Obesity: Food and Diet

18:46:00

I beg to move, That this House has considered the impact of food and diet on obesity. I thank the Backbench Business Committee for allocating parliamentary time to this crucial issue. We were actually going to have this debate before Christmas, but we decided that before Christmas was not a good time to discuss obesity; we were then going to have it last week, but it was postponed. I am really grateful to colleagues across the House for supporting the debate. Our country has an obesity crisis that is threatening the health and wellbeing of the whole nation. It is a cross-party issue: since 1990, rates of obesity have doubled. Two thirds of all adults in the UK are carrying excess weight, and a quarter of adults are classified as obese. The figures are even more worrying in children: 10% of children aged four, when they enter school, are obese; that figure rises to 22%—nearly one in four—in year 6. One problem with obesity is that, as many of us know, once someone becomes overweight, it is difficult to shift. That is why the most important age group to concentrate on is young people. Obesity is now the single most important modifiable risk factor for the prevention of disease, and I will briefly go through its effects—as a doctor, I cannot resist. Around 4 million people in this country have type 2 diabetes, which is five times more likely in obesity. Type 2 diabetes almost doubles a person’s mortality rate, with 22,000 people with diabetes dying early every year. Ischaemic heart disease, the leading cause of death in the UK, is much more common in obesity, as is hypertension and osteoarthritis, which causes joint pain and reduced mobility. Something that a lot of people do not know is that 13 cancers are directly attributable to obesity—it is actually also the second commonest cause of cancer. As a GP, there are other things I see quite regularly, such as reflux, varicose veins, infertility and even thrombosis, all of which diminish quality of life. The commonest cause of liver disease is now obesity. I will not go into the cost too much but, as we can imagine, obesity costs the country an absolute fortune: on average, four extra sick days a year; and, taking into account the cost to the NHS and so on, an estimated £98 billion a year, or 4% of GDP. The cost to the NHS is £19 billion a year. What is the cause of obesity? From the evidence, it is clear that the main cause of obesity is diet—it is what we eat. The food system in this country is fundamentally broken. I welcomed the statement from the Secretary of State for Environment, Food and Rural Affairs, my right hon. Friend the Member for Streatham and Croydon North (Steve Reed) about sustainable food production: nutritious foods grown while restoring nature, and farms with good food production at its core, rewarded properly. There is a complicated relationship in food production, whereby farms mostly exist on Government subsidy with very small profit margins and then the supermarkets make profits out of what they sell. We need to look into that complicated relationship. One problem is that unhealthy and ultra-processed foods—UPFs—that are high in fats, salt and sugar are often the easiest, cheapest and most convenient. Crucially, they make the most profit for the food industry. The other problem with these types of food is that they are addictive—salty, fatty foods are addictive. Another problem, revealed by the Food Foundation, is that healthy foods, calorie for calorie, are twice as expensive as less healthy foods. So there are a lot of issues there to unpick. Inequalities and deprivation are very, very strong causes of obesity, with less well-off people being twice as likely to be overweight. Therefore, one strategy has to be to increase the living wage, reduce child poverty, improve health and social services, and invest in education —all of which the Government are doing. On pregnancy, obesity actually begins in the womb—it does not even begin when we are born. In one fascinating experiment, one group of pregnant women were fed a lot of carrots and another group did not have any carrots. The children of the women who ate carrots loved carrots, so a memory is made in utero. It is therefore really important that pregnant women have a very healthy diet, as this is a risk factor for obesity in young people. Another is formula feed. Breastfeeding protects against obesity, but formula feeds do not. Follow-on feeds, hungry baby feeds, are just normal milk packed full of calories, so they tend to increase obesity. That is perhaps something we need to discuss, too.

I am the chair of the eating disorders all-party parliamentary group. To make any progress, we have to understand that eating disorders are highly stigmatised. Many people with obesity also have an eating disorder. To make real progress, is not the first thing to take the stigma away from obesity and get to the people who really want to improve their lives?

I absolutely agree with that. We must treat people in a fair and compassionate way. We must point that out to them, as medical professionals, and help them to get better. I agree with the hon. Lady about stigma. On obesity strategies, since 1990, we have had 700 separate policies to tackle obesity, yet it has doubled. Clearly, we are doing something wrong. Having looked at the evidence, it is clear that voluntary targets do not work. Voluntary targets for the food industry and relying on individual agency—giving us choice in what we eat—cannot reduce obesity. The food industry, of course, has a vested interest in making money. While education and exercise are really good, there is not much evidence to suggest that they reduce obesity. It is all about food. There has been a lot of research. Nesta, the Obesity Health Alliance and the House of Lords Food, Diet and Obesity Committee have done multiple reports on obesity, and it is clear that we can halve it. All we need to do is reduce everyone’s calorie intake by 200 calories a day. That is the difference between McDonald’s large fries and standard fries—other fries are available—so it is not a massive thing, but we all have to do it. As always with public health, small drops in what we take can have a massive effect on the population.

Does my hon. Friend agree that it is important, when there is such a strong correlation between child poverty and child obesity, that we tackle not only the food systems leading to poor health outcomes, but the price of food? We must see those two challenges in lockstep and work to address both the quality of food and the cost.

Absolutely. One of the main pitfalls we must avoid is that there is no point in making cheap food more expensive. That will make people poorer. We need to be much more creative than that.

