Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 120-139)

12 JUNE 2003

MR MIKE ASH, MS DANILA ARMSTRONG, MS IMOGEN SHARP, MS PATRICIA HAYES, MR ALEC MCGIVAN AND MS MELA WATTS

  Q120  Sandra Gidley: Have you had any discussions on the subject of food labelling?

  Ms Sharp: No, we as the Department of Health have not, because the Food Standards Agency has that responsibility, so we would not have those discussions.

  Q121  Sandra Gidley: You mentioned the 5 A Day scheme, and it seems to me that all supermarkets are getting on the bandwagon. I went into one last week and all the fruit and veg was marked up. More alarmingly—and I am not sure this is what the Department of Health intended—a tin of baked beans apparently gives me one helping of fresh fruit and veg a day. Is this accepted as reality by the Department of Health? Are you happy that baked beans are labelled as a portion of fresh fruit?

  Ms Sharp: In terms of baked beans, yes, they do count towards 5 A Day in terms of the nutritional criteria and judgment. Over the years, nutritionists have said that, if only eaten once during the day, it can constitute one portion and that is it. In terms of the specific labelling, you will be aware there are a number of schemes, and the Department of Health has developed its own 5 A Day logo. We are currently developing nutritional criteria with which that can be used. At the moment it can only be used on fresh or frozen products, or products without added fat, sugar or salt. We are currently having a nutritional technical group developing the criteria.

  Q122  Sandra Gidley: So baked beans will be out in future because of the added sugar and salt?

  Ms Sharp: I could not say whether they would be in or out, but there would be a consideration of the added fat, sugar and salt content to any product.

  Q123  Sandra Gidley: One of the other aspects of food labelling is fat levels. I am only asking for an opinion here; I realise it is the responsibility of the Food Standards Agency, but the Department of Health should have an opinion. Lots of foods these days are labelled as 85% fat-free. Do you not think that is misleading, and they should be made to be labelled as containing 15% fat, which is actually quite high?

  Ms Sharp: I would not like to comment on the individual point, because, as I said, it is the responsibility of the foods Standards Agency on food labelling, and also negotiations on Europe about health claims and labelling claims. It is enshrined in law. I know it is a consideration and concern.

  Q124  Sandra Gidley: Surely, the Department of Health should have a view on whether labelling of foods gives the right health message, because you are trying to reduce levels of cancer and heart disease and the rest of it. It is a bit of a cop-out to say, "Sorry, not me, guv. It's the Food Standards Agency." How do you feed into the Food Standards Agency?

  Ms Sharp: We have regular meetings with the Food Standards Agency on particular issues. Yes, we do talk to them on food labelling. I am not copping out of it. I am just saying it is obviously their remit.

  Q125  Sandra Gidley: What did you tell them? What are your views that you have passed on to the Food Standards Agency?

  Ms Sharp: Overall, our common view is that labelling should be easy to understand by consumers in a fair and appropriate way.

  Q126  John Austin: Can I follow up on the fruit issue, the Fruit in Schools campaign. To what extent has that been taken up? What is the percentage of schools that participate?

  Ms Sharp: It is now reaching half the 4-6 year olds in England. It has been developed with New Opportunities Fund moneys region by region across England. The take-up by eligible schools is 90-95%. It is proving very popular amongst teachers, parents and children themselves.

  Q127  John Austin: A question on the food manufacturers and retailers. It is perhaps a class issue. Some of the cheaper food is often some of the least healthy food, and the more healthy food is often the more expensive food. What sort of discussions does the Department of Health have with the food industry about that?

  Ms Sharp: Obviously, it is not for government to tell industry how much they charge for a particular food. Within the context of the Food and Health Action Plan we will be looking across the board at supply of food, production and access to food, and availability, as well as broader consumer information and education. Certainly within that we will be looking at health and equality of access to food, which would pick up some of those issues.

  Q128  Dr Taylor: I was stuck on a deserted railway station last night and I had a chance to study both vending machines and food labelling. I bet when you last bought a Kit-Kat you did not look at the actual labelling. The logo includes the words "Good food, good life." The information on it—and you have to really twist the wrapper back and look at tiny print—is that each Kit-Kat gives something like 250 calories. I know it is probably not your responsibility, but it would be so good to make food labelling on these things standard, and much larger. Another comment: Galaxy, made by a different firm, does not tell you how many calories, but it tells you about milk solids, which I am sure nobody understands, in about ten different languages. Food labelling should be made much clearer, much larger and much easier to understand. Is there a move in that direction?

