Select Committee on Health Written Evidence


Memorandum by Compass Group PLC (WP 49)

1.  INTRODUCTION

  1.1  Compass Group PLC is the world's leading foodservice company, with annual revenues of £12 billion and over 400,000 employees in 40,000 outlets in more than 90 countries. In the UK, the Group has revenues of £2.5 billion and employs more than 90,000 people. The Group's core business is the provision of food and related services to clients and customers in the workplace, in schools and colleges, hospitals, on the move and in remote and sometimes hostile environments.

  1.2  As a global foodservice company we know that we have an enormous influence on what our 20 million customers a day choose to eat and drink and that the purchasing decisions we make—we buy over £3.5 billion of food a year—have implications in terms of food production and sustainability.

  1.3  Unlike other links in the food chain, the foodservice sector operates on a very decentralised basis reflecting the different sectors in which we operate and the very diverse requirements of our clients. The nutritional requirements of an office worker are different to that of a manual worker, school child or hospital patient. For example in the education and healthcare sectors we will be working to nutritional guidelines laid down by government or other bodies and agreeing in detail with the client (eg NHS Trust or Local Education Authority) menus that meet these guidelines as a minimum requirement. Conversely, in the workplace or travel sectors, whilst operating specifications may be agreed with the client, menus are designed to appeal to customers in those locations. In both cases this means much of the food we serve is freshly prepared on the premises in which it is served to menus that are developed by chefs locally as opposed to centrally.

  1.4  This is an important distinction to bear in mind when considering some of the proposals made by the Government and is reflected in our own approach to wellness and healthier eating. Compass Group has always been at the forefront of developing innovative and high quality nutritious offerings that satisfy our customers' lifestyle choices whilst meeting the diverse demands of the differing sectors we operate in. Recent initiatives include:

    1.4.1    In the workplace environment, and in partnership with our clients, we have introduced a menu planning system—The Healthy Way—which is based on the Food Standard Agency's balance of good health guidelines. Recognising the growing trend towards grazing or casual dining we have also introduced a range of "grab and go" products, "Food Talk", that includes a core range of healthy options.

    1.4.2    As the world's largest vending company we have taken the lead in responding to concerns about the role of vending machines in schools by re-merchandising machines to place the emphasis on a more balanced range of products, particularly waters, juices and healthy snacks, and we have removed machines branded with a manufacturers logo and replaced them with glass fronted machines with the emphasis again on healthy products.

    1.4.3    As the largest private sector provider of school meals we have for over a decade run programmes to help pupils understand the importance of eating a well-balanced meal based on the key food groups. Since 2002 we have reduced the salt content in primary school meals by 38% and have removed all salt from the cooking process in secondary schools resulting in a reduction of 10,000 kilograms in salt purchases. We also encourage the baking or grilling of products as opposed to frying. In secondary schools we offer children a free portion of side salad or vegetables with every main meal purchased and fruit salad, mixed salads and low sugar drinks are always available.

    1.4.4    We are also working with manufacturers and processors to re-specify or re-formulate products to meet our requirements. For example, working with Baxter's soups we have achieved a 25-50% reduction in the salt content of the standard range of soups used in our business. We have developed a bespoke baked bean with a 25% reduction in the salt and sugar content for use in the education and healthcare sectors.

2.  CAN THE WHITE PAPER PROPOSALS ENABLE THE GOVERNMENT TO ACHIEVE ITS PUBLIC HEALTH GOALS?

  2.1  The White Paper is an important contribution to raising awareness of the issues affecting public health and to stimulating debate on possible actions, though the goals are challenging, require genuine partnership across the public, voluntary and private sectors and cannot be achieved in one electoral cycle.

  2.2  Of particular concern to Compass Group are those proposals in relation to tackling obesity and healthy schools.

  2.3  We welcome the emphasis in the White Paper on developing initiatives to bring healthy eating to the forefront of the debate on how to tackle rising obesity levels and the acknowledgement of the economic and social costs of failing to tackle obesity.

  2.4  We are also broadly supportive of the Government's proposals to work with the food industry to improve the information available to consumers of the nutritional content of food whilst recognising that even in the Government's own survey, Public Attitudes to Health, over 88% of respondents agree that individuals are responsible for their own health. Proposals in relation to food labelling need to avoid simplistic schemes that seek to categorise products into good or bad and which do not emphasise the role of food in a balanced diet and a healthy lifestyle. We are also concerned that the Government's timescale for implementing a workable scheme by mid-2005 is too optimistic given the wide-ranging nature and importance of the proposals.

