(10 months, 1 week ago)
Commons ChamberI will absolutely look closely at that specific case. My hon. Friend has put a huge amount of work into Long Crendon. As he knows, we are already changing the national planning policy framework to enable more developer contributions to flow into such innovative projects. We have more GP practices than we did in 2010, but we continue to look at ways to go further.
We are making the most significant public health intervention in a generation by creating a smoke-free generation. To put that in context, every five cigarettes a day increases the risk of stroke by 12%. We are also rolling out free blood pressure checks to people over 40 in community pharmacies, which will help to detect much earlier thousands more people living with high blood pressure.
I thank the Secretary of State for that answer. Many commercial infant and toddler foods are ultra-processed, which sets alarm bells ringing as ultra-processed food is strongly associated with cardiovascular diseases and 40% of 10 to 11-year-olds are obese. I strongly believe that parents are being misled by companies that put health claims on ultra-processed infant food, when in fact the food is anything but healthy—it is high in fat, salt and sugar. What steps are the Government taking to address the disingenuous and grossly misleading marketing and labelling of commercial infant and toddler food and drink?
As my hon. Friend knows, there is no agreed definition for ultra-high processed food. As a general principle, I do not think we should be taxing and banning things—smoking is an outlier. We have to empower the patient and recognise the pressures from the cost of living. We are also rolling out anti-obesity drugs to give patients access to the most innovative drugs as part of our wider response to the challenge of obesity.
That shows just how divorced the SNP line of questioning is from the reality of funding. The funding for mental health is £2.3 billion more this year than it was four years ago. We are funding 160 mental health crisis cafés and we have a programme of mental health support teams being rolled out in our schools, all of which is subject to Barnett consequentials on which the Scottish Government receive money. This Government are committed to investing in mental health. That is what we are doing. The question for the Scottish Government is why they are not getting the same results that we are.
We have already brought in restrictions on the places that unhealthy food can be sold to stop pester power. That is on top of other measures that we are taking on obesity such as the sugar tax, calorie labelling, the extra money for school sport, and the extra facilities for young people. It is a serious issue and one on which we are taking urgent action.
(1 year, 2 months ago)
Commons ChamberAll Health Secretaries have regular conversations with the Treasury in terms of wider financing. The departmental budget for Health and Social Care is over £180 billion, which is already a significant investment. Through the long-term plan, we have significantly increased our budget and there are many calls on that, including, as we heard from the Opposition Front Bench, in terms of junior doctors’ pay and other issues. Of course these things need to be looked at in the round, but I am always keen to discuss with Treasury colleagues what more can be done.
I thank the Secretary of State for the excellent news about the national targeted lung cancer screening programme. As an ex-smoker, I welcome any intervention and the focus on prevention. When I gave up smoking, it was chewing gum and fizzy drinks that got me through. Today, it is vapes. My concern is that young children are using vapes in the first instance, without having smoked, which can lead them to go on to smoke. Will my right hon. Friend join me in welcoming the recent crackdown on marketing vapes to children and the new illicit vapes enforcement squad, which will clamp down on online shops selling illicit vapes to under-18s?
My hon. Friend raises an important and topical point. The chief medical officer estimates 50,000 to 60,000 smokers a year may potentially give up through vaping, which is something the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O'Brien), is particularly focused on. However, there is a marked distinction between vaping as a smoking cessation tool and vaping products that are targeted at children, which is why we have both toughened the approach and closed some loopholes. A call for evidence closed a couple of weeks ago and we are looking at what further measures we can take.
(1 year, 2 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I beg to move,
That this House has considered the health impacts of ultra-processed food.
It is a pleasure to serve under your chairmanship, Dr Huq. I have wanted to have this debate for some time and am grateful for the opportunity to lead it today. I have been deeply concerned about the impact of ultra-processed food on health outcomes and therefore on the NHS. I want to join the debate that others are having in the public domain. We need to ensure that we do not lose sight of the importance of addressing ultra-processed food and its health impacts.