I thank my hon. Friend for securing the debate and for allowing me to intervene. I commend the Government’s new policy of free breakfast clubs for all primary school children, but does he agree that we should not miss the opportunity to ensure that that meal is wholesome and nutritious so that all our kids can get off to the best possible start?

Yes, I could not agree more. As I said in the debate on education, we should be careful about the food industry sponsoring school breakfasts. As I pointed out, there is no such thing as a free breakfast. Companies often make unhealthy and addictive food and get young people addicted to it, so we must be cautious. I wanted a recipe to solve this crisis and what I am suggesting comes from evidence from Nesta and the House of Lords Select Committee. It should be mandatory that all stores report on the food healthiness of their sales. We need a fully independent Food Standards Agency. We should have a ban on advertising junk food, as has already been proposed, and there should be a watershed for children—that is incredibly important. As is planned in Scotland and Wales, there should be a ban on price promotions, particularly for unhealthy foods, ultra-processed foods and takeaways. We also need to put a lot more resource into breastfeeding and diet in pregnancies—remember the carrots—and we must regulate formula feeds. One measure, which has worked with the drinks industry in reducing sugar, is a reformulation tax on foods that are high in sugar and salt. Supermarkets and food companies would reformulate their foods to avoid the tax, thereby making them healthier. My hon. Friend the Member for Slough (Mr Dhesi) mentioned breakfast clubs. There is a lot of evidence that free school meals and breakfast clubs reduce obesity. Where free school meals have been introduced in London, childhood obesity has been reduced by 11%. That is because the food is healthy and a healthy hot meal is really important, rather than high-calorie snacks, which are what a lot of packed lunches consist of. If we cannot have free school meals, because of financial problems, we should have auto-enrolment so that children who should be on free school meals actually get enrolled. That would benefit schools, too. We must have mandatory front-of-packet labelling. I have never met a parent who does not want to buy healthy food for their children. The trouble is that they pick up a packet of cereal and it says, “High in iron and filled with vitamins,” and think it must be healthy. Nothing could be further from the truth, so we must have accurate labelling. Healthy school foods should be sourced locally. In Stroud, I have been working closely with local primary schools to encourage them to eat fresh, locally grown, highly nutritious food. I think the Government’s target is to procure at least 50% of food in schools from local sources. Then there is the famous hospital food. I was recently in hospital with a relative, and I can tell the House that hospital food is not healthy. We had white-bread sandwiches and some crisps—that was our healthy snack. We must introduce healthy foods in hospitals. Takeaways are another big barrier to healthy eating—there was a massive explosion in their use during the covid pandemic—and we need to include them in any regulation. As I have said, in Scotland and Wales a ban on takeaway price promotions has been proposed. On average, those in deprived areas order more takeaways than those in non-deprived areas. We certainly must not let takeaway outlets open near schools—that is a planning must. I would also caution against the treatment of the obesity crisis with injections of drugs such as Ozempic, which could well turn out to be dangerous.

According to today’s press, there is clear evidence of that. Apparently, 400 people across the United Kingdom who took Ozempic experienced poor health as a result. It is not for everyone, and the sooner that people know that, the better.

The hon. Gentleman’s intervention reminds me of the GP I took over from—an old chap; very wise—who said, “Always be a few years out of date, Simon, because we never know what these new drugs are going to cause.” I think that is good advice—not that I am suggesting that doctors are out of date, of course. Are we proposing the creation of a nanny state? That is the great fear of many people when they are confronted by controls of this kind, but let us look at what happened with the ban on smoking inside pubs. People—particularly in Ireland, but also in England—were saying, “This is crazy; it is never going to work”, but it worked fantastically well. We need to be aware of the vested interests of food companies, and we need to take radical steps.

I thank my Gloucestershire neighbour for giving way. He mentioned the nanny state. As a Liberal, I believe in freedom, but there are two sides to it: freedom from and freedom to. Should not freedom from some of those representing the big, powerful vested interests in the food companies, who are not interested in our health, be at the centre of this debate?

I entirely agree. I think that this Parliament could do to obesity what the Government who were in power between 1997 and 2010 did to smoking: we could drastically reduce it. For the sake of our children and our older adults, I urge everyone to accept that we need to act now, and we need to act radically.

