Health column: good food shouldn't be a luxury for families in Wigan

Wigan Council's director of public health Rachael Musgrave on the importance of making healthy choices more achievable.

A healthy diet is one of the most important foundations of a good life.

Rachael Musgrave, director of public health, Wigan Councilplaceholder image
Rachael Musgrave, director of public health, Wigan Council | Wigan Council

It supports children's development, helps adults stay well, reduces pressure on health services and enables people to live longer, healthier lives.

Yet new evidence suggests that, for many families, healthy food is becoming increasingly out of reach.

Analysis from the Food Foundation found the poorest households with children would need to spend as much as 85 per cent of their disposable income to afford a healthy diet.

It also found healthier food is almost twice as expensive per calorie as less nutritious alternatives, with the gap at its widest level for more than a decade.

Every day, families across our borough are making difficult decisions about budgets.

When money is tight, people do not suddenly stop caring about health or nutrition.

They simply make the best choices they can with the resources available.

Too often, conversations about healthy lifestyles focus on personal responsibility alone.

While individual choices matter, we must recognise that choices are shaped by circumstances.

It is much harder to prioritise fresh fruit, vegetables and nutritious meals when household budgets are stretched by rising costs and everyday pressures.

When healthy options cost significantly more than less healthy alternatives, inequality becomes built into the system itself.

The evidence consistently shows that people facing financial hardship experience poorer health outcomes.

Food insecurity is linked to physical health problems, stress, anxiety and lower well-being.

For children, it can affect educational attainment, concentration and long-term life chances.

Locally, we know that only one in ten young people consume five portions of fruit and vegetables each day, while some families report running out of food before they have money to buy more.

That is why improving health cannot be separated from tackling inequality.

Our approach has always been rooted in prevention and recognising the wider building blocks of health.

Health is influenced not only by the healthcare people receive, but by housing, employment, income, relationships, environment and access to everyday essentials.

As our Progress with Unity approach recognises, lasting improvements in health come when we work alongside communities to address these underlying factors rather than focusing solely on the symptoms.

We have a strong network of organisations, community groups, schools, food support providers and volunteers who are helping residents access support.

Through initiatives such as Here for You, Holiday Activities and Food (HAF), family support services and targeted cost-of-living assistance, we support residents experiencing financial pressure and connect people to the right advice at the right time.

But this issue also challenges us to think bigger.

If we want to create healthier communities, we need environments that make healthy choices easier and more affordable.

That means considering how food is priced, marketed and promoted, as well as ensuring families have sufficient income to meet basic needs without compromising on nutrition.

It means recognising health and prosperity are deeply connected, and creating opportunities for people to thrive requires action across many different parts of society.

The Food Foundation's findings are a reminder that health inequalities begin long before someone walks into a GP surgery or hospital.

They begin in homes, neighbourhoods and the everyday choices available.

Everyone deserves the opportunity to eat well and live well.

Healthy food should never be a luxury reserved for those who can afford it.

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