I think the move to import meals from a large scale commercial supplier is part of the problem.My mother's nursing home moved from its own kitchen (homely but fresh and tasty) to a commercial supplier and the overall quality went down markedly. Even 4/5 star hotels 'store' preprepared food for weeks - hard to see how that improves the quality. Happily I have not been in hospital for several years - last time, Epworth was surprisingly good, although dinner at 5pm took a bit of adjusting to.