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SALIENT (food System triALs for Impact on Environment, Nutrition and healTh)

Lead Research Organisation: UNIVERSITY OF OXFORD
Department Name: Primary Care Health Sciences

Abstract

We have worked with the public, government officials and the food industry to work out actions to make food better for health and the planet. We chose actions that we hope will reach the whole population and help the poorest most. We have worked up 16 actions that our five partners from retail, catering and community support will make happen. Next we will work with the partners to improve the actions further. We will also work with them to test the impacts of the actions on sales of foods. Here is a summary of the work we propose to do.
We will work with the catering company Compass to make more meat-free options available at mealtimes in workplace canteens. Compass will also change the prices of some foods that are better for health and for the planet. We will test the impacts of these actions on their own and together on food sales in some canteens. We will compare results with canteens where there is no change in the food served.
We have three national retail partners: Co-op, COOK and Sustained. Co-op has developed plans to make more plant-based ready meals, and make these more available in stores. They will also introduce price promotions on fresh fruits and vegetables. We will measure the effect of these actions on sales over time.
COOK makes frozen ready meals and sells them online and in stores. We will work with COOK to test the impacts of labelling foods to show how good they are for the planet, as well as actions to change the availability and placement of these foods. We will test these actions on their own and together in some stores, and compare results with sales in stores where there have been no changes. We will also test the impacts on sales of these actions in COOK's online store. Some customers will see versions of these actions on the COOK website and others will see the usual website.
Sustained is a technology company that has made some software that changes the experience of food shopping in online supermarkets. We will use this software to deliver three actions. Sustained will label foods seen in online supermarkets to show how good they are for the planet. They will reduce the prices of some of these foods. They will also suggest swaps that customers can make to buy foods that are better for the planet. We will test these three actions separately and together to see which lead to the biggest changes in the foods people buy.
Community Shop is a 'social supermarket' with sites around England. Community Shop provides groceries to poorer people much cheaper than in ordinary supermarkets. Only people who are on welfare benefits can use Community Shop. In Community Shop stores we will test actions to promote sales of foods that are better for health. For example, they will place healthier foods where people are more likely to see and chose them, and they will make them cheaper to buy.
In all cases, when we test the actions described above, we will also do work to help us understand why these actions work or do not work as planned. We will check in stores and online to see whether the actions have been taken. We will also ask customers and shopkeepers what they think of the actions, what went well and what did not.
When we have results of all of our tests of the actions, we will use the information on changes in sales of foods to help us to work out what these mean for health, for the planet and for businesses and the economy. When we do this work we will assume that the actions can take place in all similar food stores nationally, so that we can understand how they might affect the whole country. We have developed computer models to help us do this work.
Even though we have found five companies that have agreed to work with us, we will continue to look for more over the next 6 months, so that we can find some different actions to test in different types of food outlet.

