Childhood Obesity Strategy: Chapter 2

Debate between Jonathan Ashworth and Steve Brine

Monday 25th June 2018 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)(Urgent Question)]

To ask the Secretary of State for Health and Social Care to make a statement on the Government’s childhood obesity strategy.

[The Parliamentary Under-Secretary of State for Health and Social Care (Steve Brine)]

Today the Government published the second chapter of our childhood obesity plan. The plan is informed by the latest evidence. It sets a new national ambition to halve childhood obesity and significantly reduce the gap in obesity between children from the most and least deprived areas by 2030.

Childhood obesity is one of the biggest health problems that the country faces. Nearly a quarter of children are overweight or obese before they start school, and the proportion rises to more than a third by the time they leave. The burden is being felt hardest in the most deprived areas, with children growing up in low-income households more likely to be overweight or obese than more affluent children.

Childhood obesity has profound effects, which are compromising children’s physical and mental health both now and in the future. We know that obese children are more likely to experience bullying, stigma and low self-esteem. They are also more likely to become obese adults, and face an increased risk of developing some forms of cancer, type 2 diabetes, and heart and liver disease. Obesity is placing unsustainable costs on the national health service and our UK taxpayers, which are currently estimated to be about £6.1 billion per year. The total costs to society are higher and are estimated to be about £27 billion per year, although some estimates are even higher than that.

The measures that we outline today are intended to address the heavy promotion and advertising of food and drink products that are high in fat, salt and sugar, on television, online and in shops, and to equip parents with the information that they need in order to make healthy, informed decisions about the food that they and their children eat when they are out and about. We are also promoting a new national ambition for all primary schools to adopt an “active mile” initiative, like the Daily Mile. We will be launching a trailblazer programme, working closely with local authorities to show what can be achieved and to find solutions to problems created by barriers at a local level.

Childhood obesity is a complex issue that has been decades in the making, and we recognise that no single action or plan will help us to solve the challenge on its own. Our ambition requires a concerted effort and a united approach by businesses, local authorities, schools, health professionals, and families up and down the country. I look forward to working with them all.

[Jonathan Ashworth]

We have a childhood obesity crisis, and we need action.

Of course, many of the policies announced today seem familiar. That is because they are actually our policies. Supporting the Daily Mile initiative is a Labour policy. Supporting a ban on the sale of energy drinks to under-16s is a Labour policy. Proper food labelling is a Labour policy. A target of halving childhood obesity is a Labour policy. The Minister should not be commending his statement to the House; he should be commending the Labour party manifesto to the House.

But what was not in the Minister’s response? There were no mandatory guidelines on school food standards, and no powers for councils to limit the expansion of takeaway outlets near schools. There was nothing about billboards near schools, there was no extension of the sugar tax to milky drinks, and there was no commitment to increasing the number of health visitors—and what about television advertising? We were told action was coming:

“the Health Secretary, is planning a wave of new legislation...including a 9 pm watershed”

said the Telegraph.

“Barring a last-minute change of heart, advertising for products high in sugar, salt and fat will be banned before the 9 pm watershed”

insisted The Times. But what did the Secretary of State announce yesterday? He is

“calling on industry to recognise the harm that constant adverts for foods high in fat, sugar and salt can cause, and will consult”.

So not even an “intention” to ban advertising of junk food—just a consultation. Surely this former Culture Secretary has not given in yet again to big vested interests?

We would bring forward legislation to ban the advertising of junk food on television. We have a childhood obesity crisis; the Government should be introducing restrictions on the advertising of fudge, not serving more up of it.

The Government talk of the role of local authorities. We agree, so will council public health budget allocations still have to wait until the spending review? Does that not mean new money will not be available for councils until 2020?

The Government have today announced 13 consultations and reviews; that hardly suggests the Government are gripped with a sense of urgency to tackle this crisis. Yet the evidence is clear: we need determined action now. I can assure the Minister that we would co-operate on the timely passage of legislation, so rather than stalling further, will he take us up on our offer? Our children depend on it.

[Steve Brine]

I have been doing this job for just over a year now and I had yet to find the party politics in child obesity, but I have to say that the hon. Gentleman has just managed to land that one correctly, if nothing else. He seems to be suggesting that everything in the plan is a Labour idea and that the last two years have been in some way a wasted opportunity since the 2016 plan. I would suggest that that is not true, and it is not even close, actually. Over half of the products in the scope of the soft drinks industry levy that we brought in under Chancellor Osborne have been reformulated, with many important manufacturers leading the way. Our comprehensive sugar reduction programme has reduced sugar in some products that children eat the most. We have also made a number of significant investments, including doubling the primary PE and sport premium to £320 million a year, transforming children’s physical activity, as well as investing about £100 million this year in the healthy pupils capital fund and £26 million over three years to expand the breakfast clubs, with a focus on the Department for Education’s opportunity areas.

