(12 years, 4 months ago)
Commons ChamberI congratulate my hon. Friend the Member for Reading East (Mr Wilson) on securing this debate and applaud his desire not to be alarmist, as it is easy to be alarmist on occasions such as this, particularly given the tragic stories he quoted this evening. I also applaud his desire to have an evidence-based approach. Such an approach always sounds simple, but it is not always that easy to obtain in practice, because the evidence is sometimes conflicting and confusing.
There is no doubt that nothing is more important than the food and drink we give to our children. Innumerable studies have been done on how it affects their education, their behaviour and their development. It is our responsibility as politicians, as adults and as parents to make sure that all children are eating a good and varied diet. My hon. Friend is clearly well aware that caffeine appears in many different foods, from various sources. It occurs naturally in things such as tea, coffee and chocolate, and is traditionally used as a component for the flavouring of cola drinks. In addition, of course, the reason for this debate is that it is also added as a stimulant to energy drinks. What is interesting for me in doing this job is that it is sometimes staggering how low awareness is. I think that most people are aware that caffeine is present in coffee, but they are perhaps not so aware that it is also present in tea and chocolate.
We need to recognise, of course, that in sensible doses caffeine is perfectly all right. However, as my hon. Friend will no doubt know if he has ever drunk one too many espressos, it does have its side effects. In 2003, the European Scientific Committee on Food specifically looked at high-caffeine soft drinks, finding that in its opinion those drinks did indeed cause increased excitability, irritability, nervousness or anxiety in some people who drank them, particularly if those people were normally low consumers of caffeine—that is where we get into the issue about children. Such effects were seen when someone consumed about 5 mg of caffeine per kilogram of bodyweight. That is the equivalent of about 300 mg of caffeine for an average adult and 150 mg for an average 10-year-old child. As a comparison, the amount of caffeine in a can of a typical high-caffeine energy drink is 80 mg, which is about the same as that found in a mug of instant coffee.
The committee said that caffeine appears to affect people’s heart rate and blood pressure, but it also said that those effects were short term and did not appear to have any long-term effects or cause heart attacks. I remind my hon. Friend that that study was conducted in 2003. The Committee did not at that time consider it necessary to establish a recommended daily limit for caffeine.
There are many anecdotal reports of young people having heart attacks after drinking too many energy drinks—my hon. Friend mentioned some of those cases—but those reports are not always complete, and these cases have often involved someone drinking such drinks along with consuming alcohol or drugs, thus clearly limiting the ability to draw conclusions. That shows why building up a good evidence base can be quite difficult.
The independent UK Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment is currently investigating the interaction between caffeine and alcohol, and is expected to report back later this year. My hon. Friend mentioned a number of tragic cases and the campaign started by some of the families who have been affected, and I want to applaud their efforts. It is always remarkable to see how families can turn a tragic incident into a campaign to do good for others. The committee’s study will be important in further informing us about the effects of caffeine.
Consumers need to be aware that there is information about caffeine content on the labels of high-energy drinks. Because some people may be particularly sensitive to caffeine, legislation was introduced across Europe in 2003 that stated that drinks with high levels of caffeine had to be labelled with the words “high caffeine content”. Those drinks also had to carry an indication of the actual caffeine content in milligrams per litre, so people can see exactly how much caffeine they are drinking. That labelling is not needed for tea and coffee, or drinks based on them, because it is generally accepted that people already know they contain caffeine. We do need to be much better at informing consumers, and persuading them to be better consumers and to read the labels of the products they eat and drink. The labelling requirement comes into play when a drink contains more than 150 mg of caffeine per litre. A typical high-caffeine energy drink would contain 320 mg of caffeine per litre, and therefore would have to be labelled.
In line with the May 2010 voluntary code of practice developed by the British Soft Drinks Association, many high-caffeine drinks also carry extra labelling to make it clear that such drinks are not suitable for children or people sensitive to caffeine. My hon. Friend praised the BSDA for its action and mentioned that recent changes at European level will make such labelling mandatory by December 2014. I am always pleased to see UK manufacturers acting responsibly by pre-empting legislation and making sure such labelling is already the norm. The code of practice also states that high-caffeine soft drinks should not be advertised, marketed or promoted to those under 16.
Finally, Government advice is that children and other people who are sensitive to caffeine should be careful with high-caffeine soft drinks, just as they should be with other products with lots of caffeine, such as coffee. Our advice is that they should be sensible and drink them only in moderation. If only it was that easy, and people just took the advice they were given; sadly, however, they do not always do so.
