fruit veg and vitamins for you has your health ... · warrington wa55 1eg 2904155 healthy start...

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Has your health professional signed your application form and have you checked you have completed all the boxes that apply to you (see ‘Before you put your form in the post’ on page 10)? Tear off envelope here Healthy Start Issuing Unit FREEPOST RRTR-SYAE-JKCR PO Box 1067 WARRINGTON WA55 1EG 2904155 Healthy Start application leaflet Produced by Williams Lea for the Department of Health HS01a OCTOBER 2016 EDITION To apply please see the form inside www.healthystart.nhs.uk Free milk fruit veg and vitamins for you and your family 2905110 HS01 Application Booklet v0_3.indd 1 13/10/2016 16:51

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Has

yo

ur

hea

lth

pro

fess

ion

al s

ign

ed y

ou

r ap

plic

atio

n f

orm

an

d h

ave

you

ch

ecke

d y

ou

h

ave

com

ple

ted

all

the

bo

xes

that

ap

ply

to

yo

u (

see

‘Bef

ore

yo

u p

ut

you

r fo

rm in

th

e p

ost

’ on

pag

e 10

)?

Tear off en

velop

e here

Health

y Start Issuin

g U

nit

FREEPO

ST RR

TR-SY

AE-JK

CR

PO B

ox 1067

WA

RR

ING

TON

WA

55 1EG

2904155 Health

y Start app

lication

leaflet Pro

du

ced b

y William

s Lea for th

e Dep

artmen

t of H

ealth

HS01aOCTOBER 2016 EDITION

To apply please see the form inside www.healthystart.nhs.uk

Free milk fruit veg and

vitamins for you and your family

2905110 HS01 Application Booklet v0_3.indd 1 13/10/2016 16:51

M

oist

en s

trip

Tear

off

env

elop

e he

re

All about Healthy StartHealthy Start is here to help you give your family the very best start in life.

If you’re pregnant or have a young child under four you could get Healthy Start vouchers worth £3.10 a week for you and your child.

The vouchers can be spent on milk, plain fresh or frozen fruit and veg (fruit and veg with nothing else added) and infant formula milk at your local shops. Plus you’ll get coupons for free vitamins too.

And if your children enjoy eating healthy food when they’re young, their good eating habits will stay with them for a lifetime!

Contents

What vouchers do I get? 1

What can I buy? 2

Do I qualify? 3

Who uses them? 4

A few Q & As 6

Who to contact 7

How do I claim? 8

Dos and don’ts 9

Handy checklist 10

2905110 HS01 Application Booklet v0_3.indd 2 13/10/2016 16:51

PART APART B

6A

re you

preg

nan

t?

● Y

es ●

No

5Y

ou

r child

ren: Please g

ive details o

f any ch

ildren

(un

der 4) yo

u alread

y have (co

ntin

ue o

n an

oth

er sheet

of p

aper if n

ecessary)

First na

me

Da

te o

f birth

Su

rna

me

First na

me

Da

te o

f birth

Su

rna

me

First na

me

Da

te o

f birth

Su

rna

me

DD

MM

YY

YY

DD

MM

YY

YY

DD

MM

YY

YY

Part B: H

ealth p

rofessio

nal’s statem

ent

I certify

tha

t

(na

me o

f ap

plica

nt)

da

te o

f birth

(of a

pp

lican

t)

ha

s con

sulte

d m

e a

bo

ut h

er p

reg

na

ncy

Th

e e

xp

ecte

d d

ate

of d

eliv

ery

is

(p

lea

se fi

ll in fu

ll da

te).

AN

D/O

R

I certify

tha

t the in

form

atio

n (s)h

e h

as g

ive

n in

Pa

rt A, q

ue

stion

5 a

bo

ut h

is/he

r child

ren

is, to th

e

be

st of m

y k

no

wle

dg

e, co

rrect.

AN

D

I con

firm

tha

t I have g

ive

n h

im/h

er

he

alth

-rela

ted

ad

vice

.

This fo

rm ca

n b

e co

un

tersig

ne

d b

y a

ny re

giste

red

mid

wife

, n

urse

or m

ed

ical p

ractitio

ne

r.

