Oral Answers to Questions

Debate between Edward Argar and Steve McCabe

Tuesday 13th April 2021 Commons Chamber

[Steve McCabe (Birmingham, Selly Oak) (Lab)]

What steps he is taking to ensure patients are consulted on the provision of their local health services.

[The Minister for Health (Edward Argar)]

The Government are committed to putting patients at the centre of our health service. Patients are consulted on their local health services in a wide variety of contexts, including through Healthwatch England, the independent national champion for patients. When a major or substantial reconfiguration or change to services is proposed, the local clinical commissioning group is legally required to hold a consultation with local people.

[Steve McCabe [V]]

I wrote to the Secretary of State for Health and Social Care about this issue a month ago. Last December, amid the pandemic, Birmingham and Solihull clinical commissioning group decided to close Goodrest Croft GP surgery—which has more than 6,000 patients—in my constituency. The CCG did not consult anyone because apparently it is not required to do so. Does the Minister find that acceptable?

[Edward Argar]

Although I am not familiar with the detail of the specific local case the hon. Gentleman raises, I am happy to meet him to discuss it if that is helpful to him.

Supermarkets’ Role in Tackling Childhood Obesity

Debate between Edward Argar and Steve McCabe

Wednesday 18th March 2020 Westminster Hall

[The Minister for Health (Edward Argar)]

It is a pleasure to serve under your chairmanship, Mr Robertson. I congratulate the hon. Member for Birmingham, Selly Oak (Steve McCabe) on securing this important debate, and on his work with the all-party parliamentary group on a fit and healthy childhood. I remember responding to him in one my first outings as a then Under-Secretary of State and finding myself, with a slight degree of nervousness for my ministerial career, agreeing with virtually everything he said. However, I am still here, and it has not done me any harm. I fear that I may be in agreement with a number of his points again today, but hopefully at no risk to my ministerial career.

Before turning to the detail of the hon. Gentleman’s points, I thank our supermarkets, particularly at this important time. They are very much in the frontline of our battle with covid-19, and I know that they, and particularly all their staff, in whatever capacity, are doing all they can to keep shelves stocked, deliveries going out and the nation fed. It is a complex job at any time, so I thank them. In parallel, I encourage customers and shoppers to be responsible, to purchase only what they need and to think of others. Working together, I am confident that the supermarkets will ensure that their supply chains remain robust and that shelves will continue to be full.

In its 15th report, “Healthy Families: The present and future role of the supermarket”, alongside the previous reports to which the hon. Gentleman referred, the APPG has provided a valuable contribution to the ongoing debate on improving children’s health and reducing childhood obesity—I have a copy here, and I very much enjoyed it as my bedtime reading last night. He is right; with more than one in five children entering primary school overweight or obese, rising to more than one in three by the time they leave, it is right that we take bold action to improve the nation’s diet. There can be no doubting the key role, as he has said, that supermarkets and other retailers play in helping consumers make healthier choices. I know that many supermarkets and businesses get this. They know that their customers want a healthier offer and that it makes business sense.

Although I am not familiar with the group that produced the report, I saw a recent report by ShareAction that highlighted the importance of investors’ decisions in the sector and factors such as those highlighted by the hon. Gentleman. With environmental, social and governance considerations playing an ever more important role in investment decisions by big investors more broadly, it is right that supermarkets recognise that this agenda is good not only for their customers, but for their business.

As the hon. Gentleman alluded to in various examples, many supermarkets have already taken the lead in the UK and feature the voluntary front-of-pack nutrition labelling on their pre-packaged foods, helping consumers make informed and healthier choices about the food they buy. The UK-wide voluntary front-of-pack traffic light labelling scheme introduced in the summer of 2013 is proving successful, but he makes a good point. It is important to ensure that UK labelling remains effective for UK consumers. We will always be willing to consider a range of measures to build on the success of the current traffic light system to ensure that it keeps up to date and continues to be successful. It is right that people are informed when choosing what they eat and what they buy.

As the hon. Gentleman mentioned, we have seen great work by supermarkets in a range of areas. I will add a few to the list. I hasten to add that if I miss any out, it is not because of any conscious decision; I have merely picked a few examples to illustrate the work that supermarkets do. For example, Aldi and Lidl—a point he touched on—were the first retailers to introduce healthier checkouts in 2015 when they removed all confectionery and sweets from checkouts and replaced them with healthier options, including dried fruit, nuts and water. I have seen that in Waitrose and other supermarket checkouts. It goes to the point made by the hon. Member for Strangford (Jim Shannon) about the importance of what is in the physical environment as we queue up at the checkout and the influence that can have at the last minute, with young children saying, “Mummy, Daddy, can I have that?” It is therefore important that supermarkets do their bit at least to gently steer people in the direction of healthier options.

Sainsbury’s has removed all multi-buy promotions on food and replaced them with lower regular prices on everyday items. Tesco has reformulated its entire soft drinks portfolio—the first supermarket to do so—to be below the level for the soft drinks industry levy, and has given away 100 million pieces of fruit to children in their free fruit for kids campaign. All supermarkets and many larger retailers have restricted the sale of energy drinks to children. In January, Aldi and Lidl announced that they will remove familiar figures from their own-label cereal boxes. All of that is important and positive and should be welcomed. However, as the report acknowledges, there are areas where supermarkets can go further, including doing more to promote and market a healthier food and drink offer more broadly.

