Monday 30th November 2015

(8 years, 5 months ago)

Westminster Hall
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Helen Jones Portrait Helen Jones (Warrington North) (Lab)
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I beg to move,

That this House has considered e-petition 106651 relating to a tax on sugary drinks.

The Petitions Committee has scheduled the debate to coincide with the publication of the report by the Select Committee on Health about childhood obesity. I did not have the advantage of seeing that report when I drafted my speech, but I am sure that the hon. Member for Totnes (Dr Wollaston) will enlighten us further if she catches your eye later, Mr Hamilton. It is a great pleasure to see many members of that Committee here.

The petition was prompted by real concern about the health problems that are being caused by rising levels of obesity, particularly among children. Having looked at the matter, there is no doubt in my mind that we face a very serious situation. I am lucky to be one of a fortunate generation that saw advances in housing and sanitation, and mass vaccination programmes that eradicated or reduced the incidence of many diseases from which children used to suffer. However, we are now in danger of raising a generation who will have a lower life expectancy than that of their parents. The reason for that is down to diet, with too much fat and too much sugar—combined with too little exercise, yes, but it is mostly about diet.

Helen Jones Portrait Helen Jones
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If the right hon. Gentleman is so eager to get in, I will give way.

Mark Field Portrait Mark Field
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I am eager to get in on that point, because I think it is rather facilely simplistic to suggest that any reduction in life expectancy is just down to diet. I accept that that could be one of the factors, but, in looking at this report and others like it, it is important that we take an evidence-based approach. Diet is a factor in reduced life expectancy in some parts of the country, but it is by no means the only factor.

Helen Jones Portrait Helen Jones
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The right hon. Gentleman will learn that diet is actually the major factor. I will go on to say a little more about that later. He is right that it is difficult to talk about the subject without seeming like a killjoy, so I will fess up right at the beginning: I enjoy a glass of wine with my meals, although I try to restrict it to weekends; I am martyr to my cravings for chocolate; and, like many of us in this House, I could do with losing a bit of weight. However, we should not let our own frailties put us off tackling what I believe to be a real health emergency.

I have seen a huge change in diet, particularly in children’s diets, over my lifetime. When I was growing up, pop was a treat that we got occasionally, and we usually got a bottle of it between several of us. Sweets were bought by our dads on payday. If we were out playing—most children did play out in those days—and we came in hungry, we got bread and butter and a drink of water. Now, thanks to a huge change in lifestyle, the wider availability of products and some heavy marketing to children, the situation has changed. Many adults and most of our children are not meeting the proper dietary requirements. We eat too much saturated fat and too much sugar—both added sugar, and sugar in fruit juices, honey and similar products.

Mark Field Portrait Mark Field
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As the father of two young children aged seven and four, I entirely endorse what the hon. Lady has to say about the prevalence of treats for today’s youngsters compared with that which our generation grew up with. Does she accept, however, that the issues here are the responsibility of parents and of the companies who produce such goods? Many of those companies have shown a level of responsibility, and the average size of confectionery such as the Mars bar has fallen as time has gone by. There is more information on all such products about the amount of fat and sugar that they contain. In many ways, we are living in an age of more responsible and more informed consumers, both young and old. That is where the responsibility lies, and that responsibility has been put into place to a large extent—

Fabian Hamilton Portrait Fabian Hamilton (in the Chair)
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Order. I remind hon. Members that interventions should be kept brief, and that they should be questions.

Helen Jones Portrait Helen Jones
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The right hon. Gentleman flatters me by saying that we are of the same generation; I think he is quite a bit younger than me. As I will come on to say, I do not think that the public health responsibility deal has delivered, and although it is true that there are responsibilities on parents and all of us, we have to look at the environment in which people operate. In this country, I think we face a real health emergency that is equivalent to an epidemic, and sugar is one of the worst culprits. Sugar is added to processed food, and that changes our tastes over time. A small can of drink can contain up to nine teaspoons of sugar. The result of that is that we are all growing bigger, particularly our children. Thirty per cent. of our children are overweight or obese. Many adults are too, and they often live in the poorest communities.

