higher prevalence of fast food outlets in more deprived areas.

Online ordering of hot delivered food has also increased in recent years, adding to the move towards takeaways being an everyday option. Yet the nutritional profiles of takeaway meals continue to reflect their traditional use – as an occasional treat.

Shift have got under the skin of the challenge in terms of understanding the nutrition of takeaways meals, the role this food plays in people’s lives, the nature of the businesses involved and how their owners relate to them. They are crystal clear on what we can (and can’t) hope to influence and what we have to work with in order to effect change.

Adrian Phillips, Director of Public Health, Birmingham City Council



The Solution

We’re exploring how everyday takeaways can be just as convenient and affordable, but healthier for you.

So far…

  • 167 outlets mapped across 5 wards in 3 Local Authorities
  • Over 500 takeaway meals nutritionally analysed 12 indepth interviews with takeaway owners and staff // Series of workshops with public health and obesity experts
  • Ethnographic research study with 60+ takeaway eaters
  • 5 stealthy healthy interventions tested in 4 outlets in a takeaway-dense area of Tower Hamlets, London



Stealthy Fast Food: Phase 2 Evaluation Report

December 6, 2017

Evaluation report of experimental feasibility study aiming to test a variety of realistic adaptations to fast food business and evaluate these adaptations to understand their relative effectiveness in relation to sales, costs, customer satisfaction and health. Funded by Public Health, Tower Hamlets. By Chloe Cook and Chris Holmes




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