Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 700-719)

13 NOVEMBER 2003

MRS CILLA SNOWBALL, MR BRUCE HAINES AND MR ANDREW BROWN

  Q700  John Austin: Presumably they are asking their age for a reason.

  Mr Haines: I think they ask their age because if a child is under 14 it would be sensible to make sure that there is some parental control over it.

  Q701  John Austin: The information is not used for marketing purposes.

  Mr Haines: (Instructions received) This is from my advisor: Kellogg's have to ask parents for permission first.

  Q702  John Austin: I am sorry?

  Mr Haines: The children have to ask their parents for permission first before they can enter anything into the site.

  Q703  John Austin: You have a mechanism for checking that they have done so?

  Mr Haines: I understand that is the case.

  Q704  Chairman: I find this interesting. In our household, we certainly have one parent who is computer illiterate, who would not have a clue what is going on. My children are somewhat older than that age group but, going back a few years, I am just not quite sure how that would work

  Mr Haines: As I understand it—and I would admit to not being absolutely up-to-date myself here—the——

  Q705  Chairman: You can get back to us on this, Mr Haines.

  Mr Haines: I think I should get back to you.

  Q706  Chairman: It is an important issue.

  Mr Haines: I absolutely accept that it is a crucial issue and, rather than bumble through the wrong answer, I would rather give you the facts.

  Mr Brown: I think it is also an issue that is being reviewed at the code level, and there may be some information that I could provide.

  Q707  Chairman: Is that within your industry you are talking about?

  Mrs Snowball: Yes.

  Mr Brown: Yes.

  John Austin: Kids do not have their parents' consent when they log into paedophile chat rooms, do they, so I do not see how you can have any knowledge at all as to whether children have their parents consent.

  Jim Dowd: And we are not saying the CocoPops' site is a paedophile chat room.

  Q708  Chairman: Would you come back to us afterwards.

  Mr Haines: I will come back to you, yes.

  Q709  Dr Taylor: Coming back to health education—and we have sort of touched on it a bit, but in a bit more detail—I am delighted to hear, as we have heard from other people that the industry—the advertising industry, the food industry—wants to help the situation. I think you put your finger right on it, Mrs Snowball, when you said that fruit and vegetable producers do not have high advertising budgets. When we contrast the amount spent on food advertising—we are told it is something like £600 million a year, and the amount spent on public education, something like £2 million per year—it is a tremendous contrast. Really, you have put your finger right on one of the problems. Could I turn to Mr Brown's paper, where you did a bit on how effective are the structures for health promotion. You said that targets need to be kept realistic; messages need to be kept simple and relevant. Could you give us some idea of what sort of targets you were thinking of and what sort of messages?

  Mr Brown: That is me, I think, is it not?

  Q710  Dr Taylor: Yes. It is on page 5.

  Mr Brown: The first submission.

  Q711  Dr Taylor: Yes.

  Mr Brown: Thank you. This is the Charles Gallichan paper which that refers to. What Charles was saying when he was running the Health Education Authority was that there was a terrible tendency for people to come in and do something, think, "It is done," and then leave it. The great lesson of "Drink-Drive" was the 25-year commitment to doing it, and the combination of stick and carrot and the breathalyser laws. The whole thing was a very well worked out package. His advice was: Don't think that any of these problems are easily resolved. I think this is an issue of such complexity that we should be looking at a 40-year campaign rather than a 20-year campaign. We are probably living now with the problems that were caused in the eighties rather than the problems caused last week, but there is a whole series, and we need to sit down . . . That is what I mean by realistic targets. I think the industry needs to work together in a joined-up way and challenge joined-up government to help it to devise long-term solutions to try to tackle the issue of obesity. I do not think there are any short-term fixes that are anything other than simplistic.

  Q712  Dr Taylor: Is there anything like the Colorado on the Move study going on in this country? They have got it down to realistic targets: if you can cut your intake by 100 calories a day, and increase your output, your use of energy, by 2,000 steps a day (100 calories) at least you will level out the problem. Is there anything like that going on?

  Mr Brown: Not that I have seen.

