A and E (Major Incidents)

Justin Tomlinson Excerpts

Wednesday 7th January 2015 Commons Chamber

[Mr Hunt]

If the hon. Lady regrets that, she might want to ask her Labour colleagues in Wales why they also axed the 48-hour target. We do need better access to GPs. That is why we are funding the training of 5,000 more GPs over the next five years. With targets, we must be careful of unintended consequences. When we had that target in place, a quarter of people who asked for an appointment in more than two days were told that that would not be possible, because we found that people played the target. That is why we do not want to go back to that system.

[Justin Tomlinson (North Swindon) (Con)]

As set out in the College of Emergency Medicine’s 10-point plan to improve A and E, co-location of GP surgeries is key. Does my right hon. Friend agree?

[Mr Hunt]

I agree with pretty much all the College of Emergency Medicine’s 10-point plan. That has very much informed our approach to helping the NHS over this winter. Co-location of GP surgeries on hospital sites is very helpful, but we also need more proactive care for the most vulnerable older people before they feel the need to go to hospital. That will be at the heart of the changes that we want to see.

Physical Inactivity (Public Health)

Justin Tomlinson Excerpts

Tuesday 18th November 2014 Westminster Hall

[Justin Tomlinson (North Swindon) (Con)]

It is an absolute pleasure to follow the hon. Member for Blaenau Gwent (Nick Smith), who made a very good, thoughtful speech on a very important topic. I have highlighted it a number of times previously in Westminster Hall and the main Chamber.

I am speaking partly as a vice-chair of the all-party group on heart disease, but also because of my own background. My school was bottom of the league tables in Kidderminster. My group of friends replicated whatever was on television, so predominantly we played football, but if Wimbledon was on, out came the tennis rackets; if the Tour de France was on, out came the bikes; and if the Ashes was on, out came the cricket bats. The importance of that was both that I was active and that I kept out of trouble. Two of my friends ended up spending time at Her Majesty’s pleasure, but the rest of us did not follow that path, because frankly we were just too tired at the end of the day, although I remember that when I phoned my old headmaster to say that I had got into Parliament, he said, “You know, the last time someone from our school got into the press, it was because they had gone to prison, but I’m not sure which is worse.” We will all make a judgment on that.

The hon. Member for Blaenau Gwent made a very important point. This debate is not just about sport; it is about the opportunity to be active. That is the part that I want to concentrate on—that opportunity. Before I became the MP for North Swindon, I represented for 10 years as a councillor a new build housing estate. It went from 1,800 to 10,000 houses. I was horrified once to be told that I was very lucky that my ward had the greatest proportion of open space of any ward in Swindon. I knew, as I lived there, that that was complete nonsense, so I did a bit of digging and it turned out that hedges, heritage sites and grass verges counted as open spaces. The last time I put down jumpers for goalposts to play football, none of those counted as usable open space, so it is a welcome move that the Government have removed the higher density rule, but I still think that more needs to be done in planning terms for new development to provide usable open space. That is incredibly important because garden space for one’s own home is now one third smaller than it was in the 1960s and front gardens for new builds are often just an aspiration rather than a reality.

We do not need premier league-standard open spaces for people to be active. When I used to play football during the whole of the summer holidays, we played on an almost vertical pitch, which was very handy, because Matthew and Paul Gilbert, the twins, were considerably better than me and my teammates. We got to kick downhill all day and they got to kick uphill—that was only fair.

We also need to look carefully at how we organise opportunities. I was a big fan of the school sports partnership. The Government looked at that when they first came to power, because there was the worry that in the previous years, even with £150 million being spent, only two out of five children ever took part in competitive sport.

[Mr Lee Scott (Ilford North) (Con)]

Does my hon. Friend agree that competitive sport, whatever sport it might be, in school leagues and various competitions is beneficial in getting young people involved and stopping some of the obesity problems that this country has?

[Justin Tomlinson]

I thank my hon. Friend for that very good point. I am about to come on to that issue, so I shall just pause my response, but I will cover it.

To return to the school sports partnership, there was the worry that after the £150 million had been spent year on year for a number of years, still only two out of five young people were involved in competitive sport. The reality is that if someone is good at sport, that is probably because their parents have encouraged them, and they have probably already signed them up to competitive teams. What the figures did not show was what was happening with the other three out of five children; it was probably the only opportunity that they had to be active. Therefore, the figures were not telling the full story and it was absolutely right for the Government to continue that provision.

Leading on from that was the desire to reinstate the school games, which was competitive sport. I speak from the experience of invariably being on the losing team—that set me up well for being involved in politics later in life. But I think that it is important for children not always to win. My hon. and learned Friend the Member for South Swindon (Mr Buckland) and I visit the Swindon school games every year, and they are a fantastic success. Huge numbers of sports clubs are engaged, as are volunteers; and schoolchildren of all abilities are getting involved.

I also welcome the moves to encourage more troops to become teachers. There is a chronic lack of PE-confident teachers in primary schools. That is a real challenge. I have visited a number of primary schools, and they have said that it is one of the biggest challenges that they face.

I am very proud that when I was a councillor, I set up the Swindon sports forum, which brings together about 60 different sports clubs. They are not necessarily competitive sports clubs. They could be walking clubs or clubs aimed at those aged 60 and above. However, the forum brings clubs together to share best practice and to talk about how they can secure funding from external bodies and how they can sometimes share facilities. There have been a number of major successes in that respect.

