Sustain calculates that over 200,000 low-income families with young children and pregnant women are losing out on Healthy Start payments toward free fruit, veg, milk and vitamins in 2023 with 1/3 of all eligible households not signed up. Regional analysis shows that the LAs with the biggest losses are Birmingham (£1.9m), Manchester (£1m) and Leeds (£1m). The greater London region missed out on almost £12 million in missed benefits. The North West lost £9.3m and South East £8m.