Childhood Obesity Strategy

Keith Vaz Excerpts

Thursday 21st January 2016 Commons Chamber

[Dr Wollaston]

I thank the right hon. Gentleman for his point, which prompts me to address the issue of a sugary drinks tax. We looked at examples of where taxation can be applied across sugar more broadly, perhaps to incentivise reductions within reformulation, as some countries have done. However, we wanted to address the single biggest component of sugar in children’s diets, which is sugary drinks. The Committee recommended a sugary drinks tax rather than a wider sugar tax, and there are several reasons for doing that. First, we know that it works. Secondly, it addresses that point about health inequality.

Mexico introduced a 1 peso per litre tax on sugary drinks and by the end of the year the greatest reduction in use—17% by the end of the year—was among the highest consumers of sugary drinks. The tax drove a change in behaviour. The whole point of this sugary drinks tax is that nobody should have to pay it at all. To those who say it is regressive, I say no it is not; the regressive situation is the current one, where the greatest harms fall on the least advantaged in society. As we have seen with the plastic bag tax, the tax aims to nudge a change in behaviour among parents, with a simple price differential between a product that is full of sugar, and causes all the harms that we have heard about, including to children’s teeth, and an identical but sugar-free product—or, better still, water.

[Keith Vaz (Leicester East) (Lab)]

I congratulate the hon. Lady on securing this debate and on her work in this area. We do not really have to wait for a tax; we can take what the Mayor of London has done in City Hall as an example. He has made sugary drinks more expensive, and therefore people have that choice immediately. In the presence of the Chairman of the Administration Committee, the House’s greatest living dentist, who is participating in this debate, may I say that it is possible for this House to put up the price of sugary drinks so that those who go to the Tea Room will then have that choice?

[Dr Wollaston]

I thank the right hon. Gentleman for that and welcome what he describes. That movement is not just happening in City Hall, because it is being recommended within the NHS by Simon Stevens. I also congratulate Jamie Oliver and the many other outlets that are introducing such an approach. The other point to make is about public acceptability, because all the money raised goes towards good causes. As we have seen with the plastic bag tax, the fact that the levy is going to good causes increases its public support. That levy has been extraordinarily effective, as plastic bag usage has dropped by 78%. That is partly because we all knew we needed to change but we just needed that final nudge. That is what this is about: that final nudge to change people to a different pattern of buying. It has a halo effect, because it adds a health education message and that is part of its effectiveness.

--- Later in debate ---

[Keith Vaz (Leicester East) (Lab)]

I will stick to my eight minutes, Madam Deputy Speaker, and I will not give way, if that helps—[Interruption.] All right, I will give way.

It is a pleasure to follow the hon. Member for Colchester (Will Quince). He is hard on himself; he is not obese, just very well built. I know that his enthusiasm for curry is known throughout Colchester, so that might be a contributing factor. It is a pleasure to speak in the debate and I congratulate the hon. Member for Totnes (Dr Wollaston) not just on how she chairs the Select Committee on Health but on how she brings issues to the House, especially this critical issue of childhood obesity. I am delighted to see the Minister at the Dispatch Box, as she gets it. She is the Minister responsible for diabetes and whenever we in the all-party group on diabetes ask her to deal with these issues, she has always been very open and transparent. I think that she is on the same page as the rest of us.

That helps me put aside at least half of my speech because I do not need to repeat the statistics that Members who are experienced in these matters know all about—the cost of diabetes to the national health service, the worry that over half a million people have type 2 diabetes and are not aware of it, the need for prevention and awareness, and the importance of protecting our children. The figures given by the hon. Member for Totnes are clear. The problem gets worse as children get older and the figures are so worrying that if we just stand still, the crisis of childhood obesity will continue.

[David Rutley (Macclesfield) (Con)]

With reference to standing still, the debate today has largely focused on sugar and our intake of it. One of the key things we need to do to tackle the challenge of childhood obesity is to focus on activity—getting people to be physically active, through sport or, as I increasingly believe, outdoor recreation. The Department for Culture, Media and Sport sports strategy, which focuses more on outcomes and includes outdoor recreation, could help to tackle the crisis that we are facing. Does the right hon. Gentleman agree?