We face another big challenge. We talk about the Olympic legacy, and straight after the Olympics or any major sporting event on the television, young people are inspired and want to go and replicate the success that they have seen on the television. Sports clubs are then overwhelmed, in the short term, by huge numbers of new participants. The problem is that the number of children who can benefit is capped by the number of volunteers who are available. Sports clubs are no different from charities, political parties or other organisations when it comes to the real challenge of finding sufficient volunteers. I am a big fan of the Government’s National Citizen Service programme, because it is training young people to be good, constructive citizens. I think that we should look to channel more of those volunteers, in the summer, to go on to become sporting volunteers to help sporting clubs.

There also needs to be a lot more work among youth services, leisure centres and traditional sports clubs. I remember that when I was a councillor, the three would never talk to one another, but I also remember pointing out that on a Friday night there was the ice skating disco. That was not technically sport, but it involved 650 teenagers going round very quickly in a circle chasing after people they found attractive, so I argued that it was probably the most beneficial way of getting young people active.

Finally, there is the big plea that I have made as an MP. We have amazing facilities in this country. Whether it is schools, sports centres or community facilities, they are fantastic facilities. However, we charge an absolute fortune for voluntary groups to come and provide constructive activities, whether for older people or for younger people. It is very hard to get volunteers, and I think it is unacceptable to charge them for the privilege of helping people to be active. In my utopian world, between the hours of 4 o’clock and 6 o’clock, all school buildings would be available free of charge to groups that provide constructive activities for young people. That would help busy parents. It would help to tackle the obesity crisis. It would provide constructive engagement, which stopped me going down a very different path. I make that plea for all parties. There is good cross-party support on the wider principle, and I think that that is the most tangible way in which we could make a big difference.

Oral Answers to Questions

Justin Tomlinson Excerpts

Tuesday 23rd October 2012 Commons Chamber

[Mr Hunt]

The £12 billion increase in spending on the NHS under this Government, which the right hon. Member for Leigh (Andy Burnham) thought was irresponsible, means that we will be able to do a lot more for patients, but there is also rising demand. If we do not have that pay restraint, we will not be able to meet the needs of an ageing population.

[Justin Tomlinson (North Swindon) (Con)]

What specific consideration is being given to matching the annual growth funding uplift to actual changes in population? That is essential to my constituency, which has high population growth.

[Anna Soubry]

It is my understanding that that is already part of the formula, but my hon. Friend makes a good point, and I am sure that he joins me in wanting to make sure that the formulas are fair, so that we reduce health inequalities. I am happy to discuss the issue with him further.

Health

Justin Tomlinson Excerpts

Tuesday 17th July 2012 Commons Chamber

[Tracey Crouch (Chatham and Aylesford) (Con)]

I am very fortunate never to have been in a situation where I have continuously required alcohol to blot out misery or pain. I am fortunate enough to have never been so drunk in a public place that my safety or personal dignity was compromised. In fact, I abhor drunkenness, public or otherwise. It upsets and frightens me that some people become so inebriated that they are incapable of standing, speaking or securing their safety.

Although I do go to the pub, like hundreds of thousands of professional women up and down the country, I do most of my drinking at home. I probably do not think I am doing anything wrong because, every day, women go home after work and pour themselves a large glass of wine—and then another. How can it be wrong? I do not get drunk, throw up in the street, or wake up with a hangover. Yet could that be why alcohol consumption among women is becoming a problem, albeit one that may not present itself for decades?

Alcohol consumption by women has been rising steadily since the 1960s. Since 2002 alone, the number of alcohol-related admissions accounted for by women has more than doubled, from just below 200,000 to more than 400,000 in 2010. Although I accept that there is some debate about those sets of figures, the trend is undeniably upward, not downward. Alcohol consumption by women remains at a historic high, but it is interesting to note that it is falling at a faster rate among 16 to 24-year-olds. However, a significant number of middle-aged and older women, usually on higher incomes, prefer to drink at home to dangerous levels. It is the silent majority of drinkers we should be looking to prevent from becoming risky, harmed or dependent drinkers.

[Justin Tomlinson (North Swindon) (Con)]

This is a very serious issue. Does my hon. Friend agree that the silent majority are very much the problem, because they simply do not seek help?

[Tracey Crouch]

I agree entirely. We should remember that a significant number of people in this country do not drink at all; it is those who drink to excessive levels whom we need to be concerned about.

Since the 1960s, many more women have entered the work force. Some have put off raising families and the associated responsibilities in favour of pursuing their career. As a result, they have much more money and time to spend drinking. That is statistically demonstrated by the fact that women in managerial or professional roles admit to drinking almost double the amount drunk by women on lower incomes.

Where the drinking takes place, and not just the quantity, is a cause for concern. While men still account for the majority of regular pub goers, women are more likely to drink at home, drinking cheaper supermarket wine that is aggressively marketed and probably bought in bulk.

Obesity

Justin Tomlinson Excerpts

Wednesday 9th November 2011 Westminster Hall

[Justin Tomlinson (North Swindon) (Con)]

I congratulate the hon. Member for East Londonderry (Mr Campbell) on securing this very important debate. I echo many of the points that have been raised this afternoon, but I want to concentrate mainly on the childhood obesity angle. It was mentioned that a third of children are overweight, and that 85% of those will then go on to be obese in adulthood. I want to cover four topics: planning, food, sport and youth provision.

Gardens are a third of the size they were in the 1960s. Front gardens are often more of an aspiration than a reality in new build areas. I am keen that we make greater use of accessible and usable open space. Before becoming MP for North Swindon, I was for 10 years a councillor for a new build estate. I used to complain time and again that there was not sufficient usable and accessible open space, and I was told, “You are wrong. You have more open space than anywhere else in Swindon.” It transpired that that is because the definition of open space includes hedges and heritage sites, neither of which is suitable for a child to play football on, and that is something that needs to be considered.

