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This article has been double-blind peer reviewedCoeliac disease is a relatively common autoimmune disease that is managed through a strict lifelong gluten-free diet to avoid symptom reoccurrence and long-term complications. When people are admitted to hospital, they temporarily lose control of the planning and preparation of meals - and sometimes even of eating and drinking. Both catering and ward-based staff need to be aware of coeliac disease and its potential consequences. This article explains what hospital staff need to know to care safely for patients who have coeliac disease, including how to prevent the inadvertent introduction of gluten into patients' diet.