Let me explain a little more about ultra-processed food, as it surprises me how few people know what it is. It is food that dominates the shelves of our supermarkets, much of the food advertising on television, and the multi-buy offers that customers see as they get close to the checkout. It is food that takes up half the average UK diet, with the largest consumption by children. It is food that is linked to heart, kidney and liver disease, cancer, depression and obesity. It is an underlying reason for many poor health outcomes. It is food that has been processed so much that it has little health value; the main ingredients include additives such as preservatives, emulsifiers, sweeteners, and artificial colours and flavours. Those ingredients destroy the integrity of the food itself, but do nothing for its nutritional value, as they are being whipped up into something more appetising with the help of emulsifiers.
I congratulate my hon. Friend on securing the debate. Does she agree that there is a case for looking again at our food labelling laws, and perhaps for requiring ultra-processed food to carry a health warning rather like the warning required on cigarette packets?
I thank my right hon. Friend for his intervention and will come to his point a bit further on in my speech.
Ultra-processed food tends to be high in fat, salt and sugar, and is highly addictive. There is fairly low awareness of what ultra-processed food is, but it is familiar in our shopping trolleys. It includes pizza, ice cream, crisps, mass-produced bread, breakfast cereals, biscuits, carbonated drinks, fruit-flavoured yoghurts, pre-packaged meals, sausages and other reconstituted meat products, and some alcoholic drinks—shock, horror—including whisky, gin and rum. Foods such as plain oats, cornflakes and shredded wheat become ultra-processed when the manufacturer adds sugar, flavourings or colourings. Plain yoghurt is minimally processed, but when sweeteners, preservatives, stabilisers or colourings are added, it becomes ultra-processed.
Although there is no universally agreed definition of ultra-processed foods, the above is a good description. They are all foods that we mainly love, but that are not good for us if they form part of a staple diet, and the UK is one of the biggest consumers per head of ultra-processed foods in Europe. Many of the things I have talked about are things that I have purchased myself and are in my shopping trolley half the time.
I congratulate the hon. Member on securing this important debate. We have a lot of these debates, and one issue with ultra-processed food is that it is ultra-addictive—people want more of it, and we cannot help ourselves—but we do not treat it as we treat other ultra-addictive things like cigarettes and alcohol, although the health implications could be just as serious.
I thank the hon. Member for her intervention. Again, we are having the same conversation and I hope to answer her question later in the debate.
Ultra-processed food makes up half of the total purchased dietary energy in the UK. In fact, when it comes to UK children, more than 60% of the calories consumed comes from ultra-processed foods such as frozen pizza or fizzy drinks. All that food is linked to obesity, which causes me great concern. In England, 64% of adults and 40% of 10 to 11-year-olds are either obese or overweight. Those figures are taken from the Dimbleby report. They are staggering.
Figures from 2019-20 show that 1.5 million years of healthy life are lost to diet-related illnesses every year. Tackling obesity costs the NHS about £6.5 billion a year and is the second biggest cause of cancer. To put it starkly, it is a ticking timebomb. Some might say that the ticking has stopped and the bomb has already exploded.
Some 100,000 people have a stroke each year. There are 1.3 million stroke survivors in the UK, thanks to the advances of medicine and medical interventions such as blood pressure tablets, statins and so forth. Children who have high levels of ultra-processed food consumption have been shown to have high levels of cholesterol, increased weight and tooth decay. Obesity has been brought to the fore due to covid. Living with excess weight puts people at greater risk of serious illness or death, with risks growing substantially as body mass index increases.
The cost of all that to the NHS is significant, from prescription drugs and GP and out-patient appointments to the orthopaedic impacts on limbs of weight bearing. Of course, the greatest impact is on NHS hospital admissions. Tackling obesity is one of the greatest long-term health challenges that this country faces. Ultra-processed food is one of the main routes to all obesity issues, because the food is mainly high in fat, salt and sugar. It is marketed aggressively, to the detriment of our health, feeding a growing obesity crisis and feeding our arteries full of fat.