I am not asking for premier league, standard turf right across all housing estates. When I was growing up, our open space was an almost vertical hill. The twins, Matthew and Paul Gilbert, who were technically gifted at football, got to kick the ball uphill all day long and myself and my friends got the advantage of kicking it downhill. Such is the creativity of young people.

Open and accessible spaces are very important. As a child, I was very sporty. I grew up in the 1980s when children were fuelled with artificial colourings and flavourings—the sort of things that we are now worried about. None the less, I had the balance because I spent all day running around. We copied the television, so mostly we played football. If the Ashes were on, out came the cricket bats. When it was the Tour de France, the bikes came out. When it was Wimbledon, we brought out the tennis rackets. Normally, we brought them out for only two weeks or for one or two days if we were following our British hopes.

I was also the lead council member for leisure. People always said to me, “The emphasis is on creating lots of really good leisure centres.” The reality is that youngsters go to leisure centres only once or twice a year—normally for somebody’s birthday party. It is the jumpers-for-goalposts mentality that matters. It is really important that we build in to developments usable and accessible open space.

It became fashionable to build new public buildings under the private finance initiative scheme. Ignoring the advantages or disadvantages of the scheme, there was a particular problem for local communities in that they could not afford to access those community facilities. Again I know, from my time as a councillor, that we had some wonderful open spaces behind very big fences and the local community could not afford to hire the sports clubs, so that is another issue that requires consideration.

Local authorities are always under pressure on funding. One of the areas that I would like to see prioritised is investment in local country parks. Families would use them and we would see jumpers for goalposts, family walks, people walking their dogs and all sorts of different free activities to get people going.

Councils can be innovative in this area. Let me give three examples from my own local authority. First, £1 million has been invested in Mouldon hill through section 106 money—nothing new there. We had £5 million invested in Lydiard park, of which £4 million came from the Heritage Lottery Fund and £1 million from local private businesses and organisations. The best one of all was the £2 million investment in Shaw forest, which was a tip. We charged neighbouring authorities to put their rubble on top of the tip and then we planted trees and now it is a very enjoyable country park in which to walk the dog.

There have already been some very good contributions on food, so I will just mention my particular bugbears. First, basic cookery in schools should be compulsory. Nowadays, too many people’s idea of cooking is a three-minute wait and then the ping of the microwave. As an MP I have visited a number of schools to see how they provide cookery lessons. I am a big supporter of the £20 million national lottery-funded “Let’s get cooking” campaign, which is coming to the end of its five-year scheme. I hope that it will carry on. The main function of the campaign is to encourage cooking in schools. Last Friday, I visited a cookery session at Warneford secondary school in Highworth. Boys and girls from different backgrounds joined in enthusiastically. Cooking is not a bind for young people; they want to do it and they enjoy doing it. With “Junior Masterchef” and all the other cookery programmes on TV, they are inspired to cook.

The children themselves made another point to me. A lot of professional sportspeople are the role models for young people. Because professional footballers, for example, only train for a couple of hours a day, they have to do something with the rest of their time and a lot of them now are very good chefs, which has filtered through to a lot of young people, particularly younger boys.

I have also visited Haydonleigh primary school, which had what to my mind is the perfect example of cookery in schools. In Haydonleigh’s cookery sessions, the parents or grandparents of children were invited to come in, so that they were cooking with the children, who would then take their skills back home. However, there was also an allotment at the school, so the children got to see the full cycle: they planted the seeds; they grew the vegetables; they cooked in school with their parents or grandparents; and they went home and carried on cooking.

In my role as the vice-chair of the all-party group on heart disease, I fully echo all the points that have been made about the need for clear and uniform labelling of food, which allows people to make informed decisions.

[Dr William McCrea (South Antrim) (DUP)]

Does the hon. Gentleman believe that GPs have a greater responsibility and need to be more proactive in informing people about, and leading people in, healthy eating?

[Justin Tomlinson]

Yes, I absolutely do, but this is an area where the schools can lead, in terms of teaching the basic cookery and giving students the information they need, and I am covering that.

Then there is food labelling. I want to refer to labelling here in Parliament, because people often say, “Does labelling really make much of a difference?” Well, we have the “traffic light” system in our canteens in Parliament. As a general rule, anything that has a red sticker next to it is normally the most attractive thing, but we are able—even we MPs, with our limited intelligence—to say, “I can’t have too many of those,” although I confess that, as I was writing this speech earlier, I was eating a pork pie. So I failed by that rule myself.

I turn to organised sports now. I have already said that the most important element is the open, accessible and usable space on which kids will be creative. But organised sport also plays a very important role and there are a lot of opportunities that we can examine, in order to be more proactive.

I set up a sports forum when I was a councillor and that forum brought together about 60 different sports groups, who shared best practice. For example, there would be one group saying, “We’ve got a facility, but it’s underused,” and there would be another group saying, “We haven’t got the facility, and we need one.” We put those two groups together and between them they became experts at applying for external funding. There are lots of examples of external funding and I will talk about one in a moment.

I was quite an outspoken critic of the plan to scrap the school sports partnerships scheme and I was delighted when the Government changed their mind and delayed the scrapping of the scheme by nine months, to allow the good and successful examples of school sports partnerships to dig in and secure their existence. The principle of the school sports partnerships in schools was not to deal with those children who are already technically gifted, because by and large if a child is naturally good at sport—probably because their parents encouraged them—they are usually already involved in competitive sports clubs. Instead, it was to deal with the three out of five kids who were not naturally inspired to participate in sport and to provide them with a menu of alternative sports, because there is something for everyone.

