Evidence map›Paper›PMID 40601766›Full record

ArticlePloS one2025

Implementation and enforcement of mandatory calorie labelling regulations for the out-of-home sector in England: Qualitative study of the experiences of business implementers and regulatory enforcers.

Michael Essman, Tom Bishop, Thomas Burgoine, Andrew Jones, Megan Polden, Eric Robinson, Richard Smith, Jean Adams, Martin White

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Michael EssmanMRC Epidemiology Unit, University of Cambridge, Cambridge, Cambridgeshire, United Kingdom.ORCID https://orcid.org/0000-0001-5017-3880
Tom BishopMRC Epidemiology Unit, University of Cambridge, Cambridge, Cambridgeshire, United Kingdom.
Thomas BurgoineMRC Epidemiology Unit, University of Cambridge, Cambridge, Cambridgeshire, United Kingdom.
Andrew JonesSchool of Psychology, Liverpool John Moore's University, Liverpool, Merseyside, United Kingdom.
Megan PoldenInstitute of Population Health Sciences, University of Liverpool, Liverpool, Merseyside, United Kingdom.
Eric RobinsonInstitute of Population Health Sciences, University of Liverpool, Liverpool, Merseyside, United Kingdom.
Richard SmithDepartment of Public Health and Sports Science, University of Exeter, Exeter, Devon, United Kingdom.ORCID https://orcid.org/0000-0003-3837-6559
Jean AdamsMRC Epidemiology Unit, University of Cambridge, Cambridge, Cambridgeshire, United Kingdom.
Martin WhiteMRC Epidemiology Unit, University of Cambridge, Cambridge, Cambridgeshire, United Kingdom.ORCID https://orcid.org/0000-0002-1861-6757

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMandatory calorie labelling on menus of large out-of-home food outlets was implemented in England on 6 April 2022. Barriers and facilitators that were unforeseen before implementation may modify policy impacts. As part of a process evaluation, we aimed to examine the implementation of calorie labeling in England, focusing on business experiences and local authority enforcement to identify barriers and facilitators to achieving policy goals.

methodsUsing purposive sampling, we recruited 11 employees of large food businesses (implementers) and 9 employees of LA environmental health or trading standards departments (enforcers). Post-implementation semi-structured interviews were conducted by video conference. Interviews were audio recorded, transcribed verbatim and analysed using the Framework Method.

resultsBoth groups of participants described a decentralised approach to delivery and enforcement, and resource constraints meant LAs were unable to assist with all business inquiries. Enforcement activity was limited because complaints about labelling from the public were rare, and enforcers prioritized acute food safety issues. Pre-implementation discussions created the presumption among enforcers that most businesses were compliant. Implementers claimed that businesses wanted to comply to safeguard their reputation and maintain customer trust. While participants supported calorie labelling, potential barriers to policy impact included a presumed lack of customer interest. Financial pressure during implementation strained business resources, and businesses suggested that customers may prioritise financial over health concerns in their decision-making.

conclusionsThese findings underscore the need for central guidance, verification of adherence, and sufficient enforcement resources. To optimize policy success, future developments should consider economic contexts, customer expectations, and policy refinement, while recognizing common industry arguments against policy implementation.

Indexed as

Food LabelingCommerceEnglandFemaleHumansQualitative ResearchRestaurants

Identifiers

PMID40601766
PMCPMC12221163

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.