Carol Monaghan Portrait Carol Monaghan (Glasgow North West) (SNP)
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Does the hon. Lady share my concerns about the new trend for having soft drink vending machines in schools? Schools may benefit from a slight increase in their budget, but the impact on children’s health and learning is significant.

Helen Jones Portrait Helen Jones
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The hon. Lady makes a fair point, and I will come to what is happening in schools later in my speech.

Emma Reynolds Portrait Emma Reynolds (Wolverhampton North East) (Lab)
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Does my hon. Friend agree that the voluntary approach to the food and drink industry is not working? Contrary to what the right hon. Member for Cities of London and Westminster (Mark Field) has suggested, the industry is not taking responsibility for reformulating sugary drinks, some of which contain as much as 14 teaspoons of sugar—double the daily recommended amount. That is why we need a regulatory approach.

Helen Jones Portrait Helen Jones
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That is a reasonable approach, and I will come to that in a minute. The right hon. Member for Cities of London and Westminster (Mark Field) mentioned the shrinking size of Mars bars, but I think that has more to do with maximising profits than with concern for people’s health.

As a result of all that I have outlined, our risk of serious diseases is increasing. We are much more at risk than we used to be of cardiovascular disease, certain types of cancers and type 2 diabetes, which is increasing rapidly in this country. In fact, the British Medical Association has estimated that problems with our diet lead to 70,000 premature deaths a year. I put it to the right hon. Gentleman that if the Government were seeing 70,000 deaths a year from something such as a flu epidemic, they would act. This is just as serious.

Serious diseases are not the only problem. The biggest cause of childhood admissions to hospital is dental decay. If we talk to people who operate on those children, we hear horrific stories of young children having all their teeth removed because of decay.

Jonathan Edwards Portrait Jonathan Edwards (Carmarthen East and Dinefwr) (PC)
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A tax on sugary drinks has been Plaid Cymru policy for a number of years in Wales. The Labour party in Wales has responded in the media that such a policy

“is a not sensible way forward”,

and has called it “ill-thought” out, “economically illiterate gibberish”, “a disgraceful con trick” and “fantasy politics”. It has described the policy as “vacuous” and said that it has

“no chance of seeing the light of day”.

What is the hon. Lady’s message to her colleagues in Wales, especially as we are about to gain the powers to introduce a sugary drinks tax in our country?

Helen Jones Portrait Helen Jones
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I never take what Plaid Cymru says about the Labour party in Wales at face value; I am used to its selective quotes.

Dealing with problems caused by poor diet is costing the NHS about £6 billion a year, which is more than the cost of dealing with problems that arise from smoking and alcohol combined. That figure is predicted to rise to £10 billion or £12 billion by 2020. The Government’s response to that, as has been said, was the public health responsibility deal. They have rejected direct intervention, which they refer to as “Whitehall diktat and nannying”. I think that is a profoundly mistaken approach, for this reason. Individuals do not make decisions in a vacuum, and they are making decisions about their diet in a situation where unhealthy foods are often heavily discounted or priced very low, where hundreds of millions is spent on marketing—particularly on marketing to children—and, in some cases, where there is a lack of availability of healthy alternatives. It is true that we need to take responsibility for our own health, but the Government also have a role in ensuring that we have the skills and facilities that we need.

Helen Jones Portrait Helen Jones
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I am not sure which of these defenders of the Government to take first. I will take the hon. Member for Kingston and Surbiton (James Berry).

James Berry Portrait James Berry
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I am probably not the best qualified person to speak about this, having judged a cake competition in my constituency on Friday night. Does the hon. Lady agree that much clearer labelling would be an alternative to a tax—I do not form a view on whether that is right—in ensuring that people are not making decisions in a vacuum? For example, if a drink contains 14 teaspoons of sugar, 14 teaspoons should be clearly marked on the side of that drink so that people know exactly what is in it.

Helen Jones Portrait Helen Jones
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Yes, the hon. Gentleman is right that we need much clearer labelling. As I will come on to say, the proposal in the petition is one avenue for tackling the problem, but not the only one and not a silver bullet.