  2.5  Government's acknowledgement of the role it plays in promoting healthy eating, particularly through its procurement policies, is also to be welcomed. We have grave reservations, though, as to whether the Government's objectives with regard to local sourcing can be met if local authority procurement managers continue to interpret "best value" as meaning lowest price and if local is defined within a very narrow context. We would prefer to see the emphasis being placed on supporting the wider British food and farming industry rather than on narrow regional or local definitions.

  2.6  The acknowledgement in the White Paper of the importance of educating young people in relation to diet, health and nutrition at an early age is to be welcomed. But we are concerned that there is no mention of the need for structured food education within the national curriculum—embracing both theory and practice—and would urge the reintroduction of compulsory cookery classes for all children up to the age of 11. Whilst the Government proposes the introduction of cooking clubs there is no mention as to how these are to be established or of the numerous initiatives already being undertaken to help children prepare and cook food in a healthy way whilst having fun at the same time. For example, through our specialist education subsidiary Scolarest, we already operate a scheme called "On your marks . . . get set . . . cook!" where two teams race against the clock to create the best healthy meal from mystery ingredients, each team consists of two pupils working with one of our chefs. The meals are then on offer in the school dining room the next day. The cookery demonstration also features a quiz for pupils in the audience, with food- and health-related questions. Many of the answers can be found on Scolarest's healthy eating and lifestyles leaflet which is given out free and includes information on the best foods for energy, strong bones and healthy skin and hair, plus general advice on how to eat a balanced healthy diet and ideas for staying fit through exercise. We also run a Junior Chef's Academy for 14-16 year-old school children, this is a 15 week programme that covers all aspects of food preparation and cooking culminating in a four-course lunch prepared for family and friends as part of a graduation ceremony hosted by a celebrity chef.

  2.7  The Government's commitment to improve nutrition in schools over the next three years, in particular to increase the consumption of fresh fruit and vegetables and to decrease the consumption of fat, sugar and salt, is very welcome. We are extremely concerned, however, that there is no accompanying commitment to increase the average food cost per school meal in order to meet the Government's stated objectives. Even a modest increase in food cost per meal would have a disproportionate benefit in terms of a child's long-term health and well-being. The average food cost of a school meal in a primary school is just 45p. Whilst this meets the current nutrition guidelines for a relatively modest increase to 65p more fresh fruit and vegetables could be used and an increase to 75p would allow organic and locally sourced products to be used. Any change to nutrient based guidelines would require additional funding to levels similar to these. Media coverage, including recent Evening Standard stories on school meals in North London, often ignores the problems inherent in providing nutritious meals on very low budgets, and is largely unconcerned with the reticence of the majority of local councils to invest adequately in school meals provision. We believe that targeting children's diets, through a combination of education and improved school meals, is crucial to tackling the obesity and health issue in the long-term and ensuring that a real and effective change in the country's dietary habits is achieved. Furthermore, there is a wide body of evidence that links a nutritious diet amongst school-age children with improved levels of academic attainment. As such, we believe that government activity, through the Food and Health Action Plan and other forthcoming initiatives, should be concentrated on this area.

  2.8  We are also concerned that there is a lack of clarity as to how the Government is going to ensure consistency of message across its various proposals and how it is going to evaluate their effectiveness in the short to medium term. For example, whilst the proposals in relation to improving the nutritional content of school meals is to be applauded it should be remembered that less than 50% of children eat school meals and that children eat less than one fifth of their total meals in a year at school.

3.  ARE THE PROPOSALS APPROPRIATE, WILL THEY BE EFFECTIVE AND DO THEY REPRESENT VALUE FOR MONEY?

  3.1  It is extremely difficult to evaluate either the effectiveness or value for money of the proposals contained in the White Paper, as there is little detail on which a judgement can be based. For example, the White Paper talks in broad terms in relation to for example obesity of ". . . a new cross-government campaign to raise awareness of the health risks of obesity"; ". . . campaigns will operate at a national and regional level and use creative social marketing techniques and new technology. They will promote key messages and local services through a variety of channels, for example, in schools and workplaces as well as through health professionals." The White Paper also mentions campaigns being jointly funded by Government and industry, but again lacks detailed proposals.

3.2  Labelling

  3.2.1  There are specific proposals in relation to food labelling, namely the introduction by mid-2005 of a system that could be used as a standard basis for signposting foods and following FSA consumer research a clear, straightforward coding system by early 2006.

