The administration of a blended diet via a gastrostomy tube to children with complex needs is an evolving area of practice. Healthcare professionals must provide guidance, promote best practice and optimise patient safety where patients and families choose a blended diet in preference to the prescribed commercial feed. The Aneurin Bevan Health University Health Board in Newport, Wales, took a collaborative approach, by working with parents as equal partners, to enable a child with complex needs to receive a blended diet at school. The development of a protocol and risk-assessed approach enabled the delivery of bespoke flexible care that met the holistic needs of the child and family and improved the child's quality of life. The initiative also led to positive outcomes for the school and wider community.