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Healthy Start and Early Years NAME Healthy Start Lead PCT Name What is Healthy Start? • • • • • Replaced Welfare Food Scheme in 2007 A statutory scheme A nutritional safety net Encourages breastfeeding/healthy eating A public health tool Healthy Start Introducing Solid Food Breastfeeding Inter related infant health initiatives Start4Life Baby Life check Active play What does it provide? Vouchers: Vitamins: Liquid milk Fresh fruit and veg Infant formula milk For women For children AND: Information on breastfeeding and healthy eating 4 Who is it for? Pregnant women and families with children under four getting: • Income Support, or • Income Based Jobseekers’ Allowance, or • Income related Employment and Support Allowance, or • Child Tax Credit (but not Working Tax Credit) with an annual family income of £16,190 or less. And ALL pregnant under 18 year olds The Voucher • Worth £3.10 each • Issued 4 weekly to beneficiaries • Double vouchers for under 1’s • Voucher value reviewed annually 6 Role of HCP The way the parents find out about the scheme effects their relationship with the scheme Health professionals can make a huge difference! Healthy Start is a Statutory Scheme Health Professionals are given the key tasks of: • • • • Signposting to the scheme Supporting applications Signing application forms PCTs have a duty to make HS vitamin supplements available Healthy Start application process Family becomes eligible Midwife/Health Visitor Invitation from HSIU Application form in GP surgery Tax credits helpline Jobcentre Plus Potential beneficiary hears about Healthy Start Internet Website HSIU Helpline Pregnancy or Birth to Five Book Poster in children’s centre Get application leaflet/Form GP Surgery Complete Form Health Visitor Get signature from midwife or health visitor Submit to HSIU HSIU receives application form Fully completed Clearly do not qualify Application for pregnant Wrongly completed Application includes children Returned to applicant Applicant informed Vouchers Issued Validate against HMRC and JCP data Validation checks later Match found Match not found Inform applicant and invite to give additional information. Repeat 2/4 weekly checks for 3 months Vouchers Issued Match found Repeat validation checks every 2 wks (HMRC) or 4 wks (JCP) No match found Vouchers not issued Voucher Issued Letter confirming match not found Why give Vitamins? • Enough evidence to convince COMA and SACN to recommend supplementation • NICE report on Maternal and child nutrition (March 2008) places the onus on PCTs to ensure supplementation happens Source: COMA – Committee on Medical Aspects of Food and Nutrition Policy SACN – Scientific Advisory Committee on Nutrition NICE – National Institute for Clinical Excellence Vitamin Facts Children’s Drops Women’s Tablets Code: ABX 072 Code: ABX 073 Cost to PCT: £1.61 Cost to PCT: 82p Cost when selling: £1.77 Cost when selling: 90p Available to: Children; 6 months – 3 years Available to: Women; pregnant and until child is 1 yr old Contains: 233mcg Vitamin A 20mg Vitamin C 7.5mcg Vitamin D Contains: 70 mg Vitamin C 10 mcg Vitamin D 400 mcg Folic Acid One bottle: 10 mls (8 week supply) One bottle: 56 tablets (8 week supply) Daily Dose: 5 drops Daily Dose: 1 tablet Classification: General Sales List Medicine Classification: Multivitamin Food Supplement Manufacturer: SSL International Manufacturer: Bayer Local Uptake • Vitamin uptake is measured by the number of vitamins reclaimed from DH • Levels are low – but improving! Vitamin Collection Points • Local Vitamin Collection Points • Collection of vitamin coupons Any questions?