The food supply chain endorses and promotes products that are linked to serious health outcomes, marketing products for which the motivation is profit over health. Certainly at the cheaper end of the market, ultra-processed food does not provide a fully nutritious meal. The marketing and branding of ultra-processed food is relentless. Have we ever seen a high-profile marketing campaign for anything that falls off a tree or comes out of the ground? The answer is no. Instead, we see highly aggressive campaigns selling us the dream of so-called delicious meals. In reality they are highly addictive foods and, without moderating consumption, contribute significantly to poor health outcomes.
I am slightly disappointed that the Government are not proceeding with the plan to ban two-for-one junk food deals. That plan, which has been delayed, would have prevented shops from selling food and drink high in fat, salt and sugar through multi-buy deals. However, at a time when household budgets are under continuing pressure from the global rise in food prices, it would not be right to restrict those options. The principal issue for health outcomes is not so much two-for-one deals anyway; it is the food itself, and we should not lose sight of that. Buying multi-deals does not matter; it is the product itself that matters. That is what we should focus on: trying to eliminate addictive products that are creating poor outcomes for our children.
A good step forward would be an advertising watershed—a 9 pm watershed has been mooted—that would restrict the TV advertising of foods that are high in fat, sugar and salt, not forgetting those online. Current advertising regulations do not go far enough in protecting children from a significant number of unhealthy food adverts. I think that we have all seen the continual adverts for pizzas when we watch family programmes, certainly at the weekend. Those should not be allowed. Half the time, I am moments away from going online to order a couple of those pizzas, but I don’t do that any more.
Jim, it would be two.
Children and young people are not sufficiently protected from exposure to adverts for unhealthy products. It has been pointed out to me that Government research shows that TV and online advertising restrictions on food that is high in sugar and salt could reduce the number of children with obesity by more than 20,000. I therefore urge the Minister to look at that and bring the timeline forward. I think at the moment it is going to be 2025, but we could and must move faster. There should be a watershed for adverts for both ultra-processed food and products high in fat, sugar and salt, sooner rather than later.
A bigger light must be shone on the manipulative marketing tactics that companies use to lead us into consuming and over-consuming foods that are bad for our health. My office manager and my comms guy are advocates of disgusting microwave burgers, which further strengthens my resolve on the matter. When I first looked at the product that they are addicted to and that they shove in that microwave, I thought, “What is not to love?” It says that it is 100% beef—it tells me three times that it is 100% beef—and with that look, I was hooked. I thought, “I want one of those,” but then I read the side of the packet. It is in fact a composition of beef fat, soya protein, salt, wheat flour, stabiliser E451, dextrose, sugar, egg white powder, yeast extract, something called hydrolysed soya protein, barley malt extract and flavourings. It is 44% beef, so not quite the 100% beef that was advertised. In fact, it is a concoction of emulsifiers, preservatives, colourings and other things, which made it look like the tastiest 100% beef burger in the world. The beef was 100% beef, but it was actually only 44% of the burger itself. That is incredibly misleading. I nearly went out and bought it myself.
The obesity crisis is not helped by the overly aggressive marketing of highly addictive food. Let’s face it: if advertising did not work, companies would not do it. That is what encourages us to go out and buy such products. We saw it in the cigarette market. Changes were needed to advertising, starting way back in 1965, when the poor health outcomes from smoking were being understood. It was many years before one of the biggest health interventions, which was the ban on smoking in public places in 2007. I was one of those smokers many, many years ago. I think I gave up before it was banned in public places, but I can tell hon. Members that smoking is highly addictive, and it was sold to be highly addictive.
When I worked in logistics, the company pushed out the cigarettes into big lorries, which took them to the centres to sell. Even there, packs of 200 cigarettes were handed out to employees as an incentive at the end of the week: “Well done—they have done a great job.” People were allowed to smoke in their offices, although I believe that at the time they were not supposed to. Unhealthy food is now being peddled and pushed in a similar way. We really have to think about that. Something very akin to what happened with cigarettes is happening with ultra-processed food.
My hon. Friend is very generous in giving way. Does she agree that if we are to urge that ultra-processed food should carry with it a label warning, that warning should be in a typeface large enough to be read without the use of a magnifying glass, so people know what they are buying before they purchase it?
