Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 1160-1164)

THURSDAY 23 JANUARY 2003

MS HAZEL BLEARS MP AND MR STEPHEN TWIGG MP

Chairman

  1160. Can I ask a question about the role of the media and its impact on children and young people. It was very apparent from the young witnesses we had last week, and we had this when we were in Manchester when we met their Young People's Council, that media projects sex morning, noon and night in terms of the images that they see and yet the overt message about dangers, responsibility, relationships, does not come out. I have a teenage daughter who watches Coronation Street, Emmerdale and Eastenders. Some of the stuff that you see on these programmes projects quite a worrying picture of society which I think young people are seeing very much as the norm and perhaps wanting to get into. That is the message that we have got from some of the witnesses we have talked to. Do you see that government has a role in addressing this as a wider issue in the way that programmes such as Coronation Street and the others portray life when the life of people is often very different and the apparent models that are offered to kids are wrong?
  (Mr Twigg) I am always very sceptical of politicians launching in and commenting on these sorts of things. I tend to think when talking to young people that whilst young people recognise that there is that, and it clearly shows in your evidence from Manchester, the majority of young people are actually pretty sussed and sophisticated about these things and can see through that and they might just think it makes bad television that that is the sort of focus that Eastenders or any other programme has got rather than that they are that powerfully influenced by it. I think we have a role through education to do the things that I have talked about, working together with health, but I would be wary of us saying we want to start looking at the content of television programmes.

  1161. I am not saying that. What I am trying to say is that we are not getting the other side of the story across. That was the message we were getting from the young people. I was struck by the Health Minister's comment earlier on that if we get the next generation of parents looking at this more responsibly then that will have an effect in the future. I hope you are right but my worry is that by then the media influence will be even more negative on young people, so perhaps we are going to be a long way behind at each stage the wider influences that are affecting young people's behaviour.
  (Mr Twigg) One of the things that citizenship education is doing is actually encouraging young people to look very critically at the role of the media. I remember going to visit Deptford Green School in Lewisham, which has really pioneered excellent citizenship education, and one of the things that the young people have been doing specifically is looking at press coverage, looking at media coverage, and having a critical input into that. I do think that is something important that we need to encourage to be happening more widely.
  (Ms Blears) I think this is a priority for the whole of government, not just for health or for education but for all of us in trying to build strong communities. That is a big strand through all of our neighbourhood renewal and regeneration initiatives. If you look at the correlation between social class and some of the problems that we have been talking about today, it is very apparent that people from poorer communities and from some of our black and minority ethnic communities have got specific difficulties and specific issues here and, therefore, building those stronger communities and a framework in which people really feel that they are valued, that they can make a contribution and make a difference, I think is how we build a different set of values in our community. I do also think that role models are important. To do as much as we can to try and get some of our people helping us with some of our messages is a legitimate thing for us to do. I am always very wary not to be the nanny state minister, I do not want to be that, but on a whole range of public health issues trying to give people information so they can make the right choices is absolutely my responsibility. I have got to make sure that they have got the information, the leaflets, the views, as much access to that as I possibly can so that the people themselves are empowered to make some of those different choices and perhaps to resist some of the pressure that is out there through the media that they are bombarded with on a day-to-day basis.
  (Mr Twigg) Can I say something in defence of the media because I think some of the soap operas have been very good in terms of dealing with some of the difficult issues.
  (Ms Blears) Yes, they have.
  (Mr Twigg) I remember covering the storyline in Brookside about sexual abuse within the family, which I thought was handled incredibly sensitively. I think the Colin character in Eastenders as the first openly gay character in a television programme probably did more to give confidence to a lot of younger gay men in particular than anything that we as politicians may think of.

  Chairman: I think perhaps the one that I object to most is Emmerdale which portrays a view of rural Yorkshire that I certainly do not recognise. There are too many southern accents in it for a start.

  Dr Naysmith: You used to be able to listen to The Archers but you cannot do that any more.

