Early Years & Healthy Start

Pregnancy is a good time to think about what you eat. A healthy diet will help your baby to develop and grow and is important for your health too. 

Eating a variety of different foods every day will provide the right balance of all the different nutrients that you and your baby need.

Take a look at this activity for more facts about healthy eating in pregnancy.

Click here for further information and to see the correct answers’.

Foodwise in Pregnancy App

For more information, take a look at the Foodwise in Pregnancy app.
It is free to download and easy to use.

Download the Foodwise in Pregnancy Application Guide

Foodwise in Pregnancy groups

Click here for information about Foodwise in Pregnancy groups.

Foodwise in Pregnancy short films

These short films by Ali Gunn, Registered Dietitian, provide useful information about the main food and health messages that are important in pregnancy. 

Breastfeeding

Breastfeeding has long term benefits for infants that last into adulthood. Giving nothing but breast milk is recommended for around the first 6 months (26 weeks) of an infant’s life. After that, giving breast milk alongside solid foods will help them to continue to grow and develop.

This activity provides more information about the benefits of breastfeeding.

Eating well and active play are essential for young children’s health and well-being, to help shape eating habits for life and to help them to be a healthy weight by the time they start school. One of the basic principles to ensure healthy eating for children of all ages is to eat a wide variety of foods to enable children to get all the nutrients they need for holistic growth, wellbeing and development. It is important to remember that the Eatwell Guide does not fully apply to children under 2.

Further useful sources of information include:

Give it Time
Every Child Wales
Bump, Baby and Beyond

Childcare and play settings provide an ideal opportunity for children to get used to a regular eating pattern and healthy foods. Your child may attend a setting that is participating in the Gold Standard Healthy Snack Award or the Tiny Tums/Boliau Bach best practice certificate. Further information about the work settings are doing to promote healthy eating can be found here

The Healthy Start Scheme is a UK wide means-tested scheme for families with young children. If you’re pregnant or have a child under 4, the scheme can help you buy basic foods like milk or fruit. Families on a low income or on certain benefits may be eligible to enrol. Once registered, families are provided with credit on a pre-paid card to spend on milk, pulses, plain, fresh and frozen fruits and vegetables and first infant formula milk. If you qualify for the scheme you’ll be sent a pre-paid card that you can use in your local shops. For more information and promotional materials, visit the website here

Pregnant women, new mothers and children under 4 years can also claim free vitamins.  

There are two types of Healthy Start vitamins;  

  • Healthy Start vitamin tablets for women during pregnancy and breastfeeding  
  • Healthy Start children’s vitamin drops for children from birth until their 4th birthday  

Children who are having 500ml or more of formula a day do not need healthy Start vitamins.  Further information can be found on the NHS Website

Here are some ideas for ways to make the most of your Healthy Start card 

Click on the image to view or download this leaflet here.

The Gold Standard Healthy Snack Award is open to day nurseries, Flying Start groups, playgroups, meithrins, childminders and after school clubs. This award recognises and celebrates a quality snack provision within settings and being part of the scheme shows a commitment to children’s health and encouraging good eating habits.

It shows that a setting is putting recommendations from the Welsh Government’s Food and Nutrition in Childcare Settings Best Practice Guidance in place.

To achieve the award, there is set criteria around the following: the provision of healthy snacks and drinks, a positive eating environment, food hygiene and safety. The scheme includes a higher level of the award called the Gold Standard Healthy Snack Award Plus (see below). This recognises that a minimum of one member of staff has completed and achieved the Community Food and Nutrition Skills for the Early Years Course or the Community Food and Nutrition Skills Course.

The scheme includes a higher level of the award called the Gold Standard Healthy Snack Award Plus (See below).

Click on the leaflet for further information about the award.

The scheme is a higher level award for settings that have already achieved the Gold Standard Healthy Snack Award.

This recognises that a minimum of one member of staff has completed and achieved the Community Food and Nutrition Skills for the Early Years Course or the Community Food and Nutrition Skills Course.

This Award is supported in a number of health board areas – for more information visit the ‘What’s on near me?’ section.

Boliau Bach / Tiny Tums is a Best Practice award for Early Years childcare settings in North Wales, which is managed by the BCUHB Public Health Dietetic Team. The award recognises and rewards these settings for achieving best practice in their food and drink provision for or both 0-1s and 1-4 years, in line with Welsh Government guidance (2018).

