Obesity

Andrew Bingham Excerpts

Wednesday 9th November 2011 Westminster Hall

[Dr Poulter]

We certainly have to look at how the Government can help people to take more responsibility for their own health care. That is fundamental to obesity issues, and it is a particular challenge in more deprived areas. People often require gastric bands at the point where the medical problems associated with obesity—diabetes, the risk of heart attack or stroke, or high blood pressure—pose a potentially life-threatening risk. Such people may not have that long to live if a gastric band is not put in place, so it is the only feasible mechanism for dealing with obesity in such cases. Gastric bands have been shown to be an effective mechanism for looking after that part of the population, and there is good medical evidence to support their use. There is also good evidence in terms of the health care economics, as helping people to become slimmer will lessen the burden on the NHS.

The gastric band is good for the patient, because their health improves dramatically when it is used effectively, but the challenge with obesity is to bring about long-term lifestyle change, and the question with gastric bands is whether they necessarily deal with long-term lifestyle changes. In a medical sense, there needs to be greater emphasis on the education that goes with the bigger issues around obesity and lifestyle at the same time as the gastric band is fitted. I hope that that helps to answer the hon. Gentleman’s question.

[Andrew Bingham (High Peak) (Con)]

Does my hon. Friend share my concern that celebrities regularly have gastric bands fitted, with the result that the bands are now seen as a shortcut to losing weight? People think that celebrities have them, so we must all have them.

[Dr Poulter]

That is a good point. There is good evidence that the celebrity culture around dieting causes anorexia in young girls. It would be much better for us and for many of our constituents if celebrities sometimes showed greater responsibility in the way in which they behaved. Gastric bands are an effective way of dealing with severe obesity, but they should not be used as a general method of bringing about weight loss. Weight loss is about education and people taking responsibility for their own weight and lifestyle. It is also about putting support in place in communities to let people do that, particularly in more deprived areas.

--- Later in debate ---

[Andrew Bingham (High Peak) (Con)]

Thank you for giving me the chance to speak in the debate, Mrs Riordan. I had not applied to speak until I arrived today. I congratulate the hon. Member for East Londonderry (Mr Campbell) on securing the debate. Obesity is a problem that we underestimate at our peril. We have heard from Members who are medical people—I am not one of them—and have heard figures about the increase in obesity and the problems being stored up for the country. Those problems are to do with both physical well-being and the economy. Late onset diabetes, which can be related to obesity, will have an impact on health spending in the future, for example.

The problem has crept up on our society in the past 10 or 15 years. We have talked about diet, and I am at a slight advantage because I spent two years training to be a chef many years ago. To this day I always try to cook myself a balanced meal, although since being elected—other hon. Members’ experience will no doubt chime with mine—there is a tendency on getting back to the flat to get a little lazy and reach for the frozen ready meal. That behaviour—the sort of thing we are probably guilty of—is what pervades the country. As people cook less, they tend to eat less healthily. We have already heard discussions about school cookery classes. I tend to agree with my hon. Friend the Member for North Swindon (Justin Tomlinson) that those classes should be a staple part of children’s education.

As to the cost of ready meals, we have all been to the big-name supermarkets, where there are buy-one-get-one-free offers, ready meals for £1 and so on. I often have an argument with people outside this place about the fact that I still think it is cheaper to cook a balanced meal than to buy a ready meal, whatever its price. Fruit and vegetables are not expensive; they can be bought and prepared quite cheaply. The difficulty is that people are so busy—or the perception is that they are so busy—that they say, “I haven’t got time.” They prefer, as my hon. Friend the Member for North Swindon said, to do microwave cooking—three minutes, and ping. It is a question of education. We need to educate people to understand that it is quite simple to cook a balanced meal and live on a balanced diet.

I was visited some time ago by a constituent who came up with an idea called the Diet Plate. It is a fantastic idea—a plate that is portioned. If someone puts the relevant food group on the right portion of the plate it will be a balanced meal. Kay Illingworth was named in the British female inventor of the year awards in 2002 for that invention. I was given one, which I have in my office, and I am sure that hon. Members will realise, from looking at me, that I use it every day. It is a really good product, which looks nice and is made in this country. It demonstrates how to balance a meal and is a great way of educating people.

