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Jo Churchill MP Parliamentary Under-Secretary of State for ... Start... · spending power to those...

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Jo Churchill MP Parliamentary Under-Secretary of State for Health 39 Victoria Street London SW1H 0EU 22 June 2020 Dear Minister, Accelerating the online application process for Healthy Start During the Covid-19 crisis we have seen a significant increase in food insecurity, with an estimated five million people (17%) living in households with children in the UK having experienced food insecurity during the first five weeks of COVID-19 lockdown, as reported by the Food Foundation. As economic uncertainty continues in the coming months, it is vital the Government keeps taking steps to ensure the most vulnerable among society can afford their next meal. Healthy Start provides young and low-income pregnant women and low-income families with children under four years with vouchers worth £3.10 per week (£6.20 for infants) to purchase vegetables, fruit, milk and infant formula, worth up to £900 per child. The scheme also provides vitamin vouchers and therefore ensures a good source of Vitamin D, which the Government has highlighted as important during this period of limited exposure to the outdoors for many. We welcome the initial steps taken over the last year to digitise the scheme, particularly as only paper application forms exist currently. Now is the time to complete this modernisation programme to support vulnerable families, specifically by accelerating the digital transformation of the application process. Many families do not have a printer at home and so would normally rely on children’s centres, libraries or other community services to print or provide application forms. With libraries closed and reduced contact with health and community services, our partners in Local Authorities and public health teams report that many families are struggling to access paper forms at this time of great need. Enabling families to apply online from their own home will give more spending power to those who need it most right now. Ensuring pregnant women and young children have access to the nutritional safety net that Healthy Start vouchers provide, and which can enhance intake of fruit and vegetables, is particularly important for current and future health. There is also likely to be a significant increase in pregnant women and families eligible for Healthy Start, both during the peak of the pandemic and beyond. We understand that 1.4 million people claimed for Universal Credit during a recent
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Page 1: Jo Churchill MP Parliamentary Under-Secretary of State for ... Start... · spending power to those who need it most right now. Ensuring pregnant women ... Duncan Stephenson, Deputy

JoChurchillMPParliamentaryUnder-SecretaryofStateforHealth 39VictoriaStreet London SW1H0EU22June2020 DearMinister, AcceleratingtheonlineapplicationprocessforHealthyStart DuringtheCovid-19crisiswehaveseenasignificantincreaseinfoodinsecurity,withanestimatedfivemillionpeople(17%)livinginhouseholdswithchildrenintheUKhavingexperiencedfoodinsecurityduringthefirstfiveweeksofCOVID-19lockdown,asreportedbytheFoodFoundation.Aseconomicuncertaintycontinuesinthecomingmonths,itisvitaltheGovernmentkeepstakingstepstoensurethemostvulnerableamongsocietycanaffordtheirnextmeal.HealthyStartprovidesyoungandlow-incomepregnantwomenandlow-incomefamilieswithchildrenunderfouryearswithvouchersworth£3.10perweek(£6.20forinfants)topurchasevegetables,fruit,milkandinfantformula,worthupto£900perchild.TheschemealsoprovidesvitaminvouchersandthereforeensuresagoodsourceofVitaminD,whichtheGovernmenthashighlightedasimportantduringthisperiodoflimitedexposuretotheoutdoorsformany.Wewelcometheinitialstepstakenoverthelastyeartodigitisethescheme,particularlyasonlypaperapplicationformsexistcurrently.Nowisthetimetocompletethismodernisationprogrammetosupportvulnerablefamilies,specificallybyacceleratingthedigitaltransformationoftheapplicationprocess.Manyfamiliesdonothaveaprinterathomeandsowouldnormallyrelyonchildren’scentres,librariesorothercommunityservicestoprintorprovideapplicationforms.Withlibrariesclosedandreducedcontactwithhealthandcommunityservices,ourpartnersinLocalAuthoritiesandpublichealthteamsreportthatmanyfamiliesarestrugglingtoaccesspaperformsatthistimeofgreatneed.Enablingfamiliestoapplyonlinefromtheirownhomewillgivemorespendingpowertothosewhoneeditmostrightnow.EnsuringpregnantwomenandyoungchildrenhaveaccesstothenutritionalsafetynetthatHealthyStartvouchersprovide,andwhichcanenhanceintakeoffruitandvegetables,isparticularlyimportantforcurrentandfuturehealth.ThereisalsolikelytobeasignificantincreaseinpregnantwomenandfamilieseligibleforHealthyStart,bothduringthepeakofthepandemicandbeyond.Weunderstandthat1.4millionpeopleclaimedforUniversalCreditduringarecent

