Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 1420-1439)

29 MARCH 2004

RT HON MARGARET HODGE MBE, MP, MS MELA WATTS, RT HON TESSA JOWELL, MP AND MR PAUL HERON

  Q1420 Mr Amess: I have to say I am surprised and disappointed because fast food advertising right now is having a huge impact on our children's lives, I have no doubt at all about it.

  Tessa Jowell: What is your evidence?

  Q1421 Mr Amess: I would like to develop the point a bit. Pay 30p, get a bigger size: many of us with children can see the impact and it is not so easy to keep saying no to children with the huge influence of their friends. This is happening right now and you are talking about waiting until the summer and this is not for another three or four months. What I am surprised about is in the interview you agreed about the damage but why can there not be an interim moratorium about it because it is real, it is happening now? In America, and I am sorry to keep on about it but whatever happens in America seems to find its way over here, we just could not believe the state of children and young people and fast food in particular was very, very damaging. Secretary of State, I applaud all of your intentions but it is just that it is happening now. I cannot really see the reluctance unless there is some reason, that we are upsetting people, as to why we cannot take action now.

  Tessa Jowell: I do not think any of this is motivated by upsetting, placating, reassuring or making anybody particularly happy. The Government's consideration in relation to this, and my consideration in relation to this, is motivated by one thing and that is getting the right policy that will have an effect and that will put us at the forefront of countries that are tackling what is very much a western disease. That is the first point. The second is that were I to come to you and say, "I have just read another thing in the paper about the effect of advertising and so forth, so forget the fact that I have asked the regulator to report and review the evidence, forget the fact that we have our principal body that advises on food undertaking one of the most rigorous analyses of the impact of promotion ever, I know better than any conclusions they will draw, I have decided that we will ban it", you would say that is irresponsible and damaging, and you would be right. That is why I think it is important to wait until the summer and then reach conclusions on the basis of evidence. This is an area, like many, many areas in this broad public health field, where it is very easy to react on the basis of emotion and instinct, but what we have got to do is to root these policies in evidence and we have to be clearer than we are now about the respective balance in putting together our strategy, to pick up Dr Taylor's point, between the promotion of exercise, the promotion of a healthy diet and the impact of advertising. Also we have got to have a strategy to act in relation to the glaring social class inequalities here. Just to add to what Margaret said, that is why our school sport partnerships are being implemented in the first instance in the most deprived areas, to give those children who are likely to get least exercise, least sport, the first chance.

  Q1422 Mr Amess: It really is not the case that no action is being taken because the Government is afraid of being accused of running a nanny state, that is not an issue at all?

  Tessa Jowell: I think it is the Opposition that most often raises that charge. No, we are not afraid of Opposition charges or anybody else's charges about the nanny state. We could get into that discussion about the respective responsibility of industry, of the individual and families, and the Government, which again tends to provide an intellectual structure for a lot of public health policy. No, we are not doing this out of anything other than a determination to get the policy right.

  Q1423 Mr Amess: I have listened very carefully to what you have said and we are in recess in the summer, we will see what happens when we return in September. You did ask me earlier for my evidence. The evidence that we saw in the United States of America could not have been clearer. They are practically giving the food away with no consideration for the damage it is having on our children. It does not add up. We are told, on the one hand, that the Government was not just prompted to do something about obesity because of the Health Select Committee inquiry, they have been anxious about it for two, three, four years, but I am still just a bit puzzled now that the fact that it is make your mind up time and something has got to happen that we are being terribly cautious. Everyone everywhere can see the evidence that children in particular are getting fatter. Why on earth are we all going round with these pedometers, and I am delighted that we are going round with them, and when it comes to the scores some of my colleagues will ask other questions? I just do not buy this idea of where is the evidence and we have got to wait. For the Committee it is very, very frustrating.