[Keith Vaz]

Absolutely. The hon. Gentleman is looking at someone who constantly tells people to move more, but prefers to go by car rather than walk. It is a wonderful thing to say, but it is a different matter to get us on to those bicycles, on to our feet and involved in physical activities. My physical activity extends to table tennis, which is not the best way of losing weight and ensuring that my type 2 diabetes is under control. The hon. Gentleman is right—those lifestyle changes are necessary and they need to happen at a very young age. Schools, teachers, kids and parents need to be involved in ensuring that there is more activity because that will help in the long run.

We should be pretty dramatic in the way we deal with the problem. As you know, Madam Deputy Speaker—as you have no doubt shown the film to your children at some stage—Mary Poppins thought that a spoonful of sugar helped the medicine go down, but a spoonful of sugar, or nine teaspoons of sugar in a can of Coca-Cola, does not help the medicine go down—it makes matters worse.

In the short time available, I shall concentrate on the need to ensure that retailers do their bit to bring down the sugar content in sugary drinks. I am full of praise for the Mayor of London, the hon. Member for Uxbridge and South Ruislip (Boris Johnson), for going one step further than waiting for a sugar tax, which I understand is still on the agenda. There was a feeling that the Government had rejected that, but there were newspaper reports that the Prime Minister was still considering the matter. Perhaps the Minister can tell us when she winds up.

The retailers, having been invited by the previous Secretary of State for Health to be part of a voluntary arrangement, did not keep their side of the bargain. Despite the great declarations that were made by the previous Secretary of State, which I am sure were well intentioned, it is difficult to control global empires to ensure that they reduce the amount of sugar in drinks. We therefore have to take drastic measures. That is why I support a sugar tax, as enunciated by the Chair and other members of the Health Committee. We need to do that. We also need to do what the Mayor has done. Putting up the price of sugary drinks in City Hall is an extremely important way of sending out a clear message. Simon Stevens has said that he would do the same thing at NHS hospitals. How many of us turn up at local hospitals and see vending machines openly trying to sell us sugary drinks such as Coca-Cola?

I recently returned from a holiday in India. Whenever I asked for water or Diet Pepsi or Diet Coke, I was told it was not available. There is an interesting read-across to other Government Departments. The big retailers may be more conscious of the fact that the British House of Commons is interested in the issue, but in countries outside western Europe and the United States, they may feel that they can dump their sugary products without offering an alternative. Before we get to the issue of the sugar tax, which, as I said, I support, there is much that retailers can do.

I recently visited a branch of Waitrose in West Bromwich. I was interested to see that all the sugar-free products had been put in one kiosk in the middle of the store, so when people walked in they were not overwhelmed by the promotion of two-litre bottles of Coca-Cola for the price of one—they looked at the kiosk, where there were only no-sugar products. That is a way of encouraging those who purchase—I am not saying dads do not do it, but in most cases mums—to go to the kiosk and try to think positively about buying products that are free of sugar.

As I said in an intervention, there are things we can do. If we go to the Tea Room to have our lunch after this great debate, what is on offer? Club biscuits, Jaffa cakes, the most fantastic Victoria sponge—marvellous stuff that the Administration Committee offers us. The fruit is at the side, between the refrigerated drinks and the till. By the time I get there, even I, with my type 2 diabetes, am sometimes tempted to go for the sugary products and the chocolate. Why do we not promote the food and drinks that are healthy?

That is why, like others, I commend what Jamie Oliver has done. We need people like that, who have captured the imagination of the British people, to ensure that the public and the press help in the efforts to reduce sugar. Finally, I lavish praise on my hon. Friend the Member for Swansea West (Geraint Davies), who has introduced a Bill to provide for better labelling. We still do not have effective product labelling. It is important that we see such information because it will enable us to make informed choices.

If we do nothing, the obesity crisis will get much worse. We are not drinking at the last-chance saloon. That is now closed. We are outside and we are ready for firm Government action. That is our request to the Minister. Because of her own commitment to these issues, I know she will react positively.

[Several hon. Members rose—]