Page 2: Jo Churchill MP Parliamentary Under-Secretary of State for ... Start... · spending power to those who need it most right now. Ensuring pregnant women ... Duncan Stephenson, Deputy

four-weekperiod,comparedto240,000typically.Ifjust10%ofthesenewclaimantsareeligibleforHealthyStarttheprogrammecouldseeupto140,000newfamiliesapplyingforthescheme,comparedto1,400newclaimantsduringanaveragefour-weekperiodover2019.Processingthismanypaperapplicationsisinefficientandlabourintensiveatatimewhenresourcesneedtobedeployedeffectively.Familiescanrequestpaperapplicationsbepostedtothembycallingthehelpline,butagain,thisisnotatimeorcost-effectiveapproachnoworwithincreaseddemand.Fast-trackingcompletionoftheonlineapplicationprocesswillhavelong-termreturnsforbothfamiliesandtheNHSBusinessServicesAuthority.Asyouknow,newregulationstosupportthedigitalrolloutwerealreadypassedinMarch2020,helpfullylayingthekeygroundworkforgovernmenttonowre-prioritisethisvitalscheme.WhileweunderstandthatoverthelastmonthmanyresourceswithinNHSBusinessServicesAuthorityhaveneededtoberedeployed,developmentoftheonlineapplicationformforHealthyStartmustnowbeacceleratedinordertoensurevulnerablefamiliescanaffordthefoodtheyneed,andtoprepareforalikelyswellinapplications.Werecognisethatresourcesarerightlybeingprioritisedtoaddresstheimmediatecrisis,butwealsocallfortheinvestmentinpoliciesthatimprovethegeneralhealthandresilienceofthepopulation.Weareawarethatsignificantworkhasalreadybeencompletedtodevelopanonlineapplicationformandbelievethatthiscouldbeliveinaveryshorttime.Wewouldwelcomeanopportunitytodiscussourproposalsasamatterofsomeurgency.WefeelacceleratingtheonlineapplicationprocessfortheHealthyStartwouldbeanimportantsteptosupportvulnerablefamiliesatthistimeofcrisisandduringtheaftermath.WewouldalsolikeconfirmationofthedateforthefullHealthyStartconsultationwhichtheDepartmentofHealthandSocialCarecommittedtoinJune2018inChapter2ofChildhoodObesity:aplanforaction.Yourssincerely, KathDalmeny,ChiefExecutive,Sustain:theallianceforbetterfoodandfarming; MemberoftheDefraFoodandVulnerabilityvoluntarysectorliaisongroup,theLondonStrategicCoordinationGroupforfoodandvulnerability,andthefoodandvulnerabilityleadfortheSustainalliance GillWalton,ChiefExecutive,TheRoyalCollegeofMidwives

DuncanStephenson,DeputyCEO,RoyalSocietyofPublicHealthProfessorRussellViner,President,RoyalCollegeofPaediatricsandChildHealth

Page 3: Jo Churchill MP Parliamentary Under-Secretary of State for ... Start... · spending power to those who need it most right now. Ensuring pregnant women ... Duncan Stephenson, Deputy

CouncillorIanHudspeth,ChairmanoftheLocalGovernmentAssociationCommunityWellbeingBoardLynneStubbings,ChairofTheWomen’sInstituteAnnaTaylor,ChiefExecutiveoftheFoodFoundationRobPercival,HeadofPolicy(FoodandHealth),SoilAssociationSabineGoodwin,Coordinator,IndependentFoodAidNetworkCarolineBoveyBEM,BritishDieteticsAssociationChairSimonCapewellMDDSc,ProfessorofClinicalEpidemiology,UniversityofLiverpool,onbehalfoftheUKFacultyofPublicHealthDrCheryllAdamsCBE,FRSPH,D(Nurs),MSc,ExecutiveDirector,InstituteofHealthVisitingStephanieWood,Founder/CEO,SchoolFoodMattersHelenCrawley,Director,FirstStepsNutritionTrustNiallCooper,Director,ChurchActiononPoverty KieronBoyle,ChiefExecutive,Guy’sandStThomas’CharityJonathanPauling,ChiefExecutive,AlexandraRoseCharityKatiePalmer,ProgrammeManager,FoodSenseWalesVictoriaWilliams,Director,FoodMattersTomSkinner,Director,GreaterManchesterPovertyActionKatharineJennerRNutr,CampaignDirector,ActiononSugar ProfessorGrahamMacGregor,ChairmanofActiononSalt DanParker,ChiefExecutive,LivingLoudDr.RachelLoopstra,DepartmentofNutritionalSciences,King'sCollegeLondonGeoffTansey,Chair,FabianCommissiononFoodandPoverty2014-2015DanCrossley,ExecutiveDirector,FoodEthicsCouncil

Page 4: Jo Churchill MP Parliamentary Under-Secretary of State for ... Start... · spending power to those who need it most right now. Ensuring pregnant women ... Duncan Stephenson, Deputy

NehaAgarwal,DirectorofDevelopment,TheAkshayaPatraFoundationUK

TomAndrews,ProgrammeDirector,SustainableFoodPlacesClairePritchard,CEO,GreenwichCooperativeDevelopmentAgencyVicBorrill,Director,Brighton&HoveFoodPartnershipKerryMelville,Coordinator,BelfastFoodNetworkEmilyFay,ShropshireFoodPovertyAllianceCo-ordinatorCouncillorKemiAkinola(Wandsworth),Founder/CEOofBe-EnrichedandDirectorofBrixtonPeople'sKitchenRebeccaSmith,DeputyCEO,SocialEnterpriseKentJenGriffiths,ChairofGoodFoodFlintshireandtheNorthWalesFoodPovertyAllianceVirginiaNimarkoh,Director,LambethLarderCommunityFoodResourceForcorrespondencepleasecontactSustain’sHealthyStartcampaignmanagerMaddieGuerlain:[email protected]


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