19:02:00

I congratulate the hon. Member for Stroud (Dr Opher) on securing this important debate. There was a lot in his speech with which I agreed, and a lot with which I disagreed. I do not want to explore the subject of childhood obesity, although I think that many of his points about it are quite important; I want to focus on adult obesity. There are a great many new Members in the Chamber who do not know who I am, so they will not have seen me when I was enormously fat, before I was down to the size I am now. I have struggled with my weight throughout my life, but I have controlled it for several years. Back in 2019 I managed to lose 4 stone through smoking. Cigarettes provided a way for me to diet and keep the weight off. I gave up smoking in May 2022—we do not need to have a debate about smoking and what it does to people—and put on a considerable amount of weight. There is always a lot of stigma surrounding weight. Everything about weight is stigmatised, whether we are too thin or too fat or dieting—and, by the way, everyone has advice for us when we are dieting. It does not matter what is working; they will say, “What you need to do is this.” I will come on to the weight loss regime that I am on at the moment, but they will say, for instance, “You shouldn’t be giving up drinking, because you will lose your social life.” Well, going to the small Yorkshire village where I live and having several pints over a few hours means having a lot of empty calories—thousands of them—so that is exactly what someone who is trying to lose weight should do; but people always give that advice. The hon. Member for Strangford (Jim Shannon) mentioned 400 incidences, but what that statistic did not say about the damage that the jabs, as we call them, can do is that half a million people are having them. We are in danger of getting into the same arguments that some of the nutters who talk about the covid jab have got themselves into—that it is deadly and we are poisoning everyone; and this, that and the other. It is administered to millions of people, and drugs will always have side effects. That is something we must remember. The contraceptive pill, used by millions of people, has side effects. Drugs do have side effects, but that is not a reason to rule them out. I want to expand on this stigma about the jabs. As I said at the outset, I am focusing today on adult obesity, and as I also said, the hon. Member for Stroud made some important points about childhood obesity and the links with food, but much of what he said was based on the idea that people have three meals a day and they are eating too much. That has not been my experience. Many Members, especially new Members, will learn how exhausting this job becomes. At some points in their career, they will ask themselves, “How do I carry on?” and they will turn to sugar to get them through the rest of the day. I see plenty of Members nodding. They will have chocolate bars, because that is the boost we need and that is where we end up. I have done that. I have what some might describe as an addictive personality: when I cut something out, I replace it with something else. When I cut out cigarettes, I replaced them with food. It has been a difficult journey. I tried to eat healthily and I tried to do things with my weight, but I reached a point at which I could not do it. In the middle of September, I started taking Wegovy, and since then I have lost over 5 stone. I have gone from a body mass index of 42 to one of 30, although there are still a couple of stone that I want to lose. But—and this is the big “but”—people have to work with it. These are not miracle drugs. The biggest mistake that the press made in this regard was referring to “fat-dissolving drugs”. There is no such thing as a fat-dissolving drug; that is blatant nonsense. For me, this drug takes away the cravings. It has enabled me to do the intermittent fasting, having a protein-based meal at 1 pm, a banana at 5 pm and a small meal in the evening with a tiny bit of carbohydrate, and I do not eat after 9 pm. That is how I have dropped the weight. I cut out drinking for the first eight weeks, although I did drink over Christmas, and I cut out sugar for 12 weeks. I want to build on something that the hon. Member for Stroud said about sugar being a drug. Oh boy, yes, it is a drug. I felt horrific for the first three weeks of cutting out sugar. Having had a little bit of sugar over Christmas, I thought, “It is Christmas; you have to manage the psychology of this.” Well, the first time I had one mince pie, boy, did I know about it! I had to have some grapes later to try to bring about the slow sugar release. There is no doubt that high sugar and salt levels are addictive, but I have a personality that made me do that. A very interesting point was made on Radio 4 last week. Emma Barnett was interviewing someone about this drug—I missed who it was. She said, “But isn’t there the question of morality when people use drugs to reduce their weight?” This is where I think there is a fundamental misunderstanding of obesity in adults and the issue of weight. What is now emerging is a link, a thread that runs through several aspects of someone’s health, not least related to fatigue, mental health or personality, and what is being discovered is that the drugs have a positive effect in many of those areas. We need to remove the stigma from talking about being on drugs such as Ozempic, Wegovy and Mounjaro. They are certainly helping me, and I know of many friends and many colleagues in the House who are using them, because they do take away that craving. However, it still comes down to willpower. I stand before Members today, and I feel horrific. I have consumed less than 600 calories so far today and it is now 7.10 pm. I do not feel great, but it is working. I am engaged in a process in which I am trying to lose the weight in the first six months, and in the next six months I will go back to the normal number of calories, do the exercise and build up my fitness. This is a programme and a regime, and it is working for me. However, I must make the point that if people are not willing to work with these drugs, they will not have the effect. There must be a “brake” in their promotion, because people who think they can just inject themselves at home and lose weight are wrong. It is so easy to cheat. Why do I not feel too great at the moment? There are not enough calories in me. What would give me a boost straight away? Some chocolate, or anything like that. When I cut out sugar, I cut out crisps, cakes, biscuits and various other things, including alcohol for a while. I am not going teetotal for the rest of my life, and I am not cutting out sugar for the rest of my life. People have to find a balance, but it is easy to cheat and they have to want to lose weight. There is no correlation here, but I think there is an interesting piece of work to be done—I will explain why I am saying this in a moment—on the fact that there has been a huge reduction in smoking in the 21st century and a big rise in obesity. I certainly used cigarettes to help keep my weight down, and I know that many other people do too. If someone feels hungry, they can have a cigarette. I am delighted that I gave up smoking; it took me most of my life to do so. I smoked for most of my adult life, and I have drunk a lot for most of my adult life. I am 49 years old, and I was in my twenties in the 1990s. There was a culture in the ’90s that carried on through. Why did we push forward with getting people off smoking? We did it because of the absolutely obvious and well-proven health consequences of smoking, such as thrombosis, heart attacks and high blood pressure. Since I have lost 5 stone, my blood pressure has come down by 30 millibars; it is now textbook blood pressure. The hon. Member for Stroud is absolutely right. I had pain in my joints and feet, and I would sweat, but I would not give in to it. When my feet hurt, I would not give in to it, because I thought, “If I give in to it, I’m just going to put on even more weight.” I would not stop, because I have always been fairly active and have kept going. I make these points because I recently heard a report that if weight-loss jabs were put out on NHS prescription, it would bankrupt the NHS. I think that is absolute nonsense, because we know just how preventive this sort of action is. That is why we got people to give up smoking. We made a lot of tax from the sale of cigarettes, but it cost the NHS billions of pounds. We know that a lot of the conditions that cigarettes cause are equally caused by obesity, along with many other things. Again, the use of weight-loss jabs could prevent the NHS from spending much more money later on diabetes care, orthopaedic care and mental health care. We know that people find being inactive depressing, quite frankly, and that their mental health takes a decline when they become inactive. We have to separate the issues of childhood obesity and adult obesity, which are two very different things. For those of us who end up starved of sleep, and those who end up never knowing when they will have a proper meal or where they will get it from, it is easy to fall into the traps. I have often found that people who have never had a problem with their weight are full of all the answers for those who do struggle with their weight, who may well tell others what they are doing and then be told, “No, what you want to be doing is this.” It is nonsense. The use of weight-loss jabs offers the NHS a real advantage, but we have to reduce the stigma and it is right that we ask whether it is moral to use drugs to reduce people’s wight. A lot of people do not have a choice about their weight, and they are now discovering that a small dose of hormonal drugs helps them to control their desire to eat. The long-term effects of obesity on the country’s health, and on the pressure on the NHS, will be reduced. When I become 7 stone lighter than I was back in September, there is no doubt that my health situation will have a far better outlook than it did, and that is the conversation we should be having when it comes to adults. There has been enough commenting on whether somebody is stick thin or really fat, and enough advice about what people should do to lose weight. We now have some answers that will actually make a difference, and we have to say, “These are the right things to do,” as we do with so many other drugs that help people get through their lives. We do not comment on people using nicotine patches or nicotine gum, yet we do talk about people who are trying to do things to help them lose weight.