It is not only a question of getting people to be active. One of the biggest challenges that sports groups tell me about is that they would like to provide lots of facilities but are struggling to do so because they are struggling for volunteers, for example to join the administrative staff and coaching staff who do all sorts of things, such as filling in forms to make all the bookings, to provide the organisation so that the kids can take part in activities.

I will touch on the point that my hon. Friend the Member for Carmarthen West and South Pembrokeshire (Simon Hart) has made today, and in previous speeches, which is the need to address the cost of insurance. One of the barriers for a lot of schools is that many teachers are very young and it costs a fortune to insure a teacher to use a minibus. I have pleaded with several Ministers to consider providing some national insurance scheme for all different schools, so that they can achieve economies of scale and make the cost of insurance cheaper. In addition, health and safety issues prevent a number of schools from taking up more opportunities.

Councils should also do more to open up facilities. It is a crying shame that many of our facilities are closed on Friday and Saturday evenings. We are talking about tackling antisocial behaviour and childhood obesity. Where there are leisure centres that are shut, surely we should open their doors and provide facilities.

A good example of how that process works is that we have just had an academy built in the last few years in Swindon; an old school was closed down to build it. However, just before the decision was made to do that, £4 million was invested in a fantastic new sports hall in the old school. Initially and regrettably, the council was going to bulldoze the new sports hall along with the old school, because there was no point in having a random, stand-alone sports hall. Through the sports forum, however, we managed to identify a sports group that could take over that sports hall. It was Esprit Gymnastics and Mark Hows, who runs it, is fantastic at identifying funding opportunities. He had about 250 kids a week in his old facility, but that was at full capacity. However, he had an income, so he could pay a rental income to the council, which is revenue-stretched, and he said, “Just don’t bulldoze it. I will rent it.” Now his group has more than 500 kids a week participating, including potential Olympic athletes, and they are a real jewel in the crown for Swindon. That is a good example of the council being proactive and working through the sports forum to identify other facilities that can be used.

One of the external bodies that provide funding is the Football Foundation, which provides funding through its “Grow the Game” scheme. That scheme aims not only to increase participation but the sustainability of it. I have seen a lot of funding come in and people will put on a one-off session. That is great, but it does not really make that much difference. The “Grow the Game” scheme slants its funding to ensure that it is not just used for one-off things. It targets things such as coaching qualifications to provide additional coaches so that more junior clubs can take part, and paying for facility hire if there is a group of volunteers, particularly in challenging areas where there may not necessarily be a huge amount of funding. Also, first aid provision is funded, as part of the process of ticking off the many items on the very long health and safety list that exists. Already the sports forum has increased participation by 12,000 new players and, crucially, by an extra 2,000 new coaches. That is just one of many, many schemes, but councils and the Government can do more to help sporting groups and volunteer groups to identify the different streams of funding that are available.

My final point is about youth provision. My suggestion is a little bit contentious, but I have road-tested it on a number of schools, youth clubs and colleges. In the past, there was a traditional divide, whereby children were either very sporty and they went to a sports club, or they might choose to go to a youth club, and the divide would never be crossed. But times have changed and when I talk to young kids they are all very keen, either on whatever sport is popular on TV or even on things such as cheerleading or street dance, which are not strictly “sports” but which get the heart rate going.

I think that the youth service and the leisure service in local authorities should be merged to become one service. The chief officer within those areas should be one person and they should not employ armies of youth officers with very expensive youth clubs attended by only a handful of children, where they do things that we may have liked doing when we were younger but which, I can assure hon. Members, these days kids are not particularly switched on by. Instead, we should open up schools, community centres and leisure centres. We would pay for football coaches, street dance instructors and so on, and say, “Right, it is 50p. You come along and for the next two hours you’re in a constructive environment, and you’re doing something that is active.”

That is not just some pie-in-the-sky thing. In Swindon, we have the ice-skating disco on a Friday night for teenagers and 600 kids chase around the ice after whoever they think is particularly good-looking. They are being very active for a couple of hours; they are off the streets; and the youth service could and should be parking its mobile facility outside. Those young children who need the traditional youth service, from which they can get advice and seek help, will find that that is available. For all of the others who might have been put off going to the youth club, because that was the only thing that was available, there is the enjoyable activity of ice-skating. I am very keen to push such projects and we could judge their success by the number of children who are engaged by them.

To conclude, it is for us—whether we are the local authority or the Government—to provide as many opportunities as we can: through the planning system, through making changes in teaching cookery and in food labelling, and also through the power of sport.

--- Later in debate ---

[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.

--- Later in debate ---

[Ms Abbott]

I am loth to agree with the Minister, but I think that he is right on that point. A particular interest of mine is the education of urban children and the challenges of getting them to achieve their educational potential. As part of working with parents, especially in urban communities, we must teach them that just putting their children in front of a television set is not necessarily the best thing for their health or their education.

I agree entirely with what has been said about exercise and sport, but we also need a particular focus on girls and exercise. Statistics show that girls give up exercise younger; after they leave school, they do not continue to exercise, as boys do. I was interested to hear about, was it ice hockey—

[Justin Tomlinson]

It was an ice-skating disco on Friday nights.

On the point about getting more girls involved, that is why I proposed merging youth and leisure services to identify opportunities. Girls, in particular, follow what is on television. If street dance, cheerleading or football is popular, let us provide those services and facilities, and they will come flocking.

[Ms Abbott]

I agree. That is the point that I was going to make. We need to be more innovative in the sorts of game that we encourage and make available to children. Girls do not want to play ping-pong, because they are quite self-conscious physically, but they will do things such as breakdancing and ice skating.

