Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham...

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Healthy start vouchers in Birmingham Dr Sandra Passmore, Childhood Obesity Consultant Public Health Birmingham (and Senior Adviser, Services for Education, Birmingham) Andrea Walker-Kay, Senior Officer Public Health, Birmingham

Transcript of Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham...

Page 1: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Healthy start vouchers

in Birmingham

Dr Sandra Passmore, Childhood Obesity Consultant

Public Health Birmingham (and Senior Adviser,

Services for Education, Birmingham)

Andrea Walker-Kay, Senior Officer

Public Health, Birmingham

Page 2: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Context in Birmingham

• Population of 1.1 million people

• 42% of residents from ethnic group other than white.

• 46% of residents aged under 30 years old.

• 40% of residents live in areas described as most deprived

10% in England.

• Approx 17,500 live births each year.

Page 3: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Healthy Start Vouchers in Birmingham

• Approx 17,000 eligible beneficiaries

• Approx 70-75% registered so 4,250 - 5,100 people unregistered

• Each voucher worth £3.10 per week.

• Assuming 2 vouchers per week per person the underclaim = £1.4m - £1.6m per year for the city

Page 4: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Action Plan

1. Increase registration of eligible beneficiaries

2. Increase usage of HSV by parents and especially of children aged over 2 years old

3. Increase numbers of retailers registered and accepting HSV

4. Increase range of outlets registered and accepting HSV

Page 5: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Problem with HSV

• No one locally monitors the whole system

– Health visitors/midwives register woman (birth)

– Woman receives vouchers

– Shops register to accept vouchers

– Woman spends voucher in shop

– Shop claims money back

Page 6: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Increase registration of eligible beneficiaries

• Who comes into contact with women who are/may be eligible for HSV?

– Health Visitors

– Family support workers

– Housing Association

– link with Financial Inclusion strategy

– Free 2 and 3 year old early education entitlement

– Early Years settings, schools

Page 7: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Increase registration of retailers

• Database from DH of which retailers are, or who have been, registered to accept HSV

• Segmented database into

– Currently accepting HSV

– Used to accept HSV but stopped

– Registered but never accepted HSV

• Also segmented database into

– Large supermarkets

– Small supermarkets

– Pharmacies

– Newsagents

– Markets

– Corner shops

– Wine/liquor shops

– other

Page 8: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Interviews with retailers

• Public health team went to selection of retailers to ask them about their experiences, thoughts, recommendations

Page 9: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Insights from retailers

• Nothing to advertise HSV in shops or outside shop

• Also poster to say what HSV can be used for (not just milk)

• Staff turnover, staff training

• Would prefer ‘card’

• Problem of no change for customers

• Damaged/damp vouchers

• Wait until £150 to claim

Page 10: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Bullring Fruit and Veg markets

• Lots of traders registered but apparently never accepted voucher but…

• Voucher used against rent for stall

• Stall holder turnover

• Non English market stall holders

• No signage etc

Page 11: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Bullring Fruit and Veg market

• Letter sent out re HSV and use against rent

• Developing signage for stalls

• Future ideas

– £3.10 veg box

Page 12: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Association of Convenience Stores

• Working to develop promotion of HSV

• Promote point of sale promotion materials

• Increase awareness and use

• Increase registration

Page 13: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Promoting with retailers

• Staff training DVD (Aldi)

• Point of sale promotional materials

• Register every retailer

Page 14: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Lidl

• Working with University of Birmingham School of Health Economics

• Looking at customer behaviour

• Linking use of HSV –match funding with Lidl voucher

Page 15: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Increase other outlets registering

• Allotments

• Schools

Page 16: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

Increase usage (the future)

• Link to cooking sessions – how to cook cauliflower etc

• Link to community groups, churches as well as HV, children centres etc

Page 17: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

0121 366 9950

Dr Sandra Passmore

@S4EHES

/servicesforeducation

[email protected]

Page 18: Healthy start vouchers in Birmingham - Food Foundation€¦ · Healthy Start Vouchers in Birmingham •Approx 17,000 eligible beneficiaries •Approx 70-75% registered so 4,250 -

0121 303 9684

Andrea Walker-Kay

@bhamcitycouncil

/birminghamcitycouncil

[email protected]