I will take the intervention of the hon. Member for Salisbury (John Glen), but then I will make some progress.

John Glen Portrait John Glen
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I am extremely grateful to the hon. Lady. She is making a powerful case, of which I am somewhat persuaded. However, does she not feel that it would be best if the Government were given an opportunity to develop the responsibility deal and to do a lot more to change public attitudes and consumption patterns before a sugar tax, the effects of which are not yet fully known, is implemented?

Helen Jones Portrait Helen Jones
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The public health responsibility deal has had a fair trial over the past five years. The House of Lords Science and Technology Committee said of it that

“the current Public Health Responsibility Deal pledge on obesity is not a proportionate response to the scale of the problem.”

The reason for that, as the British Medical Association has pointed out, is that the deal does not set targets for individual food and drink products, or a timescale in which changes have to be made. That is why I have come to believe that there is a great deal of merit in what the petitioners are asking for, as one method among a whole lot of ways to tackle the problem.

A tax on sugary drinks would probably have to be at the level of 10% to 20% to make a change in behaviour, apparently—Public Health England suggests that range. There is evidence from Mexico and France that at that level, people’s behaviour starts to change and they start to choose sugar-free alternatives. However, that has to be part of a whole-Government effort to reduce obesity, which has to begin in schools.

Much work has been done on improving school meals, setting better nutritional standards for them and removing vending machines from schools. The problem is that those things do not apply to academies and free schools, and as more schools become academies we are putting more children at risk of poor nutrition. We should not tolerate that. It is good that food and nutritional education is compulsory at key stage 3, but we need to look at how that operates. Much more investment in equipment is needed. Schools need to be outward-facing and need to encourage local people to visit them to talk to children about food and how it is grown. The best schools do that, but often the curriculum is not appropriate for all children.

In my entire school career I did a term and a half of cookery, because it was considered that those who were academically inclined did not need to learn how to cook. The only thing I can remember being taught is how to make rock buns, something that I have not indulged in before or since. Another example is that my son specialised in Indian cooking. It was supposed to be brought home for the evening meal, but anyone who suggests that has never met a teenage boy. That was interesting, but expensive. What most of us need to know when we first set out in the world is how to eat healthily on a restricted budget. That is the sort of thing that we need to look at with our children.

In fact, all public institutions should be promoting healthy eating. Dare I suggest that we start with some of the vending machines in this place, so that I do not walk down the corridors thinking, “Get thee behind me, Satan”, every time I pass machines full of chocolate and fizzy drinks? That needs to be done in hospitals as well—there have been a number of articles about that recently.

I challenge people to walk into the foyer of many hospitals. There are machines selling chocolate and fizzy drinks, and the outlets often sell cake and biscuits quite cheaply but overcharge for a piece of fruit. If someone wanders in to buy a paper, they will be offered a big, discounted chocolate bar at the till. That makes it much harder for people to resist temptation. Of course, that is difficult to do, but the message that hospitals are giving their patients, staff and visitors is, “Don’t do as we say; do as we do.” The Government urgently need to negotiate with trusts and with NHS England to see how the issue can be remedied. It is nonsense to take an income from those sorts of outlets in one part of the hospital and then to deal with the effects of poor diet in another.

Andrea Jenkyns Portrait Andrea Jenkyns (Morley and Outwood) (Con)
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Does the hon. Lady agree that it is also down to personal responsibility and choice, and that it should not be down to the state to tell people how to live their lives? Childhood obesity is more prevalent in deprived areas, so a sugary drinks tax will hit the poorest. Surely education, better labelling and personal responsibility are key.

Helen Jones Portrait Helen Jones
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If we were dealing with a level playing field, the hon. Lady might be right, but we are not. We are dealing with goods that are heavily marketed, especially to children. I am sure she cannot really be arguing that it is great for hospitals to profit from unhealthy food and then for the other end of the hospital to deal with the consequences of that.

--- Later in debate ---
Helen Jones Portrait Helen Jones
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I will take one more intervention, then I am going to make some progress, because other Members need to speak.

