Ep 49 - Why I Said No to a 5 Figure Brand Deal
Mar 31, 2025
Episode Show Notes
Welcome
In this episode of Beyond the Clinic, I’m sharing a personal story about a time when I had to choose between my professional integrity and a lucrative brand partnership. It’s a situation that tested my values and left me with some powerful lessons that I want to share with you.
Episode Summary
Have you ever been offered an amazing opportunity but felt uneasy about what it required of you? That’s exactly what happened to me when a PR agency approached me with a five-figure deal. At first, it seemed like the perfect fit - great pay, minimal effort, and aligned with my expertise. But as I dug deeper, I realised they were asking me to bend the rules and compromise on the regulations that protect us as healthcare professionals.
In this episode, I’ll walk you through how I handled the situation, why I ultimately walked away, and the steps you can take to protect your professional integrity while working with brands.
What You’ll Learn
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The specific regulations we need to follow as healthcare professionals when working with brands.
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How to handle pushback from brands or agencies that don’t fully understand our responsibilities.
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Practical steps to protect yourself and your professional integrity in brand collaborations.
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Why it’s so important for dietitians to engage in these spaces to ensure the public receives evidence-based advice.
Resources & Links
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DoH Nutrition and health claims: guidance to compliance with Regulation (EC) 1924/2006
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Approved Health & Nutrition claims:
https://www.gov.uk/government/publications/great-britain-nutrition-and-health-claims-nhc-register
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The advertising standards authority (ASA) and CAP code.https://www.asa.org.uk/codes-and-rulings/advertising-codes/non-broadcast-code.html
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Email me: [email protected] (Subject: Podcast)
Your Next Steps
Take a moment today to think about your own non-negotiables when working with brands.
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Episode transcription:
[00:00:00] Sarah Almond Bushell: Imagine being offered a five figure deal, great pay, minimal effort, and a brand that aligns with your expertise, but there's a catch - they want you to bend the rules. What would you do? Well, that's exactly the choice that I faced, and today I'm sharing a real life situation where I had to choose between my values and quite a lucrative brand partnership.
[00:00:27] Sarah Almond Bushell: I'll tell you my story and how I navigated the situation while staying compliant with the legal regulations that protect us as healthcare professionals and maintaining my professional values. So in this episode, you're gonna learn the specific rules that we need to follow as healthcare professionals when working with brands, how to handle pushbacks from brands or agencies that don't fully understand our responsibilities, and some practical steps to protect you and your professional integrity whilst working with brands.
[00:01:03] Sarah Almond Bushell: It is easy to view dietitians working with brands as purely commercial, but the reality is that collaborating with reputable brands allows the public access to factual evidence-based health advice from properly qualified professionals without our involvement. The conversation is dominated by influencers and wellness bloggers and self-styled nutritionists.
[00:01:30] Sarah Almond Bushell: Experts with no formal training or regulatory oversight. We all know that public health messaging doesn't just happen in clinics and in hospitals anymore. It happens on social media, in advertising and through brand partnerships. So if people like us registered dietitians don't engage in these spaces.
[00:01:54] Sarah Almond Bushell: The vacuum's gonna be filled by voices who lack scientific credibility. Working with brands when done ethically and in compliance with regulations can be a really, really important way to bridge this gap and to ensure that the public is receiving trustworthy nutrition information. So my hope is that by the end of this episode, you will feel empowered to say no when necessary to advocate for yourself and to ensure that your collaborations align with your ethical and our legal and professional standards.
[00:02:31] Sarah Almond Bushell: Have you ever felt pressured to do something that just didn't sit right with you? Maybe it was a professional request that clashed with your ethics or a situation where you knew the rules, but someone insisted that they didn't matter? Today I am sharing a personal story about when this happened to me, a situation that not only tested my integrity, but made me deeply concerned for other freelance healthcare professionals.
[00:02:58] Sarah Almond Bushell: So in 2024, I was approached by a PR agency representing a really well-known nutrition supplement brand. They wanted me to create content for one of their products. At first, it sounded like a great opportunity. It paid exceptionally well. Let's just say it was five figures for not a lot of work, and it aligned with my professional dietetic expertise of 25 plus years as a pediatric dietitian.
[00:03:27] Sarah Almond Bushell: And actually to me, it felt like the chance to support families who were navigating really common nutritional challenges. I thought, you know what, this could really help people. But as we got further into the process, things didn't feel quite right. I. So the brief landed in my inbox. One line jumped out at me and immediately I got a funny feeling.
[00:03:50] Sarah Almond Bushell: I knew it just wasn't quite right. They provided a brief that asked me to promote the product and its health claims. In a way that directly tied the two together. Now, as a healthcare professional, I know that this is a huge red flag. We have clear regulations in the UK guidelines that exist to protect the public and to maintain trust in our profession.
[00:04:12] Sarah Almond Bushell: And these rules make it clear that you can't link a specific product to a health outcome in promotional content. And yet this exactly what they wanted me to do. So I knew this wasn't right, so I went off to an official advisory body to double check the rules and armed with their advice, I went back to the agency.
