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Se in meals access and participation was a thriving strategy for gaining the trust of participants and fostering an informal atmosphere in which participants felt capable to contribute their views. The findings are restricted in that they reflect self-report of experiences and behaviours. The study didn’t aim to assess dietary intake to confirm reported elevated intakes of fruit and vegetables. Additional analysis is necessary to measure the effect of meals vouchers on nutritional intakes and overall health outcomes and further comparative analysis is required to fnins.2015.00094 assess the effectiveness and costeffectiveness of Healthy Start out meals vouchers. Even though the findings of this study are applicable for the Healthier Start programme in England, insights from the experiences with the participants may be relevant to other meals subsidy programmes in high income countries. Forthcoming papers will report on the evaluation of your provision of vitamin supplements as a part of the Healthier Start out programme, along with the recommendations for the operation with the Healthier Get started programme in England culminating from the cross-sectoral workshops.income fluctuates. Our participants felt that the eligibility criteria excluded a lot of who could benefit such as those with uncertain immigration status and those in function but who have been just above the income threshold. Consideration of those problems could inform the style and implementation of meals subsidy programmes in higher earnings countries, and help to address nutritional inequalities.Competing interests The authors declare that they have no competing interests. This can be an independent report commissioned and fpsyg.2015.00360 funded by the Policy Analysis Programme within the Department of Well being, UK. The views expressed in the publication are those in the authors and not necessarily these of your Department of Wellness. Authors’ contributions AM conceived and made the study, collected, analysed and CPI-455 chemical information interpreted the information, and drafted the manuscript, JMG conceived an designed the study, collected, analysed and interpreted the data, VW developed the study and collected, analysed and interpreted the data, JM collected, analysed and interpreted the information, FM collected and analysed the information, JFR conceived and made the study, MJR conceived and developed the study and interpreted the data. All authors revised the manuscript for intellectual content and authorized the final version. Acknowledgements We would like to thank: all those who participated in and/or helped us to recruit participants for this evaluation; Sarah Bennett and Rose McCarthy who facilitated the important informant user panel and advised us on the design and implementation from the study, Ben Messer from Meals Matters who facilitated the participatory workshops; Jenny Brown, Natalie Muir and Pauline Holloway who offered secretarial assistance at a variety of stages with the study; Rebecca Atchinson and Anna Kitt whose guidance was invaluable within the early stages from the project and members with the Project Advisory Group. Author details 1 Analysis Fellow, College of Medicine, Dentistry and Nursing, University of Dundee, 11 Arlie Place, Dundee DD1 4HJ, UK. 2Department of Well being Sciences, University of York, Heslington, York YO10 5DD, UK. 3Food Matters, Brighthelm Centre, North Road, Brighton BN1 1YD, UK. 44 Claremont Road, Tunbridge Wells, Kent TN1 1SZ, UK. 5Health Economics Research Group (HERG), Brunel University, Uxbridge, Middlesex UB8 3PH, UK. 6College of Medicine, Dentistry and Nursing, University of Dundee, 11 Arlie Location, Dundee.