I do not have the answer to that one. I will leave it to a conversation between the Minister, me and others whether that is the way we need to go with what the labelling looks like. Whatever the decision, I agree that it needs to be clear that that food is not 100% beef—that it is, in fact, 56% manufactured food and a tiny percentage of nutritious food. Something needs to be done to highlight that.
Many people will be saying that they did not know that the foods I have listed were ultra-processed. Let us take those lovely fruit yoghurts. I have been eating them for years and had not realised how processed they were. The simple fact is that you just need to buy plain yoghurt, put some fruit and oats on top and it is a really tasty product.
The impact of the intervention to ban cigarettes in 2007 was estimated by the British Medical Journal to be 1,200 fewer hospital admissions for heart attacks in the year following the ban. In the three months after the ban, there was a 6.3% drop in the volume of cigarettes sold in England. I believe it was around that time—it might have been a few years before—that I gave up smoking. The interventions at the time were working.
Is that what we need to do now? The Minister will be pleased to hear that I am not a fan of the nanny state, but I am a fan of the watershed and that is what is on my wish list. As for the regulators, they need to focus less on the ingredients in our food and more on how the processing of the food sold to us has an impact on our health. They need to address misleading health claims and confusing nutritional information that dominate many products found on supermarket shelves. Indeed, that leads into the point made by my right hon. Friend the Member for East Yorkshire (Sir Greg Knight) about how labelling what is in the product has to be clearer.
I thank the hon. Member for being so generous with her time. She says she is not a fan of the nanny state, but we would not market cigarettes and alcohol to children, because we know the harm they do to them. Children are not allowed to buy vaping products, because of the harm they do to them. Yet we have this ticking time bomb. I think she said that 40% of children are overweight. Surely that is a group of people we need to take care of. Maybe adults can make their own choices, but we are talking about children here.
I thank the hon. Member for that powerful intervention. I believe that before we get into nanny statedom, those manufacturers need to step up and wake up to what they are selling. They are peddling a false dream. This is not about wrestling with one’s conscience; they need to think about the impact of what they are selling to people. That is what they have to face up to first. I believe I am coming on to that further on in my speech.
We have talked about misleading health claims. Children are regularly exposed to products that extol their own virtues but are in fact the opposite: rich in saturated fats, trans fatty acids, added sugar and salt. If a manufacturer were to put labelling telling us that that was what was in their product, I do not think any of us would go out and buy it. We are being sold something completely different from what is actually in the product.
We should not forget emulsifiers, which hold ultra-processed foods together and improve appearance and texture. In other words, emulsifiers make a product taste and look like the food we want it to be. There is growing evidence of their impact on an increased risk of cancer—notably breast cancer—and cardiovascular diseases. Meanwhile, aspartame—I do not know how to pronounce it—is the most controversial ultra-processed food; a sweetener 200 times sweeter than sugar. When I gave up smoking, I used fizzy drinks to help me through that process. Hon. Members will guess that I am now near enough addicted to those fizzy drinks.
It is, hence my sparkling water, which I was rushing out for. In May 2023, the World Health Organisation said it was concerned about the long-term use of aspartame as it increased the risk of type 2 diabetes, heart diseases and mortality, although the UK’s Food Standards Agency has accepted that it is safe.
Much of this food is our everyday pleasure, so I am not advocating that we tell people what to eat and not to eat. I am hugely conscious of the cost of living pressures and the ways that people are trying to make changes and save money. Consumed in isolation and moderation, this food is fine. The problem is when it takes over our lives—and it has.
The key challenge is to get supermarkets to put healthy products on multi-buys, encourage a promotional spend shift to healthier food products and focus on making food more affordable. Promotional deals are easy ways to make profit for the supermarkets, peddling products that, to them, are low cost but high margin, and have no nutritional value. There is no doubt that modern living and work patterns mean that we find it difficult to find time to cook unprocessed foods instead of purchasing ultra-processed foods, as they are quicker to cook, ready to eat and cheaper. I do not think that there is anyone here who has not left Westminster on a Wednesday night and probably just picked up a ready meal because it is the quicker and easiest thing to do.
