Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 160-168)

12 JUNE 2003

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

  Q160  Sandra Gidley: Have you any influence over county councils who very often have a large transport budget but my local county council, the last time I looked, only devoted one per cent of the budget to providing cycle runs. Are there any incentives that can be given to county councils to improve that?

  Ms Hayes: I think performance on cycling is one of the things that is taken into account in assessing the performance of all local authorities on transport generally. There is an expectation in the Department's guidance on local transport plans that all authorities will produce a cycling strategy and we monitor what they are doing in terms of what they are spending on cycling. The national picture is of a steady upward trend on expenditure on cycling from £28 million a year in 2001-02 to a projected £37 million a year in 2004-05, so across the country as a whole you can see an increased level of activity on provision for cyclists. Getting down to the individual authorities, the key thing will be the process I was talking about a moment ago of the auditing that had been carried out by the individual regional champions for the National Cycling Strategy Board because that will give us a much clearer picture than we have had up until now of how adequate provision being made by individual authorities is for cyclists in their areas. Once we have got that information we can reflect that back to the authorities and challenge them to do more both through the formal structures of the local transport planning process but also as a more individual engagement.

  Q161  Sandra Gidley: Given that we want to increase cycling, I am aware that there has been a cycle helmet promotion recently which I have received a couple of letters of concern about. The website and the pictures seem to have some quite frightening pictures and concern has been raised that one or two are counter-productive and might deter people from cycling. Who did you consult on this programme and what are you doing to review the effectiveness of it?

  Ms Hayes: The Department's view is that cycling is not a dangerous activity but that if people are going to cycle we would prefer them to use helmets. The campaign that our road safety specialists have launched is targeted at a very particular risk group which is boys who are in their early teens. When this was tested on focus groups of boys in their early teens the message that we got back was that they did not find the images scary; they thought they were funny, so I think there is a misperception in that what is funny to a teenage boy may be scary to an adult audience. There was some very careful testing done about what this campaign would do in terms of influencing behaviour and there was an overwhelmingly positive response back, certainly from parents, that it was a good idea to have a campaign which was targeted at that very specific groupm which is much less likely to wear helmets than any other group, and that the campaign that we had come up with would be effective in doing that.

  Q162  Sandra Gidley: You tested the campaign on teenage boys. Did you, for example, also test it on parents and teachers and, bearing in mind that teenage boys often have younger brothers and sisters, did you also test the programme on a different age group?

  Ms Hayes: I am not sure we tested it on teachers. We certainly tested it on teenagers and parents. I would have to come back to you on whether we tested it on potential brothers and sisters as well. The way in which the campaign has been marketed is through publications which have a fairly narrowly defined target audience, so we are looking to get the 12-year old, the 13-year old boy who is absolutely dead against wearing a cycle helmet. He is the person that the campaign is intended to reach.

  Q163  Sandra Gidley: Have we done any research as to whether wearing a cycle helmet does reduce the overall injury rate, because there are also concerns that it could increase risk-taking behaviour because people feel safer?

  Ms Hayes: That is an issue on which there are lots of different conflicting views. The Department's considered view is that overall you gain more from wearing cycle helmets than you lose.

  Q164  Sandra Gidley: Ms Watts, what is the Department of Education doing and what advice are you giving to schools, LEAs, to promote walking to school and cycling to school?

  Ms Watts: The Department for Transport and the Department for Education and Skills are working at the moment on a paper to think about in the broadest terms the issues associated with home-to-school transport and trying to tackle those issues, and we hope to be producing something probably for consultation over the summer period to try and open the general debate. The Department, though, in addition to that is certainly encouraging schools to develop school travel plans and to work with the staff which Ms Hayes was talking about being funded through the Department of Transport at a local level to develop school travel plans. One of the other things the Department has done is that we have established and developed some software to support schools in setting up walking buses and car sharing schemes so that it is very much easier to do that at a school level and is not an additional burden for administrative staff within the school. In the exemplar school designs that the Department issues to all local authorities and which are available to all schools there are certainly elements in there for cycle sheds and those sorts of things which are often a problem when youngsters want to take a bike to school but actually there is nowhere to leave it.

  Q165  Sandra Gidley: Are there any particular examples of good practice that you could direct us to?

  Ms Hayes: Yes.

  Q166  Chairman: Ms Sharp, do you want to come in?

  Ms Sharp: I was going to come in on a couple of other transport examples within our national service framework for heart disease. The NHS has developed green travel plans and we have, with the Department of Transport, funded a number of seminars for the NHS on that so that would focus on older people as well as general patients, and also we have an expert patients programme which reaches out to 200 PCTs and picks up people's engagement in managing their own condition and links into exercise.

  Q167  John Austin: Having just done inquiries into smoking and sexual health, there may be some risk in re-introducing cycle sheds. Can I put a final question to our health representatives? We talked earlier about social class differences and inequalities of health. Could I raise the race and ethnicity issue as well because it is quite clear from the evidence you have given us that not only are there higher rates of obesity amongst certain ethnic groups but also that risks are triggered at a lower level among some Asian groups, for example. Often it is those groups who may have poorer access to primary care facilities either through ignorance or indeed institutional racism. Is the Department doing anything to look at examples of good practice in those PCTs who may have populations at risk so that you can roll out something for them?

  Ms Sharp: We are not doing anything specifically on obesity but in terms of access to the health services certainly we have an inequality strategy unit that picks up access issues in terms of the overall Health Service. As you know, we also have inequalities. We have produced a cost cutting/spending review document and also have a forthcoming document with a delivery plan in terms of tackling health inequalities across government which will, I think, put some focus through the NHS as well as through other local services on tackling health inequalities.

  Q168  John Austin: Is that likely to be out in the course of this inquiry?

  Ms Sharp: Yes. It is also imminent.

  Chairman: Can I express the thanks of the Committee to all our witnesses for a very interesting session? We are most grateful to you.





 
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