Select Committee on European Scrutiny Fifteenth Report


7 PROMOTION OF HEALTHY DIET AND PHYSICAL EXERCISE

(27111)
15700/05
COM(05)637
Green Paper: Promoting healthy diets and physical activity: a European dimension for the prevention of overweight, obesity and chronic diseases.


Legal base
Document originated8 December 2005
Deposited in Parliament 19 December 2005
DepartmentHealth
Basis of consideration EM of 4 January 2006
Previous Committee Report None
To be discussed in Council No date set
Committee's assessmentPolitically important
Committee's decisionNot cleared; further information requested

Background

7.1 Article 152 of the Treaty establishing the European Community provides that a high level of public health is to be ensured in the definition and implementation of all Community policies and activities. Action by the Community is to complement national policies. Such action is to be directed to the improvement of public health and the prevention of human diseases and includes research and health education. The Article requires Member States to coordinate their public health policies and programmes; the Commission "may take any useful initiative to promote such coordination".

The document

7.2 The Green Paper outlines the links between, on the one hand, poor diet, lack of physical exercise and obesity and, on the other, the incidence of serious illnesses, premature death, substantial public expenditure on health care and lost economic production. It refers to existing EU policies and organisations concerned with the promotion of good nutrition and health lifestyles, such as the Public Health Action Programme, the European Food Safety Authority, the European Platform for Action on Diet, Physical Activity and Health[21] and the European Network on Nutrition and Physical Activity.[22]

7.3 The Green Paper suggests that preventing excessive weight and obesity calls for the combination of action to promote healthy lifestyles with action to deal with social and economic inequalities and the built environment. This approach would cut across a wide range of Community policies, including those on agriculture, fisheries, education, sport, consumer protection, research, the environment and so on. The Commission invites views on:

    "What are the concrete contributions which Community policies, if any, should make towards the promotion of healthy diets and physical activity, and towards creating environments which make healthy choices easy choices?"[23]

7.4 The Green Paper has sections on:

  • health across EU policies;
  • consumer information, advertising and marketing;
  • consumer education;
  • children and young people;
  • food availability, physical activity and health education at the work place;
  • building the prevention and treatment of excessive weight and obesity into health services;
  • making the built environment promote physical exercise and reduce obesity;
  • socio-economic inequalities;
  • fostering an integrated and comprehensive approach towards the promotion of healthy diets and physical activity;
  • nutrient intakes and the development of food-based dietary guidelines; and
  • cooperation beyond the European Union.

7.5 Each section concludes with a list of questions on which the Commission invites views. For example, the section on children and young people asks:

    "  What are good examples for improving the nutritional value of school meals, and how can parents be informed on how to improve the nutritional value of home meals?

    Ÿ  What is good practice for the provision of physical activity in schools on a regular basis?

    Ÿ  What is good practice for fostering healthy dietary choices at schools, especially as regards the excessive intake of energy-dense snacks and sugar-sweetened soft drinks? and

    Ÿ  How can the media, civil society and relevant sectors of industry support health education efforts made by schools? What role can public-private partnerships play in this regard?"[24]

7.6 The Commission invites responses to the Green Paper by 15 March. It plans to publish a summary of the responses by June. It may then make proposals for action.

The Government's view

7.7 The Minister for Public Health at the Department of Health (Caroline Flint) tells us that the matters on which the Green Paper seeks views are, to a large extent, issues covered:

  • for England in the White Paper of November 2004 on Choosing Health;
  • for Scotland in "Improving Scotland's Health: the Challenge" (2003) and announcements by Scottish Ministers in November 2005 about anticipatory care and weight management programmes in disadvantaged communities;
  • for Wales in Health Challenge Wales (February 2004) and the Food and Fitness Action Plan for children and young people; and
  • in Northern Ireland's Investing for Health Strategy (March 2002).

7.8 The Minister says that the UK's comments on the Green Paper are likely "to reaffirm the actions being taken forward in this country".

Conclusion

7.9 There appears to be a substantial overlap between the issues discussed in the Green Paper and the policies the Government and the devolved administrations are pursuing. We question whether action by the Community on many of the matters covered in the Green Paper would be consistent with the principle of subsidiarity.

7.10 We recognise the value of pooling experience and exchanging information about good practice. But we understand that the World Health Organisation is involved in promoting international cooperation on diet, physical activity and health. It is not clear what value would be added by the intervention of the European Community.

7.11 We should be grateful for the Minister's comments on these points. We shall keep the Green Paper under scrutiny pending her reply.





21   The Platform began work in March 2005. It brings together representatives of the food, retail, catering and advertising industries, consumer organisations and health NGOs. Its aim is to act as a catalyst for voluntary action across the EU by the private, public and voluntary sectors to halt and reverse trends towards excessive weight and obesity. Back

22   The Network is comprised of experts nominated by Member States, the World Health Organisation and consumer and health NGOs. The Commission set up the Network in 2003 to give advice on the development of Community activities to improve nutrition, reduce diet-related diseases, promote physical exercise and fight excessive weight. Back

23   Green Paper, page 6, paragraph IV.3.2. Back

24   Green Paper, page 9, paragraph V.3.2. Back


 
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