  Tessa Jowell: One of the things I am sure you understand is children's lives, and particularly their leisure time, are much more sedentary and you can see that trend over the last ten years. Whereas ten years ago children may have been running around the playground, now they are in front of their Play Station. That is why such an important part of our response to this is to re-engage children in sport and to re-engage children in sport by having good teaching and first class facilities. In those school sport partnerships that have been established now for three years, the positive results are beginning to show.

  Q1424 Dr Naysmith: Secretary of State, since David has raised advertising so forcefully can I ask a very quick question of you. It is really about your personal views. Both here and in America we have had evidence from advertisers and so on and they all tried to convince us that advertising is not about expanding the market for their product, in general terms it is about brands and promoting one brand against another. I think that is just a load of nonsense, it is about promoting totally whatever amount of product we are talking about, whether it is tobacco or fast food or junk food. I just wonder what do you believe on that when advertisers come and tell you, as they tell us, that all they are doing is trying to get a bigger share of the market for their brand when, in fact, what they are doing is trying to create a bigger market?

  Tessa Jowell: I suspect in practice it is a bit of both. What they are trying to do is to get you to buy Galaxy instead of Cadbury's milk or whatever it is, but they are also trying to increase overall levels of consumption, of course I understand that, but that does not detract from my earlier point about the message that attaches to that which should be one which is focused on healthy eating and healthy lifestyle, how much exercise you have to take to burn this off, all that kind of information. That is the way in which we should be directing this.

  Q1425 Dr Naysmith: There are millions, sometimes billions, being spent on that side and on the other side we are spending hundreds of thousands to tell them to eat healthy. It does not compare, does it?

  Tessa Jowell: That makes my point, which is why we should tap into the millions of advertisers to invite them to join with us in pursuit of this campaign for healthy eating and healthier lifestyles and for the reasons that I was trying to set out in answer to John Austin's questions, the market pressure and consumer pressure, and I believe that the time is right for that.

  Q1426 Chairman: One issue that we are struggling with in terms of our final report is this polarised view of regulation on the one hand and on the other persuading the food and drink industry to take this matter more seriously. I was rather surprised to see a new product, the Mars Delight, launched recently which seems to completely fly in the face of all the current thinking about the calorie content of products. Do you feel that is significant at all, that a particular major player in the market, at a time when there is perhaps more debate publicly than ever before about the calorific content and obesity issue, chooses to market such a product at this stage? Were you surprised? In a sense does it influence your thoughts as to which direction we need to go on this polarised regulation or free market sort of approach?

  Tessa Jowell: I do not really think I can comment on that. I have not seen the promotion. I assume that these promotional campaigns have a long gestation. This is an issue which in the minds of public interest has become very salient in the last six to nine months, in large part because of the work of this Committee, although it is a problem that I was aware of as Public Health Minister four or five years ago. I do not think I can make any comment on that.

  Q1427 Chairman: It is not so much the promotion, it is the launching of such a product. Your point, which I accept, is that we need to get the industry to be more responsible, and to some extent there is evidence that some parts of the industry are being more responsible, and yet we see the launch of this completely new product, the calorific content of which is frankly quite frightening. It seems strange that in this political environment when people are aware of the obesity question, the calorific content, that a major player launches such a product against that background.

  Tessa Jowell: I am afraid I have not tried the product so—

  Chairman: It would not be helpful to your pedometer.

  Q1428 Mr Burstow: Can I ask a couple of points. The first is just a process question. You mentioned that you have got two pieces of evidence you want to consider in terms of advice from the FSA and Ofcom before you come to a view about advertising. Will the conclusion that you reach be an input into the White Paper or will it be a separate matter that will be reported and dealt with by yourself on a separate basis?

  Tessa Jowell: Certainly it will be dealt with in the White Paper. We are in discussion at the moment about precisely how we handle all of these pieces of advice. John Reid will obviously want to take a view about the extent to which the White Paper is an omnibus as opposed to setting an overarching structure for public health generally. Remember, obesity is part of the Public Health White Paper, it is not all of the Public Health White Paper. The two studies that I have referred to relate specifically to the concern about obesity. We are in discussion about that. I can assure you there will be a synergy between the Public Health White Paper and the decisions that I, as Secretary of State, have to take.