[00:04:36] Sarah Almond Bushell: Their response, oh, well, I think you're being a bit overcautious. It's actually just all a matter of judgment. And then they told me to ignore the official advice. So at this point, I felt a bit stuck. I'd already invested a lot of time and energy and effort into the project. It was time that I wasn't gonna get back, but more than that, I felt really [00:05:00] deeply uncomfortable if I was being asked to choose between doing what was easy, going along with their request and doing what was right.
[00:05:09] Sarah Almond Bushell: Standing by my professional integrity and the ethical standards that guide our profession. And let me tell you. It was hard, hard to push back, hard to hold my ground, and really hard to accept that. This might mean walking away from a five figure deal.
[00:05:28] Sarah Almond Bushell: What happened? I walked away. I gave back the money, and I don't actually regret it for a second. In the end, I made the only decision I could. I terminated the collaboration, I refunded the fee, and I just walked away. And while I knew it was the right thing to do, I was left really frustrated, not just for myself and all the time and energy and effort that I'd wasted, but for others in our profession.
[00:05:54] Sarah Almond Bushell: What about the less experienced dietitians out there who might not know the rules as [00:06:00] well? What about those who might feel pressured to comply because they're worried about losing opportunities? It's a really scary thought. So this experience left me with so many questions. Why wasn't this agency willing to follow the rules?
[00:06:16] Sarah Almond Bushell: Why didn't they value the professional standards that we uphold? And how can we as healthcare professionals protect ourselves and our integrity in situations like this? And that's what we're exploring in today's episode. So let's dive in. So there I was having walked away from a collaboration that really didn't align with my values, but as I reflected on the experience, the deeper issues started to surface.
[00:06:44] Sarah Almond Bushell: This wasn't just about me or this one particular agency or one brand. It was about something much bigger, something that could impact our entire profession. It got me thinking. How often do these PR agencies or marketing [00:07:00] teams, or even large brands themselves overlook or misunderstand the regulations that we have to follow as health professionals?
[00:07:09] Sarah Almond Bushell: Because these aren't just guidelines. In part, they're legal requirements designed to protect the public from misleading information, and yet, in my experience, they're often treated as optional or worse, just ignored entirely. Now, imagine what happens when a less experienced dietitian or any healthcare professional for that matter, finds themselves in a similar situation.
[00:07:33] Sarah Almond Bushell: Maybe they're new to freelancing, maybe they're really eager to build their portfolio. Maybe they need that amount of money in one go and to simply don't feel confident enough to push back. They could end up agreeing to something that not only breaches regulations. But puts their professional credibility and reputation at risk.
[00:07:55] Sarah Almond Bushell: And what we're talking about here isn't just a slap on the wrist from a regulatory body. [00:08:00] It's about the trust that we build with the public, the trust that says, Hey, I'm here to provide unbiased evidence-based advice to help keep you and your family healthy. And the moment we allow ourselves to be swayed into making claims that aren't compliant or endorsing products, perhaps inappropriately, that trust starts to erode. Everyone else is doing it. It's just a small adjustment. These are the lines that that brand used with me to try and make me bend the rules. And let's be honest, the pressure can feel really immense. Agencies can be incredibly persuasive.
[00:08:43] Sarah Almond Bushell: It's what they do. They're into sales and marketing. They can make you feel like you are being difficult, or perhaps they make you feel like you're just out of touch. If you stand your ground. They'll use phrases like, look at all of your colleagues, they're all doing it, [00:09:00] or let's just make a tiny tweak over here and they'll push for shortcuts all while dangling the carrot of payment or future collaboration opportunities.
[00:09:10] Sarah Almond Bushell: And the problem isn't just limited to one brand or one agency. I feel it's part of a larger issue in the way that healthcare professionals are being approached for partnerships. The commercial world and the healthcare world operate on very different principles. I hear my colleagues talking about this all the time, and when they collide, it's often the professional who's left to navigate the fallout, and that's where it can become so dangerous because for many of us, these opportunities, they feel really exciting at first.
[00:09:44] Sarah Almond Bushell: They give us a platform to reach more people, to share our expertise, and to create a lot of additional income. At what cost. If we're not careful, we risk not only our own reputation, but the integrity of our entire profession. [00:10:00] So what do we do about it? How do we protect ourselves? How do we still educate others?
[00:10:06] Sarah Almond Bushell: And how do we ensure that we never compromise our values or our professional responsibilities? That's what I wanna explore next because. Situation was incredibly frustrating, but it also got me to think about some quite powerful lessons that I know can help you too. So how can we as healthcare professionals protect ourselves whilst ensuring we uphold the highest standards?
[00:10:32] Sarah Almond Bushell: Actually, the good news is we're not having to do this alone. There's clear regulations out there and best practices to help us stay compliant and confident in what we're doing. So step one is knowing the rules before you start. The very first step is. Understanding the regulations. These are there to protect us as well as the public.