Publications

10 25 50

 
Description SALIENT evaluated 11 interventions in the grocery, out-of-home and community food sectors. Five interventions changed price and three changed product availability.
Changing price
Price interventions reduced the price of:
• 35 vegetable products for supermarket loyalty card holders
• more sustainable 'swaps' in an online supermarket by £0.50 or £1
• fruit and vegetables in social supermarkets to £0.20
• grocery shopping through membership of a community food club
• a six-week recipe box subscription
Changing availability
Our availability interventions changed availability by swapping:
• meat based options for vegetarian ones in:
o ready meal freezer stores
o workplace cafeterias
• less healthy for healthier options in social supermarkets.
Other interventions
Three other interventions provided:
• eco-labels in an online supermarket
• within one Asian-cuisine restaurant on an online food delivery app the combination of:
o changing the default ramen noodles to a lower calorie version, but the option to switch back
o offering a 'swap' to lower calorie ramen broth
o reordering meals by calorie content with the lowest calorie first
• food bank clients with a choice of either supermarket vouchers of equivalent value to a standard food parcel or a standard food parcel
Robust evaluations
SALIENT used strong evaluation methods. We ran seven randomised controlled trials (RCTs). These are often considered the best type of evidence. Where RCTs were not possible, we used other strong designs based on natural experiments. We also studied how customers and staff experienced interventions. Our public panel provided an outside perspective.
What we found
Price interventions change purchasing and are welcomed
Price interventions led to improvements in healthiness or sustainability of purchases and reduced food insecurity:
• the loyalty card discount increased purchases of vegetables by 9% at six months
• the £1 discount on more sustainable 'swaps' led to more sustainable purchases - providing eco-labels doubled this effect, but eco-labels alone were ineffective
• the social supermarket fruit and veg promotion led to a 6.2 percentage point increase in the proportion of baskets containing fruit and veg at one year
• membership of a community food club was associated with a 14 percentage point reduction in moderate or severe food insecurity
Customers considered price a key driver of purchasing. Our public panel emphasised the importance of special offers, particularly on healthier products. Staff at the community food club valued the flexible food offering, compared to a standard food parcel, and felt this helped them be responsive to individual client needs. People liked the discounted recipe box.
Availability interventions can also be effective and acceptable
Interventions that changed product availability also had substantial impacts on healthy and sustainable dietary behaviours:
• Increasing the relative availability of vegetarian options led to a:
o 14% increase in the chance of choosing a veggie meal in ready-meal stores
o 41% increase in the chance of choosing a veggie meal in workplace cafeterias.
• Decreasing the relative availability of less healthy options in a social supermarket led to customers purchasing 192 fewer kcal from less healthy foods.
Staff found increasing availability of vegetarian meals straightforward. Decreasing availability of less healthy options in social supermarkets was harder, partly because staff were balancing additional challenges such as limited storage space and the shorter shelf life of surplus.
Once our public panel became more familiar with availability interventions, they liked them, but interventions based in settings with higher price-points were initially seen as exclusive.
Other interventions were successful
The intervention in the online Asian-cuisine restaurant led to a 48kcal, or 5%, reduction in the mean energy of ramen dishes ordered. There were no impacts on restaurant revenue.
Giving food bank clients the choice between supermarket vouchers or standard food parcels reduced moderate or severe food insecurity by 22 percentage points - about the same as food parcels alone. Clients given the choice also ate vegetables more often. Importantly, almost all (98%) of those given a choice chose supermarket vouchers.
Food bank staff said the supermarket vouchers saved time, letting them give clients other support. But they said they would need dedicated IT infrastructure to use them more widely. Clients said the vouchers had many benefits.
Our public panel was sometimes sceptical of community food support. Some people thought those on the lowest incomes needed help with resilience, cooking skills and self-discipline and worried vouchers might be 'wasted' on non-essentials. Some recipients had similar concerns but always felt they themselves could be trusted to spend vouchers wisely.
Conclusions
Making healthier and more sustainable options more affordable and available can increase purchases and reduce food insecurity. Customers and retail staff accept these approaches, particularly when they are easy to implement. Our public panel particularly supported actions that make healthier food cheaper. Food bank clients overwhelmingly prefer supermarket vouchers to food parcels. These offer multiple benefits to clients and staff.
Exploitation Route The research was co-designed by the public, partners from the food industry and community support sector, and policymakers. The aim of the SALIENT project was to inform policy and practice with evidence of what works to promote healthy, sustainable food purchasing behaviour. We have worked closely with policymakers from DEFRA, DHSC and FSA throughout the project. We have a planned dissemination event for our findings on March 18th, where more than 100 people from the policymaking, NGO, community support and food industry sectors are planning to attend.
Sectors Agriculture

Food and Drink

Environment

Healthcare

URL https://www.salientfoodtrials.uk/
 
Description We have conducted a wide range of dissemination activities to maximise the reach of the findings of the SALIENT project. These activities include the following: - Four webinars held between July 2025 and February 2026. At these webinars we provided in-depth results of the 10 trials that we conducted during the SALIENT project. The primary audience was policymakers, but public health academics and NGOs also attended. Each of the webinars were attended by about 30-50 people. - Invited presentation on the Sufra food bank trial to the Children and Young People's Nutrition Network. - In-person stall featuring SALIENT findings at The Howard Centre, Welwyn, October 2025. This was part of the ESRC Festival of Social Science and was designed to bring findings of ESRC funded research direct to the public. - Five SALIENT newsletters reporting the findings of the SALIENT projects direct to public involvement groups that have supported the project throughout - An episode of the When Science Finds A Way podcast (https://wellcome.org/insights/podcast) featuring a long discussion with Peter Scarborough about how to promote healthy, sustainable diets, and an extended feature about the online supermarket trial from the SALIENT project. - The Mayor of Mancunia digital interactive game, installed in Manchester Museum for 6 months. The development of this game was funded by a different project (the SHIFT project, Wellcome Trust). It uses a 'choose your own adventure' game to guide people through the challenges of policy change to support healthy sustainable diets. It features results from the SALIENT project.
First Year Of Impact 2025
Sector Agriculture, Food and Drink,Environment,Healthcare
Impact Types Cultural