As other Members have said, we have a generation of parents, especially in inner cities, who do not know about food, have only the dimmest idea of where some foodstuffs come from and do not know how to cook. Because they are bombarded by advertising for processed food, when they whip out a ready meal from Marks and Spencer, it is not just idleness; they think that they are being good parents: “Look, I’m getting you something from Marks and Spencer which is advertised on the television.” We should work with communities and parents to educate them.

In my view, the Government obesity policy’s reliance on responsibility deals is a little problematic. Common sense suggests that companies that make billions of pounds every year peddling fizzy drinks and foods larded with trans fats will not seriously undermine their profits by genuinely trying to change the public’s eating habits. Although we must applaud the Government for whatever progress they think they have made with responsibility deals, we must go beyond them as they are currently fashioned if we are to stop the epidemic of obesity among our young people.

To return to the Government’s obesity strategy, the message from health professionals, key health groups and experts is clear. We need tough action now and a proper long-term strategy to stem the rising tide of lifestyle-related diseases. Jamie Oliver, probably the single most famous person in public health, has said in the past few weeks that this Government’s obesity strategy is

“worthless, regurgitated, patronising rubbish”.

As usual, he was not pulling his punches. Terence Stephenson, president of the Royal College of Paediatrics and Child Health, said that the Government’s plan

“has no clear measures on how the food and drink industry will be made to be more ‘responsible’ in their aggressive marketing of unhealthy food…Suggesting that children in particular can be ‘nudged’ into making healthy choices, especially when faced with a food landscape which is persuading them to do the precise opposite, suggests this would be best described as a call to inaction.”

Which? executive director Richard Lloyd said that the Government’s approach to tackling obesity was

“woefully inadequate…The Government calls on people to cut down the calories they eat, but isn’t giving them the tools to do so.”

Charlie Powell, campaigns director of the Children’s Food Campaign, said:

“This is a deeply disappointing and utterly inadequate response which represents a squandered opportunity to address the UK’s obesity crisis.”

There is broad agreement in the House about the issues that we must address. It is a mix of issues; there is no silver bullet. Better labelling of food, including in restaurants and cafés, is part of the answer. Fashioning a sport offer for young boys and girls is crucial, as is better education and working with parents and communities.

I would like to say a word about gastric bands. We read an enormous amount about them, particularly in relation to celebrities. As a Conservative Member said, there are cases, if people have tried everything else, where a gastric band might be the answer, but I deprecate the promotion of gastric bands without some of the measures that we have discussed if that suggests to people that they can eat whatever rubbish they like because, at the end of the day, the NHS will pick up the tab for a gastric band. That is not the way forward, either for costs in the NHS or for people’s quality of life. I have read about people who, having got gastric bands, proceeded to liquidise fish and chips so they could continue to enjoy their favourite junk food. That suggests that a gastric band, in itself, is not the answer to the underlying issues.

I hope that, in his winding-up speech, the Minister will address the serious concerns raised about the Government’s obesity strategy by a wide range of stakeholders and specialists. I look forward to hearing what the Government plan to do further to address the growing epidemic of obesity among our young people.

Childhood Obesity

Justin Tomlinson Excerpts

Tuesday 3rd May 2011 Westminster Hall

[Justin Tomlinson (North Swindon) (Con)]

I pay tribute to my hon. Friend the Member for Brentford and Isleworth (Mary Macleod) for her excellent speech. I would also like to echo the comments my hon. Friend made with regard to the MEND programme. I met a child from my constituency who had taken part in the programme and it had made a real difference. As Members of Parliament, we should be extremely supportive of the MEND programme.

I am interested in this debate for a variety of reasons. I am the vice-chair of the all-party parliamentary group on heart disease. Heart disease runs in my family and I have always had an eye on trying to be as active and as healthy as can be reasonably expected. I am also a vice-chair of the all-party parliamentary leisure group. I am a big, unashamed sports enthusiast, because sport can play an extremely important and positive role in encouraging an active and healthy lifestyle. My hon. Friend set out the picture, but I just want to concentrate on three areas that have a significant impact on child obesity levels: planning issues, food and organised sport.

On planning issues, prior to becoming the MP for North Swindon I was a councillor for 10 years. I represented a new build housing estate that had many good things and many poor things. One of the biggest challenges was the huge differences that hampered a child’s ability to run around: back gardens are now a third of the size they were in the 1960s; front gardens all too often simply do not exist, with cars literally driving right in front of the front door, and we then wonder why children do not have the opportunity to run around; and there is a lack of accessible, useable open space. I was for ever being told that the ward I represented had a huge amount of open space, but I could not see that. All I could see was concrete, and I wondered what was going on. I did a little bit of digging and it transpired that open spaces included hedges and heritage sites, neither of which are suitable for jumpers for goalposts. We do not need premier league-standard open spaces for kids to run around. When I was growing up, the bit of open space in the middle of my estate was almost vertical. That was handy, however, as some of my friends were more technically gifted than me and some of my other friends, so we had the advantage of kicking downhill all day long.

I was the lead member for leisure on Swindon borough council for four years and a lot of the focus in tackling child obesity was on organised sport through leisure centres. The most significant opportunity for children to be active, however, is through open spaces where they are unsupervised, can put down jumpers for goalposts and follow the latest TV trends. If Wimbledon is on TV, out come the tennis rackets; with the Tour de France, out come the bikes; with the Ashes, out come the cricket bats; and football, in my case, was played for the majority of the year. I welcome the fact that in my constituency the council invested £6 million, working in conjunction with the national lottery fund, in the Lydiard park facility, and that we have fantastic parks such as Coate Water and Mouldon Hill right on the doorstep. On a sunny day, and we have been blessed in the past month or so, one can see thousands of families coming out and kids being able to run around.

