Food, Diet and Obesity Committee
Recipe for health: a plan to fix our broken food system

Report of Session 2024-25 - published 24 October 2024 - HL Paper 19

Contents

Summary

Summary of conclusions and recommendations

Chapter 1: Diagnosing the problem

The shocking scale of the problem

Figure 1: Chart showing BMI categories in relation to height and weight

Box 1: Overweight and obesity

Figure 2: Prevalence of obesity among adults, G7 countries and Brazil, 1990–2022

The key drivers of obesity

Box 2: A healthy diet

The health costs of obesity

The economic costs of obesity

Figure 3: ‘Increasing diet-related disease is costing the taxpayer a fortune’, from the National Food Strategy

The provenance of this report

The July 2020 Food, Poverty, Health and the Environment Committee report

The National Food Strategy

Figure 4: ‘Overview of the Junk Food Cycle’, from the National Food Strategy

Box 3: Recommendations of the National Food Strategy relevant to our remit

Ultra-processed foods

The work of the Committee

Chapter 2: Government strategy

The Government’s position

The outgoing Conservative Government

The incoming Labour Government

Failures of government policy

Figure 5: Percentage of the population living with obesity and overweight (BMI >=25 kg/m²), and government obesity strategies, England 1990–2020

Figure 6: Number of policies of each type in England—government obesity strategies, 1992–2020

Unhelpful focus on individual responsibility

Inadequate leadership and coordination

No systemic oversight of the food system

Failure of the voluntary approach

Conclusions and recommendations

Chapter 3: The role of industry

Introduction

Industry and the food environment

Figure 7: Top ten businesses and their brands

Manufacturers

Retail

Out-of-home sector

The need for comprehensive, mandatory regulation of industry

Industry and the policymaking process

Industry and academic research

Conclusions and recommendations

Chapter 4: Ultra-processed foods

Context and definitions

Box 4: The NOVA classification of food groups

Levels of consumption of UPFs

Figure 8: Mean proportion of ultra-processed foods in adults’ diet across countries (% energy intake) from nationally representative surveys

Comparing the definitions of UPFs and HFSS foods

Figure 9: Venn diagrams showing the foods classified as UPF, HFSS, both and neither by (a) percentage of foods, and (b) energy (kilocalorie, kcal) content

Table 1: Food groups contributing to the categories
ultra-processed food only, high in fat, salt and sugar only, both and neither

UPFs and the food industry

Public attitudes

Health outcomes

SACN’s findings

Further evidence to the Committee

Possible causal mechanisms

Energy density

Hyperpalatability

Additives

Other issues relating to the make-up of UPFs

Convenience and affordability

The need for further research

The policy response

Dietary guidelines and the Eatwell Guide

Box 5: International examples of dietary guidelines

Updating the Nutrient Profiling Model

Additional policy and regulatory measures

Conclusions and recommendations

Chapter 5: Making food environments healthier

Introduction: a new regulatory approach

Making food and drink healthier

Mandatory health targets

Reformulation programmes

Health taxes

Incentivising businesses to produce and sell healthier foods

Making advertising healthier

Figure 10: Proportion of advertising spend on different food categories

Online and broadcast advertising restrictions

Outdoor advertising

Planning for a healthier food environment

Healthier high streets

Making promotions healthier

Location promotions

Figure 11: In-store location promotions, winter 2022

Figure 12: In-store location promotions, spring 2023

Volume promotions

Promotions in small retail businesses, the out-of-home sector and online delivery

Sale of energy drinks to children

Packaging

Labelling healthier and less healthy products

Front-of-pack nutrition labelling

Labelling in the out-of-home sector

Chapter 6: Infants, children and young people

Introduction

Pre-conception, pregnancy and early life

Pre-conception and pregnancy

Supporting healthier infant feeding

Marketing of infant formula

Commercial foods for infants and young children

Early years

School food

The school food standards

School breakfasts

Funding

Food education

Monitoring compliance

Chapter 7: Making healthy food affordable and accessible

Introduction

The cost of a healthy diet

Figure 13: Percentage of disposable income required to afford the Eatwell Guide per income quintile

Food aid

Healthy Start

Value of Healthy Start payments

Increasing uptake

Payment card

Widening eligibility for Healthy Start

Affordable school meals

Free school meals eligibility

Auto-enrolment

School holiday provision

Appendix 1: List of Members and declarations of interest

Appendix 2: List of witnesses

Appendix 3: Call for evidence

Appendix 4: Relevant recommendations of the July 2020 Food, Poverty, Health and the Environment Committee ‘Hungry for change’ report

Appendix 5: Types of research study

Appendix 6: Note of Committee visit to Blackpool, 24–25 April 2024

Appendix 7: Note of Committee visit to the Alexandra Rose Charity project at Bromley by Bow, 2 May 2024

Evidence is published online at https://committees.parliament.uk/committee/698/food-diet-and-obesity-committee/publications and available for inspection at the Parliamentary Archives (020 7219 3074).

Q in footnotes refers to a question in oral evidence.





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