He

alth

pro

fessio

na

l’s sign

atu

re

He

alth

pro

fessio

na

l’s na

me

Da

te o

f sign

ing

Su

rge

ry sta

mp

or w

ork

ad

dre

ss

Su

rge

ry p

ostco

de

GM

C n

o./N

MC

pin

(op

tion

al)

Ap

plica

tion

s for H

ea

lthy S

tart v

ou

che

rs will n

ot b

e

acce

pte

d w

itho

ut a

sign

atu

re (o

r lette

r) from

yo

ur

he

alth

 pro

fessio

na

l.

7Please read

this

Please read th

is If you

are 16 or o

ver, sign

and

date th

e form

yo

urself. If yo

u are u

nd

er 16, ask a paren

t or carer to

sign

and

d

ate the fo

rm.

By sig

nin

g:

00

I declare th

at the in

form

ation

I have p

rovid

ed in

this ap

plicatio

n

form

is correct an

d co

mp

lete.

00

I have read

and

un

dersto

od

the d

os an

d d

on

’ts of H

ealthy Start

(describ

ed o

n p

age 9 o

f the H

ealthy Start leafl

et).

00

I agree to

follo

w th

ese rules d

urin

g an

y perio

d I receive H

ealthy

Start vou

chers fo

r myself o

r my fam

ily.

00

I agree th

at the U

K H

ealth D

epartm

ents can

share in

form

ation

ab

ou

t me w

ith o

ther o

rgan

isation

s to ch

eck that th

e info

rmatio

n

I have g

iven is co

rrect and

to sto

p false claim

s (as describ

ed o

n

pag

e 9 un

der th

e head

ing

‘Data p

rotectio

n’).

00

I un

derstan

d th

at if I kno

win

gly claim

sup

po

rt from

Health

y Start th

at I am n

ot en

titled to

, this su

pp

ort m

ay be sto

pp

ed

and

 I will b

e liable to

reimb

urse th

e UK

Health

Dep

artmen

ts th

e value o

f any vo

uch

ers and

vitamin

cou

po

ns I h

ave received

 and

used

.

Sig

na

ture

Na

me

Da

te

No

w a

sk y

ou

r he

alth

pro

fessio

na

l (usu

ally

yo

ur m

idw

ife

or h

ea

lth v

isitor) to

com

ple

te th

e sta

tem

en

t be

low

. Yo

u d

o

no

t ne

ed

to p

ay a

ny

thin

g to

have y

ou

r form

sign

ed

.

DD

MM

YY

YY

DD

MM

YY

YY

DD

MM

YY

YY

DD

MM

YY

YY

1

• If you’re pregnant you get one voucher a week worth £3.10

• For each baby under the age of one, you get two vouchers a week worth a total of £6.20

• For each child aged over one and under four, your family gets one voucher a week worth £3.10

So what vouchers do I get?

And if you’re pregnant, or have a child under four, you’ll also get coupons for vitamins. Vitamin tablets for you; drops for your baby or child. Helping them to grow up strong and healthy.

PERF HERE

PERF HERE2905110 HS01 Application Booklet v0_3.indd 3 13/10/2016 16:51

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PART A

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efits

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or

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dre

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tel

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um

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: Ple

ase

tell

us

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ere

you

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d y

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rren

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S01_

V4

• liquid cow’s milk

• plain fresh or frozen fruit

• plain fresh or frozen vegetables

• infant formula milk

2

What can I buy with my vouchers?

You can use them at local shops and greengrocers as well as supermarkets. To find your nearest participating shops go to www.healthystart.nhs.uk or call the Healthy Start helpline on 0345 607 6823.

And don’t forget your vitamins. Make sure you ask your midwife or health visitor where you can exchange your coupons for vitamins for you and your child locally.

PERF HERE

PERF HERE

2905110 HS01 Application Booklet v0_3.indd 4 13/10/2016 16:51

5 3

Do I qualify?You qualify for Healthy Start if you’re at least 10 weeks pregnant or have a child under four years old AND you or your family get…

• Income Support, or

• Income-based Jobseeker’s Allowance, or

• Income-related Employment and Support Allowance, or

• Child Tax Credit (with a family income of £16,190 or less per year)

• Universal Credit (with a family take home pay of £408 or less per month)

You also qualify if you are under 18 and pregnant, even if you don’t get any of the above benefits or tax credits.

