I can tell you about the bread. It's so it is sealed for each patient, health regulations regarding letting toast sit on trays until it gets to the patients. Our nurses will toast it for the patients on the ward if they want it. They tried to do away with the water jugs and cups as well (again regulations regarding ice water taps and ice machines, plumbing, legionaires etc) and just give patients 2 bottles of water for the day. That didn't go down very well, so we got the ice water tap back with triple filter or some such thing, but the ice machines are a no no.