Variation in uptake of Healthy Start Food Vouchers in the Six Health and Social Care Partnerships

Abstract

Background The primary aim of this study was to assess the difference in uptake levels of Healthy Start Food Vouchers, a means tested benefit to afford nutritious food, between 6 Health and Community Partnerships (HSCP) in Greater Glasgow and Clyde (GGC). Our secondary aim was to explore possible reasons for the observed variation. Methods Routinely collected Healthy Start data for the months of August to September 2017 were obtained from the UK Department of Health. Postcode sectors were matched up with their corresponding HSCPs in GGC. Analysis looked for associations between uptake rates and various HSCP area-based characteristics. Results Large variations were observed within GGC. Chi-square test showed a significant association between uptake and HSCP area (P < 0.0005). Trend analysis of uptake with area deprivation (P = 0.001) and resource allocation (P < 0.001) was also significant. Subjective analysis of trend direction suggested that uptake increased with deprivation and resource allocation of the HSCP. Conclusions Significant trends were found and the observed patterns suggested that the relationship between uptake rates and HSCP area is more complex than the geographical characteristics alone. Future studies need to look at the difference in management and awareness of the voucher scheme between Maternity teams in HSCPs. Key messages There is significant variation in the uptake of means tested benefits with some areas having a nearly forty percent of eligible individuals not receiving available support. A qualitative approach is required to determine the causes of low uptake rates of benefits and improve the effectiveness of maternity teams in different areas.