Another interesting observation was that on Friday, following the fantastic royal wedding, I went to visit a number of royal wedding parties where communities had reclaimed the streets as open spaces. While parents sat around toasting the happy occasion, the children ran around and were extremely active, and I was touched by that. That shows the importance of having those open, accessible community spaces.

I echo the comments my hon. Friend made about food labelling. It is essential that parents, and children themselves, can make informed decisions. I am not one of those food zealots who says that we should never eat junk food, or unhealthy food. It is all part of a balance. I charged around as a youngster and was then sometimes fuelled by food that was deemed to be not particularly healthy, but it is about striking a balance. We need to see clear, uniform food labelling. I am a big supporter of the traffic light system. We have it here in our parliamentary restaurants and that makes a difference to my choice of food. On this occasion, the EU is dragging its feet. I encourage the Government to continue to put pressure on to ensure that all retailers use a uniform and clear system. I know that they are doing so. I welcome the Government’s public health responsibility deal, which has seen retailers such as McDonald’s, Pizza Hut and KFC committed to reducing trans fats. That is the big secret killer and we need to do so much to remove trans fats, reduce salt and display calories—all coming together as part of the informed decisions.

Hon. Members have already talked about cookery skills. I am a big advocate of basic cookery skills. I would go as far as to say that it should be a compulsory element of the national curriculum. I am a big supporter of the Let’s Get Cooking campaign, which is in its fourth year of a five-year £20 million programme funded by the national lottery. It encourages schools to take up cookery. I visited Haydonleigh primary school, in my constituency, a few weeks ago. Not only were the children taking part in a cookery session, the parents and grandparents were also coming in and getting involved so that, when they went home, it was not just a one-off, two-hour cookery session, but something that would become part of their home life. Echoing the point about allotments that was raised earlier, the school had its own allotment, and was using the fruit and vegetables that were grown in the school. Wherever possible, schools should be allowed to do that full cycle. Basic cookery skills are essential for later life. It was not so long ago that I left university, where the idea of cookery for the vast majority of my colleagues involved the ping of the microwave and a three-minute wait. We certainly need to do something about that.

Finally, and probably what I am most passionate about, is organised sport. Not so many months ago, we had a debate on the school sport partnership and I was openly critical of the proposed changes. I am delighted that the Government changed their position, because where school sport partnerships work well, they can help maximise sporting opportunities. One frustration with the debate at the time was that, despite approximately £170 million a year being invested in SSP, we had not seen a massive increase in competitive sport activity. The reason for that is that children are sports-gifted, generally, because their parents have encouraged them at a young age and, by and large, whether a school is offering that sport or not, they will have joined a sports club and carried on. The SSP, however, was about the other children—those children who would otherwise just sit in front of the TV, not taking part. The advantage of the SSP was that it offered a menu of different sporting activities and there was always something for everybody to capture their imagination. I have spent many happy times touring schools and sporting groups to see what different sport captures them. A lot of people will no doubt bash television today, but television often inspires children, whether through traditional sport or through programmes such as “Pineapple Dance Studios”—suddenly, there will be huge swathes of children dancing around in a dance hall. Yes, it is not a competitive sport as such, but it is extremely active.

The SSP in my constituency saw the number of schools taking part in two hours a week rise from 33 to 68 —a fantastic result. The changes have allowed the SSPs nine months to secure continued funding from schools. Where there are good SSPs, they will be successful. Where some of the SSPs were not so good, those schools are now free to commission their own sports coaches. That is essential because there are a limited number of teachers with confidence, particularly in primary schools, to offer that wide range. A number of teachers said to me that they needed help. Another welcome Government measure that would indirectly improve the situation is fast-tracking the troops to teachers programme, because often troops are up for outdoor active lifestyles. They will be able to come in and get the kids engaged in something that is healthy and active.

I am also a fan of working with local sports groups. If children are given a taster session, they make sure that they then have an opportunity to continue. In my constituency, we set up a successful sports forum with the active involvement of about 60 different sports groups. They share best practice and help secure extra funding, but they also link in with programmes such as the SSP, going directly to the schools and saying, “Why don’t you try this and we can then get you involved?”

[Lyn Brown]

I have enjoyed the hon. Gentleman’s contribution very much. I was involved in the culture sector when I was in local government, and in the Local Government Association, and I recognise many of his arguments. Does he agree with me that the biggest problem we have, following on from our schools sports intervention, is that when children leave school there is no exit strategy for young people to enable them to continue in the sports that they played? I played badminton for my school up until the age of 16. By the age of 16 I stopped and there was no local club, or link with my school and a local club, for me to continue my activity. That is where we fall down.

[Justin Tomlinson]

I thank the hon. Lady for that useful contribution. She is right. A lot of what we are doing is putting in the building blocks for a long-term future to tackle health issues. Organisations, such as the sports forum, can talk to people of all ages and ask people to engage. Local authorities and sports groups have a role in that. One of the best things that I saw was Swindon borough council’s Challenge Swindon campaign, which brought together offices, pubs and sports groups and got them all involved in different sports. It aimed to get people to try something and then continue to do it.

We face a number of other challenges. The lack of volunteers is always a challenge, particularly in sport. A huge number of sports groups would like to be able to do something, but there are not sufficient parents with the time to be able to do that—a particular problem for organised sport.

Private finance initiative schools are another challenge: when I was a councillor, the majority of schools in my area were PFI schools. We had a high-density development and a wonderful piece of open space, but a fence and a set of high hire charges blocked children from utilising what was their school until 4 o’clock in the afternoon. Sports clubs came to me on a number of occasions saying that they simply could not afford to use the facilities, which could not be opened because there was not enough flexibility. It was a crying shame that they were left unused.