  Mr Haines: I was associated with a campaign, working with the HEA some years ago, which attempted to do that, but there were just such insufficient funds put behind it that the message did not really get across.

  Q713  Chairman: Could you tell us a bit more about that. I would be very interested to learn about that experience—and you might want to follow up with some information.

  Mr Haines: I can certainly give you some information on that. It was a campaign which effectively was trying to persuade people that if they could raise their heart levels for a period of about 30 minutes every day, once a day, then it would have a substantial positive impact on their overall health. The campaign was successful in terms of recall of the message, but such were the funds behind it that, as soon as the campaign stopped, then awareness of that as a potential benefit faded away.

  Q714  Chairman: Basically, you would support Mr Brown's argument that to do it effectively it has to be a very long-term programme.

  Mr Haines: Yes, it has to be a simple message and consistently communicated.

  Mrs Snowball: We have some relevant experience on other safety and health promotion campaigns, both in terms of anti-smoking and road safety. We started the "Think" campaign that you mentioned earlier. I have a couple of observations about campaigns like that, which I think are going to be critical to cracking this problem. I think, as Bruce said, the language has to be very, very simple. If we are trying to address "calories in/calories out" we have to have some unification in the messages, so that people really do understand that message coming through loud and clear from all parties in this debate. I think we have had quite a bit of success on relatively low spends. I think more important than the absolute level of spend is the fact that these spends are sustained over time. On projects like rear seatbelts, for example, we had very, very low, modest advertising budgets, but we were able to create an immediate effect and resonance in behaviour-change programmes because that budget was sustained. Having said all of that, with obesity and overweight behavioural change is hard. It is hard for people to give up smoking, to lose weight, to get into an active lifestyle, and we have to provide all the support in terms of carrots and sticks to help people address the problem. It is not easy. It does not happen overnight. If you are the person who is overweight, it is going to take time, and you need help and you need very simple advice. I think this is absolutely critical to cracking this problem.

  Q715  Dr Taylor: With your interest in increasing exercise levels and the large amounts of money that you have, would you be prepared to sponsor step counters for children at school and things like that?

  Mrs Snowball: We are very happy to discuss with our clients any initiatives that are going to contribute to solve this problem. I was at the session last week and heard the debate about the price of pedometers. You have to make that fun, for people to get engaged. We cannot be too worthy about this.

  Q716  Chairman: You have converted Mr Bradley since last session. Look at him now!

  Mrs Snowball: Congratulations.

  John Austin: Dr Taylor has acquired a different brand of pedometer.

  Jim Dowd: He is marketing them.

  Chairman: Sorry.

  Q717  Dr Taylor: Do you make efforts actually to convey nutritional information with the advertisements? One of the things we will be taking up is that food labelling is really not good enough. Advertising including the amount of salt, the amount of calories, the amount of sugar, the amount of fat, do you cover that at all?

  Mrs Snowball: We do not cover it in the advertising, but our clients cover it very extensively on pack. In advertising, typically, you are dealing in a currency of a 30-second time slot or shorter, and I think you need to see this information in context. So, no, we do not have salt and fat content in advertising at the moment but we do work closely with our clients on getting those messages across on packs.

  Q718  Dr Taylor: Somehow the tobacco manufacturers have the stark words "Cigarettes Kill". I do not expect you to put that on, but could you emphasise when something does have a particularly high fat or salt content?

  Mrs Snowball: I am not sure that warnings on ads are appropriate if the essential tenet is that the products are not dangerous in the first place. But I think there is a place for nutritional information, expressed clearly in words that we can all understand and see and grasp in a two or three second time frame when we are looking at the information as parents in stores.

  Mr Haines: Kellogg's do sponsor the Colorado on the Move programme. If there is any evidence I can get from them, I would be delighted to send it to you.

  Chairman: At some point, in my packet of cornflakes I might find a pedometer! Think about that one.

  Q719  Jim Dowd: Only if it is child week, would you find that. Mr Brown, you mentioned in an earlier answer the Code of Advertising Practice. Beyond national requirements in different countries, the industry is essentially self-regulating. Could you tell us how it actually operates. How is the code invoked? What happens to people who transgress?

  Mr Brown: We are talking about non-broadcast advertising.


 
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