To be eligible for the award each setting is required to have at least one member of staff who has successfully completed Community Food and Nutrition Skills for the Early Years (level 2) After this, settings are eligible to apply for the Tiny Tums award which involves submitting their menus, food policy and a Tiny Tums menu checklist to the dietetics team.

Constructive feedback and advice is provided to support settings to achieve the award. Successful settings are awarded with a Tiny Tums Best Practice certificate and window sticker, which is valid for 3 years. Settings are encouraged to proudly display their certificates and to share the success of their award with parents and children.

The early years and childhood are a crucial period for development and provide an important foundation for a child’s future and wellbeing. Childcare providers are in an ideal position to help shape eating habits and to support children to eat well.

Children need to eat the right balance of energy and nutrients to have healthy growth and development, to achieve a healthy weight and protect against certain diseases. To help children develop patterns of healthy eating from an early age, it is important that the food and eating patterns to which they are exposed (both at home and outside the home) are those that promote positive attitudes and enjoyment of good food. The childcare setting can play an important part in this, by providing quality and nutritious food for children in their care.

Providing young children with a healthy balanced diet and tooth friendly drinks is essential to:

  • Ensure they get the right amount of energy and nutrients during a time of rapid growth and development
  • Encourage children to eat a wide variety of foods, because habits adopted at an early age are more likely to be taken into later childhood and adult life
  • Influence food preferences at a time when children begin to have a decisive say in food selection
  • Develop and maintain a healthy weight
  • Help reduce the risk of tooth decay
  • Help prevent iron deficiency
  • Promote bowel health and reduce the risk of constipation

Did you know…

that children attending full day care need around 90% of their recommended energy and nutrients from the food and drink offered by the childcare provider. It is therefore important that these settings provide a range of nutritious foods in the right amount.

For more information and top tips about healthy eating for children aged 1 – 4 years visit the BCUHB Best Start Hub.

Tiny Tums is awarded following rigorous assessment against the current Welsh Government Best Practice Guidance for Food and Nutrition for Childcare Settings (2018). These recommended standards also enable a childcare provider to meet quality standards for nutrition required by Care Inspectorate Wales and the Healthy and Sustainable Pre School Scheme.

Childcare practitioners are in an ideal position to help shape eating habits and support children to eat well.

Settings that achieve the Tiny Tums Best Practice Award:

Align with the Care Inspectorate Wales (CIW) quality standards on nutrition.

Automatically meet nutrition and oral health standards of Healthy and Sustainable Pre-School Scheme

Fully comply with the Welsh Government Best Practice Guidance: Food & Nutrition for Childcare Settings (2018)

Provide the right balance of nutritious food and drink to meet the dietary recommendations for infants and preschool children

Encourage children to eat well in a healthy environment and learn about food

Promote consistency of nutrition messages and encourage opportunities to pass these messages on to families

Show families that they are committed to the health of pre-school children by encouraging them to adopt good eating habits and develop positive attitudes toward a healthy balanced diet

Have at least one staff member trained by Public Health Dietitians in early years nutrition

Can display the Tiny Tums logo for parents and families to see

To find out how being a Tiny Tums accredited childcare provider also benefits children in your care and their families click here.

To find out more about the Tiny Tums Best Practice award and how to start your application visit How can a childcare provider apply for the Tiny Tums Best Practice award?

Eating well in the first five years of life is essential for growth and physical and mental development, as well as for a child’s future health. You can be confident that a Tiny Tums accredited childcare setting will provide your child with nutritious food in the right amounts and in an environment that will encourage them to develop positive attitudes to food.

The early years and childhood are a crucial period for development and provide an important foundation for your child’s future and wellbeing. Childcare providers are in an ideal position to help shape eating habits and to support your child to eat well.

The Tiny Tums Best Practice award is a scheme available to all registered childcare providers across North Wales. It shows that a childcare provider is committed to the health and wellbeing of your child and complies with Welsh Government Best Practice Guidance: Food & Nutrition for Childcare Settings (2018).