Geraint Davies Portrait Geraint Davies
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On the issue of personal responsibility and consumer choice, as my hon. Friend will know, the World Health Organisation says that men should have up to nine teaspoons of sugar a day and that women should have up to six. Would it not be helpful if, in addition to the poison of sugar being taxed, all products were labelled in teaspoonfuls so that everybody knew what they were eating and could make empowered choices?

Helen Jones Portrait Helen Jones
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That is right. I have already said that clearer labelling has a role to play, but the Government need to understand and recognise the link between obesity and food poverty, which is not—before anyone misquotes me—to say that all poor people are obese or that all obese people are poor. The children who are most at risk are concentrated in the most deprived areas of the country. The same is true of adults. Figures provided to me by the Library show that there is a stark division. For instance, 32.7% of adults in Hartlepool are obese; in the Chilterns, it is 17.7%. In Barnsley, 35% of people are obese; in Cambridge, it is 14.7%.

The noble Lord Prior recently said in the other place that he found it puzzling that obesity is growing while people are using food banks. Let me try to explain it simply to him. If people live in an area where shops do not sell reasonably priced food, fruit and veg, and they cannot afford the bus fare into town, they are more likely to buy cheap, fatty products. If people are fuel-poor, it is difficult to cook healthy meals, as it is if they are time-poor. I have just said at a public engagement event that there are women in my constituency who are working two or three part-time jobs, trying to make ends meet. Most poor families are good at managing their budgets, but if they do not have time to cook and are worried about waste, they are more likely to buy easy things that can be cooked quickly—we need to recognise that. I would do the same in that situation, and it is why we need to invest more in preventive measures and to subsidise healthy foods, rather than unhealthy foods.

If we look at the detail of the Chancellor’s autumn statement, however, the public health grant will continue to fall. Some 25% of the grant goes on sexual health services, and 30% goes on drug and alcohol services, which are demand-led statutory services that cannot be cut. If we add the child measurement programme, child medical examinations and health protection, there is not much left over. That is why the Local Government Association has said

“councils don’t have enough…to do the preventive work needed to tackle one of the biggest challenges we face.”

The Government also need to look carefully at what has happened to their obesity strategy. The strategy was launched with great fanfare in 2011, but since then, as the National Obesity Forum has said,

“little has been heard of the strategy”.

The National Obesity Forum has asked for a “much more determined approach”. Even the Change4Life programme, which does not address obesity but helps to prevent people from becoming obese in the first place, has found its budget cut. We have heard much about the public health responsibility deal, which is currently under review. I hope the Government will seriously look at the deal, because all the indications are that, as presently constituted, it is not working.

Simon Capewell, professor of public health and policy at Liverpool University, called the public health responsibility deal a “predictable failure” and

“a successful strategy for food companies who wanted to maximise profits.”

It is right to work with the industry as one strand of our approach, but it is not right to give industry the final say on what happens because, as the Health Committee said in the last Parliament,

“those with a financial interest must not be allowed to set the agenda for health improvement.”

We need a much tougher responsibility deal.

Mark Field Portrait Mark Field
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Will the hon. Lady give way?

Helen Jones Portrait Helen Jones
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No, I will finish now if the right hon. Gentleman will forgive me. He has made several interventions, and he can make a speech later.

Mark Field Portrait Mark Field
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Do you want a debate?

Helen Jones Portrait Helen Jones
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I have said to the right hon. Gentleman that I will not give way again.

The Government need to introduce a much tougher responsibility deal, with targets for improvements in individual products. A cross-Government strategy is also needed. As well as looking at schools, the health service and other public services, Ministers need to come out of their silos—after a time, all Ministers get into silos in their Departments—and look at what is happening overall. We do not want to see a repeat of what happened in the previous Parliament, when the Department of Health urged us to take more exercise while the Department for Education was cutting funding for school sports partnerships.