We have talked about sedentary lifestyle. I, like my hon. Friend the Member for North Swindon, remember the days of jumpers-for-goalposts football—kicking the ball around in the street, playing cricket in the summer, and so on. I still think that a lot of young people like physical activity. I spent 12 years as a councillor on High Peak borough council. We have a new all-weather football pitch in Hadfield. Hon. Members who know the area will know that someone coming down the road can see the floodlights, and every night there are dozens of people playing there. We used to do summer sports in the school holidays, to use the school facilities that were lying idle. Young people like to get out and play physical sport, and we need to encourage that as much as we can. There are two strings to this: it is not only what people eat, but how they burn it off. If the energy is not burned off, what is eaten becomes more important.

[Simon Hart]

My hon. Friend is making a strong case for children being inspired to take part in sport. Does he have a sense, as I do, that sometimes sponsorship of major sporting events by chocolate or crisp manufacturers creates a slightly false image, by relating unhealthy food to healthy activity? Does he have a view or some advice on that?

[Andrew Bingham]

I was going to come on to other activities shortly. I will watch or take part in sport, but who sponsors it does not chime with me much. However, ideally it would be better for an active product to support a sport. Interestingly, leisure centres all have vending machines full of chocolate. I know from experience that when the chocolate bars are replaced with cereal bars and healthy alternatives, the spend drops, because people like chocolate.

I am fortunate to live in the High Peak, which is a fantastic area with a huge amount of outdoor activity to do, including walking and hiking—the woods to play in. I am lucky, but inner cities do not have a huge playground such as the one I and my constituents have to play in. It is vital that people use leisure centres, and that they are encouraged into them. We can talk about what the Government should or should not do to get people to do that. I agree that the nudge theory will work. We have been subconsciously nudged into the present situation, because people have gone to the quick, easy meal and have taken up a more sedentary lifestyle. We have heard about the PlayStation generation, and we all walk around with BlackBerrys. If texting was good exercise and made people fit, the present generation would be the fittest ever. With young people in particular it is text, text, text. However, that is not active.

[Mr Simon Burns]

I am very interested in what my hon. Friend says and have listened carefully to the interventions. A number of Members have talked about what the Government, the Department of Health, the Department for Education or local government should do, but it strikes me as slightly odd that there has been little recognition of the responsibility of parents.

[Andrew Bingham]

I think that the Minister has been reading my notes. The point I was coming to was that we have talked a lot about what the Government can or cannot do, but this is one of many issues on which responsibility lies with us and with the parents of young people. My generation’s parents taught us how to poach eggs, for example; it is all about education in the home. I know that I sound like a grumpy old man, talking about how it was in my day, with rose-coloured glasses—[Hon. Members: “No, Never”] I will concede on grumpy; old I will argue with, at the moment. We can discuss different demographics, but if people are brought up on balanced, home-cooked food they will carry that on through their lives. It worries me that the more ready meal-type culture we have, the more it will go on and the bigger the problem will get.

We can expect, or ask, the Government to do this, that and the other, but as with many things, responsibility lies with individuals and with the parents of young children. That is where we need to start, with people being responsible for their own actions.

We have a fantastic opportunity with the 2012 Olympics, when we will see athletes from across the world. I will wager that in a year’s time, when Jessica Ennis wins a gold medal—I hope she does—we will see children out doing long jump and triple jump, using their own resources to copy their sporting heroes. We must capitalise on that. I played football in the winter as a kid because that was what was on TV, I played cricket in the summer and we all played tennis for two weeks when Wimbledon was on. We can use the Olympics. We talk about the legacy Olympics, and I would like the legacy to be the starting point for people getting active again.

[Justin Tomlinson]

We all have a role in encouraging our local schools to get 100% behind the school Olympics principle, so that when we have our successful athletes, in javelin or whatever we prove successful in, children can be inspired to take up the sport on a regular basis.

[Andrew Bingham]

Absolutely. There are dozens of sports in the Olympics, and everyone will watch and take an interest in one, so let us foster that and make the legacy of the games a healthier and more active society. We need to take that together with using the supermarkets, to get healthier eating.

We have a surfeit of cookery programmes on television. Every time we put it on there is someone gardening, doing DIY or cooking. Those three hobbies, or whatever we want to call them, can help to produce healthier people and a healthier country. Let us not necessarily rely on the Government. I agree with my hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter) that the health and wellbeing boards and the reforms in the Health Bill will help, but let us take on our responsibilities and get the message across to our constituents, getting the whole of society involved in this to make for a healthier and less obese Britain.