Order. As Members can see from the annunciator, the debate on financial education has been postponed, so the current debate can go on until 10 pm.

19:14:00

I thank my hon. Friend the Member for Stroud (Dr Opher) for securing this debate. Some 21.7% of five-year-old children starting school in Bolton are classified as overweight or obese, and the figure rises to 37.8% by the time they leave primary school. Across the country, children in the poorest areas are twice as likely to be living with obesity as those in the richest areas. When we walk around our constituencies, we can see why. We all know that the poorest parts of the areas we represent are invariably overwhelmed with fast food outlets selling cheap junk food with minimal nutritional value. They are plastered with adverts for food that harms people’s health. They are often devoid of safe green spaces for exercise and of routes to travel safely to work. That is the impact of the places where people live. When we add the price and convenience of unhealthy food and the relentless and predatory marketing that pressures people into eating more junk food, we can see why the UK now has the third highest obesity rate in Europe. The burden of this preventable illness is falling on our poorest citizens. It cannot continue. As the Minister will be aware, it is in the poorest communities that we see the worst cases of heart attacks, strokes, type 2 diabetes, fatty liver disease and other preventable diseases. There will always be those who claim that people just need to make better choices. I would ask them, “Are our poorest citizens making choices that are twice as bad? Are they less informed? Do they care less about their children’s health?” Of course not. They face structural barriers that richer people do not. We must break down the barriers. Many of the interventions recommended in the House of Lords report could make a real difference, including improving baby food, increasing access to Healthy Start vouchers and building on the success of the soft drinks industry levy. All those interventions are worth making, but I will talk specifically about marketing. It is very welcome that the Government have committed to deliver regulations on TV and online advertising in October this year and to end the sale of high-caffeine energy drinks to children. I note that the latter policy was one of the most popular ideas in our manifesto, because people are worried about what their children are eating and drinking and they want the Government to do something about it. Both policies should have come into effect under the last Government, but unfortunately they did not. I urge Ministers not to make the mistake of listening to the same lobbying that took place last time and prevented the regulations from coming in. The 2018 regulations on TV and online advertising were modest and will not come into effect until the end of this year. That is not good enough. We must go further and faster to deliver the changes that we need to really turn the tide. The House of Lords Food, Diet and Obesity Committee recommended going further and ending the advertising of foods high in fat, salt and sugar, on all formats, by the end of this Parliament. There is a clear blueprint for this. Tobacco advertising on TV was ended in the mid-1990s, but the Blair Government realised that more action was needed and introduced the Tobacco Advertising and Promotion Act 2002. That legislation could almost be copied verbatim to protect children from predatory advertising or products that harm their health. A particular focus should be on outdoor advertising. Four out of five billboard adverts in this country are in the poorest areas, and they are overwhelmingly for unhealthy products. It is overtly preying on our citizens, and we have the power to stop it. Eleven metro Mayors, including my own Mayor in Greater Manchester, Andy Burnham, have stepped up to end such adverts on the outdoor spaces that they control, but they can only do so much. We need the Government to extend the regulations to cover privately held outdoor advertising, to ensure that children in my constituency and across the country are protected from these adverts. Obesity and poor diet constitute the leading preventable health crisis of our time, one that is driving horrific and preventable harms to people’s health and is driving inequalities in health outcomes. Our poorest citizens are paying the price for these harmful foods with their health. The House of Lords inquiry echoes the recommendations of many other experts, including the Henry Dimbleby national food strategy, multiple leading think-tanks, such as the Health Foundation and the Institute for Public Policy Research, and the 60 leading health charities and medical royal colleges represented by the Obesity Health Alliance. All the experts agree on the action that needs to be taken. The Minister has a blueprint for what needs to be done. I implore him to implement it.