  Ms Sharp: What you have picked up there is the ingredient listing and the food labelling issue and, as I said, our position is to work towards the position where food labelling is easy and understandable by consumers. In terms of raising awareness of the issue, we have recently been working with the Food Standards Agency and the food industry on the issue of the salt content of foods because of its links with later disease. We have a commitment to work not just on salt but also on fat and sugar, but we took salt as the starter because the Chief Medical Officer had particularly endorsed the target and wanted us to work towards that. Obviously, in looking at that, we are raising awareness of the salt content of foods and working with the industry in terms of reduced content. We will be doing similar sort of work on fat and sugar as well, which I think will pick up some of those concerns, in working with the industry.

  Q129  Dr Taylor: There is an in-built paradox, is there not, because it is bad for a firm to advertise that each Kit-Kat has a vast number of calories in, so it is terribly difficult to get round? Turning to vending machines, we meet vending machines in swimming baths and all sorts of places where often they are the only food. Does the Department of Health and the Department for Education have a view on vending machines in primary schools, secondary schools, nurseries?

  Ms Watts: From the Department of Education's point of view, it is a matter for schools to decide on the nature of the vending machines, whether they have them or do not have them, and what they might want to have in those vending machines, if there are choices.

  Q130  Dr Taylor: But should the Department of Health have a recommendation towards that? You can only get unhealthy foods out of vending machines, can you not? Is that fair?

  Ms Sharp: I do not think that is completely fair, but with the Department for Education and Skills we have the Food in Schools programme which has eight different strands, one of which is vending machines and looking specifically at options around healthier vending machines within schools. I understand the Food Standards Agency is doing some work on this.

  Q131  Dr Taylor: So you are working with the Department for Education on that.

  Ms Sharp: Absolutely. We have a joint programme on Food in Schools which covers school meals, breakfast clubs and vending machines.

  Ms Watts: It will continue to be for schools to decide whether they have vending machines or not.

  Q132  Dr Taylor: But you will advise them on appropriate content of vending machines?

  Ms Watts: As Imogen said, we are working together to think about the most appropriate use of vending machines, but the final decision will continue to rest with governing bodies.

  Q133  Sandra Gidley: Dr Taylor just mentioned Food in Schools and vending machines. I recently went along to a school meals week, and I was horrified by the menu, which were things like chicken nuggets, lots of high-fat food, burgers, and chips were on the menu most days. There was only one helping of vegetables available. You have an ideal opportunity to get children eating more healthily and it seems to be being wasted. What is being done to address this?

  Ms Watts: I would be very interested to know which particular school you were in, because there were some nutritional guidelines introduced in 2000 which are very clear about what school meals should consist of. There are four categories of food set out. First, starchy foods; second, fruit and veg; third, milk and dairy products; and fourth, meat, fish, etcetera, ie non-dairy proteins. The nutritional guidelines set out very clearly that two items from each of those four categories should be available every day and throughout the lunch period. So if there are particular instances where that is not happening, and that is not the offer that is being made to children, it would be very interesting to know about that.

  Ms Sharp: Could I add that I know the Food Standards Agency again is undertaking some research on school meals as well. Can I come back on the food labelling issue, having considered it? The FSA—and I am sure you may be considering whether to take evidence from them as well—has a Food Labelling Action Plan and is actively working in Europe to get more meaningful legislation, particularly on health and nutrition claims.

  Q134  Sandra Gidley: Mr McGivan, I am not sure it is entirely fair to ask you this question, as your remit is sport, but we only have one person from each Department. There has been a lot of media attention to the subject of advertising sugary, high-salt foods during children's television programmes. What is the Department's line on this?

  Mr McGivan: I will do my best to answer that. We are obviously aware of the issue. The Department's current view and the Secretary of State's view is that there is not a case in her mind at the moment for a ban on advertising of food products during children's programmes and so on. The ITC, as you know, has the power to deal with advertising it considers to be harmful to children. Under its regulations it can deal with advertising that misleads, makes unsubstantiated health claims, encourages excessive consumption or disparages good dietary practice. I think the Department's view at the moment is that the power rests with the ITC to deal with those issues if necessary. I understand that the number of complaints that the ITC received out of 8,000 complaints regarding advertising were 12 concerning what was described as "junk food." I am also advised by colleagues in the Department that, as you probably know, there is a Food Standards Agency report due out, a review on the current evidence of the effects of food promotion on children. I believe that is out later this year, in the summer. The Department's view therefore is to wait and see what that report says, and also what this Select Committee says on this issue. The Secretary of State did recently have a meeting with Debra Shipley on some of these issues as well, and I think has said that the FSA report will be something that she will be looking at very carefully.

  Q135  Sandra Gidley: So it is not a case of never say never.

  Mr McGivan: No, it is not a question of closed minds. That is the Department's view at the moment.

