Rethinking affordable food: PHE visit to West Midlands food banks – 8th July 2013 With an apparently exponential rise in the numbers of food banks and estimates of more than 350,000 people accessing them1 PHE staff with an interest in food poverty visited two food banks established in the West Midlands recently. Pam Naylor from the Children, Young People and Families team and lead on child obesity, Karen Saunders, Health and Wellbeing Manager in PHE West Midlands Centre and Ginder Narle manager for Learning for Public Health, West Midlands decided to find out more about how food banks operate and their contribution to public health and wellbeing. They visited the West Bromwich Food Bank and ‘Breaking Bread’ in Wednesbury with Heather Chinner, the lead for this work for Sandwell Metropolitan Borough Council and Sandwell’s emergency providers network. Angela Blair, the borough council’s public health lead organised the visit. Dave Williams, Karen Saunders and Ginder Narle Poor diet related ill health costs the NHS in the UK £5.8 billion a year. It contributes to a third of cases of cardiovascular disease, diabetes and some cancers. 2 The links between a diet high in salt and fat and heart disease and stroke are well known. The impact of diet, mainly low in fibre, fruit and vegetables, nuts and seeds on cancers of the oesophagus, stomach and colorectum3 is less well acknowledged but now recognised as substantial. Food banks operate as an emergency service for those who find themselves with insufficient resources to buy food. Clients are limited to three visits a year, each of which can provide food for ten meals or three days. Food is donated by individuals, by retailers and the larger supermarkets and in some cases by harvest festival collections. During the weekend of 6th and 7th July Tesco promoted a ‘Help Feed People in need’ promotion for donated food, with Fareshare from its stores nationwide. Tesco will add 30% to the food collected. 1 Walking the Breadline, Niall Cooper and Sarah Dumpleton, Oxfam and Church Action on Poverty Report, 2013 National Diet & Nutrition Survey, 2008 3 Food, Nutrition , Physical Activity and the Prevention of Cancer, World Cancer Research fund, 2007, American Institute for Cancer Research 2 The West Bromwich food bank, based at the West Bromwich Community Church started over 5 years ago, it was the only food bank in the Sandwell area until 18 months ago, now there are 6. It has 60-80 clients a week and fed 286 people last Christmas. Keith Turner is its manager. The Sandwell Metropolitan Borough Council has set up a network of food banks across the area to ensure no food is wasted, avoids any bank running short of food (they share any large quantities donated), and provides support and information for volunteers. Local council staff also regularly donate food to the bank. We also visited ‘Breaking Bread’ run by John Steventon and one of his volunteers, Dave Williams, which has a street location and also receives donations of clothes and shoes. Nothing is wasted – an out of date donation of tinned mackerel provided tasty meals at a local cat shelter, and a ton of palm oil was sold on for fuel raising funds for the food bank! Impressive recycling! The national Trussell Trust is the major provider of food banks although neither food bank visited were currently a member. The Trust has developed a set ‘list’ of suitable products that was drawn up with the help of its local PCT. John Steventon, Heather Chinner and Dave Whilst food banks do their best in difficult Williams circumstances to provide largely dried or tinned products to avoid waste and ensure shelf life, there is an inevitable limit to the provision of fresh fruit and vegetables that would normally be part of a healthy diet. Families on low incomes are more likely to use a greater proportion of their income on essential services and products such as fuel, food and finance. They are often unable to access cheaper options e.g. superstores are located in out of town sites leaving them with fewer options in what are sometimes described as ‘food deserts’. The staff are almost all volunteers often from the local churches, many of whom have experience of working with the homeless or in welfare rights. The clients range from homeless people through to people with more affluent backgrounds who have suddenly faced changed circumstances. Benefit delays are the most significant reason for clients to use food banks although these range from people affected by debt, to emergency situations relating to domestic violence, and some families are in work but earn too little to cope with unforeseen events. Clients are assessed as genuine by the staff and misuse of the food banks seems to be unusual. They do not advertise and only in exceptional circumstances take clients who walk in off the street. Vouchers are provided by more mainstream services e.g. Children’s Centres, Family Nurse Partnership, churches and local voluntary organisations, and are redeemable at the food bank. Food banks are seen by their sponsors very much as temporary emergency provision and not a longer term solution to food poverty. They are a gateway however, for referral to other forms of help with debt advice, welfare benefits and whenever possible, to cooking clubs and a contribution to ‘Making Every Contact Count’. As with many small voluntary projects volunteers may not have the skills, or more importantly the time, to take on more strategic work on food poverty to argue for a fairer system to enable all families to have access to a healthy and secure diet. John Steventon commented: ‘It seems impossible that at this stage in our social history there are rising numbers of people in food poverty and urgent need of food’. Rising food prices have also increased this need with reported rises of 35% over the last five years. In households which cannot afford an adequate diet for their children, 93% have at least one adult who ‘skimps’ on their own food to try to protect the childreni4. The visit highlighted the following key issues: Food poverty is increasing and becoming more widespread Food banks are only a temporary solution for people in crisis Food banks, whilst perhaps keen to do so, are limited in their ability to promote a balanced healthy diet But they provide a clear example of local people finding local, voluntary resources and harnessing contributions from retailers, local businesses and international companies. With rising rates of child obesity, increases in food poverty, child poverty, the need for better skills in preparing and cooking cheap but nutritious food, rising costs and the ecological footprint of our food system - is it time we had a rethink on food?’ 4 Poverty and social Exclusion UK4
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