19:20:00

I congratulate the hon. Member for Stroud (Dr Opher) on securing this debate. I thank him for raising interesting aspects of which I was not aware, such as the 13 cancers. I also thank the right hon. Member for Wetherby and Easingwold (Sir Alec Shelbrooke) for sharing his personal journey with us in this Chamber. It was a worthwhile contribution to this debate. In 2023, nearly 32% of children in year 6 in West Berkshire were classified as overweight, an increase of 3% on the year before. This is not an isolated trend: obesity rates among children and adults are rising across the country. The doubling of obesity rates in the UK over the past 30 years has been driven by multiple factors, of which changes in diet are one of the most significant. In that time, the UK’s food environment has also undergone a dramatic shift. Today, 25% of all food outlets are fast food establishments offering meals that are higher in sugar and fat but more affordable than healthy alternatives. Their affordability makes them increasingly attractive, particularly to those who are under financial pressure. With the rising cost of living, especially with energy bills, many households are left with less disposable income, and food budgets are one of the first areas in which people try to cut costs. Over the past three years, the price of healthy food has increased by £1.76 per 1,000 kilocalories, compared with just 76p for less healthy options. The impact of these changing diets is having severe consequences on people’s health and is placing immense pressure on the NHS. Obesity increases the risk of developing various diseases, including certain cancers such as colon cancer. It raises by more than two and a half times the likelihood of high blood pressure, which greatly increases the risk of heart disease. According to Frontier Economics, obesity costs the NHS £35 billion every year. That is simply unacceptable. The UK should be among the healthiest countries in the world. We have a rich tradition of grassroots sports, high-quality food production and world-leading medical research, yet our statistics tell a different story. The UK currently has the third highest rate of overweight or obese individuals in Europe. The Government must take decisive action to address this growing crisis. The Liberal Democrats have called for a reversal of the Conservatives’ cuts to the public health grants that enable local authorities to deliver the essential preventive services and community programmes that combat obesity and promote healthier diets. We also urge the Government to expand the national food strategy, not only to address food security, but to tackle rising food prices, end food poverty and improve public health and nutrition. It is vital that we halt this alarming trend of rising obesity. People deserve the opportunity to live healthier, longer lives. Reducing obesity will also have a transformative impact on the NHS, easing the immense pressure that it is facing. I implore the Government to take bold action and urgent steps to ensure that healthier food options are more accessible and to foster a culture of healthy activity across our nation.

19:24:00

I congratulate my hon. Friend the Member for Stroud (Dr Opher) on securing this hugely important debate. When I was writing my maiden speech back in July, I did some research into my predecessors, as one does. It was fascinating to see that it had been nearly 120 years since the voters of Chelsea elected a non-Conservative MP. He was Mr Emslie John Horniman, lately of the Horniman museum. His father, Frederick Horniman, was an MP under Queen Victoria. I was thinking that Mr Horniman senior would find a lot of similarities between his time as an MP during the Victorian era and the job today. The main building is largely the same, although it was possibly even colder in those days; some of the rules and procedures are the same; and he would probably even find some familiar faces among colleagues in both Houses. Thankfully, one of the big differences between Mr Horniman senior’s time and today would be the food. That is not just because the Victorians would not be enjoying the famous parliamentary jerk chicken, but because when it came to the food that people ate in Victorian times, the story was one of adulteration and contamination. Describing the Victorian history of adulteration and contamination of food, the US professor of history Anthony Wohl says: “The list of poisonous additives reads like the stock list of some mad and malevolent chemist”. If we had enjoyed a glass of beer here with Gladstone or Disraeli, we might also have been drinking strychnine and hallucinogens. With wine, we could have imbibed sulphate of copper. The mustard with our lunch would probably have come with added lead chromate. Our Gloucester cheese afterwards might well have owed its rosy hue to red lead. It is no wonder that indigestion cures in Victorian times were so popular. Thank goodness things are so different today. Thank goodness we have food standards. Thank goodness we do not allow people to eat things that make them so ill—except that we do. Day in, day out, food manufacturers add substances to food that, on the scale at which they are eaten today, quite legally damage people’s health. Supermarkets promote them and sell them. As a result, obesity, type 2 diabetes and the many other medical problems to which my hon. Friend the Member for Stroud referred have become huge issues in this day and age.

I am grateful to the hon. Gentleman—

Order. When the hon. Member for Chelsea and Fulham (Ben Coleman) takes an intervention, he must be seated.

The hon. Gentleman is making a thought-provoking observation, but does he acknowledge that in times past, the proportion of income that any individual, from whichever class, spent on food was considerably higher than it is today? If we are to get to the heart of the matter, we have to address the wider challenge of our society’s expectations of how much money we should spend on food. Does he not agree that we are addicted to cheap food?

The right hon. Member makes an excellent point that I will come to in a moment. The additives that cause so much harm today have simpler names: sugar, salt and fats. In moderation, all of those are fine, but the problem is that they are being shoved into our food willy-nilly in an effort to preserve it and—on the right hon. Member’s point—to make it cheap, alongside making it more addictive by design. As a result, we have what the House of Lords Food, Diet and Obesity Committee’s report rightly describes as a public health emergency. We now have one of the highest rates of obesity among high-income nations. Only tobacco shortens British lives more than poor diet.

The hon. Gentleman is making some very important points. I would add that adult obesity is not necessarily down to the kinds of food that he has outlined. When people are tired or feeling depressed, just the satiation of eating—even if it is healthy and they are eating more than they should—has the same effect. I used to have cigarettes, which did that, and sometimes people drink to do it, but it could also be done with healthy food. It is about quantities that cannot always be controlled, and there is a bigger link. I totally agree with what the hon. Gentleman is saying about these addictive substances, but they are not the only part of the puzzle.

