100 health leaders call on Rishi Sunak to act urgently on child food insecurity

Sustain and the Children's Food Campaign have joined with leading public health organisations in a letter to the Prime Minister, expressing growing concerns about rising child food insecurity and obesity as a result of the cost of living crisis, and the need for urgent action.

A young girl holding a plate of food in the school canteen. Credit: Monkey Business Images | ShutterstockA young girl holding a plate of food in the school canteen. Credit: Monkey Business Images | Shutterstock

News Children's Food Campaign

Published: Thursday 2 February 2023


Featured in the press

The Guardian

Public health groups urge Rishi Sunak to widen free school meals programme

Thursday 2 February 2023 Open article

The letter to Rishi Sunak calls on him to take three urgent priority actions to tackle child food poverty and support a healthy population and productive economy.

The letter, headed by the Faculty of Public Health, the Association of Directors of Public Health, the Royal Society for Public Health, and the School and Public Health Nurses Association, has received widespread support from Parliamentarians and third-sector organisations, including Sustain, the Children's Food Campaign and several of our members. 

Over 30 MPs and 20 members of the House of Lords have also signed the letter, which calls on the Prime Minister to support children's health and development by expanding Free School Meals, the National School Breakfast Programme, and the Healthy Start scheme for babies and pre-school children.

Over a quarter of households with children experienced food insecurity, according to estimates in September 2022, and the current cost-of-living crisis will increase this number. Childhood food insecurity contributes to increased anxiety, poor mental health, poor social and emotional development, and a reduced level of achievement in school.

This is a serious public health issue that requires a co-ordinated and sustainable response. The 100+ signatories of the letter make three key asks of Government to tackle this crisis and help provide children and families with the safety net they desperately need:

  1. Expand access to Free School Meals for all children in households receiving Universal Credit, removing the £7,400 income threshold introduced in 2018.
  2. Increase funding to the National School Breakfast Programme to expand delivery initially from 2,500 schools to 5,000, with a long-term plan to provide coverage to a higher percentage of disadvantaged pupils.
  3. Promote access to the Healthy Start scheme, and expand access to all families with young children who receive Universal Credit.

To deliver on these asks, signatories recommend the creation of further targetted levies on unhealthy food and drink, building on the proven and effective Soft Drinks Industry Levy, and recommendations from the National Food Strategy for an industry levy on salt and sugar in processed food and drink products. Paid at source by manufacturers of less healthy products, such measures would also bolster the health of families across the UK through reformulation leading to reduced sugar and salt intake, saving the NHS billions of pounds and supporting a healthy workforce. This is a solution that would generate revenues enabling investment in improving children’s dietary, physical and mental health.

Professor Kevin Fenton CBE, President of the Faculty of Public Health said:

“As the cost-of-living crisis bites, many families across the UK are currently struggling with the reality of food poverty, unable to meet even their most basic needs. Initiatives such as Free School Meals, the National School Breakfast Programme, and the Healthy Start scheme are a vital lifeline, but with too many children and families unable to access these services Government is missing an opportunity to firmly address the reality and impacts of child food poverty, which impairs the lives and life chances of disadvantaged children and young people across the UK. To protect and improve the health of disadvantaged communities across the UK, and support a healthy, productive population, we call upon Government to fully implement our recommendations to expand access to these vital services for those who need them most.”

Sharon White OBE, Chief Executive Officer of the School and Public Health Nurses Association said:

“School nurses are witnessing and being asked to support a worrying number of families who cannot feed their children adequately due to the cost-of-living crisis; children are turning up to school cold, tired, hungry, worried, sad and, as a result, unable to learn.

Free school meal provision would go a long way to addressing this rising public health emergency; this a basic right and urgent need.”

Professor Jim McManus, President of the Association of Directors of Public Health and Director of Public Health for Hertfordshire said:

“Poverty is the most important determinant of children’s health in the UK and, as local leaders for the nation’s health, Directors of Public Health see first-hand the impact healthy food has for a healthy, thriving population.
It is vitally important therefore that the Government acts on the evidence and expands access to Free School Meals and Healthy Start. Only then can we start to address the inequity in outcomes we are seeing in children’s health.”

William Roberts, Chief Executive of the Royal Society for Public Health said:

“School meals were originally brought in to help support children to learn, in the belief of creating a healthy and productive nation.

Sadly, we’re in a situation where many children are going hungry, we’re facing a tough economic future and record numbers of people are out of work because of ill health.

Now is the time to ensure we invest in the future of the country by ensuring that our children don’t go hungry, and schools can provide meals free of charge so that every child can have the freedom to flourish.”

Read the full letter & signatories here


Children's Food Campaign: Better food and food teaching for children in schools, and protection of children from junk food marketing are the aims of Sustain's high-profile Children's Food Campaign. We also want clear food labelling that can be understood by everyone, including children.

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