2905110 HS01 Application Booklet v0_3.indd 5 13/10/2016 16:51

4

Who uses Healthy Start vouchers?

Sabrina & AleshaSabrina has a three-month-old baby girl called Alesha and is on Income Support as well as Child Tax Credit.

Each week, she gets vouchers worth £6.20 – that’s over £322 in vouchers by Alesha’s first birthday! Right now Sabrina is breastfeeding, so she is using the vouchers for milk, fruit and vegetables for herself until Alesha goes on to solid food. She gets her free vitamins from the local baby clinic – and knows that by taking them herself she’s helping Alesha too.

Angela & her unborn babyAngela is pregnant. She’s 17 years old and lives at home with her parents, who don’t claim any benefits.

She gets one Healthy Start voucher worth £3.10 every week – and she’ll keep on getting them until her baby is born. Angela also picks up free Healthy Start vitamins from her midwife, helping to make sure she and her unborn baby get everything they need.

2905110 HS01 Application Booklet v0_3.indd 6 13/10/2016 16:51

7 5

So...To find out how Healthy Start could help you, why not talk to your midwife or health visitor when you get the chance? They’re always happy to offer help and advice about health, including healthy eating and breastfeeding. They’ll also be able to tell you about local support services such as Sure Start Children’s Centres and family centres for pregnant women and families with young children.

David & Ryan25-year-old David is a single dad with a three-year-old boy called Ryan. He’s not working and gets the highest rate of Child Tax Credit. David gets one £3.10 Healthy Start voucher each week for Ryan.

That’s £3.10 every week to spend on milk, fruit and vegetables and David picks up free vitamin drops for Ryan from the local children’s centre.

2905110 HS01 Application Booklet v0_3.indd 7 13/10/2016 16:51

86

A few questions and answers

How long will it take to get my vouchers?Once we get your application form we’ll check that we’ve got all the information we need. If everything is there and you qualify, we’ll send your first vouchers within two weeks. If you don’t hear back from us within two weeks, call the Healthy Start helpline on 0345 607 6823.

How often do I get my vouchers?Once you’re on the scheme, we’ll send you Healthy Start vouchers every four weeks, and a vitamin coupon every eight weeks.

What happens if I don’t fill out the form properly?We’ll have to send it back to you – or if we’ve got your phone number, we might be able to sort it out that way. Either way it’ll delay your application, so double-check all your details!

Why do I need to put my National Insurance number on the form?It’s to check that you qualify for Healthy Start – if you’re over 16 and don’t put it on your form, we won’t be able to send you vouchers. So please make sure we have it!

I’m pregnant and under 18. Do I need to tell you about any benefits or tax credits that me or my family’s getting?

If you’re under 18 and applying for vouchers because you’re pregnant, not because you already have a child, then you don’t have to tell us about any benefits or tax credits you are getting. But it’s good if you DO tell us if you are getting them, otherwise your vouchers will stop coming as soon as the baby is born.

2905110 HS01 Application Booklet v0_3.indd 8 13/10/2016 16:51

7

What do I do about the National Insurance number if I’m under 16?Leave the box blank. It won’t affect your application, but as soon as you get your number, call or write to us and tell us.

How do I claim qualifying benefits or tax credits?To claim tax credits, or add a new child to an existing claim, ring the Tax Credit Helpline on 0345 300 3900. To claim any of the other qualifying benefits, ring Jobcentre Plus on 0800 055 6688.

What do I do if my circumstances change once I’m getting vouchers?

Tell us – but make sure you tell the Tax Credit Helpline or your local Jobcentre Plus or benefits office too. If you move home, it’s vital that you tell them right away because we always send your vouchers to the address you use to claim benefits or tax credits. If you delay, your vouchers will keep going to your old address and we won’t be able to replace them.

