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A Fruit and Veg Prescription Pilot in Lambeth (2024) evaluates a community‑based, “food as medicine” model delivered by the AT Beacon Project in partnership with Lambeth Council and the Alexandra Rose Charity. The pilot supported residents facing diet‑related inequalities and living with long‑term health conditions by combining weekly fresh‑produce vouchers with culturally tailored nutrition education, regular blood‑pressure monitoring, and personalised referrals to primary‑care and community wellbeing services. Using a mixed‑methods approach, the report documents meaningful improvements across food security, access to fresh produce, fruit‑and‑vegetable consumption, and engagement with preventive health services. Participants reported healthier shopping and cooking habits, greater confidence in self‑management, and improved awareness of cardiovascular risk factors. The hub‑based delivery model, rooted in trusted neighbourhood spaces and strengthened by community participation, proved essential for engagement, retention, and behaviour change. The findings provide early but compelling evidence of the feasibility and effectiveness of produce‑prescription interventions in diverse and socioeconomically disadvantaged urban settings. By integrating dietary support with health promotion and light‑touch clinical oversight, the pilot demonstrates how upstream drivers of poor health, such as poverty, food insecurity, and limited access to culturally relevant nutrition, can be directly addressed. The report outlines practical delivery lessons, including vendor quality assurance, accessibility considerations, and partnership integration. It also identifies clear pathways for scale, aligning with NHS prevention objectives and local authority priorities to reduce health inequalities. Overall, this pilot contributes to the emerging UK evidence base on food‑as‑medicine models and highlights a scalable approach to improving community health and wellbeing.