I am grateful for the right hon. Gentleman’s comments. I was not attempting to put together the whole puzzle, but additives are an extremely important part of the puzzle. We do ourselves a disservice if we pretend that sugar, salt and fats—eaten in the quantities they are today—and the ready food that can be bought so cheaply are not poisonous, and not huge problems that we need to address. I am not wild about the term “obese” because of the negative, pejorative connotations that can make people feel awful about themselves, as has been said, but it is the best term we have at the moment. Over a fifth of children in this country—22.1%—are obese. The figure is even higher in my constituency, which contains some of the country’s richest people, as well as many residents living in poverty. In the London borough of Kensington and Chelsea, 23.4% of reception pupils, aged four to five, are obese. In the borough of Hammersmith and Fulham, 22.4% of reception pupils are classified as obese. This is a problem everywhere, not just in the poorest parts of the country. It is therefore hugely good news that the Government have identified a shift from ill health to prevention as one of the three major objectives of their health mission. It is even better news that a cross-Government national food strategy is being developed. What would I like to see in that national food strategy? What should be done? I would like us to start by realising that it is time to stop placing excessive emphasis on individual responsibility. That may be hard to swallow for some people, but the Lords report makes it clear that 30 years of policies that rely solely on personal choice, rather than tackling the underlying drivers of unhealthy diets, have failed to shift the dial. Sadly, under successive Governments, these policies have contributed to widening health inequalities. As my hon. Friend the Member for Bolton South and Walkden (Yasmin Qureshi) noted, the Lords report rightly praised the last Government’s sugar tax on soft drinks. Officially called the soft drinks industry levy, it was a significant public health success—people are consuming less sugar. While obesity remains an overall problem, it has fallen to an extent, particularly among girls aged 10 and 11 in the most deprived areas. Fewer children are having to go to hospital to have their decayed teeth pulled out. That brings me to the lack of dentists after 14 years of Conservative Government, but I will not go there now. The sugar tax has saved millions, possibly billions, of pounds in healthcare costs, as well as a lot of misery. It is a pretty good example to follow, so I support the call by my hon. Friend the Member for Stroud for the levy to be extended to more food products and for similar action to be taken on salt and fats. I am glad that the Government are delivering on their manifesto pledge to give children the best and healthiest start in life by banning the targeting of junk food at children. Just as advertising restrictions contributed to a decline in the number of smokers, I hope that restricting the advertising of unhealthy foods will contribute to a decline in childhood obesity. I also agree that labelling food better, to distinguish between healthy and less healthy products, is essential. It already works, as allergy sufferers are benefiting from Natasha’s law, which requires food businesses to fully label their ingredients. However, targeting unhealthy food is not enough. Even unhealthy food is better than no food, for those who cannot afford healthy ingredients, for those who cannot find healthy ingredients or for those who do not know how to cook them. I am not arguing that we should make crap food so expensive that people are forced to go elsewhere to buy even more expensive alternatives. As the hon. Member for Newbury (Mr Dillon) said, it is of fundamental importance that healthy food should be affordable to everyone and widely available wherever they live. At the moment, it is far from either. It is no good badgering people to eat five pieces of fruit and veg a day if they cannot afford to do so or if it is not available locally—that is just patronising.

I am surprised that no one has mentioned the rise of food banks. Does my hon. Friend share my view that, although well-meaning people give produce to food banks, it is often tinned products or ready meals that people need to cook at home, which may be an inadvertent driver of this issue?

That is a very good point. The poverty in this country now and the cost of energy is causing people in my constituency to go to food banks and ask for foods that they do not have to cook. We are offering people food that might not always be of the best quality, and food banks tell me that a lot of healthy, fresh fruit and veg goes to waste because people are either worried about the cost of energy or simply do not know how to cook. These are addressable problems; these are things that we can do something about if we want to do so. I strongly back the House of Lords report’s recommendation that the revenue from a salt and sugar reformulation tax should be used to make healthier food cheaper, particularly for those on low incomes. I would like some of the revenue to go to organisations such as Alexandra Rose, a charity operating in my constituency. It makes healthy food affordable and accessible to families on low incomes by handing out vouchers so that pregnant women and the families of children under five can buy fresh fruit and veg at local markets or independent shops. In the heart of Fulham, 376 families and 587 children have enjoyed £85,200-worth of fresh fruit and veg from our wonderful North End Road market, which has operated since late Victorian times. Alexandra Rose tells me that, six months after starting the project, 64% of children are meeting their five-a-day target, compared with just 7% when it began. As the Government develop their food strategy, I encourage them to consider supporting such charities to extend their work through national action. Another issue is the accessibility of food, and I do not think this point is addressed enough. Many parts of this country are healthy food deserts. In his annual report, Professor Sir Chris Whitty, the chief medical officer, said that “families in inner-city areas are less likely to have access to healthy, affordable food options” and as a result they will have shorter and unhealthier lives. We have to ensure that good food is available at an affordable price. I hope the food strategy will look at that, as well as at teaching basic cookery in schools—that is another important point. Change will take time, but it can be done. It just needs the political will. I hope we will reach a position where, if Mr Horniman could come back to see us, he would be delighted. After all, we must remember that he took immense pride in the tea his family produced; it was one of the very few to be declared free of chemicals and safe to drink in the 1850s. Let us hope we can say the same about our food in the future.