A Tiny Tums accredited childcare provider will help your child:

Establish good eating habits, which can continue at home

Get the right balance and range of nutrients they need for healthy growth and development

Enjoy trying new foods with friends

Learn consistent messages about food and drink

Reduce damage to their teeth by only providing tooth friendly drinks of milk and water

Develop and maintain a healthy weight

Be less likely to develop iron-deficiency anaemia and constipation

All Tiny Tums accredited childcare providers also have at least one member of staff who has attended training from Public Health Dietitians about children’s nutrition.

For a list of Tiny Tums accredited childcare providers in your area visit Tiny Tums register.

Achieving the Tiny Tums Best Practice award could not be simpler. Local Public Health Dietitians will assess your menu and food policy against criteria based on Welsh Government Best Practice Guidance: Food & Nutrition for Childcare Settings (2018). A Tiny Tums assessor will provide all the help and support needed to make any changes required in order for you to become an accredited Tiny Tums.

  • EXPRESS AN INTEREST

    Complete the Tiny Tums Best Practice Award application form to inform your local Public Health Dietetic team that you would like to become a Tiny Tums accredited childcare provider. Alternatively, simply send an email to express your interest in the scheme.
  • STAFF TRAINING – SETTINGS THAT OFFER MEALS, SNACKS AND DRINKS

    To become a Tiny Tums accredited childcare provider a minimum of one staff member needs to attend and complete the Agored Cymru accredited Level 2 Community Food and Nutrition Skills for the Early Years Course. If a member of staff has already obtained this accreditation, they will need to keep up to date with attendance at refresher sessions.
  • STAFF TRAINING – SETTINGS THAT OFFER SNACKS AND DRINKS ONLY

    To become a Tiny Tums accredited childcare provider, a minimum of one staff member needs to attend and complete the BCUHB Eating Well for Pre-School Children Course (also known as Tiny Tums Snack Training). If a member of staff has already attended this training, they will need to keep up to date with attendance at refresher sessions.
  • MENUS

    To meet Tiny Tums Best Practice criteria the setting is required to develop a minimum of 3 weeks of seasonal menus that meet nutrition standards. Do not worry if your menus need some work to achieve this requirement because your Tiny Tums assessor will help and support throughout.
  • POLICY

    The healthy eating / food and drink policy for your setting is a plan of action to ensure that everyone follows best practice and the approach to food and drink provision with children is consistent. A Tiny Tums accredited setting must have an active food and drink policy which supports key practices such as creating a positive eating environment.
  • DURATION

    Upon satisfying all mandatory standards, the childcare provider receives the Tiny Tums Best Practice award, which is valid for a 3-year period. Tiny Tums accredited childcare providers are listed on the Tiny Tums register.
  • DEWIS CYMRU

    Childcare providers can display a Tiny Tums Best Practice accreditation on DEWIS. If the setting has registered with DEWIS, your Tiny Tums assessor will update your records. Prospective families will then see that your setting provides optimal food and drink for children.
  • RE-ACCREDITATION

    Towards the expiry date of an award the setting will be contacted to start the re-accreditation process. Staff will be invited to attend refresher training if required. Menus and policies will be reassessed against current guidance.

Choosing the right childcare can feel overwhelming. The decision might depend on considerations such as location and cost. If you also want it to be somewhere that provides quality and nutritious food for healthy growth and development of your child, why not take a look at the Tiny Tums Best Practice register?

Choosing childcare is a hugely important decision for the whole family. The right childcare provider will help your child to learn, have fun and make new friends, as well as meeting all day-to-day needs and keeping them safe.

It can also be reassuring for a parent or carer to know that the setting they are considering offers food and drink that provides their child with the right balance of energy and nutrients to have healthy growth and development, to achieve a healthy weight and protect against certain diseases.

The Tiny Tums Best Practice Award shows that a childcare provider is committed to the health of your child and complies with Welsh Government (2018) Food and Nutrition Guidelines for Childcare Settings. How can you find out whether there are any Tiny Tums accredited settings or childminders near you?

Click here to visit the Dewis Cymru website to find Tiny Tums accredited childcare providers near you. Click ‘refine your search’ to look for ‘Tiny Tums’ and to enter your postcode.

Are you planning to visit a childcare setting or childminder? Look out for a Tiny Tums sticker on a window and ask to see their Tiny Tums Best Practice certificate. Make sure to check the expiry date on the certificate to make sure that the award is valid.