But we were always clear that chapter 1 was the start of the conversation—the clue is in the name—and we are very clear that more needs to be done; that is why I said what I said in my opening remarks. That is why we are introducing the bold new measures outlined in chapter 2. I am sorry that the hon. Gentleman does not like consultations, but what could be described as delay through consultations I would describe as getting it right, and I expect that we will come on to discuss some of these measures in the coming minutes. But we must get these measures right and make sure people cannot duck underneath them.

Finally, the hon. Gentleman spoke about public health. We are spending £16 billion in the ring-fenced public health budget during this spending review. There are many good examples of local councils doing excellent things with that money, and we will probably hear about some of them as well.

NHS Winter Crisis

Debate between Jonathan Ashworth and Steve Brine

Wednesday 10th January 2018 Commons Chamber

[Steve Brine]

I will not give way; the hon. Lady has had her say.

My hon. Friend the Member for South West Bedfordshire (Andrew Selous) spoke about leadership, and he was absolutely right. He knows the Luton and Dunstable University Hospital NHS Foundation Trust, which has been ably led by Dame Pauline Philip. She has achieved 98.6% of patients meeting the four-hour target. That is the kind of leadership that can be achieved, which is why Dame Pauline was brought in to NHS England to help with our national response to winter pressures.

My hon. Friend the Member for South West Wiltshire (Dr Murrison) said that this was all about outcomes and that, on cancer, we do not do well. We have had the best cancer outcomes ever in our country, but I agree that our ambition for the long term needs to be even better and that we need to aim higher. His point on a royal commission is noted.

My hon. Friend the Member for Henley (John Howell) spoke about the out-of-hospital care work that Henley’s hospital is doing. I thank him very much for his invitation. My ministerial colleagues also heard what he had to say, and it was good to hear about the cross-party working that is going on in Oxfordshire. My hon. Friend the Member for Southport (Damien Moore), a new Member of the House, talked about joined-up care and continuous improvement. He reminded us that without a strong economy there is no strong NHS. This is not the Government’s money; it is the public’s money. We need to spend it well, and I think we are doing so.

My hon. Friend the Member for North Dorset (Simon Hoare) spoke about community pharmacies, a subject close to my heart. They play a key part, and better integration of them within the NHS is part of the prevention and primary care agenda. I completely agree with the points that he made. My hon. Friend the Member for Taunton Deane (Rebecca Pow) spoke about the A&E hub at Musgrove Park Hospital. That sounds very interesting indeed, and the new Minister of State, Department of Health and Social Care, my hon. Friend the Member for North East Cambridgeshire (Stephen Barclay), was also interested to hear what she had to say. We would like to come and see it, and we will take her up on her invitation.

Finally, I welcome back my hon. Friend the Member for Morley and Outwood (Andrea Jenkyns) and congratulate her on the birth of Clifford. She spoke very well, as always, about the integration of health and social care, saying that it can only make sense and will only serve to make the preparations for next winter better.

I hope to end this debate on a note on which both sides of the House can agree. We are all truly thankful for the extraordinary dedication of NHS staff in caring for their patients—our constituents—during this extremely challenging time. As ever, they are doing a brilliant job.

Question put and agreed to.

Resolved,

That this House expresses concern at the effect on patient care of the closure of 14,000 hospital beds since 2010; records its alarm at there being vacancies for 100,000 posts across the NHS; regrets the decision of the Government to reduce social care funding since 2010; notes that hospital trusts have been compelled by NHS England to delay elective operations because of the Government’s failure to allocate adequate to the NHS; condemns the privatisation of community health services; and calls on the Government to increase cash limits for the current year to enable hospitals to resume a full service to the public, including rescheduling elective operations, and to report to the House by Oral Statement and written report before 1 February 2018 on what steps it is taking to comply with this resolution.

[Jonathan Ashworth]

On a point of order, Madam Deputy Speaker. Can you confirm that the effect of the Government refusing to defend their position in the Lobby this afternoon is that the motion that stands in the name of the Leader of the Opposition has been endorsed by the whole House and that we should therefore expect the Secretary of State to come to the House before the end of the month to make an oral statement to explain to our constituents when their cancelled operations will be rescheduled?