Longford, mostly elderly or disabled, and were free of charge, supported by small grants and locally collected funds. Modern programmes Today, Meals on Wheels programmes generally operate at the county level or smaller. Programmes vary widely in their size, service provided, organisation, and funding. There are Meals on Wheels programmes in Australia, Canada, Ireland, the United Kingdom and the United States. The National Association of Care Catering are a great source of information on UK Meals on Wheels services. The Meals On Wheels Association of America (MOWAA) is a national association for senior nutrition programmes headquartered in Alexandria, Virginia, but each programme operates independently. Most Meals on Wheels programmes deliver meals hot and ready-to-eat, but some deliver cold meals in containers ready to microwave. Others supply deep-frozen meals. Some warm-meal programmes provide an additional frozen meal during the days prior to a weekend or holiday, when there would be no delivery. Depending on the programme, meals may be delivered by paid drivers or by volunteers. In addition to providing nutrition to sustain the health of a client, a meal delivery by a Meals on Wheels driver or volunteer also serves as a safety check and a source of companionship for the client. Most clients of Meals on Wheels programmes are elderly, but others who are unable to shop or cook for themselves (as well as their pets) are generally eligible for assistance. In the United States, there is a MOW programme called "supplemental" for homebound clients under 60 years old. This requires a signed note from a doctor and there is a small fee of $2 per meal. Regardless of their sources of funding, eligibility for most programmes is determined by the client's ability to have access to good nutrition not financial need. United Kingdom In the county of Suffolk, the programme is referred to as "Community Meals". "Meals on Wheels" services are provided for those who have been assessed to have difficulty cooking for themselves. Community Meals services can comprise daily hot meals, chilled meals or a weekly or fortnightly delivery of frozen meals. Traditional hot deliveries are cooked in a central kitchen then transported to the service user. The service in Suffolk is now run by Aspect Living Foundation, a not-for-profit charity trading as Meals on Wheels Suffolk, set up and registered in 2018 to take over "Meals on Wheels" from the Royal Voluntary Service, and set up