I am pleased to have read that the Scientific Advisory Committee on Nutrition, which provides recommendations on dietary guidelines, is carrying out a scoping review of the evidence on processed foods and health. It aims to publish its initial assessment in the summer of 2023. TV medic Dr Chris van Tulleken has also been vociferous on ultra-processed foods, and long may that continue. The facts are there. It is a serious crisis when one in three children are obese by the time they leave primary school.
I want to see the private sector lead by example, with manufacturers stepping up, taking responsibility and stopping packaging and promotional techniques that lure customers towards ultra-processed food with no nutritional value. We need to address the potential loopholes and displacement from marketing regulation of food that is higher in fat, sugar and salt when selling the dream of a 100% beef burger when, in fact, it is not. Regulators need to focus more on how the processing of food impacts our health outcomes. Will the Minister consider introducing the important advertising watershed sooner rather than later? We cannot afford to delay. The obesity figures speak for themselves; the cost to the NHS speaks for itself. Also on my wish list is considering introducing a reduction target to keep focused on ensuring that ultra-processed food consumption levels in the UK are at a healthier level.
I am deeply concerned about the impact that such food is having on health outcomes and the impact on the NHS. We need to continue the debate, as the simple fact is that 64% of adults in England and 40% of 10 to 11-year-olds are either obese or overweight. That is staggering. To me, we are not far off from the time for urgent intervention like we had in the cigarette industry. An article was written on Monday, independent of my securing this debate, in which I read someone saying very similar things. The obesity crisis is truly shocking and cannot be ignored. The role of ultra-processed foods in that is significant, as is the role of the food supply chain. The food supply chain needs to step up and play its part in the fight against obesity before the Government need to intervene and start to tackle the ultra-processed foods like they did with tobacco— to basically get in there. The Government will have to intervene at some point if the industry do not get a grip.
I will start to call the Front Benchers at 5.33 pm, with five minutes for the SNP and Labour, because it is only a 60-minute debate. If we do speeches within five-and-a-half minutes, everyone will get in.
I thank right hon. and hon. Members for their powerful contributions. We are all aligned on this issue. I wholeheartedly agree with the Minister that there has to be a considered response. It was touched on that we face a looming crisis. I believe that it is already a crisis; the bomb has ticked and now has actually gone off. We need to address the obesity crisis not just for our people and our children, but because of the impact that it is having on our NHS. The cost to our NHS is significant.
There is also significant cost to our own life outcomes. I thank the hon. Member for Strangford (Jim Shannon) for sharing his story. I have my own story, but do not have not the time today to share it. My cholesterol was way off the Richter scale at about nine—whatever that means. I have halved it by changing my diet and cutting out any food high in fat, sugar or salt. I have a way to go, but, my goodness, it has worked very well.
I believe that regulators need to step up and make manufacturers take responsibility for the health outcomes of their foods. It is their food after all. They need to step up, act and take responsibility now, even before the Government consider when and if they need to intervene. I hope the manufacturers listen to what is being said in this place and in the public domain and take action.
Question put and agreed to.
Resolved,
That this House has considered the health impacts of ultra-processed food.
(2 years, 2 months ago)
Commons ChamberI think that I detected the hint of a question in there. On a serious point, I pay tribute to the hon. Lady, as I often do on such occasions, notwithstanding the challenges that she throws at us, for the work that she does in the NHS and the work that she did before she was elected to the House. Through her, I also pay tribute to NHS workers up and down the country for their work.
The Government have put in place record support for our NHS, including nurses, which is about supporting those already on the frontline in the profession—that is absolutely right—and about growing that workforce to ensure that the work that needs to be done is spread among more people. That is exactly what we have done. We have record numbers in our NHS workforce, and we are well on target to meet our manifesto commitment on more nurses.
The Government’s commitment to deliver 50 million more general practice appointments is critical for improving access to primary care across the country. Our workforce are crucial for that, and we are well on track to deliver 26,000 more full-time primary care staff by March 2024, with more than 18,000 primary care staff already recruited since 2019.
