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Se in food access and participation was a effective tactic for gaining the trust of participants and fostering an informal atmosphere in which participants felt in a position to contribute their views. The findings are limited 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. Further research is needed to measure the effect of meals vouchers on nutritional intakes and health outcomes and additional comparative investigation is needed to fnins.2015.00094 assess the effectiveness and costeffectiveness of Healthful Start meals vouchers. While the findings of this study are applicable towards the Healthy Start programme in England, insights in the experiences from the participants might be relevant to other meals subsidy programmes in high earnings nations. Forthcoming papers will report around the evaluation of your provision of vitamin supplements as a part of the Healthy Start off programme, along with the suggestions for the operation of the Healthier Commence programme in England culminating in the cross-sectoral workshops.income fluctuates. Our participants felt that the eligibility criteria excluded a lot of who could advantage like these with uncertain immigration status and those in function but who had been just above the earnings threshold. Consideration of these issues could inform the design and implementation of food subsidy programmes in higher income nations, and assist to address nutritional inequalities.Competing interests The authors declare that they have no competing interests. This really is an independent report commissioned and fpsyg.2015.00360 funded by the Policy Study Programme inside the Department of Overall health, UK. The views expressed within the publication are those from the authors and not necessarily these from the Department of Wellness. Authors’ contributions AM conceived and made the study, collected, analysed and interpreted the data, and He most easy and costeffective choice. Nonetheless, numerous women and practitioners drafted the manuscript, JMG conceived an developed the study, collected, analysed and interpreted the data, VW made 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 developed the study, MJR conceived and designed the study and interpreted the data. All authors revised the manuscript for intellectual content and approved the final version. Acknowledgements We would prefer 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 style and implementation on the study, Ben Messer from Food Matters who facilitated the participatory workshops; Jenny Brown, Natalie Muir and Pauline Holloway who supplied secretarial help at several stages with the study; Rebecca Atchinson and Anna Kitt whose assistance was invaluable in the early stages on the project and members of your Project Advisory Group. Author information 1 Investigation Fellow, College of Medicine, Dentistry and Nursing, University of Dundee, 11 Arlie Location, Dundee DD1 4HJ, UK. 2Department of Health 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 Investigation Group (HERG), Brunel University, Uxbridge, Middlesex UB8 3PH, UK. 6College of Medicine, Dentistry and Nursing, University of Dundee, 11 Arlie Spot, Dundee.