Improving the uptake of Healthy Start vouchers

Healthy Start is the UK’s food welfare scheme for pregnant women and young children in low-income families, who are amongst the groups most at risk of experiencing food poverty. The vouchers are an important means-tested scheme providing a basic nutritional safety net to encourage families to make healthy food choices.

Currently, low-income pregnant women, pregnant women under the age of 18 and children aged 1-4 years old can receive one £3.10 voucher per week to purchase fresh fruit and vegetables, milk or infant formula. Children under one year old can get two £3.10 vouchers (£6.20) per week.

Unfortunately, many families miss out on these important vouchers - in some areas only 55% of eligible families are receiving them (see a full map of current uptake). Food poverty alliances can play a vital role in helping to increase the uptake of Healthy Start vouchers in their area, for example by

• Helping ensure Healthy Start is available and promoted in relevant settings, with trained staff/volunteers able to support families to apply (e.g. children’s centres, GP offices, etc.)
• Working with statutory and volunteer advice services to embed info about Healthy Start eligibility into routine support offered
• Meeting with local public health decision-makers to discuss low uptake and how it can be addressed, including sharing research on the lost total income to families
• Working with local food retailers to improve in-store promotion of the vouchers
• Partnering with Alexandra Rose to increase voucher value if applicable

Local authorities can also play a key role in improving the uptake of these vouchers by appointing a council officer or health professional to oversee Healthy Start in the area, ensuring an adequate supply of information is available for health service providers and families, and improving the diversity of retailers accepting the vouchers.

In summer 2019 the Scottish Government will be implementing a new Best Start Foods payment to replace Healthy Start vouchers. Best Start Foods will continue to provide targeted financial support for low income pregnant women and families to purchase healthier foods. Read more.

Listen to our webinar on improving uptake of Healthy Start vouchers

Resources

• Joint learning from a Healthy Start campaign (Brighton & Hove Food Partnership 2017)
• Making the Most of Healthy Start: A Practical Guide (First Steps Nutrition Trust 2017)
• Healthy Start: What happened? What next? (First Steps Nutrition Trust 2018)
• Boosting Healthy Start in Kingston upon Thames (Beyond the Food Bank 2016)
• Peas Please: Menu of actions for retailers (Food Foundation)
• Putting Healthy Start on the map: Report from a pilot to promote maternal and infant nutrition and ‘Healthy Start’ in Falkirk (NHS Forth Valley and Community Food and Health Scotland 2012)
• Can food vouchers improve nutrition and reduce health inequalities in low-income mothers and young children? A multi-method evaluation of the experiences of beneficiaries and practitioners of the Healthy Start programme in England (McFadden et. al. 2014)
• First Steps Nutrition Trust: An independent public health nutrition charity that provides information and resources to support eating well from pre-conception to five years
• Alexandra Rose Charity: The Rose Vouchers scheme for Fruit & Veg Project helps parents with young children on low incomes to buy fresh fruit and vegetables, supplementing eligible families’ Healthy Start vouchers

For data on the uptake of Healthy Start vouchers in your local area, or a list of retailers who accept the vouchers within a certain postcode, please email the Healthy Start team in the NHS Business Services Authority.