We need to consider that seriously, because what the petition asks for has to be part of an overall strategy to ensure that we promote healthier diets and get people more active, and not just by playing sport—sport is important, but I speak as someone who spent more time avoiding games at school than I ever spent playing them. There are other ways of getting people active. We need to encourage more walking and cycling, which is a role not just for the Department for Transport but for the Department for Communities and Local Government and for local councils, too. There is no reason why we cannot design new developments better to encourage more walking and cycling. There is no reason why we cannot ensure that new developments have children’s play facilities, communal gardens or even allotments, which are in very short supply, to encourage people to take exercise out in the open air.

We cannot continue with the current hands-off attitude. The problems are too great for that. The Government need to accept that the things they have done so far are—[Interruption.] The Minister will have a chance to speak when she winds up; she need not chunter from a sedentary position. Ministers ought to be above that sort of thing.

We need to have a full look at the situation and to encourage a proper national conversation, because the only way that such initiatives can be successful is if we take people with us.

Mark Pawsey Portrait Mark Pawsey (Rugby) (Con)
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Will the hon. Lady give way?

Helen Jones Portrait Helen Jones
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No, I have said several times that I will not give way again. I will now wind up my speech. The hon. Gentleman can make a speech later.

We must take people with us. We must get people to understand the need for a healthy diet, we must get people to understand the risks that many of us are currently taking with our diets and, most of all, we must get people to understand the future risks to their children. As I have said, a sugar tax is one of the things that we need to have, but the Government need to go much further and introduce a proper, co-ordinated national strategy to ensure that, in future, our people are healthier than they are now.

Fabian Hamilton Portrait Fabian Hamilton (in the Chair)
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Owing to the number of Members who have requested to speak, I may have to impose a time limit on Back-Bench speeches after the Chair of the Health Committee has spoken.

--- Later in debate ---
Helen Jones Portrait Helen Jones
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This has been an interesting debate, and I thank all who have spoken in it. We have heard the message clearly from all parts of the House that action on the matter is imperative. We have heard about the health problems, dental decay and loss of life that result from poor diet. The message has been clear today—even from those, such as the hon. Member for St Austell and Newquay (Steve Double), who started off as sceptics, as I confess I did—that the evidence all points to the need for serious action. That action should include the taxation of sugary drinks, not as a silver bullet, as we have all made clear, but as part of the overall strategy. I urge the Government to look again at the matter, because it is an area where gains can be made relatively quickly to improve people’s health.

There is plenty of evidence from the past that Government action can change people’s behaviour. It used to be the norm for people to go to the pub and have several pints before driving home, but it is not now. There used to be lots of smoking in public places, but there is not now, and smoking is reducing as a result of the action that has been taken. We now face a new emergency, which has to do with diet. Nearly everyone who has spoken in the debate—probably not the hon. Members for Nestlé and Britvic, who are no longer present—agreed that that was an urgent problem.

When the Government publish their strategy, I hope that we will see a concerted plan to tackle our poor diet and particularly our intake of sugar. I hope that plan will go across the public sector and involve local authorities and our health professionals, as well as tackling the food poverty and deprivation that lead to poor diet. It is not by accident that some foodbanks are now giving out packs of cold food only, because they know that some people cannot afford fuel or have had their fuel cut off.

I hope that the Government will also tackle the advertising industry. We like to think that children watch only children’s programmes, but peak viewing time for children is between 8 and 9 o’clock. We have also heard about the amount of advertising that is now online, which is impacting on our children.

I hope that we will soon hear a clear strategy from the Government to tackle the obesogenic environment in which people find themselves, to help people to make healthier choices in their lives. In particular, as far as the petition is concerned, I hope that the Government will revisit the idea of a tax on sugary drinks. The fact that it is only part of the overall strategy, as has been said, does not mean that it is not important. The strategy as a whole, in its many guises, is important. The Minister is constrained in what she can say today, but I know that she understands a lot of the issues. I say to her that the health of our children and adults demands action.

Geraint Davies Portrait Geraint Davies
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Will my hon. Friend give way?

Helen Jones Portrait Helen Jones
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No, I am winding up; I am sorry. The health of our children demands action now. If we do not take such action, we will see much more illness in our society, much more drain on the NHS and a poorer life for all of us in the future.

Question put and agreed to,

Resolved,

That this House has considered e-petition 106651 relating to a tax on sugary drinks.