My hon. Friend seems to acknowledge that children under 16 should not be drinking these drinks, and I think that that is even the advice of the industry. However, while a 12-year-old can go to their corner shop and buy those drinks there is no deterrent and nothing to stop them. What can the Minister say to me tonight about what will help to stop 12-year-olds going into local shops and buying these drinks unless we do something about it in this place?
I thank my hon. Friend for his question and I will go into that point in a little more detail. We live in a world where children and adults are bombarded with information and it is not always possible to legislate our way out of a problem. I will say something more about that in a minute.
My hon. Friend referred to a report by the University of Miami on the possible effects of energy drinks on children and young people. Officials at the Food Standards Agency consider the study a useful review of a great deal of existing information, but it does not provide conclusive evidence to change the conclusions previously drawn by the EU Scientific Committee on Food. It does, however, add to our information base, to which we must continue to add.
I want to reassure my hon. Friend, just as I would like to reassure everyone, that the Food Standards Agency will continue to monitor the situation. It is extremely important that all Governments remain open minded and continue to look at any new evidence that becomes available. At the moment, the scientific advice is that the effects of caffeine are short term and information labelling is thorough and widespread, but, as I have said, that is not the end of the story.
My hon. Friend quoted extensively from the experiences of other countries. It is critical to remain open minded as new evidence emerges. I do not often have the privilege of being able to talk about this but I sit on the European Health Council, which gives me an opportunity to meet Health Ministers from other European countries and, indeed, such issues come up at those meetings. It is important to share experiences. He talked about raising awareness and I have no doubt that the opportunity he has taken to raise the issue tonight will play its part in doing just that.
The difficulty and the challenge in considering evidence, of course, is filtering out the impact of the particular ingredients in these drinks when there are so many confounding factors. That is why the Government need to be mindful of the research that is produced, particularly when there are also obvious and immediate commercial pressures. We are always battling against that.
I note my hon. Friend’s quote from Jamie Oliver. Passion is never a bad thing. It is good to feel the passion from other people and it helps raise awareness. The problem of the sale of alcohol to under-age children is not easy in itself. I note and commend the action taken by some schools that have taken a lead, presumably because they have had problems with the behaviour of children and are concerned about the quantity of high energy drinks their children are drinking. My hon. Friend has covered a lot of detail, particularly about the impact of taurine. Sadly, I cannot respond specifically on the question of that one ingredient this evening, but if there is any more information that I feel will be useful or helpful to him I will ensure that he receives it in a letter.
Responsibility for public health will move to local authorities. We are keen to achieve much better informed consumers, and that includes children. Smoking is taken up by 320,000 children each year, and we have a big battle on our hands. In my role as Minister with responsibility for public health, it is important that I understand that some of the choices that children face are very complex. We need to ensure that they have the skills they need to make good decisions about their life and that they have the information on which to base those decisions.
My hon. Friend strayed into type 2 diabetes, and there is a danger of my straying much further tonight. However, I finish by commending my hon. Friend for raising this issue and for the work that he has obviously done with some of those people and families who have been affected. I look forward to working with him in the future to ensure that we do all that we can to further the cause he has raised.
Question put and agreed to.
(12 years, 5 months ago)
Commons Chamber4. What estimate he has made of the cost of alcohol-related admissions to accident and emergency departments in (a) England, (b) the south-east and (c) Reading East constituency in the latest period for which figures are available.
We estimate that alcohol misuse cost the NHS in England about £3.5 billion in 2009-10. The published estimate for the number of alcohol-related admissions was 1,168,300 in 2010-11. However, that is admissions to hospital. We reckon that the cost of alcohol-related accident and emergency visits was about £696 million in 2009-10.
As my hon. Friend is aware, the Government’s alcohol strategy proposes that more hospital staff have powers to fine troublesome drunks. Will she work with the Home Office to ensure that these fines are not just punitive, but work to recoup a reasonable part of the £700 million cost that she mentioned, so that A and E departments in places such as the Royal Berkshire hospital in my constituency can recoup some of that money?
Indeed, that is why we have a cross-Government strategy. We will be working with the Home Office and many other agencies and Departments to ensure that we deliver the savings. It is not just about the financial cost; it is also about the human cost. Identification, brief interventions and alcohol liaison nurses are all part and parcel of making sure that we reduce the harms of alcohol.