[00:10:57] Sarah Almond Bushell: In the UK we have the nutrition and health [00:11:00] claims regulation. That's EC 1924 /20 06. I'll pop a link to this in the show notes. And we also have the cap code, which is enforceable by the ASA, the Advertising Standards Authority. And these set these standards for what we can and cannot say in advertising.
[00:11:24] Sarah Almond Bushell: So in addition, there's a downloadable list of approved health claims, government approved health claims and nutrition claims that food manufacturers can make about their products. Providing that they have the evidence that their product actually complies. So read these documents, know the rules, understand what they mean, and refer to them when brands give you a brief on what they want you to deliver.
[00:11:51] Sarah Almond Bushell: Now be aware, some brands push health claims that don't actually exist on the register. I've personally experienced this firsthand [00:12:00] where a very large company asked me to use a claim that wasn't actually legally permitted. Okay. Step two is just know how dietitians can work with brands, so there's often confusion about whether dietitians can work with brands at all.
[00:12:16] Sarah Almond Bushell: The answer is yes, you can. It's great. The cap code doesn't prohibit dietitians from appearing in any form of commercial content. This is brilliant. It means that we are positioned to share evidence-based nutrition advice, ultimately serving the public. And you know what? If we don't, somebody else will.
[00:12:37] Sarah Almond Bushell: And often that someone is an unqualified influencer with no formal training, no oversight, and certainly no accountability. So please don't remain silent while unqualified influencers fill the gap, the public is left vulnerable to misinformation, to exaggerated health claims, and ultimately commercial bias.
[00:12:59] Sarah Almond Bushell: And then step [00:13:00] three, be proactive in setting boundaries. So some brands, especially those who are used to working with influencers, they may try and push the boundaries. That was the experience that I had. Don't be afraid to protect yourself by setting clear non-negotiables before working with brands. So the next time you are approached by a brand or a PR agency
[00:13:26] Sarah Almond Bushell: Or a marketing team, be really clear about your professional standards right from the start. Let them know that you follow the CAP code, the ASA guidelines, and the nutrition and health claims regulation. Make sure that they know that you are aware of these things. Having these conversations upfront will save you time and actually it sets the tone for what should be a really nice collaborative partnership.
[00:13:56] Sarah Almond Bushell: You can also ask for the brand evidence of the [00:14:00] health claim before they want you to use it. And this is really important to make sure that they truly are justified. Now the vast majority of large companies will be and will have that evidence, so do ask to see it. You can absolutely consult the official bodies when you are in doubt.
[00:14:20] Sarah Almond Bushell: So for example, the ASA have a fantastic service where you can produce, for example, a blog or a social media post, and you can ask them to have a look at it and let them tell you whether it's compliant or not. That's a free service with quite a quick turnaround, 24, 48 hours or so. So it's absolutely worth.
[00:14:42] Sarah Almond Bushell: Checking in with them when there is any doubt, and then be brave enough to say no when something does feel off. Having these boundaries in place makes it so much easier for you to walk away from what might turn out to be unethical partnerships. And then step four, [00:15:00] finally, my final step for you here is to get yourself a support network.
[00:15:04] Sarah Almond Bushell: So there's lots and lots of us out there who've done brand work for years and years and years. There's very experienced freelancers. There's people like me, health business coaches, there's people out there who just get the ins and outs of the industry. So find a mentor, someone who can support you and answer your questions when you're taking on this type of work.
[00:15:27] Sarah Almond Bushell: So today, I hope that you have, oh, I'm not sure whether enjoyed is the right word, but I hope you've appreciated me sharing my personal story there. We've tackled quite an important issue that every healthcare professional in the commercial space could actually face how to handle a situation when you are asked to breach regulations or compromise upon your values.
[00:15:51] Sarah Almond Bushell: But don't let this stop you as dietitians. For healthcare professionals, we have such an important place when working with brands in front of the public on social media, in our blogs and publications. And it's also that the public get the right messages from professionals who they can truly trust, but do stand firm in your professional integrity.
[00:16:16] Sarah Almond Bushell: And if something feels off, it's totally okay to walk away. You are protecting the public, our profession, and your own integrity. So my action step for you today is simply just take 10 minutes or so to consider what your non-negotiables are for working with brands and write down what you will and you won't do.
[00:16:37] Sarah Almond Bushell: When you have these boundaries in writing. It'll make it easier to say no when a brand tries to push the limits. If you're not sure where to start, then definitely review the nutrition and health claims register the Department of Health guidelines that I mentioned earlier, and the cap code just to clarify your position, and I'll make sure all those links are available for you in the show notes.
So that's it for another week. What I'd love to know from you next is what you want more of. Do you like the behind the scenes of how I run my business? Do you want more deep dives into marketing strategy? Do you want me to bring in guest experts interviews with inspirational healthcare professionals?
[00:17:21] Sarah Almond Bushell: Just tell me, drop me an email at [email protected] with the word podcast in the subject line because I would love to hear from you. Bye for now!
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