  3.2.2  Compass Group has a number of concerns in relation to labelling. We have already raised our misgivings about a system that would simply categorise food as good or bad. Whilst we assume that the thrust of the Government's proposals relate to packaged foods, research undertaken by the FSA in relation to signposting and nutrition profiling acknowledges the need to conduct further research into the application of such a scheme to the catering and restaurant sectors.

  3.2.3  We are extremely concerned that the thrust of the Government's proposals takes no account of the practicality or cost of mandating such a scheme to hundreds of thousands of catering and restaurant establishments of different types, nor how such a scheme would be administered. Whilst we are broadly supportive of the objective of improving the nutritional information available to consumers we believe the Government has failed to take sufficient cognisance of the effectiveness of initiatives already being taken across the food chain to help consumers make more informed choices.

  3.2.4  We are also concerned as to how any signposting or labelling would operate in environments such as schools in a meaningful and practical way or how schools with delegated budgets would be able to undertake the analysis required if they were self- operating their school meals service.

  3.2.5  We are sceptical as to whether any scheme, whether applied to packaged foods or the catering and restaurants sector, will have any impact if it is not within the context of a more general campaign to raise public awareness of the importance of eating a balanced diet, calorific intake, exercise and guideline daily amounts in relation to fat, sugar and salt. Consequently Compass believes that the burden of compliance may fall disproportionately on SMEs and sole traders. In view of this Compass suggests the Government undertake a Regulatory Impact Assessment to ascertain the impact of its labelling proposals before proceeding with them. Compass is also concerned about compliance verification of the proposal and would like to see more details of how the Government proposes to achieve this.

  3.2.6  The White Paper also fails to acknowledge that labelling is an EU competency.

3.3  Food and Health Action Plan

  3.3.1  Compass Group welcomes the proposal for a Food and Health Action Plan to co-ordinate and take forward actions contained in the White Paper, but we are sceptical as to whether the Government will meet its target of producing the plan early in 2005. It is unclear in the White Paper the process that will lead to the production of the report and at the time of writing there is no indication that consultation with the necessary stakeholders has commenced. Unless the plan enjoys the support of all stakeholders, particularly the farming and food industries, then it will almost certainly fail to meet its objectives.

3.4  Healthy Schools

  3.4.1  Compass Group welcomes the link the White Paper makes between health and education and the commitment to adopt a whole school approach embracing consistent messages in relation to nutrition and healthy eating and the provision of opportunities to learn about all aspects of food. Though we are disappointed that there is no commitment to make practical cookery compulsory, as learning how to prepare and cook food is a key life skill for future generations.

  3.4.2  The commitment to invest over the next three years to improve nutrition in school meals and to revise school meals standards is particularly welcome, though it is disappointing that there is no indication of the sum set aside for such investment. We would welcome clarification from government as to the projected levels of investment and the form such investment will take. We are also disappointed that there is not a firm commitment under these proposals to increase the average food cost per meal or to invest in the establishment of breakfast clubs, particularly in disadvantaged areas. Nor is there any acknowledgement of the need to invest in upgrading school kitchens and equipment to meet any new requirements. Over the last two decades there has been chronic under-funding in school kitchens with the consequence that many are simply not fit for purpose and will not be able to cope with any step change in requirements eg more food prepared on site. Furthermore the White Paper appears to take no account of the additional labour that would be required to prepare meals if there is to be a greater emphasis on fresh and locally sourced ingredients. Schools with small pupil rolls in particular are unlikely to be able to afford additional food costs let alone increased labour costs.

  3.4.3  In secondary schools we are concerned that no mention is made of the need to ensure that sufficient time is allocated to lunch so that pupils can enjoy a nutritious whole meal. In many secondary schools pupils have less than 30 minutes to get from the classroom to the dining hall and back to class again. Also in many schools there is not sufficient space or tables and chairs allocated to dining and this discourages pupils from taking a school meal and almost encourages them to go outside the school gate at lunchtime.

  3.4.4  It is also disappointing that the introduction of nutrient-based standards for school meals is not a firm commitment and that the role of Ofsted inspectors in looking at healthy eating is so poorly defined. As one of the leading private sector providers of school meals, through our subsidiary Scolarest, we joined with the Soil Association and Local Authority Caterers Association (LACA) in September 2004 to press DfES to adopt such an approach. We believe that nutrient-based standards are the only way to improve the quality of school meals and drive up participation levels. Unless school meals are appetising, nutritious and represent value for money the numbers participating will not increase. Increased participation, thus reducing the number of children who bring packed lunches or go off-site, is key to meeting the Government's objectives. Increased participation also leads to a direct economic benefit as the relative costs of administration and preparation are minimised and in time, if participation levels are sustained, the increase in food cost should become self-funding. A target for increasing the number of pupils taking a school meal should have been included in the proposals. The White Paper also provided an opportunity for the Government to commit to establishing the link between nutrition, attainment and behaviour. Anecdotal evidence suggests that there is a clear link and DfES should be urged to set up a research project to investigate this further.

