Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 1500-1512)

29 MARCH 2004

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

  Q1500 Mr Burstow: One of the things which was very interesting about the comparison between the Scottish and the English situation is that the standards in Scotland specifically bar the provision of fizzy drinks as part of a school meal in primary schools and do not encourage them in secondary schools and crisps as part of a combination of a meal option or a meal deal or a packed lunch are only to be offered twice a week, neither of those things are dealt with in regulations in England. Is that the sort of thing you think could now be encompassed in English legislation?

  Margaret Hodge: I know it sounds like I am avoiding the issue, we have asked for a review, we are carrying out the review, and the review will be with us shortly. I will make sure that the Committee is sent a copy of the outcomes of that review and we will have to see what it tells us. I think it would be wrong to prejudge it at this time.

  Q1501 Mr Burstow: Without prejudging it can you tell us whether or not the review will also be looking at nutrient standards in respect of school breakfasts?

  Margaret Hodge: No we are not looking at that because the school breakfast is not part of the statutory entitlement of children in a school day, it is an addition. Over time it might be interesting to see how the development of breakfast clubs changes that, at the present time we are looking at the statutory mid-day meal which is provided in schools on a statutory basis, not the non-statutory services.

  Q1502 Mr Bradley: Talking about fizzy drinks in primary schools and accepting your point that it is up to the headteacher to make the decision, when you visit those schools and you see fizzy drink vending machines in primary schools and you have a discussion with the head about it and what sort of arguments do they put to you in favour of having such machines in their schools?

  Margaret Hodge: Interestingly enough I rarely see them in primary schools, they are much more often seen in secondary schools, so I do not really enter into that discussion very much. In the secondary school context we talk about the educational benefits and disbenefits of having that there and they put their arguments to me. If you can see it in that context in the same way this Committee has been influenced to have an inquiry into obesity and the factors which lead to growing obesity amongst children I have no doubt that headteachers being commonsense individuals are thinking about very similar issues within the confines of their schools. The only other thing I would add is remember that much of this was introduced at a time at very, very poor school funding. In the last six or seven years the huge increase in investment in school funding has eased the burden on headteachers to manage within the budgets they are given.

  Q1503 Mr Bradley: There is no need for them to have them at all!

  Margaret Hodge: I am not going that far, I am leaving it for them to decide.

  Q1504 Dr Taylor: Going back to the importance of weight monitoring in schools, I have read today of a Diabetes UK conference recently where one study was published of seven year old children and I think 20% of these were overweight or obese and one third of the parents of the girls and half the parents of the boys all felt that the weights were about right, they did not even notice the problem. I would have thought, and would agree, that really weighing children in school would at least bring home to parents that there is a problem that they need to take note of.

  Margaret Hodge: Resources will always be constrained however generous a Labour government is. The only question I was posing to the Chairman when he raised this is even if we managed to get additional health resources into the school environment the use of those for universal testing is the most appropriate way to employ those resources. All I am doing is posing that as a question rather than providing you with an answer.

  Q1505 Dr Taylor: It struck me the resources are there, is it about the amount of time it would take to weigh the child and record it?

  Margaret Hodge: There are far fewer school nurses today than there were ten years ago. We are down to 2,000, maybe 4,000 it is a tiny, tiny number of school nurses now.

  Q1506 Jim Dowd: Why do they not weigh them in the class once a week or once a month and give them a little card they can take home, that does not have a major resource implication?

  Margaret Hodge: It depends on whether you want to do it on an individual or on a class basis. There are children who are obese who feel very self-conscious about it and weighing in a class is not probably the most appropriate way to make them feel confident.

  Q1507 Jim Dowd: I am not saying in front of the whole class, you could do it confidentially.

  Margaret Hodge: If you do it confidentially you take them outside the class and you will have the teacher spending his or her time outside the class weighing. If it is taken as a class activity as part of developing their numeracy skills I do not think that is the most appropriate way of trying to tackle obesity.

  Q1508 Dr Taylor: It was on our report when I went to school, your height and weight were the first things on the report, it is very valuable.

  Margaret Hodge: If you were like me and you were slightly overweight you felt terrible about that, absolutely terrible.

  Q1509 Mr Burstow: To pick up on one final question which comes back to one of the questions we were asking about the role of Ofsted in respect of teaching nutrition, what assessment has been made by the Department as to the extent of which basic domestic science is still being taught in schools given we have received some anecdotal evidence to suggest that generations coming out of schools now have a far lower basic knowledge of how to cook and as a consequence of that are driven increasingly to rely on processed foods and the microwave to meet their dietary requirements?

  Margaret Hodge: Even those who learned to cook at school are not taking as much time to cook in the home as adults as our parents did for us. Food technology, as it is known today, is on universal offer in every primary school and it is available in 90% of our secondary schools, it is widely available. About 100,000 young people every year take a GCSE in food technology. The availability is there. It is a compulsory element in the curriculum for primary school children. Interestingly enough if you talk, as I do, to 14 and 15 year olds who have undertaken a much more modern curriculum than we have I think you will find that there is a link. In our days we were not really taught about the ingredients and the nutritional content, or otherwise, in any great detail or the impact on our health. That link between being able to cook and linking it back into the healthiness of the ingredients you choose to cook is much stronger today than it was in the past, in some ways it is better than it was.

  Q1510 Mr Amess: We just wanted confirmation that the two ministers are pleased that the Health Department are taking the lead on this issue?

  Tessa Jowell: Absolutely.

  Margaret Hodge: I could not do my job if I did not work across Government.

  Q1511 Chairman: Can I raise one issue, you mentioned parents, one of the things which has surprised me throughout this inquiry is the limited evidence we have had on the connection between alcohol and obesity, do you have any thoughts on the connection between alcohol consumption and obesity? What factors in relation to obesity, taking into account the development of the Government's strategy on alcohol, are being taken into account?

  Tessa Jowell: The Home Office is leading on that.

  Q1512 Chairman: I appreciate that.

  Tessa Jowell: I think you have to get the information from them. Alcohol is highly calorific and there are the risks of young people not eating a proper dinner, going out drinking too much, getting into all sorts of trouble. These in a sense are clinical issues that I think you would be better served by getting a considered response from the Chief Medical Officer. As you will be aware, as a Government generally we have got a lot of cross-government inter-departmental action to tackle alcohol and anti-social behaviour. My Department has led on the new licensing laws which will tackle anti-social behaviour and improve the protection of children.

  Margaret Hodge: Alcohol education is part of the PSHE curriculum and it is one of the standards for the healthy school standards work. It is pretty integrated to the approach we are taking round encouraging children to grow up in a healthier way.

  Chairman: Can I thank you both and your two colleagues for your evidence today, we are very grateful to you. Thank you very much.





 
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