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Plans to halt the rise in childhood obesity are confused, poorly co-ordinated
and lack clarity and forcefulness, according to an influential Commons
committee.
In 2004 the Government set a target of 2010 to halt the year-on-year rise in
obesity in children under 11, but there are still no ring-fenced funds nor
any specific programme to bring this about, the Public Accounts Committee
says in a scathing report.
Particular anger is directed at the Department of Health’s plans to weigh and
measure children in all primary schools but not tell parents the results.
This policy provoked one of the briskest exchanges in a public hearing in the
Commons as the committee chairman, Edward Leigh, accused three Whitehall
permanent secretaries of “talking drivel”.
Yesterday Mr Leigh said: “If a primary school finds that a child is overweight
then the parents must be informed. To do otherwise would be to keep parents
in the dark about health risks to their children.
“A campaign aimed at parents, children and teachers is supposed to be launched
this year, three years after the target was set. When it appears it must
bring home all the risks of being obese and show that obese children can
make small changes to their behaviour that help them lose weight.”
Responsibility for the childhood obesity strategy is divided between three
departments — Health, Education and Skills, and Culture, Media and Sport —
and 26 bodies or groups of bodies, the report says.
This leads to confusion over roles and responsibilities. Mr Leigh said that it
was “tricky territory”. That made it all the more urgent that the
departments involved should work together to set a clear direction.
“It is lamentable that long after the target was set there is still so much
dithering and still so little co-ordination,” he said.
Departments had been slow to react and efforts to work with the food industry
to change the way that unhealthy products were marketed had failed, the
committee said. It also called for the appointment of a high-profile figure
to champion the battle against obesity.
Parents were still not being engaged, and a public information campaign was
finally being launched only this year. The report found that “the
departments’ strategy of working alongside the food industry to influence
its approach to the marketing of foods and drinks that are high in fat, salt
and sugar has not been successful in changing the way the majority of
unhealthy foods are marketed”.
Meanwhile, the Department of Health has no idea if the strategy is working
because there was a delay of two years in getting data on childhood obesity
from the Health Survey for England. The attempt to measure obesity in
primary school children ended in failure when fewer than half turned up,
although the committee does not report this. The results of the exercise
were meaningless because the parents of fatter children opted them out, as
they were allowed to do.
Caroline Flint, the Public Health Minister, claimed that a lot had been
achieved since the evidence on which the report was based had been gathered.
She said: “There are no easy answers or quick-fix solutions. Changing
behaviour requires long-term action on a number of fronts and that is what
we are putting in place.”
People’s awareness of the importance of healthy eating and exercise had
increased significantly, she said, and food labelling had become the norm.
Ofcom had made recommendations about food advertising on television; there had
been “a transformation in school food” and the target of 80 per cent of
children doing at least two hours of school sport a week had been beaten,
she said. But Andrew Lansley, the Shadow Health Secretary, said:
“Conservatives share the committee’s alarm at the dramatic increase in
childhood obesity and the apparently uncoordinated way in which the
Government is dealing with it.”
Norman Lamb, the Lib Dem health spokesman, said: “The target-setting that
characterises this Government’s control freakery is meaningless without
concrete action and money.”
‘Talking drivel’
Dame Sue Street, David Bell and Hugh Taylor told the Public
Accounts Committee that children should be weighed and measured but parents
should not be told the results, for fear of “stigmatisation and other
issues”. This irked Edward Leigh, the chairman.
Mr Leigh: “Sorry. I cannot bear this any more. This must be complete
nonsense. This is ridiculous. The hearing has already lasted an hour and ten
minutes. You have twenty more minutes. You have got to do better than this —
three permanent secretaries. You are talking drivel.
“Are you actually saying, the Permanent Secretary of the Department of Health,
that some vague target-setting, which apparently will not affect your target
anyway, and working with partners, is more important than going back to the
parents of a child and saying, ‘Your child is dangerously obese. Here is how
we can help you do something about it’? Are you seriously telling the
committee that?”
Mr Taylor: “No.”
Mr Leigh: “Right, well you had better try to do better.”
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