  Q1429 Mr Burstow: I will move on to the other thing I wanted to ask you about. You were talking about the need to try and strike a balance in terms of the power of the industry to promote its products but at the same time harnessing that power to promote positive healthy messages. In terms of the work the FSA has been doing so far, in their last main board consideration, they seemed to come down against the idea of a ban on advertising as such but instead advanced the idea that there needed to be some mechanism put in place to enable a balance to be struck in advertising both of unhealthy products or products of one sort or another, and getting across messages about health products as well. Do you think that is something that can only be achieved through consensus and agreement or do you see a role for regulation if consensus and agreement cannot be arrived at in terms of striking that balance?

  Tessa Jowell: In a sense this is a process answer to your question. If it is clear that on the basis of the evidence the FSA submits to us that the evidence base on which policy can be built is clear and established we will then proceed in the way that I have outlined, pursuing policies in relation to healthier diet and exercise. I think you always have to be prepared to say that if a voluntary approach, if agreement between the parties, is not going to produce results then you move to regulation, but that does not mean that you leap to regulation in the first instance. My sense, and I hope I am not disappointed, is that there is a willingness among the food industry to work with us on this. It has been brought about as a result of the consumer pressure that I referred to earlier. We have to go with that and we have to try to get that willingness to deliver for us the change about which I think there is broad agreement.

  Q1430 Mr Burstow: I have got two more questions. One comes out of the things you were saying earlier on in answer to questions from the Chairman. Do you think it is possible and desirable for the Government in its White Paper around the issue of obesity to be setting targets first and foremost to stabilise the obesity situation and then, secondly, to reverse it? If you agree that that is a reasonable proposition, what sort of timescales do you think would be acceptable to enable at least the stabilisation of the problem?

  Tessa Jowell: I think you need an epidemiologist to advise you on that. You need to get the policy right and that is our job, advised and based on the evidence. Rates of decline and so forth are things which you need public health specialists to advise on.

  Q1431 Mr Burstow: They should be helping to frame the White Paper.

  Tessa Jowell: I am sure they will be.

  Q1432 Mr Burstow: My last point is to come back to Ofcom and their role in respect of taking some aspects of the codes and so on that are currently being reviewed. As I understand it, there is a proposal to franchise out advertising regulations to the Advertising Standards Authority, which is an organisation run by the industry. Do you share, or understand at least, the concern that some would have about that franchising out, seeing it very much as putting profits before the interests of people rather than dealing with a proper regulatory framework for the industry?

  Tessa Jowell: That is an unsustainable parody of what we are doing. What we are putting in place is exactly the same as is currently in place for billboard advertising, newspaper advertising, for broadcast advertising, for the televised content of broadcast advertising. It is what we call co-regulation. In other words, there will be a code that will be binding on the advertisers, they will have to comply with it, and we have made it absolutely clear that if the voluntary code fails then we will put it on a statutory footing. The statutory position is a default that we would go to in the case that the co-regulatory approach, which we are applying at the moment, did not work and provide sufficient levels of protection.

  Q1433 Dr Naysmith: We are moving away from advertising for a little bit, you will be pleased to hear, we are going on to talk about sport for a bit. Jon Owen Jones earlier referred to something that has come up quite a lot in our inquiry and that is that overweight and obese children are often excluded from sport on the grounds that they will never make the first team. That applies at school and sometimes in community sporting facilities as well. You mentioned in the South West there is a programme to try and encourage more community involvement and the involvement of people who are never going to be stars but would enjoy sport. It is true, the South West people were up here a couple of weeks ago and I was very impressed with what they were doing. They are doing it together with the funding groups. I wonder if you could expand a little bit on how you hope to roll this out over the rest of the country and make sure that it is a really well-grounded programme because when we are talking about an Olympic year and that sort of thing there is going to be that kind of focus and it could take away from it.