An issue that I have brought into other debates is the cost of insurance for transporting children. As we push things such as the school Olympics or outdoor active learning, insuring a teacher to take a minibus can cost more than £1,000. I have urged the Government to create a national insurance scheme for teachers and sports clubs using minibuses.

We must not forget the Olympics and the Olympics legacy, about which we had a debate in the main Chamber last week. It is all about the legacy. We will have an enjoyable Olympics, when we are bound to win some medals, but the key will be the lasting legacy. That is why I was so supportive of the principle of school sport partnerships. A big advert for a whole variety of sports that different children will have never thought of trying will be on the television, and the ones we do particularly well in will inspire children to go and re-create them. We must ensure that we do all that we can. Going back to the point about insurance, if we want the school Olympics to work, we need to be able to get children from one school to another in order to compete.

My slightly more radical proposal is to do with how leisure and youth services work in local authorities. In the old days, leisure was very much about competitive sport, with the traditional youth service organising youth activities. The two would never meet in the middle. Times have now changed massively.

I remember that on a Friday night the leisure centre would put on an ice-skating disco for the teenagers—again, not technically a sport, but 600 teenagers building up a head of steam and racing around chasing after the person they thought particularly attractive was a sporting activity. It was absolutely fantastic. Under my radical proposal, the youth service with its mobile buses would have been better off pitching up at that facility, to offer advice, advocacy and support to those who wanted it, and letting leisure be the attraction to bring people in. Likewise with the point made about the Pineapple dance studios and the street dance, often the biggest challenge is to get young girls active, but hundreds of children want to do dance and cheerleading.

Youth and leisure services should sit around the same table, pooling their funds and facilities—the leisure centres often have the better facilities—and working together. They would then be on hand. My hon. Friend mentioned the Get Set programme, and I have written to all the schools in my constituency, encouraging them to do as much as they can.

In conclusion, we need to learn three lessons. First, it is important to have balance in an active and healthy lifestyle. We can sometimes be a bit too zealous in saying, “You should not watch TV. You should not play computer games.” When I was growing up, as soon as the sun was shining, I was charging around outside. I would not have dreamed of watching TV or playing computer games. However, in the evening, that is what I did. That is a fine balance to have.

Secondly, we should allow people to make informed decisions through clear labelling and to do things for themselves. To do that, they need the skills, which is why I am such a fan of the cookery lessons.

Finally, everything should be fun. Children like fun things. Give them the open spaces—as I said, it does not matter if the open spaces are vertical, because children are creative and will come up with their own way of dealing with such things. However, let us at least give them the opportunity to have a better lifestyle.

Several hon. Members rose—

[Mr Roger Gale (in the Chair)]

Order. I expect the occupant of the Chair will wish to call the Front Benchers at five past 12, at the latest, and three hon. Members are waiting to speak. Hon. Members should bear that in mind when speaking.

Minor Injuries Services (Devizes)

Justin Tomlinson Excerpts

Tuesday 13th July 2010 Westminster Hall

[Claire Perry (Devizes) (Con)]

I am grateful to you, Mr Streeter, for chairing the debate. I believe that your constituency is also devoid of minor injuries units, so you might pay particular attention to the debate. I am also grateful to colleagues, including my hon. Friend the Member for North Swindon (Justin Tomlinson), for taking time out of their hectic schedules to attend. I am grateful to my hon. Friend the Member for Hexham (Guy Opperman), who, as many will know, worked selflessly on the judicial review that resulted from the shutdown of services at Savernake hospital. If I had a pound for every time I was told during my selection campaign, “If Guy Opperman was standing, you would not stand a chance,” I would be a very rich woman today. Thankfully, we have both made it to this place and can campaign together on this and other important topics.

I am also especially grateful to the Minister for attending, as I know that the launch of his team’s momentous proposals yesterday means that he must have an extremely long “to do” list. I would also like to mention briefly my local paper, the Gazette and Herald, which is a tireless campaigner against the loss of our local health services, as well as the hundreds of other individuals in the constituency who have protested, petitioned, written letters, held meetings and tried their best to roll back the tide of closure and service erosion.

I want to mention briefly the DASH2 group—Devizes Action to Save Our Hospital—and the new Devizes health matters forum, which was set up only this month to try to resolve the impasse we have reached. I will also mention the CASH group—Community Action for Savernake Hospital—which fought long and hard to keep open the day hospital and the minor injuries unit at Savernake hospital in Marlborough. That hospital was completely rebuilt in 2005 under a PFI contract that will cost taxpayers almost £70 million over 25 years, but the services at its core—the day hospital and the minor injuries unit—closed less than a year after it reopened. The hospital now hosts a multitude of services completely unrelated to local health care, such as the eating disorders clinic for patients of the Oxfordshire and Buckinghamshire mental health partnership, while Wiltshire primary care trust scrambles to pay its unitary charges.

For my constituency, which is the 25th largest in England by land area and home to more than 91,000 people, the past 13 years of NHS management has meant multiple top-down initiatives, a continual reshuffling of priorities and the management of local health services by quangos. The result is clear: a slow and steady erosion of our local health services, despite the protests of clinicians, patients and politicians. Let me refresh people’s memories of what we have lost. In the Devizes hospital, the UNICEF award-winning maternity unit, the in-patients’ facilities, the minor injuries services and now the X-ray department have all gone. In Marlborough, the day hospital, the maternity unit, the minor injuries facilities and now 50% of in-patient beds have also gone. That pattern has been replicated throughout the rest of Wiltshire as services have been farmed out to neighbourhood or community teams—they can deliver good outcomes in some cases, but not all—or concentrated in larger hospitals in Swindon, Bath and Salisbury.