Our contact detailsStill have some questions or want another copy of the application form? Call Healthy Start: 0345 607 6823 (9am–5pm Monday to Friday), textphone: 0845 601 7698

If you wish to order copies of this leaflet in bulk, call: 0300 123 1002, textphone: 0300 123 1003 or go online at www.orderline.dh.gov.uk

This leaflet is also available in alternative formats.Legal notice

• This leaflet gives general guidance and should not be treated as a complete and authoritative statement of law

• The text of this leaflet may be reproduced without formal permission or charge for personal or in-house use

© Crown copyright 20142902036 Produced by Williams Lea for the Department of Health

Benefits are changing. For more information on the new Universal Credit visit GOV.UK

2905110 HS01 Application Booklet v0_3.indd 9 13/10/2016 16:51

10

How do I claim?

8

1. YouEnter your details here. Or, if you’re filling in this form for someone else who is pregnant, enter their details. They will then need to sign section 7 unless they’re under 16.

2. Your address and telephone number

Make sure that the address you give matches the address you use to claim benefits and tax credits if you get them.

If the address on your Child Tax Credit or benefit claim is out of date, tell the Tax Credit Helpline on 0345 300 3900 or your local Jobcentre Plus or benefit office as soon as possible. If the address you put on your application form is different to the one that you use for your benefits or tax credit claim, we will send the form back to you.

3. Your partner - if they live with youIf you have a partner who lives with you, tell us about them.

4. Your carer and carer’s partnerIf you’re under 20 and live with a parent or carer, please tell us about them, and any partner they have who lives with them.

If you’re 18 or 19 and in full-time education, you must confirm in section 4c if your carer or carer’s partner has named you as a dependant in their claim for any qualifying benefits or tax credits.

5. Your childrenGive the full names and dates of birth of every child that you’re claiming vouchers for. If you’re claiming for more than three children, put their full names and dates of birth on a separate piece of paper and attach it to your application form.

Part A is your section – please complete clearly in BLACK ink and refer to the hints and tips below

Part B is for a health professional – your midwife, health visitor, nurse or doctor

2905110 HS01 Application Booklet v0_3.indd 10 13/10/2016 16:51

11 9

6. PregnancyTick the box to tell us whether the person named in section 1 is pregnant or not.

7. Signing the form The person named in section 1 should sign and date the form here, unless they’re under 16. If they are under 16, the parent or carer named in section 4 should sign and date the form.

IMPORTANT INFORMATION

Healthy Start vouchers are for the people who need them most. It’s breaking the law to give us details that you know aren’t true when applying for Healthy Start, or not to tell us if your circumstances change.

You could be prosecuted.

DATA PROTECTION

The information you give us will only be used by the UK Health Departments and their service providers. They may contact other organisations to check that the information is correct and to stop false claims.

From time to time we, or our researchers, may invite you to tell us how the scheme is working for you, to help us improve it.

Dos Do make sure you use your vouchers before their use-by date

Do use your vouchers fully as shops can’t give you change

Do let us know if your circumstances change – and tell the Tax Credit Helpline and Jobcentre Plus too

Don’ts Don’t use your vouchers for anything not listed in this booklet

Don’t give your vouchers away

2905110 HS01 Application Booklet v0_3.indd 11 13/10/2016 16:51

1210

Please tick off the list below before you post your form:

� I’ve checked that I qualify for Healthy Start

� I’ve filled in my details in sections 1 and 2

� I’ve completed sections 3 and 4 with any details of my partner and/or parent/carer (as appropriate)

� The National Insurance numbers on the form are correct

� I’ve given the full names and dates of birth of all children I’m claiming for in section 5

� I’ve stated if I’m pregnant in section 6

� I’ve signed and dated section 7

� I got a health professional to complete Part B, including my expected date of delivery (if pregnant)

A handy checklist

Finished? Great. Now send us the form, using the freepost envelope at the back of this leaflet (you don’t need a stamp).

Lost your freepost envelope? Never mind, just find your own envelope and send your form to the address below – you still don’t need a stamp!

Healthy Start Issuing UnitFREEPOST RRTR-SYAE-JKCRPO Box 1067WarringtonWA55 1EG

2905110 HS01 Application Booklet v0_3.indd 12 13/10/2016 16:51