19:37:00

I am grateful to the hon. Member for Stroud (Dr Opher) for securing this debate on the important subject of the impact of food and diet on obesity. Over the past 30 years, as has been noted, obesity has been the subject of over 700 food-related health policies in England. Yet, while successive Governments have recognised the immense challenge of obesity and have sought to tackle it through various strategies, schemes and mandates, obesity rates have remained excessively high. Although, over the past five years we have seen adult obesity rates stabilise and the number of children who are overweight or obese fall to the lowest level since 2000, there is so much more work to do to address this issue, which is having an alarming impact on people’s health. In the UK today, more than one in 20 cancer cases are linked to excess weight, and obesity is predicted to overtake smoking as the leading preventable cause of cancer in women by 2043. It is estimated that, by 2035, the cost of treating type 2 diabetes will exceed that of treating all cancers today. Alongside this health crisis comes a phenomenal financial cost. The NHS currently spends £6.5 billion a year on obesity-related illnesses. Indeed, the independent national food strategy cited an even larger figure of £18 billion, with diabetes care alone already accounting for nearly 10% of the NHS budget. We must act now to address this issue. We do not have another 30 years to get this right; nor can we afford another 700 policies. We cannot just look for easy wins on this subject. Rather, we should look for a meaningful, transformative policy shift and not fall foul of previous mistakes. In the past, approaches by Governments have not always been joined up in understanding the whole food cycle, from supplier to shop shelf. Political and economic decisions have contributed to that. If we are serious about reforming the food system, the Government will have to implement a strategy that engages producers of all sizes, from small businesses to large corporations, across the supply chain, to give consumers a choice when they make their weekly shop. Although it may seem in some respects that we now have access to more food options and choices than ever before, for many people those choices are often limited by cost. Too often the cost of healthy options is increasing while the cost of ultra-processed foods decreases. In the UK, the majority of our diets are now made up of ultra-processed foods. Growing evidence links UPFs and adverse health outcomes, so it is vital that more research is done to ensure we are making informed policy decisions. We need to ensure that it is not just the large food manufacturers that are dominating the discussion and leading the market, and that we are creating opportunities and spaces for smaller, innovative food producers to contribute to the debate and help to provide solutions to some of the challenges we face. Part of the solution means working with our farmers, who already produce some of freshest, healthiest food to high animal welfare standards of anywhere in the world. The produce of the farmers in my constituency is second to none: Cheshire beef and dairy products are some of the most nutritious, natural and tasty on the market. We need to ensure our farmers and food producers are part of the solution, and that we strive to connect people to where our food comes from. Just as we need a joined-up approach across the supply chain, we need a joined-up approach across Government. The Department for Environment, Food and Rural Affairs and the Department for Health and Social Care can publish a strong food strategy, but it will need involvement from the Treasury to ensure the path from farm to fork or supplier to shelf is supported. I have talked about choice and the impact of food prices for families who are trying their best to make healthy choices, but alongside cost limitations are the limitations on people’s time. My husband and I both work full time and, as a mum, I know from experience that after a long day at work, all too often the easy option is to pick up some food on the way home that is convenient but perhaps not that healthy for us and our family. I know there are thousands of hard-working parents across Chester South and Eddisbury—indeed, the country—who will know what I am talking about. We as legislators, and supermarkets as the gateway where people buy their food, can take steps to improve choice for consumers, both financially and in relation to convenience, that will help us to become a healthier nation. For instance, supermarkets could have a section with ingredients next to healthy recipes, shortening the time the consumer would need to be in the shop and encouraging them to try new and nutritious meals. We can and must do more to address this issue. We must connect people with where their food comes from, have a frank conversation about the impacts of ultra-processed foods and deliver research to ensure we have evidence to make meaningful change. We need to support smaller businesses, working with them as they develop innovative ways to produce and market their products, and ensuring they have a voice at the table, alongside the large suppliers and supermarkets. We need to understand the challenges that families face with the costs and time constraints of busy family life, and ensure we are doing all we can to help them navigate a path to healthy, nutritious and tasty food. In conclusion, I hope the Government will look at delivering a food strategy based on cross-party consultation that will address the food system from supplier to shelf, because the cost of obesity for individuals and for society as a whole is unsustainable and is a health crisis we cannot ignore.

19:44:00

I thank my hon. Friend the Member for Stroud (Dr Opher) for securing this much-needed debate. I also thank the right hon. Member for Wetherby and Easingwold (Sir Alec Shelbrooke) for sharing his testimony about how he lost 7 stone in such a short time—I tip my turban to him. I have my own story. I lost 2 stone in two months because of what a doctor told me. Forget the nanny state: he said to me in no uncertain terms, “If you don’t lose weight, you won’t be here in a couple of years’ time.” I went home reeling from that news and did exactly what he told me to do. I lost the weight, had a fantastic body mass index and then I went back for my tests. However, let me be clear: people cannot undo 20, 30 or 40 years of damage. If we lose somebody, we wish we could have had an extra day to say goodbye, to thank them or just speak to them one more time. Obesity, which leads to so many other diseases, robs people of five, 10 or 15 years of their lives, and means grandchildren are not able to speak to their grandparents. Why? Because those grandparents have passed away. We have to take that on board and counter it. When I went back for my tests, I asked for an extra test, because I am one of those people who likes to be told—I am quite vain—how fit and healthy I am. I asked for an extra scan, and I got it. To my shock and horror, that extra scan revealed one of my arteries was completely blocked and the other, the left anterior descending artery, affectionately known as the “widow maker”, was 95% blocked, even though I had cycled 85 km the previous day. Very quickly, I went into Barts hospital where I underwent triple heart bypass surgery, and I lived to tell the tale. It was all because of years of decline. While some conditions cannot be avoided, obesity can. When I say that my BMI was 27, the answer is always that BMI is not something to be relied on, but it is the best scale we have. In Ilford South, where 75% are from the Asian subcontinent, 25 is not the BMI number we should be looking at—it should be 23. I am struggling myself, because my BMI is hovering at 24. Another cultural shift is needed—it Is a cultural problem—because when people look at me, having lost 2 stone, they say, “Are you okay? You look unhealthy.”