The best way to find out if a childcare setting or childminder has a Tiny Tums Best Practice Award is to check the Tiny Tums register. The local Public Health Dietetics team regulates the register so you can be confident that it will always be reliable and up to date.

For more information about Tiny Tums Best Practice Award, or if you have any questions, please contact your local Public Health Dietetic Team.

Tiny Tums is a Best Practice award for Early Years childcare providers in North Wales.

The award, managed by NHS Public Health Dietitians, recognises and rewards excellence in childcare settings for providing food and drink that meets Welsh Government guidance.

There are two separate award categories: one for food and nutrition for 1-4 year olds and a new extension award for 0-1 years.

The introduction of complimentary foods to infants is important for physical and social development and for nutritional adequacy. As a baby grows, so do their nutritional needs. At around 6 months, they are growing and developing rapidly and need more energy and nutrients than milk alone can provide. They need to start eating solid foods to keep up with their growing needs. It is a key time to introduce babies to a range of tastes and textures as they start their journey to healthy family meals.
For more information on introducing solid foods please visit the ‘You and Your Baby’ section of the BCUHB Best Start Hub.

Childcare providers play a central role in how infants are introduced to food, which can determine future eating habits and thus future health. By offering nutritious food and encouraging babies to eat well, settings can help children meet their nutritional needs and maintain a healthy weight as they grow. If babies are starting solid food when attending a setting, it is essential that carers work closely with families to make sure there is consistency between home and setting routines. Good communication and safe practice will help to support this journey to make it a smoother and more pleasurable experience for all involved.

For more information about the Tiny Tums Best Practice Award for both 0-1 and 1-4 years please visit please visit the ‘You and Your Baby’ section of the BCUHB Best Start Hub.

Tiny Tums & feedback from settings and parents:

“I like how the children have a range of ‘adult meals’ to help them grow with a varied taste range”

Parent of a child in a Tiny Tums setting

“I feel strongly about children’s diets, it’s important for their growth and development. The new menu is full of different colours and textures which the children enjoy eating and exploring”

Assistant manager at a Tiny Tums setting

With the help of the Dietitians we are confident that our menu meets the needs of our children whilst still being tasty”

Nursery Manager

The Welsh Government’s Healthy and Sustainable Pre-school Scheme has been developed as an extension of the Healthy Schools National Quality Award and it has eight specific phases: preliminary phase, nutrition and oral health, physical activity/active play, mental and emotional health, wellbeing and relationships, environment, safety, hygiene and workplace health and wellbeing.

The nutrition and oral health phase promotes a whole setting approach to food, nutrition and oral health.

The Level 2 Community Food and Nutrition Skills for Early Years course equips settings with the knowledge and skills to implement these actions.

The Gold Standard Healthy Snack Award and the Tiny Tums Best Practice Certificate align with the nutrition and oral health criteria.

Food and Fun

Your child’s school may be taking part in the Food and Fun scheme. It provides healthy meals, food and nutrition games and activities, physical activity and enrichment opportunities for children during the school holidays. Take a look at the video to find out more about Food and Fun https://www.youtube.com/watch?v=16IdNNnBXL0   

Feedback from participants 

“Chicken curry I haven’t tried that before and now I have, delicious as well” 

~ Child attending Food and Fun

We have toast, bagels, we have apples, berries, banana, all kinds of fruit stuff

~ Child attending Food and Fun

“We’ve been learning about grams, with sugar and fat and we’ve been learning what to not eat because of our heart” 

~ Child attending Food and Fun

“It gets you more active, that’s a good thing about this club”

~ Child attending Food and Fun

“This club is the best club I’ve ever been in, in my whole life!”

~ Child attending Food and Fun

“I like parent days because you can eat with them and tell your family what you’ve been doing”

~ Child attending Food and Fun

“The biggest difference the club has made for her is the way healthy eating is really pushed and encouraged”

~ Parent

“I think he’s had about two late nights and that’s a miracle in the summer holidays, they’re shattered when they come home”

~ Parent

Money’s tight at the moment, they won’t need as big an evening meal because they’re having a big dinner [at club]. It’s saving money

~ Parent

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