  Q136  Sandra Gidley: Very often the characters from children's TV programmes have become popular, such as Bob the Builder, and you can buy Bob the Builder chocolate bars, this that and the other. Is that honest?

  Mr McGivan: Under the regulations as they stand, that is a matter for the ITC to rule on, and it would be expected to do so. I would hesitate to give you a direct answer as to whether it is honest or not. Those issues are meant to be covered by the ITC regulations[3].

  Q137  Dr Naysmith: I want to ask Mr Ash one or two questions. What role does he think that planning has, and your Department has, in terms of setting criteria for local authorities, who make the decisions in the end, to promote things like healthy physical activity: cycle routes, walking routes and that sort of thing, particularly with inner city development, possibly new towns along the Thames, that sort of thing?

  Q138  Dr Naysmith: If there is pressure to make sure that children can walk or cycle to school, for instance, is that contained in the guidance?

  Mr Ash: Exactly. That is part of the guidance on transport, and in particular, you mentioned the plans currently around for major new developments in places like Thames Gateway and other locations. We have a guidance note on housing developments called PPG3, which says that local planning authorities should have clear policies for the protection and creation of open space and playing fields. New housing developments should incorporate sufficient provision where such spaces are not already adequately provided within easy access of new housing. It should not be viewed in isolation. There should be consideration of design and lay-out. It must be informed by the wider context, local patterns of streets and spaces, building traditions, etc, to help to determine the character and identity of the development. "As part of that, local authorities should adopt policies which promote designs and lay-outs which are safe, take account of public health, crime prevention and community safety considerations." There is a whole raft of policy which is being translated into plans that are produced at the local level. Those plans, of course, go through a process of public inquiry where people, including organisations such as Sport England, can raise issues if local authorities in a particular area are not delivering what is required, and of course the Secretary of State does have his own reserve powers in respect of intervention in plans and in terms of deciding cases called in or appeals made to him. There is enforcement, therefore, which seeks to ensure that those policies are delivered. Can I just mention one thing? We are in the midst of a fairly major shake-up of the planning system. We have a Planning and Compulsory Purchase Bill currently before Parliament. It does make changes to the way the planning system operates in terms of plan-making, for example, and one of the key things in that part of it is that local authorities will be required to produce annual monitoring reports in future, not just of the progress they are making in putting plans in place but also of the progress they are making in implementing the policies that they have got in place, so we will have a clearer view of whether these things are being delivered on the ground.

  Q139  Dr Naysmith: I was going to ask you about that. Is it being monitored and have you any view of how successful it will be? You have probably just answered that.

  Mr Ash: I think it will be better in the future. The position now in respect of all our policies and in accordance with general government policy is that we do evaluate those policies, we do try to monitor and we do try to carry out research which looks at whether the policies are being delivered, and that is an ongoing programme that we have. I am not aware of one which looks specifically at the issues you have mentioned, I am afraid.


3   See p. Ev 45. Mr Ash: We clearly do have a role in doing that. Just as background for members of the Committee, I know certain members will be well aware of the way the planning system operates, but the Department produces national policy guidance, which flows down into regional policy guidance and to local authority development plans. Local authorities are responsible for preparing development plans for their area, and they are responsible for taking decisions on planning applications, which have to be in accordance with their development plan. Those development plans have to have regard to the national policy set out by the ODPM. We have a system which cascades this policy down. As I said in response to an earlier question, there are elements of this which surface in various policy guidance notes in the planning policy guidance notes series, certainly in the one on housing, the one on transport, and the one on open space for sport and recreation, which is critical. To mention the last one, which is known as PPG17, it says in its objectives: "Open space, sport and recreation all underpin people's quality of life. Well designed and implemented planning policies for open space, sport and recreation are therefore fundamental to delivering broader Government objectives. These include health and well-being. Open space and sport and recreational facilities have a vital role to play in promoting healthy living and in preventing illness, and in the social development of children of all ages through play, sporting activities and interaction with others." Then there is "Promoting more sustainable patterns of development", "ensuring that open space and recreational facilities are easily accessible by walking and cycling," etc, etc. That particular document goes on, as I said earlier, to make recommendations to local authorities as to how they assess need, how they carry out audits of existing facilities, how they protect playing fields in the way I referred to earlier and how that translates itself through into plans. In many cases, the national policy statements are underpinned by good practice guidance. There is one particularly on assessing needs and opportunities for sport and recreation and how this is then taken forward by local authorities. It is a useful document to draw to the Committee's attention because it does include a number of case studies and good practice, where local authorities have through the planning system provided new facilities, have used things like section 106 planning gain agreements with developers to deliver through the planning system improvements to sport and recreation facilities. So there is a whole range of ways in which the planning system can do this. I will not go into transport and the guidance there is on walking and cycling, for example. Back


 
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