Accessibility Tools

Provider in Focus | CAMMS Meals on Wheels Ltd

Discussion took place on 6th May 2026

This month, we’re speaking with Justina Augustaviciute, Charity Manager of CAMMS Meals on Wheels Ltd, a service operating in Cambridgeshire.

In this Provider in Focus, Justina shares what it takes to run a Meals on Wheels service across Cambridgeshire and Fenland – from managing rural delivery routes (covering 50-60 villages across Cambridgeshire) and rising costs, to reaching isolated older people and supporting families from afar.

Justina Augustaviciute, Manager of CAMMS Meals on Wheels Ltd, attending a local community event to raise awareness of the service

Justina Augustaviciute, Manager of CAMMS Meals on Wheels, attending a local community event to raise awareness of the service

Delivering more than a meal

CAMMS Meals on Wheels delivers hot meals across a large rural area, operating from two bases and reaching people across Cambridgeshire and Fenland.

The service supports mainly older adults who want to remain living independently at home but need support with accessing or preparing food.

As Justina explains, the service is about far more than delivering meals:

“We provide welfare checks, which I think is sometimes more important than the hot meal deliveries.”

Drivers are DBS-checked and, where appropriate, trusted with key safe access so they can respond if a customer is unwell, unable to answer the door, or has had a fall.

“We have unfortunately had cases where the drivers did enter the house and found our customers unconscious or after a fall… this is where I think our service becomes vital.”

The service also provides reassurance to families – particularly those living far away from relatives.

“The service is not only for the people themselves – it’s for their contacts, their children… many live far away, even abroad. Meals on Wheels is a lifesaver.”

A CAMMS Meals on Wheels Ltd team member delivering a meal to a client at home

“I’m not saying we are the most important service in the world, but we are extremely important… I can’t even imagine what would happen with quite a few of our clients if Meals on Wheels wasn’t here.” 

Image: A CAMMS Meals on Wheels team member delivering a meal to a client at home

A familiar face and a daily routine

Justina describes how important daily contact can become for many customers.

For some, the delivery driver may be:

  • The only person they see that day
  • A source of routine and reassurance
  • An important connection to the outside world

“We have people literally coming outside and waiting for the drivers to come.”


“Meeting the delivery driver every day, sometimes seven days a week, becomes an essential part of their life.”

One of the CAMMS Meals on Wheels Ltd drivers preparing to deliver meals in the community

One of the CAMMS Meals on Wheels drivers preparing to deliver meals in the community

Running a flexible service in a challenging environment

Operating across rural areas brings logistical challenges, but Justina emphasises that flexibility is key.

New referrals are carefully matched to routes, with office staff and drivers working closely together to manage capacity and geography.

“We have a system, but it’s also very much run by people.”

At the same time, the service faces increasing financial pressures. Like many providers, CAMMS Meals on Wheels has experienced: 

  • Rising supplier costs
  • Increased fuel prices
  • Higher staffing costs and national insurance contributions
  • Declining new inquiries following price increases

“We are left to manage these things on our own… it’s very difficult to pay for supplies, pay drivers’ wages, and still remain not-for-profit.”

 

Meals being prepared and packed for delivery as part of the daily CAMMS Meals on Wheels Ltd service

Meals being prepared and packed for delivery as part of the daily CAMMS Meals on Wheels service

Justina is clear that raising awareness and attracting new customers is becoming increasingly important for sustainability.

Marketing and visibility matter

One of the strongest themes throughout our discussion is the importance of visibility and community engagement.

Justina spends significant time promoting the service directly in local communities.

“If you don’t have a lot of funds for paid advertising, you have to do it yourself… my tip is never give up on the hard work.”

One practical approach that has worked well is targeted leafleting.

“If you already have a customer in a particular area, make sure you deliver leaflets nearby as well.”

This helps reduce additional mileage costs while reaching people who may benefit from the service.

Representatives from CAMMS Meals on Wheels Ltd attending a local community event, helping to raise awareness of Meals on Wheels services and connect with potential supporters and partners

Representatives from CAMMS Meals on Wheels attending a local community event, helping to raise awareness of Meals on Wheels services and connect with potential supporters and partners

To help raise awareness, the service also uses:

  • Facebook
  • LinkedIn
  • Networking events
  • Community contacts
  • Local organisations and community navigators

“We need to make sure people know we exist and how to find us.”

The role of communities and local connections

Justina highlights the importance of building relationships with people already embedded within communities. 

This includes:

  • Community navigators
  • Churches and community centres
  • Cafés and local businesses
  • Social prescribers and neighbourhood organisations

These local connections can help providers identify:

  • Who may benefit from the service
  • How to reach isolated individuals and families


“The people who are known in the community need to be contacted the most.”

Why the service matters

Reflecting on the wider role of Meals on Wheels, Justina points to both the health and social care impact of the service. 

“There has been great research showing fewer hospital admissions with Meals on Wheels provision.” 

But she also emphasises something that is often overlooked: the support provided to families and unpaid carers.

“Meals on Wheels is a peace of mind for families… at least they know their relative will receive a hot meal and someone will notice if something is wrong and notify them.”

When asked what would happen if the CAMMS service did not exist, she pauses before answering: 

“I honestly don’t know… Some of the people, and that I know for sure, they are completely lonely, completely unable to provide food for themselves, to get the supplies and to cook and reheat the food… I think it would be much worse than it is now.” 

Looking ahead

Justina believes providers would benefit greatly from stronger opportunities to connect and learn from one another. She would welcome:

  • More opportunities for peer learning
  • Shared marketing ideas
  • Easier communication between providers
  • Stronger platforms for evidencing impact

It would be great if there was a network – a sort of Meals on Wheels hub – where providers and service managers could easily communicate and share ideas. 

She also reflects honestly on the emotional labour involved in running a not-for-profit service. 


“You put a lot of work in to receive maybe 20% of the result you would in a for-profit organisation… it’s like chasing the wind in a field – you still need to get the result but with very few resources. I learnt the hard way that more punches will be thrown at you than praise. But you keep going because you care. 

Advice for other providers

For people considering developing a new Meals on Wheels service, Justina advises: 

Be flexible. Have your system set, but allow it to bend.

She explains that rigid step-by-step systems often do not reflect the realities of running a community-based service supporting vulnerable people.

“In charities, step-by-step guides do not work.”

And if an existing Meals on Wheels service came to Justina for advice, she emphasises the importance of: 

  • Flexibility in staffing and operations
  • Balancing workloads carefully
  • Avoiding unnecessary complexity
  • Remaining open-minded about how services are organised

She also highlights the importance of building strong communication across teams and maintaining a people-centred approach when working with clients and families.

Justina’s question to other Meals on Wheels providers

“What has been the most effective way of marketing your Meals on Wheels service – and who do you find is the most important audience to reach?”

This reflects one of the key challenges discussed throughout our conversation: ensuring people know services exist and understand how they can help.

Learn more about the CAMMS Meals on Wheels service
Contact: enquiries@cammsmealsonwheels.org | 01223 314 288

Do you run a Meals on Wheels service and have thoughts or experience to share? Join the conversation with other Meals on Wheels providers via our WhatsApp Community.

Can you give us some feedback please?