I thank my right hon. Friend for that answer. Does he agree that when it comes to accessing primary care services, the Government have given GPs the support and guidance that they need and that GPs must now make every effort to see our constituents face to face, which is what they expect? What more can be done to support GP practices to make their processes more efficient for patient access to test results and blood tests and for booking appointments?
I agree with my hon. Friend and am incredibly grateful, as she is, for the huge contribution of GPs during the pandemic in helping to deliver the largest vaccination programme that the NHS has ever seen. Because of the pandemic, we also provided record support to GPs that helped to cut bureaucracy, helped them to share their workload and helped clinicians to give even more support to patients.
We are starting to see the results of that, with face-to-face appointments going up—we would like to see them go up much further. We would also like to see increases in appointments, including for access to blood tests. My hon. Friend might know that yesterday we published our new data strategy, which sets out how, using the NHS app, we will give more people access to their health results.
(2 years, 8 months ago)
Commons ChamberDoes my right hon. Friend agree that the best Christmas present anyone can get this year is to go and get their booster jab?
(2 years, 9 months ago)
Commons ChamberThat is a very good question. This has moved so fast that so far we have had no indications about the potential impact of the new variant on children in particular. As soon as we have any information, we will want to share it.
The child vaccination programme in the UK is going well throughout the country, and has built up a significant momentum. As for whether second doses would be recommended, we will await the expert advice of the Joint Committee on Vaccination and Immunisation.
I welcome the swiftness of the Government’s response to the new variant that is under investigation. Can my right hon. Friend confirm that, as the situation develops, the Government will continue to move at the earliest possible opportunity?
Yes, I can certainly make that commitment to my hon. Friend. She may know from the information that the Government have already shared that we identified the significance of this variant only two or three days ago, and we did not hesitate to take action, because, as we have always said, we will protect our borders when it comes to this pandemic.
(2 years, 10 months ago)
Commons ChamberI very much welcome this scheme. Does my hon. Friend agree that it is about not stigmatising obesity, but helping people to adopt a healthier lifestyle, and that part of that should be a seismic shift away from ultra-processed food, which is high fat, high salt and highly addictive?
I completely agree. A lot of the measures that have been put in place on the population side have resulted in reformulation by many manufacturers. That is so important. The soft drinks levy is a prime example. Just introducing that levy meant that so many manufacturers changed their formulation. Putting calories on menus and the traffic light system on the front of packaging once again encourages and pushes manufacturers quite hard to reformulate, and that will address the issues that my hon. Friend mentions.
(2 years, 10 months ago)
Commons ChamberPeriods, labour, childbirth, breast feeding and the menopause—oh, mother nature, please give us a break. Today, we are talking specifically about the menopause. Here we go again: migraines, insomnia, anxiety, aching joints, confidence dips, brain fog, tiredness, flushes, irritation, tears and AC-130—Members may ask what that is. It is fair to say that they will get the picture when I say that my ex-ex-boyfriend described me at one point as being similar to an AC-130, the world’s biggest flying artillery gunship nicknamed “Hell in the Sky”, with three side firing weapons, a 25 mm Gatling gun, a 40mm Bofors cannon, and a 105 mm howitzer firing on all sides. We are talking about the joys of menopausal rage. Members will be pleased to know that the AC-130, so described, was only temporarily in action and was retired some time ago, as was the ex-ex-boyfriend.
Seriously, I do not want to be here talking about this today. I do not like baring my soul about something so deeply personal, let alone here in this great place. This is the only time, Mr Deputy Speaker, that I wish there was a time limit. The taboo around the subject is evident when we consider who is, or who is not, sitting in this Chamber. It is a shame that there are not more people of all ages in here contributing to the debate. Clearly, speaking in this debate is what I needed to do to give women hope that, while this is a club that no one wants to join, ultimately we all do—as a woman. But you know what? Once in, it is a lovely club with some amazing and awesome women.