  Tessa Jowell: Olympic Year and the Summer of Sport which will run across the country up to the Olympics is about engaging young people in activity, not in being champions. You have to see this a little like a pyramid, in that the vast majority of physical activity and sport is played by young people who will never ever be champions and do not aspire to be champions. People like me—I was never going to be a champion but I loved playing sport. That is the first objective, to get children more active at school and to get them to get the sport habit while they are at school and to continue to be active once they leave school. Within that, there are a series of initiatives which are intended to enable children to be as good as they can be, so to move from just running around the playground kicking a ball through the School Club Links programme to joining a football club and to move from that, if they show real aptitude, on to a talented and gifted programme. As they move into further and higher education and they really are outstanding at netball, football or track athletics, being a member of the Talented Athlete Scholarship scheme which settles a sort of dowry to meet the costs of high-performance training: coaching, nutrition, sports psychology and travel costs. Then we have the World Class Start Potential and Performance programmes which are run for our really elite athletes. What we are doing is promoting participation, rolling out what will be, in time but not yet, a universal programme but allowing children to progress to whatever level they are capable of achieving within that.

  Q1434 Dr Naysmith: Also, it is part of the policy of the Government that the sale of school playing fields is being restricted and I just wonder how you think that programme and that policy is working and also, in replying to that, how are the funds from the New Opportunities Fund being distributed and made use of and is it possible to recoup the fact that we have lost a lot of school playing fields in the past?

  Tessa Jowell: To take the point on playing fields, as you rightly say, no playing field is now sold until it has been through a process of scrutiny, in the first instance by Sport England or the Secretary of State for Education who will determine whether or not this is a playing field that is of sporting importance. The latest figures, which I published about a month ago, showed that only 8% of sales proceeded where the playing field in question was of sporting importance. Where the playing fields were sold—and I have to tell you that, in many cases, the best thing that can happen for a school is that their playing field is sold and the money is reinvested in modern state of the art facilities—in the last year for which I published figures, the money raised was reinvested and produced new facilities. It produced 489 new or refurbished sports facilities to an investment value of £268 million. That is about 50% more than the Lottery spends on sport altogether. So this is not a sale of playing fields programme, dereliction of duty and all the rest of it, this is an investment in 21st century facilities and an investment that is running at close on £300 million. When we talk about participation and how you get kids involved and how you get them continuing to play sport, the problem is that children today will not play on unlit, muddy pitches with no changing facilities, no hot showers and all the rest of it, but, if you provide modern facilities, the kids will use them.

  Q1435 Dr Naysmith: That happened in my own constituency: in Monks Park School there was a new sporting facility which replaced the playing field and it is excellent. How are these investment decisions taken about what happens to the money in individual cases?

  Tessa Jowell: The decisions are taken by the schools.

  Q1436 Dr Naysmith: Perhaps Margaret Hodge would like to come in as she has been sitting there very quietly.

  Margaret Hodge: They have to reinvest the money, there is no choice, in sports facilities and any sale of school playing fields does have to have the outright permission of the Secretary of State for Education and can only take place if there is a reinvestment in sports facilities. So, it cannot go anywhere else, which is why we are getting these very good figures that Tessa is publishing.

  Q1437 Mr Burns: Ministers, I genuinely do not want to be unhelpful but, as you have both mentioned the New Opportunities Fund, there is something I do want to raise with you for some clarification. As you will remember at the Labour Party Conference in 2000, the Prime Minister said that £750 million would be used from the New Opportunities Fund over the next three years for expenditure on sports. Could you explain to the Committee why, in 2004, only £8.5 million of that money has actually been spent.

  Tessa Jowell: Because this was launched as a five to six year programme.

  Q1438 Mr Burns: He said that £750 million from the New Opportunities Fund will be spent in the next three years amongst sport.

  Tessa Jowell: —will be allocated over the next three years, that is absolutely right.

  Q1439 Mr Burns: Yes, but only £8.5 million has. Why? We are now in year four.

  Tessa Jowell: The programme is now ahead of schedule.


 
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