Chairman

  1162. On the issue of last week's evidence, I had an interesting letter from a lady in either Suffolk or Sussex, I cannot remember which, somewhere in the South of England, who had heard the coverage on Today in Parliament and she was saying that she objected to the strong regional accents that came over. I could bring the letter along. She made the point that the Committee did not appear to address the moral framework of sexual relationships. It has certainly struck me in this inquiry that we need to be looking very carefully at how we offer education in the future on relationships within a moral framework because I have been very worried by the evidence we have received that there is evidence out there—I never thought I would hear myself say this—that people do not appear to have any sense in some instances of sexual responsibility, particularly people who are infected. Some of the evidence we picked up in Manchester was very worrying where people were infected and continued to practise unsafe sex. Do you feel that the government has got a role here both in terms of the education system and in terms of the Department of Health? How do you balance that role with not being nanny state-ish in the way that you described a moment or two ago?

  (Mr Twigg) We certainly do have a role and it is an important part of our job in education, the job of schools, and the guidance that was issued in 2000 places great emphasis on the moral framework in teaching about relationships, it places central emphasis on marriage, without seeking to be exclusive about it, and sets out the benefits of marriage to our society and the stability of our society. I think all of this work has a very powerful moral underpinning and effective early sex and relationships education, going back to what we spoke about earlier on, can bring benefits in terms of the strengthening of communities that Hazel was talking about. Some of these issues, whether it be sexual diseases or teenage pregnancies, harm communities and, as Hazel said, they particularly hit some of the poorest communities. I think there is a very, very powerful moral dimension to this that we should not in any way be frightened of. Young people expect us to have that moral dimension, they do not want us to be nanny-ish, they want us to give them information, they want it to be at an appropriate stage. I do not think young people have a problem at all with us saying that there is a clear moral character to these issues.

  (Ms Blears) I think as well particularly in the area of HIV in terms of the gay community, we have got research that shows very clearly that people want to have good quality information and, therefore, working with the voluntary sector we are much better able to produce realistic stuff that is not patronising, that is not nanny-ing, that talks about the reality and I think that is very important. That is why we work so closely with the Terrence Higgins Trust, the National Aids Trust and the CHAPS Programme, which is internationally recognised as having good quality information. Importantly, part of the counselling that we do with people in those circumstances is about the dangers of transmission, about the effect that you can have on other people, not just your own health but the wider community as well. Getting time in the system to be able to do that counselling and that support work is absolutely crucial to that moral framework that says we do not live just as isolated individuals, all of our actions have an effect on other people and there is nowhere that that is more important than in terms of sexually transmitted

infections and making sure that we can trace partners and provide them with support, that is very important indeed.

Jim Dowd

  1163. Going back to the point you mentioned, Chairman, about men's health, I was very interested in what you said. I heard a clinician on the radio the other day saying that most men look after their cars better than they do their own bodies, so I was very interested in your Haynes Manual approach. We have had evidence here from somebody who said that most men go to the GP for their last immunisation jab and the next time they present themselves is at A&E after their first cardiac arrest. Is the issue really not getting men to see male doctors or female doctors but getting men to see doctors of any kind?
  (Ms Blears) I think there is a cultural thing that it is almost a sign of weakness, I suppose, if you go and get health care. It is about education and I think people coming through the system realise that it is right to keep a regular check, using the motoring analogy, to get your MOT on a regular basis and that keeps you fit and healthy. Probably amongst older men it may be more of a problem, I think younger men coming through will access health services more. With the development of NHS Direct, on-line, kiosks, using technology, in some cases, not all of them, men would much prefer to get access to a computer or talk to a helpline than necessarily face-to-face consultations. Providing a variety of ways in which men can access the health service I think is something that we do really want to explore and we are increasingly beginning to do that now.

  Chairman: The other point on access that came over last week was the potential of texting for young people to access advice. If you have got teenage children they are constantly on their mobiles.

  Sandra Gidley: The mention of computers reminds me of something that was said last week, that kids in the schools cannot actually log on to sexual health websites because as soon as the word "sex" comes up everything is screened.

  Chairman: It is the same with the PDVN here, I have noticed!

Sandra Gidley

  1164. Is there some way of looking into that because I think it is important? If young people are comfortable with that technology, they may not have a PC at home and I think it is important that they should be able to do it at school.
  (Mr Twigg) I had no idea of that. I will look into it and I will come back to you and the Committee about it.

  Chairman: Are there any further questions? If not, can I thank both of our witnesses for an excellent session, we are very, very grateful. I hope the report that will be coming out in the near future will be of help. Thank you.





 
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