I thank the hon. Member for Swansea East (Carolyn Harris) and my right hon. Friend the Member for Romsey and Southampton North (Caroline Nokes) for ensuring that we actually had this debate and that I actually came here and spoke out. I came through all of this very early and unscathed. However, I do wish to raise the issue of bone density, which the hon. Member for Bradford South (Judith Cummins) mentioned. Unbelievably, I did not realise what was happening at first—it was some years ago now—but I do now in hindsight. The horror was to do with my bone density. I did not have HRT at the time, so there was a sudden rush to put me on it once we realised that I had practically gone through the menopause. I had a bone density scan and everything was tickety-boo in that area—thank the Lord for that.
Talking about the menopause is a big deal for women. It is for me. I feel that we often have to defend ourselves. We are very much judged on it and women are embarrassed about it, as am I. It is often not talked about, even between women. We just do not want to talk about it. Men are embarrassed about it, too. As I was leaving for this debate, I was speaking to one of the guys in the flat. I told him that I was just about to go and talk in a menopause debate. He said, “Oh, all right. We can’t talk about that, so good luck.” Young women just see something that they think is unique to their mothers and that will not ever happen to them, but, trust me, it actually will and they will certainly know about it when it does happen. Look we must talk about it. We have to educate those who sadly believe that a women’s identity is built only on biological fertility and educate those who think that being menopausal indicates that a woman’s sell-by date has well and truly expired. Well, to whoever said any of the above or thinks it: just look at the amazing number of women sitting on these Benches who entered politics at their supposed sell-by date. We must talk about this so that it is no longer a taboo. And please—so I do not have to stand here talking about it ever again—can we just get it out there? Of course, also for the partners, colleagues and employers of menopausal women, we must share and understand the physical and mental impacts that the menopause can have on women.
The menopause is an entirely natural biological process. I thank the Government for putting it on the agenda. If I remember rightly, it was my hon. Friend the Member for Redditch (Rachel Maclean) who started to do so. The Government are in the process of developing a women’s health strategy, which will look to tackle menopause education. I have long thought that we needed to do more in schools to normalise hormones. From September 2020, relationships and sex education and health education have been compulsory in all state-funded schools. As part of this, pupils are taught about menstrual health and the menopause. A positive attitude to hormones is crucial and much needed, with more education in schools to break the myth that women are only defined by and are relevant through their biological fertility.
Society needs to reframe its attitude. It is okay to be grumpy. Tears are okay. Hot flushes are okay. Hot necks are okay. Layering clothes is the new “en vogue” for any perimenopausal woman, who can go from ambient temperature to extreme heat in the blink of an eye. The coldness in this Chamber is actually so welcome for anyone who is perimenopausal—so I thank the House! Some women fly through the menopause, some deny it and others suffer symptoms that affect their family and professional lives, and they deserve empathy, support and practical solutions.
Let me touch on HRT. As I said, I did end up having some HRT towards the end of that time, but it did not work for me. I think it is important to say that it does not always work for everybody, and it is important for people to have the right conversations with their doctor and to share that experience. If people start to feel other symptoms, as I did, they must go back to their doctor to have that conversation.
My hon. Friend makes an important point about HRT not working for everyone. What is also true is that different types of HRT work differently. Of course, the issue of prescription costs comes in for people who have to try several versions.
My right hon. Friend makes an important point. That is exactly what happened with me. We went through the process and tried the various options, although I ultimately ended up coming off HRT because it just did not suit me.
Talking about menopause is so important, especially when we often do not realise that we are starting to go through the process. We are not tapped on the shoulder one day and told, “This is it.” It is a slow and confusing process that can create anxiety and depression. Some say that it can be akin to a grieving process. The menopause brings on deep and profound changes, which should not be underestimated, but somewhat embraced, and perimenopausal women should not be confined to the out-of-date shelf. It is for all of us to think about this issue and do something about it; we all need to do something about this.
(2 years, 11 months ago)
Commons ChamberI thank my good friend from Grimsby. I could not agree more. There is not much I can really add to that; she is absolutely right. From personal experience, seeing the heartbeat on the screen is worth all the effort and I would commend everyone just to keep going because dreams do come true.
