The Institute of Health Visiting (iHV) is supporting calls to strengthen the Healthy Start scheme following the publication of new analysis showing that expanding eligibility could generate an estimated £7.7 billion in net societal benefits over the next 10 years.

The research, commissioned by The Food Foundation and Sustain and undertaken by the University of Birmingham, found that extending Healthy Start to all families receiving Universal Credit would deliver a return of £2.36 for every £1 invested through reduced food insecurity, improved household finances and wider economic benefits.

The report also highlights that Healthy Start payments have not kept pace with rising food prices. Had they increased in line with food inflation since 2021, weekly payments would now be worth £5.88, compared with the current £4.65.

Alison Morton OBE, CEO iHV, said:

“Healthy Start is one of the most important early intervention programmes we have to support babies, young children and pregnant women living in poverty. Health visitors see every day the impact that financial hardship and food insecurity can have on a child’s development, health and wellbeing, particularly during the critical first 1,001 days of life.

“This new analysis reinforces what health professionals have long understood: investing in good nutrition in pregnancy and early childhood delivers lasting benefits for children, families and society. Expanding Healthy Start eligibility and ensuring payments keep pace with the rising cost of healthy food would help more families access the nutritious foods they need during this crucial stage of life and help deliver on the Government’s ambition to raise the healthiest generation of children ever.

“At a time when health inequalities are widening, strengthening Healthy Start is a practical, evidence-based measure that can improve health outcomes, reduce pressures on public services, and help give every child the best possible start in life.”

The Food Foundation and Sustain recommend that the Government:

  • Increases the value of Healthy Start payments in line with food inflation to weekly values of £5.88 and keep aligned to inflation.
  • Expands eligibility to all families in receipt of Universal Credit and increase the age threshold to include children aged four in line with the Free School Meal entitlement expansion, and extend eligibility to families with no recourse to public funds who meet the standard eligibility criteria.

The iHV joins partners in calling for Healthy Start payments to be increased in line with inflation and for eligibility to be extended so that more families can access vital nutritional support during pregnancy and the early years.

iHV joins a large coalition of charities, led by Sustain and The Food Foundation, and including Royal College of Midwives and Royal Society of Public Health, to send a letter to the Secretary of State for Health and Social Care, Sajid Javid, asking him for urgent action on the Healthy Start scheme.  He is being asked to extend the paper vouchers while the digital scheme is fixed.

The rising cost of living is adding more pressure to families in the UK already struggling to afford and access an adequate diet. On average, each month, 8% of households did not have enough money for food over the financial year 2019-20 according to the Government’s UK Food Security Report. Food insecurity levels in households with children remain extremely high. According to data from the Food Foundation, over 2.5 million children live in households that have experienced food insecurity in the past six months.

Against this backdrop, the Healthy Start scheme plays a vital role in supporting low-income young families and pregnant mothers to eat well. However, there are concerns about the roll-out of the digitisation of the scheme. These concerns have been raised repeatedly with officials at the NHS Business Services and the Department of Health and Social Care (DHSC) but the problems have not been rectified and time is running out before paper vouchers are removed from circulation on 31 March 2022.

The digitisation of Healthy Start can help to reduce access barriers if managed properly and with a clear understanding of the circumstances of those it is targeting. However, without urgent action, hundreds of thousands of families across England, Wales and Northern Ireland are at risk of losing the nutritional safety net provided by
Healthy Start.

NHS Business Services Authority is working with on a Department of Health & Social Care project to improve the Healthy Start scheme and is looking for some health visitors to interview about their role and experience.

Healthy Start provides vouchers for pregnant women, children, parents and families in receipt of qualifying benefits to buy fruit, veg, milk and vitamins. The scheme currently uses paper-based vouchers, however they intend to trial the use of prepaid cards and an online application process.

An important part of this project involves talking to healthcare professionals that help promote the scheme – so they are looking for some health visitors to interview. To do this they conduct telephone calls, which last around 30mins. The call is carried out by their researchers, it’s an informal chat to find out more about your role and your experience of promoting the Healthy Start scheme.

They are looking to do the research calls next week between  Monday 24 and Thursday 27 June. They are flexible on the day and times.

If you are able to help by taking part, simply email [email protected] with the details below:

  • Your availability (give day and preferred times)
  • Your role
  • How long you have been in your role?
  • Do you currently promote Healthy Start with the families you see?