Societal

 
Description DEFRA Food Strategy development
Geographic Reach Europe 
Policy Influence Type Participation in a guidance/advisory committee
Impact Discussions fed into the development of the UK Government Food Strategy published in July 2025
URL https://www.gov.uk/government/publications/a-uk-government-food-strategy-for-england/a-uk-government...
 
Description Food Standards Scotland review of dietary guidelines
Geographic Reach National 
Policy Influence Type Participation in a guidance/advisory committee
 
Description Health and Social Care Inquiry on Food and Weight Management
Geographic Reach Europe 
Policy Influence Type Contribution to a national consultation/review
Impact The consultation response fed into the Health and Social Care Select Committee inquiry into Food and Weight Management.
URL https://committees.parliament.uk/work/9239/food-and-weight-management/
 
Description House of Lords inquiry on diet
Geographic Reach National 
Policy Influence Type Contribution to a national consultation/review
Impact The report of the Inquiry on Food, Diet and Obesity was published in October 2024 and generated a lot of media attention. The UK Government's response to the inquiry was published in January 2025.
URL https://committees.parliament.uk/committee/698/food-diet-and-obesity-committee/
 
Description Scottish Government Health Committee inquiry into climate change bill
Geographic Reach National 
Policy Influence Type Contribution to a national consultation/review
Impact The evidence provided informed the Scottish Government's Health Social Care and Sport select committee's inquiry into the draft climate change bill, thereby informing the government's approach to optimising health benefits of climate change mitigation and adaptation.
URL https://www.parliament.scot/api/sitecore/CustomMedia/OfficialReport?meetingId=20010
 
Description NIHR Predoctoral award - Bea Savory
Amount £66,831 (GBP)
Funding ID NIHR500953 
Organisation National Institute for Health and Care Research 
Sector Public
Country United Kingdom
Start 03/2026 
End 02/2027
 
Description THRIVING food futures (Transdisciplinary Health Research to Identify Viable Interventions for Netzero Goals: food futures).
Amount £6,856,069 (GBP)
Funding ID MR/Z506485/1 
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 02/2025 
End 02/2030
 
Title Environmental data linkage with foodDB 
Description foodDB is a software that allows for automated collection and processing of data on all food and drink products available in 8 UK online supermarkets on a regular basis. An extract of ~55k foods from this dataset has been linked with estimates of environmental footprint (greenhouse gas emissions, water use, land use and water pollution) taken from the HESTIA database. The process involves an algorithm that deconstructs ingredients information into estimates of proportion of food by basic agricultural commodity. 
Type Of Material Computer model/algorithm 
Year Produced 2022 
Provided To Others? No  
Impact This algorithm will become openly available when an accompanying paper is published (currently under peer review). The linkage of data on multi-ingredient processed foods with environmental footprints has allowed for innovative research on population approaches for encouraging healthy, sustainable diets. 
 
Title PRIMEtime 
Description PRIMEtime is a longitudinal health model that can estimate the health and health economic impact of changes in diet for the UK 
Type Of Material Computer model/algorithm 
Year Produced 2022 
Provided To Others? Yes  
Impact The PRIMEtime model has been used for numerous policy evaluations in the UK, including evaluations of the Soft Drink Industry Levy, the proposed regulation of advertising of unhealthy food to children, and reformulation of sugar in processed foods. 
URL https://www.medrxiv.org/content/10.1101/2022.05.18.22275284v1
 
Description Co-op - retail partner for evaluations 
Organisation The Co-operative Group Ltd
Country United Kingdom 
Sector Private 
PI Contribution The SALIENT consortium have co-designed an evaluation of price and promotion interventions delivered in Co-op stores.
Collaborator Contribution The Co-op team have helped design the evaluation protocols and will provide us with sales data for the analysis.
Impact Evaluations to be completed in 2024.
Start Year 2022
 