  3.4.5  We also wonder whether the Government should not have considered the benefits of making meals free for all primary school children.

3.5  Delegated Budgets

  3.5.1  We are concerned that whilst the commitment to support schools to provide the best meal service possible is well-intentioned there has been little consideration given to the possible implications of delegating school meal budgets to the local level, particularly in the primary sector. There are a number of concerns here.

  3.5.2  First, there is a marked trend amongst Local Education Authorities to move away from multi-site contracts for meals to schools managing their own arrangements and budgets. We are concerned that if no new money is found primary schools with small pupil rolls will no longer benefit from the "cross-subsidy" they received from larger schools when LEAs negotiated group contracts and as a consequence will not be able to provide a school meal that meets the new guidelines. Loss of such a "subsidy" may lead to cold sandwich lunches in place of hot meals. For some children in deprived areas this could remove the one hot meal they eat regularly every day. A balance needs to be struck between the benefits of devolving the provision of school meals to the local level and the disproportionate burden it could impose on small or remote schools.

  3.5.3  Secondly, when companies such as Compass contract with LEAs, some LEAs impose an administration charge of as much as 15p per meal on the price paid by parents. This further reduces the funding left to be spent on meals as the revenue raised from the administration charge is rarely reinvested in the school meals service.

  3.5.4  Thirdly, head teachers and school governors need more than just advice on food procurement. They also need guidance on drawing up tender specifications for a school meal service, selecting a provider and managing the service. We would suggest that DfES should work with LACA to produce such guidance.

  3.5.5  Fourth, where LEAs are still managing school meals contracts there is clear evidence that best value is still being interpreted as lowest price. This is either a consequence of a squeeze on school meal budgets or local authority procurement managers being unable to define what "best value" means when procuring a service or because there is no requirement to take into account the long term implications of the decision they make. For example, a contract in Wokingham was awarded recently solely on the basis of price with no other factors being taken into consideration eg nutrient content, local sourcing etc.

  3.5.6  Finally, we support improved training and support for catering staff. Scolarest, our specialist education subsidiary, has pioneered a unique distance learning healthy eating qualification for school cooks. Our school chefs and catering assistants in 1,700 state schools have been enrolled for a new NCFE Intermediate Certificate in Nutrition and Health which could be made available to any LEA who wanted to provide such an opportunity for their staff.

4.  DOES THE NECESSARY PUBLIC HEALTH INFRASTRUCTURE AND MECHANISMS TO ENSURE IMPLEMENTATION EXIST?

  4.1  The White Paper is ambitious, many issues are addressed and the actions proposed require partnership across the public, voluntary and private sectors. The key to success will be ensuring that those actions that are taken forward are given the time and resources to yield results and are not subject to political whim.

  4.2  In relation to the fight against obesity Compass Group believe that there are no magic bullets that will provide a whole population solution. Raising awareness of the risks associated with obesity is one thing but changing peoples eating habits is going to take time. We would suggest that particular focus be given to actions relating to the health and wellbeing of young people, particularly school children.

5.  COMPASS' KEY RECOMMENDATIONS

  5.1  The Government needs to increase the average food cost per school meal in order to meet its stated objectives. Currently Compass receives an average of 45p to provide each primary school meal, imagine trying to buy a nutritious lunch for 45p from the local supermarket. For only 65p per meal Compass could provide an extremely healthy nutritious meal with more fresh ingredients and cooked on site. Compass believes that such a modest increase in food cost per meal would have a disproportionate benefit in terms of a child's long-term health and wellbeing. Considering the public health benefit over a whole life costing this could amount to a considerable economic benefit for a small investment.

  5.2  The Government should undertake a Regulatory Impact Assessment to ascertain the impact of its labelling proposals before proceeding with them.

  5.3  The Government should reintroduce compulsory cooking classes.

  5.4  Any changes to food labelling and nutritional information should seek to avoid basic schemes that classify products as either good or bad and do not emphasise the role of the food in a balanced diet and a healthy lifestyle.

  5.5  The Government should set a target for increasing the number of pupils taking a hot school meal.

January 2005





 
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