As the hon. Gentleman pointed out, promotional marketing by price and store location can impact on the food purchases that we all make. Some can increase the amount of food and drink that people buy by around 20%, which can lead to overconsumption of less healthy products and can cost consumers more money in the long run. Obviously, parents want a healthier balance of offers and deals, but they are not helped by the fact that most deals and offers are currently for unhealthier products.

I am conscious that none of us wants to be hectored and lectured about what to eat. I feel strongly that people should have the right to choose freely for themselves and their families as they know best, but they need to do that on the basis of making an informed decision. People need information to make the choices about their and their children’s lives. It is not fair when all the promotions in store are mostly for unhealthy food, so the balance of the promotions needs to shift towards healthier options to make it easier to make healthier choices when shopping.

To respond to the point made by the hon. Member for Strangford (Jim Shannon), we hear the frustration of parents about what could be called pester power, particularly when queuing at checkouts. It can be hard to say no, so it is important that supermarkets do what they can to help parents in that situation. Again, rebalancing promotions in prominent locations such as tills and shop entrances towards healthier options can help reduce excess calorie consumption and contribute to reductions in childhood obesity in the long term. Many supermarkets are doing so, and I commend them for that, but there is more to do. I encourage supermarkets to continue down that path.

All of that is why in the second chapter of our childhood obesity plan we committed to consult on our intention to restrict promotions on products high in fat, sugar or salt by location and price in businesses that sell food and drink. The consultation closed last year and we will set out our response as soon as we can. I know that both hon. Members who spoke in the debate and the APPG will want to study the response carefully. They may well revert with their reflections on the adequacy of the Government response and whether it goes as far as they would wish. Indeed, I encourage that; it is part of what the House and debate are for.

We want a fairer deal for everyone wherever they live or shop, and whatever their background or financial situation. We want the healthy option to be an easier option for everyone so that we can help all our children grow up healthier. Indeed, as we look towards the future and the demands on our NHS and social care, we are always conscious of what changing demographic demands might do in the future and what children and young people may be letting themselves in for by virtue of their diet or lack of exercise, which in future may require longer-term care and have an impact not only on them but on the NHS and social care’s ability to meet those needs. It is right that, as well as ensuring that the social care and health system can meet those needs, we do everything we can to prevent long-term conditions coming about in the first place.

[Steve McCabe]

I have no desire to bludgeon supermarkets, and I understand the Government’s desire to work with them but, given the Minister’s point about long-term health conditions, I was struck that Public Health England’s report showed how some supermarket’s own food products—I will not name the supermarkets—showed increases in sugar content. An increase was found over the period of the report in sweet confectionary, chocolate spreads and morning goods. While the Government are trying to persuade supermarkets, should they also consider fiscal measures as an incentive to meet sugar reductions?

[Edward Argar]

The hon. Gentleman gently tries to tempt me into an area that is perhaps more properly the remit of my right hon. Friend the Chancellor of the Exchequer. I do take the point behind what he says: we need to use multiple means to encourage supermarkets—perhaps that is the best way to phrase it. Again, I encourage him and the all-party parliamentary group to wait for the consultation response and beyond that to engage fully. I am sure that he will. We may well find ourselves here in a few months’ time—or when the report is published—for another debate in the light of the Government’s response.

I think the hon. Gentleman will agree that we will need supermarkets to continue their good work, alongside the out-of-home sector, health professionals, schools, local authorities, families and individuals, who all play an important role. We must also be willing to encourage supermarkets, building on their good work to date, to be ambitious and go that step further. We all have a role to play in what we eat, keeping ourselves healthy and doing the right thing by our long-term health. It is important that supermarkets play their role, and it is important that all of us do as well.

Question put and agreed to.

Feltham A Young Offenders Institution

Debate between Edward Argar and Steve McCabe

Wednesday 24th July 2019 Commons Chamber

[Edward Argar]

My hon. Friend is a strong champion for Chelmsford Prison. I believe that she has visited it on almost a dozen occasions, and I know that the staff there are grateful for the close interest she takes. She will forgive me if I am not at this point tempted into making spending announcements—especially in the absence of a Chancellor of the Exchequer at the moment—but I think both sides of the House would agree that it is important that our prison officers and others who work in our prisons in the custodial estate have the support and the tools they need to do their job effectively.

[Steve McCabe (Birmingham, Selly Oak) (Lab)]

I understand that the suicide rate for boys aged 15 to 17 in custody is about 18 times greater than the rate for their counterparts in the community. Why is that?

[Edward Argar]

The hon. Gentleman highlights an important point that links in with points made by other hon. Members—namely, that those in the cohort of young people in custody are not only the perpetrators of serious crimes but often the victims of crime who in many cases suffer from mental health challenges or a range of other issues. If we overlay that with the constraints of a custodial environment, that is extremely challenging, which is why we are working hard to divert young people and others, where appropriate, away from custody into community sentences and towards the support and medical support they need. Within custody, we are working to improve conditions and ensure that the support is there to drive down the self-harm and suicide rates, but it is also vital that we remain focused on the longer term and on the current Government’s approach to changing the nature of youth custody, where it does have to occur, and moving towards a secure schools model.