Description Climate + Cocktails 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Media (as a channel to the public)
Results and Impact Wellcome Trust hosted an event called 'Climate + Cocktails' in June 2024. This was a 'speed dating' style event which aimed to connect academics with producers and writers of UK TV and radio comedies. The purpose of the night was to give these writers and producers access to the latest evidence about the climate crisis and policies that we could introduce to mitigate this. The intention was to inspire the producers and writers to include content in their upcoming shows, and hence have a wider impact on the general public. Prof Pete Scarborough was one of the invited academics and he spoke on sustainable, healthy food and diets, informed by work done with the COPPER, SALIENT, SHIFT and LEAP projects.
Year(s) Of Engagement Activity 2024
 
Description Generation R blog 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact An account of our work with the public engagement panels in the SALIENT project is reported by the young people for the bi-monthly blog they write for the Generation R (a National Network of Young People's Advisory Group's based across the UK).
Year(s) Of Engagement Activity 2024
URL https://generationr.org.uk/the-herts-ypag-christmas-party-2024-post-by-liv/
 
Description Gottingen University invited seminar 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact We were invited to provide a talk on early findings and methods for the Sustained trial (part of the SALIENT project) to the Sustainable Food Systems group at Georg-August-Universitat Gottingen.
Year(s) Of Engagement Activity 2025
URL https://www.uni-goettingen.de/de/635183.html
 
Description Government Programme Board engagement 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Quarterly engagement with the SALIENT Programme Board consisting of representatives from DHSC, DEFRA, FSA, DHLULC, DoE. These regular meetings are a two-way communication, ensuring the goals and objectives of the SALIENT project reflect the needs of UK policymakers, and that the UK policymakers represented in the Programme Board have access to the latest evidence on policies to support healthy, sustainable diets.
Year(s) Of Engagement Activity 2024
 
Description Guardian Live event (Should we all be vegan?) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Invited talk as part of a three person debate about the benefits of plant-based diets to health and the environment. The talk was hosted by the Guardian, and was made freely available soon afterwards. About 180 people attended the event, and we took direct questions from the audience.
Year(s) Of Engagement Activity 2024
URL https://m.youtube.com/watch?v=V3BXPmXiGng
 
Description Public engagement sessions YouTube video 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Footage of in-person sessions of the SALIENT public engagement panels (led by Jess Brock and Claire Thompson) was used as B-Roll for a promotional video about the group on YouTube
Year(s) Of Engagement Activity 2024
URL https://www.youtube.com/watch?v=byFBpI5W_XE
 
Description SALIENT newsletter 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Issue 1 of SALIENT newsletter sent out public contributors and interested stakeholders (charities, community groups, networks) across the country. The purpose of the SALIENT newsletter is to disseminate the findings from the SALIENT trials to the general public. We also make the newsletter available on our website. Issue 2 will be published in March 2025.
Year(s) Of Engagement Activity 2024
URL https://www.salientfoodtrials.uk/
 
Description SALIENT public engagement panels 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Monthly engagement (at least) with SALIENT public contributor panel (CNG - community network group) with members drawn from across the country. Bi-monthly engagement with the University of Hertfordshire Public Involvement in Research group (PIRg). Bi-monthly engagement with the University of Hertfordshire Young Person's Advisory Group (YPAG) - in person at alternate meeting. Organised a SALIENT Xmas Quiz for young people at the December meeting with prizes.
Year(s) Of Engagement Activity 2024
 
Description What Does The Science Say? podcast 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Prof Pete Scarborough was interviewed for AWE International podcast What Does The Science Say? (episode 7: Can plant-based diets save the planet). This interview covered a variety of topics based on sustainable healthy diets. The discussion included dissemination of results from the COPPER, SHIFT, SALIENT and LEAP projects.
Year(s) Of Engagement Activity 2024
URL https://www.awe.international/article/1877168/podcast-episode-7-plant-based-diets-save-planet
 
Description When Science Finds A Way podcast 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact An in-depth hour-long interview with Pete Scarborough for the podcast When Science Finds A Way, produced by Chalk and Blade. The interview focussed on healthy, sustainable diets and policies to help consumers move towards these diets. It featured discussions about work from the LEAP, SHIFT and SALIENT projects.
Year(s) Of Engagement Activity 2024