[Ms Diane Abbott (Hackney North and Stoke Newington) (Lab)]

It is a pleasure to serve under your chairmanship, Mrs Riordan. I congratulate the hon. Member for East Londonderry (Mr Campbell) on securing this important debate, to which we have all been glad to contribute. He reminds us of how many issues we have in common in these British Isles.

I want to focus on the important subject of child obesity, and to talk about the responses so far to the Government’s obesity strategy entitled “Healthy lives, healthy people: a call to action on obesity in England”, which was presented to both Houses on 13 October. First, however, I want to say that some people might feel that Members of Parliament have a certain temerity talking about healthy lifestyles when their own lifestyle is relatively unhealthy, and I speak as someone who has been in this House for 20 years. Perhaps we should give credit to the few colleagues we sometimes see going through the Division Lobby dressed in their running gear after a bracing run. I am sure that Members will unite with me in congratulating those rare Members on that.

We are facing a crisis in childhood obesity. As I said earlier, gone are the days when we could look at a chubby child and say that they would grow out of it: chubby children grow into obese adults. I have to say, more in sorrow than in anger, that a wide range of people both inside and outside this House have expressed doubt about the effectiveness of the Government’s obesity strategy. Before moving on to what I think the Government should be doing, let me focus on the picture in London.

London has higher levels of childhood obesity than any other British region. The capital’s childhood obesity rate is 22%, compared with an average for England as a whole of just 19%. Across the capital, one in five youngsters are obese, with rates varying widely from 12% in leafy Richmond to 28% in Westminster. Childhood obesity costs the capital £7.1 million a year to treat, and the annual bill could reach £111 million if today’s young people remain obese into adulthood.

Research commissioned by the Greater London assembly found that adult obesity costs London £883.6 million a year, and in my own constituency—Members will forgive me for mentioning it—a quarter of all year 6 pupils are obese. That is one of the highest rates in the country as recorded by the national child measurement programme. In 2010 in City and Hackney, 13% of children in reception year were overweight and 14% were obese. The number of overweight children was similar to the national average, but the proportion of obese children was slightly higher. Greater efforts are needed to prevent overweight and obesity at the pre-school stage, because a high proportion of children are already obese and overweight by the time they start school. The escalation of the trend through to year 6 suggests that we also need to implement robust interventions in primary schools.

A number of Members have talked about parental responsibilities. I put it to colleagues that some of the parents who are doing what we might understand as the wrong thing are, in their own minds, trying to be good and vigilant parents. One of the problems that young children in Hackney and the rest of London have is their sedentary lifestyle, and part of what motivates parents to keep their children indoors is this idea of stranger danger. We all know that attacks on children have not gone up in 20 years, but childhood obesity has spiralled. Many parents—not bad or careless ones—think that they are doing their children a service by keeping them indoors, safely watching television or playing on the PlayStation, rather than playing outside.

I was not the most sporty of children, unlike some of the Government Members who have contributed to the debate, but in the summer holidays my mother thought nothing of us having breakfast and then going out to play all day. We might have come in for lunch, or have gone to a friend’s and come back for tea. Nowadays, no London parent would allow their child to play out all day without knowing where they were, and it is that sort of vigilance and possibly unwarranted fear of stranger danger that leads to many thoughtful parents deciding, perhaps because they have not had the education or do not have the understanding, that they will feel better if their children are indoors rather than outside playing.

Let us also remember that in a big city such as London a greater proportion than ever of our children live in flats, maisonettes and other accommodation without a back garden. As a child, if I was not out, I spent most of the day in the back garden, on the swing, climbing trees and shouting at my brother, but many children in my constituency are trapped in flats and it is not obvious to their parents where they can be allowed to play safely.

[Andrew Bingham]

That is a good point. We talked briefly about video games. Does the hon. Lady think that the advent of Wii Fit-type games is beneficial? I have seen young people playing them, and they involve a lot of jumping around and so on, which I suppose is a form of exercise, at least.

[Ms Abbott]

Far be it from me to advertise any particular product in this Chamber, but Wii Fit games are perhaps better than PlayStation games.