Very briefly, as time is marching on, for couples going through IVF, please have respect for what they are doing. They are mortgaging themselves. It is about the money. It is about the anxiety—endless cycles in many cases. It is also about the heavy drugs, the mood swings, the overestimation of the ovaries and the injections in the stomach. It is pretty grim. So feel. Please support and be there for your friends and family who are going through it. There is devastation when it goes wrong and it does go wrong. Spare a thought for the heartache, for the hopes, the preparations, the fears and the tests. It rests, ultimately, on a drop of urine. It is absolutely brutal.
Having debated the horrible reality of baby loss today, what can we do? I am going to rattle through this very quickly. We need to support our loved ones, as I have said. As men or partners, we need to hug, to hold, to reassure and to listen.
I thank all hon. Members for their courageous speeches. The point my hon. Friend is raising, and my hon. Friend the Member for Peterborough (Paul Bristow) is raising, is that this does not just affect women. We are not just the ones who go through the grief, bereavement and pain. Men do too and we need to talk more about that. Both men and women suffer bereavement through baby loss.
Absolutely—I thank my hon. Friend. This is about two people. It takes two to tango. People go through this collectively as a couple, but also individually. We should recognise the fact that it is difficult for both parties, whoever they might be.
As I said earlier, we need to invest in hospitals an awful lot more: in better baby units, better midwives and consultants who read their notes. We need to make sure that we take some risks politically on this issue and spend more money. As I said, it is only money. Employers, please get a grip. If you have a woman in your employ going through IVF, please just empathise and sympathise. Give her some space.
Before I finish, I want to stick my neck out on a couple of very personal issues—please forgive me. For those who want to have children, go for it is my advice. Stay strong and keep going. My humble advice is not to leave it too late: you cannot turn the clock back and careers are, ultimately, not that important. For those considering IVF, just go for it. It does work. It is successful and it is getting better all the time. For those who might need extra support, I commend the organisation Foresight, otherwise known as the Association for the Promotion of Preconceptual Care, which is absolutely fantastic. Finally, for those for whom it does not work and suffer the loss of never conceiving, we can never do enough for you. In this place, as politicians, we will keep focusing on this very important issue. Please keep lobbying us, too. These are life and death issues that are ultimately more important than anything else.
Lastly, and most importantly of all, please do spare a thought for those poor men eating Brazil nuts for breakfast.
(3 years, 1 month ago)
Commons ChamberWe are committed to halving childhood obesity in England by 2030, and the 2020 strategy takes decisive action to help everybody to achieve and maintain that healthier weight. We have five trailblazer sites working to create a healthy environment for our children. We have laid regulations for out-of-home calorie labelling. We have put £100 million into funding for adult and child weight management, and announced the introduction of some of the toughest advertising restrictions—both on TV and online—regarding children’s exposure to high fat, salt and sugar products. This is about the cumulative effect of several policies.
My right hon. Friend’s question is music to my ears. He will be pleased to hear that, last week, along with Ministers from DCMS and the DFE, I was in front of the Lords National Plan for Sport and Recreation Committee talking about doing just that—about how we can build on the DFE’s £10.1 million contribution, so that we can unlock the 40% of facilities that lie on school estates and help to get children active for 60 minutes a day. We will be publishing our cross-departmental update to the school sport and activity action plan later this year.
Ultra-processed food is basically high in fat, high in salt and high in sugar, and it is highly addictive. I believe that it plays a significant part in the growing crisis that is obesity. I genuinely believe that it is not food in itself, when one considers all the flavourings and artificial colourings that have to go into it to make it taste like food in the first instance. Does my hon. Friend agree that the food industry needs to play its part in tackling the obesity crisis, and not contribute to it?
I do. This is about helping people and caring for people. We know the detrimental effect obesity has on all stages of our lives. It costs personally, in productivity terms, as well as the NHS, being the precursor to diabetes, heart disease, cancer, musculoskeletal conditions and so on. We cannot afford for the country not to tackle this issue. I am encouraged, but want to see business go faster in the reformulation ambition to reduce the salt, sugar and fat in these products.