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Children's and Parents' Perspectives on Universal Free School Meals in Wales: A Mixed Methods Study on Health, Wellbeing and Barriers to Uptake

Locke, A.; James, M.; Brophy, S.

2026-03-04 health policy
10.64898/2026.03.02.26347394 medRxiv
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BackgroundUniversal Free School Meals (UFSM) were introduced by the Welsh Government in 2022 to provide every primary school child (aged 4-11) with a free meal at lunch time by 2024, aiming to improve nutrition and reduce inequality. While evidence suggests UFSM can support dietary quality and social inclusion; uptake remains inconsistent, and concerns have been raised regarding meal quality and portion sizes. Aims/ObjectivesThis study explored the perceptions of children and parents regarding the rollout of UFSM in Wales, focusing on perceived health, wellbeing and social impacts whilst also identifying factors influencing non-uptake. MethodsA mixed-methods study was conducted, combining qualitative focus groups with 56 children in year 6 (aged 10-11) across eight primary schools in Wales. A cross-sectional survey was also completed by 410 parents from 110 Welsh primary schools. Qualitative data from focus groups and open-ended survey questions were analysed thematically using Braun and Clarkes framework, whilst closed-ended survey items were analysed descriptively to complement and contextualise qualitative findings. ResultsThree themes emerged from the childrens data. (1) The Food Experience, (2) The Social Value of Lunchtime, and (3) Fuel for Learning and Feeling Good. Children valued the social and emotional aspects of mealtimes but reported mixed experiences with food quality, variety, and portion sizes. Parents similarly expressed concerns about meal nutritional quality but also highlighted the policys benefits in reducing financial strain, stress, and daily time pressures. ConclusionsUFSM is widely supported for promoting inclusion and access to food. Nevertheless, improving meal quality, portion sizes, and menu diversity is essential to sustain participation and maximise the policys long-term health and equity benefits.

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