In January 2007, Wiltshire PCT set out its vision for services in the now infamous document “Reforming community services in Wiltshire”, which announced the closure of minor injuries units in Devizes and Marlborough and the axing of a host of other services, which was driven in large part by the burgeoning financial deficit that the PCT had inherited after the merger of three other organisations. In my view, the loss of reliable local minor injuries services was the most keenly felt of all the changes. My constituents literally have nowhere to go locally if they suffer a fall, cut, wound or some type of minor trauma. Nurse practitioner-led minor injuries units had served the constituency well for years. They were well used, cost-effective in comparison with sending patients to far more high-spec accident and emergency departments, and extremely popular. Indeed, with the exception of the head of the PCT, I could find no one—literally not one person—who though that it was a good decision to close those minor injuries units and ask people to travel instead to Trowbridge, Chippenham, the Great Western hospital or a walk-in centre in Swindon, the Royal United hospital in Bath or Salisbury district hospital.

My constituency ranks among the 20 lowest by population density in England, with only 20 people per hectare. Members who have visited Devizes—I hope that many will—will know that there are almost no dual carriageways, no railway connections between our major towns and few direct bus services. As a result, there are extended journey times, which is particularly problematic for families or individuals without full-time access to private transport, who account for 25% of the people in Devizes.

[Justin Tomlinson (North Swindon) (Con)]

I thank my hon. Friend for giving way in this crucial debate that she has secured for Wiltshire residents. I want to highlight a concern that supports her specific point about public transport. When the Great Western hospital in Swindon was set up in my constituency, there was an emphasis on green travel, so there was a limit on parking provision. The residents of Devizes who are sent to Swindon almost invariable come by car, and there simply is not adequate parking provision.

[Claire Perry]

I thank my hon. Friend for that important point. We have built hospitals following the sound principle of encouraging local travel and walk-ins, but the major service review forgot that most bus services do not run to the existing services from the places where minor injuries services used to be provided. In fact, it is impossible to take a bus from Marlborough to any of the six suggested units for minor injuries services.

I was interested to learn what the current PCT guidance recommends, so last night I phoned NHS Direct and asked what I was to do if I had a bad cut and lived in Pewsey, which, as many will know, is in the centre of my constituency and, as home to around 4,000 people, one of the largest villages in the area. I was advised to go to Swindon hospital’s A and E unit, which is considered to be a journey of only 16 miles. However, as we know, the concept of “as the crow flies” does not give a good indication of distance in rural constituencies. In fact, a simple search on Google maps reveals that that journey takes between 38 and 46 minutes by private car, which is far too long for a mother of a child with a bleeding head wound, or the carer of an older person with a fracture that needs immediate attention.

Let us consider the journey that the residents of Honeystreet, a lovely village in the heart of my constituency, would be advised to take to get to the nearest service. By private car, it would take them 37 minutes to get to Chippenham hospital, or 40 minutes to Trowbridge hospital. In fact, there is only one other constituency with a lower population density and no minor injuries provision: South West Norfolk. Most of the other spread-out rural constituencies are blessed with more than one such unit. Indeed, they trumpet their facilities as being appropriate for populations in a rural area. North Devon has four units, Rutland and Melton has three, and the nearby constituency of The Cotswolds also has three units. Those constituencies all have population densities that are similar to or slightly lower than that of Devizes.

We might all be asking how the situation has arisen. I submit that it is because decisions about our local health care have been taken by decision makers who were unelected and unaccountable, and often uninterested in the local consequences of their actions. It was not because they were bad, malicious or unintelligent—there are many good and dedicated health care professionals in the PCT—but because the whole system rewarded top-down compliance with central Government diktat and ignored the needs and wishes of the population. Indeed, when I went to see the head of Wiltshire PCT only last week about the proposals in the White Paper that we have heard about, he said that he had no intention of reopening the minor injuries units that we have lost and that there was no case for doing so. I would like the Minister’s opinion of whether a case can be made for those services.

I would like to cite four facts to frame the debate. The population in my constituency, as is the case across much of rural Britain, continues to grow. There is a population flow from the cities to the villages and hamlets of the UK. The population in my constituency has increased by 5% since the turn of the decade. Indeed, part of the support for the redevelopment of Savernake hospital resulted from the prediction of 20% population growth in the Swindon area.

The Alberti report “Emergency Access”, which was published by the NHS in 2006, suggested that it was better clinically and more cost-effective to send patients out of A and E departments and into local urgent care centres where more nurses, paramedics and nurse-led emergency care practitioners could be used to treat them. I am grateful to the PCT for providing data showing that, in the past year, there have been 17,086 attendances by patients registered in my constituency at the minor injuries units in Trowbridge and Chippenham, and the A and E departments in Salisbury and Bath. As I have already stated, the journeys that people have to take to access those facilities are unacceptable. The cost of providing the services at the current tariff is £1.352 million.

With our new localism agenda, and given the cost that the PCT is paying for minor injury services for my constituents, surely a business case could be made for restarting a minor injury service in the constituency, as long as the total cost was below the current tariff. Some doctors in Devizes and Marlborough have expressed an interest in restarting the service and having it delivered by nurse practitioners located in their practices. Premises are certainly available in which the service could be located, including the half-empty and shuttered Savernake hospital.

Will the Minister tell us how, in the light of our NHS reforms, we can move the process forward? The current PCT, which will be in existence for at least another two and a half years, has no interest in recommissioning the service, so can we go around it in the interim period and use sustainable communities legislation, for example, to get back those services that we so desperately need?