My Lords, I have two amendments in this group. The purpose of Amendment 104 is to ensure that no eligible family misses out on the Healthy Start payments, as there is evidence that many families have not been aware of this important extra support and have therefore not applied for it. I have tabled this amendment again because I was not content with the Minister’s response in Committee, but I thank her for her subsequent letter.
During that debate, the Minister said that she could not accept my amendment because the Healthy Start programme requires an eligibility check as the funds come in the form of a prepaid card. This, she said, is a financial product and therefore requires the recipient to accept the terms. Will the Minister please note that my amendment, in proposed new subsection (3), takes note of that fact and requires that the eligible person must be able to opt out of the scheme if they wish. That, of course, implies that they also opt in.
This could be done by rejecting the terms of the card offered, rather than accepting them. However, the Minister went on to say that to increase uptake, which she agreed is important, the NHS Business Services Authority will write to those eligible to encourage them to apply to the scheme.
Three questions arise from that answer. First, if the NHS Business Services Authority is going to write to those who are eligible, it must have already found out who is eligible. If that is the case, why can those people not be enrolled, informed that they have been enrolled and, finally, given the chance to opt out if they wish? I cannot imagine that many will.
Secondly, now that the Minister has laid Amendments 111 and 112, which I am sure she will explain in a few minutes, it is clear that government departments will now be able to share information for the purpose of ascertaining eligibility for free school meals. I hope we can assume, therefore, that the NHSBSA will also be able to get information from other departments to ascertain whether the families are eligible for Healthy Start. If the NHSBSA is going to write to eligible people, will it at least enclose an application form and prepaid envelope to make it very easy to apply and accept the terms? There should be no need for the recipient to have to supply any further evidence of their eligibility, because the NHSBSA will already have established that, or it would not have written to them in the first place. What possible further checks are needed?