Select Committee on Health Written Evidence


Memorandum by The National Federation of Women's Institutes (WP 26)

  The National Federation of Women's Institutes (NFWI) is the UK's largest national voluntary organisation for women. It has some 215,000 members, in 7,000 Women's Institutes across England, Wales and the Islands. It is an educational, social and non-party political and non-sectarian organisation that particularly represents the views of women in rural communities.

  The NFWI has a long-standing history of commitment to improving the nation's diet and health, particularly regarding food and sustainability issues. Each year the NFWI passes a number of resolutions, which form the focus of its campaigning work. At the NFWI's AGM in 2003, WI members passed a mandate by an overwhelming majority, which states:

    "This meeting views with concern the increase in obesity and diet-related health problems in children, and the associated risk of chronic disease in later life, and urges HM Government to regulate the promotion to children of foods that contribute to an unhealthy diet and to ensure increased opportunities for exercise and practical food education in schools."

  The NFWI welcomes the opportunity to submit comments to the Health Select Committee about the effectiveness of the proposals contained in the Government's Public Health White Paper Choosing Health: making healthy choices easier (November 2004). The NFWI made a detailed response to the Public Health White Paper consultation; the response represented the views of the 202 responses received by the NFWI Public Affairs Department, which in turn represented the views of 706 NFWI members. The summary of our submission is included in Annex 1.

  WI members strongly support a ban on the promotion of food to children that can contribute to an unhealthy diet. The White Paper acknowledges the problem of food promotion to children. However, it has proposed only to strengthen voluntary codes of practice rather than introduce robust legislation. The NFWI believes that this response is both weak and insufficient. WI members feel strongly that voluntary codes will not suffice in curbing industry's advertising power over children's diets and it would like to see the Government put firm legislation in place. The NFWI believes that regulation would be a cost effective way of protecting the nation's public health.

  The White Paper states that it will monitor the success of such voluntary measures and will assess their success in 2007 (p 36, para 58). The NFWI believes that this action is too little, too late! It believes that the continued resistance from most within the food industry to acknowledge its role in the problem suggests that industry will, again, object to and then ignore the Government's proposed voluntary controls. The NFWI believes that an alternative approach would be that suggested by the Children's Food Bill, which was presented to Parliament by Debra Shipley MP in May 2004 and is coordinated by Sustain. The purpose of the Bill is to improve children's current and future health and prevent the many diseases that are linked to unhealthy diets by protecting them from commercial activities that promote unhealthy food and drink products.

  In schools, the White Paper states that the Government would like to see schools provide food education and skills, promote healthy food and restrict other option. However, there is neither indication of how this will be achieved, nor of what will happen if schools do not follow this advice (p 57, para 54). It states that the Government "will strongly consider introducing nutrient-based standards" for school meals (p 58, para 57), but again there is no commitment given to do so. The NFWI would like to see concrete implementation proposals to support these statements.

  The Food Standards Agency's Review of research on the effects of food promotion to children (2003) clearly establishes that food promotion has a direct effect on children's food preferences, purchase behaviour and consumption. It is, therefore, of great concern that the Government's Public Health White Paper relies on voluntary measures and suggested policy action for the future rather than firm commitments for policy change in the area of obesity and children's health. The NFWI feels that the Government's proposal will be ineffective in reducing the ever-increasing burden of obesity and that it must make firm commitments to specific action in the area of marketing unhealthy food to children and food in school environments.

January 2005

Annex

SUMMARY OF WI MEMBERS' RESPONSES AND KEY RECOMMENDATIONS

  WI members believe that children should be at the heart of any public health strategy. As the future generation they are most likely to benefit from any intervention. If the Government is sensitive to accusations of "nanny statism" then interventions aimed at children are less likely to attract this criticism. That does not mean that public health interventions should focus exclusively on children there are many initiatives throughout the life course which can have a substantive improvement in health.

  WI members have again confirmed their support for a ban on the promotion of food to children that can contribute to an unhealthy diet. 87% of WI members renewed their call for regulation on food promotion to children as one of the key policy measures needed to tackle the obesity crisis in the UK. Other key policy recommendations for government from WI members were; for significantly increased opportunities for physical activity (both within and outside schools), and a strong call for the re-introduction of practical food education in schools as an integral part of "whole food policies" on food in schools to include a complete overhaul of nutritional standards in school meals.

  WI members also identified the need for a clear, well-constructed health improvement campaigns to promote better diet, exercise, and healthier lifestyle choices as having the potential to impact significantly on Public Health. A range of complementary initiatives should support this; most importantly: improved food labeling; an end to the marketing of unhealthy food in schools; controls introduced on the marketing and branding of unhealthy food to children.

  WI members identified parents as making the greatest difference to the choices that children make regarding diet, closely followed by the media. However it was noted that pressure from the media, and the absence of clear, unbiased labeling often made it more difficult for parents to make healthy choices on behalf of their children. WI members concern regarding media influence is clearly demonstrated with 36% of respondents citing TV and Magazines, and 29% citing advertising as having a major impact on children's choices. WI members noted that if David Beckham and Michael Owen could be employed to promote healthy lifestyles rather than the soft drinks and crisps they currently choose to endorse, it might make parents choices easier.

  WI members also called for practical action that would make it easier for people to make healthier choices such as providing subsidies on fresh fruit and vegetables, particularly those that are locally sourced. A number of members also noted that fruit and vegetables in supermarkets often attracted the highest mark up, whilst high fat, low nutrient foods, particularly at the value end of the market are sold as loss leaders to convince consumers of the competitiveness of the store. This often means that for low income consumers the most affordable options are the least healthy. If the Government helped to set up food cooperatives it would improve access to fresh fruit and vegetables for all consumers, and help the Government meet it's a "five a day" targets for consumption of fruit and vegetables.

Key recommendations:

  Introduce a school food standard: 88% of WI members endorse the Consumers Association call for a school food standard. WI members believe that a well-balanced school meal is vital to children's health, but recognise that this would need investment to repair harm done by diminution of school meals.

  Put practical cooking back on the curriculum: 91% of WI members urged the Department of Education and Skills to introduce a food curriculum where all children receive practical cookery lessons and learn about nutrition and food.

  Increase physical activity in schools: 94% of WI members also noted that the current levels of physical activity are too low. There needs to be at least three hours of physical activity in the curriculum per week and the definition needs to be widened to include activities which are attractive to children and young people who are not interested in traditional sports

  Regulate the advertising of food to children: 87% of WI members demanded the introduction of a children's watershed for food advertising. Members believe that voluntary codes relating to food advertising have been proven not to work, as the food industry has patently failed to act in a responsible manner up until now.

  Ensure that manufacturers act responsibly: 86% of respondents think that manufacturers should be forced to reduce levels of fat, sugar and salt in foods aimed directly at children to levels considered appropriate by the Food Standards Agency. (FSA). The Government should also examine financial incentives to manufacturers to lower the levels of fat, sugar and salt in their products, and disincentives to products that are high in these. VAT should also be amended to address anomaly where VAT is charged on fruit juice but not on biscuits.

  Introduce mandatory food labelling to show levels of sugar, salt and fat either high, medium or low respectively and guideline daily amounts





 
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