I chuckled to myself when the hon. Gentleman said that, because people ask me if something is seriously wrong. He emphasises the point that weight, whether thin or fat, is a stigmatised subject. Even when people are trying to get themselves healthy, they get criticism. We have to expose that and get on top of it.

I absolutely agree. People have come round to check on me and ask me whether I really am okay or if I have an underlying problem, because I have lost so much weight. The only downside to losing weight is that it is very expensive—I have needed a new wardrobe. Obesity is the leading preventable cause of death. Imagine the prize of an extra five, 10 or 15 years with loved ones: tackling obesity can give people more time with those they love. Obesity costs the NHS billions of pounds and impacts many livelihoods. In my constituency of Ilford South, obesity rates are 10% higher than in the rest of London. My neighbours and their loved ones are struggling and suffering unnecessarily. The obesity crisis is threefold. Access to affordable, healthy food has decreased, while the prevalence of processed food and fast-food outlets has increased. In Ilford, the number of fast-food outlets has grown by a staggering 47.1% in just the last 10 years. Nearly a third of children in my constituency are overweight. They are bombarded with adverts everywhere on their way to school. Even worse, youth clubs have dwindled, leaving many young people with fewer warm places to go after school to enjoy themselves, exercise and socialise. The affordability of healthy food, the accessibility of unhealthy food and reduced support for young people have fostered an environment in which unhealthy habits are growing. People do not even know how to cook, which causes a crisis of obesity, robs children of the best start in life and sets them up for a lifetime of health problems. We need to be bold enough to confront the growing trend, which is why we are here today. To tackle the accessibility of unhealthy food, Redbridge council set out a local plan to ban fast food outlets 400 metres from school gates, but were they banned? They were not. The Mayor of London’s plan says the same thing. We need to give planning policies the necessary teeth to stop fast food outlets opening right outside schools, and the adverts that bombard our children on the way to and from school. To increase the affordability of healthy food, we have to work with charities. In Redbridge, we are working with a food bank to create facilities to store fresh fruit and vegetables. Last Friday, I had the privilege of being shown the food bank’s new premises, which we had been working on for the past 18 months. I was shown the cold storage where we will store vegetables. It was mentioned earlier that food banks should be able to store vegetables, because that is the healthy way forward. To give young people a place to go after school, we led investments in local youth centres. We need a holistic approach. We need to look at not just food itself but everything in society. On a national scale, we have to make changes to protect young people from obesity. The Government must do that by fulfilling our Labour manifesto commitment to ensure that children are no longer exposed to TV adverts for junk food. We have banned paid online junk food adverts, preventing the overexposure of young people to unhealthy, processed and fatty foods, but we can and must do more. As has been mentioned two or three times, we must move away from viewing obesity through the lens of judgment, and confront the ways we have allowed unhealthy choices to be the easiest choices. We must break down the barriers to healthy eating, prevent the manipulation and exploitation of young people, and support everyone to live healthier lives.

19:54:00

I commend the hon. Member for Stroud (Dr Opher) on bringing forward this important debate. It is refreshing that Members on both sides of the Chamber are all agreeing, and trying to find a way forward. Figures show that more than a quarter of children aged four and five in Wales are measured as being overweight, with one in 10 being obese. While those figures are hugely concerning, the factors for obesity, as has been said, are incredibly complex. They include the impact of poverty, behaviours resulting from technological advances, and unhealthy foods, to name just a few. As hon. Members will know, health is a devolved matter in Wales. Obesity is rightly recognised as one of the most significant public health challenges, both in Cardiff and here in Westminster. At the start of this Senedd term, the then Cabinet Secretary for Health and Social Care, Eluned Morgan, said: “I can give you an absolute commitment…I’m absolutely determined that this is an area that we should focus on.” Four or five years on from that commitment, campaigners are raising the alarm. Obesity Alliance Cymru has said that without urgent action to combat rates of obesity in Wales, our NHS will likely face additional costs of £465 million in Wales by 2050. It is therefore vital that health policy on obesity is receptive to the link between the prevalence of poverty and physical and mental wellbeing. That means resources to promote physical activity and improve health education, and more time for physical education. Plaid Cymru is proud to have secured free school meals for all primary school children in Wales. At the heart of the policy is the belief that each and every child should have access to hot nutritious meals, especially when so many rely on their school lunch as their most substantial meal of the day. To that end, initiatives are already in place that can achieve the high standard of food produce that we all want for our constituents. Where I live in Llanarthne—it is a small rural village in the middle of nowhere, but it is the heart of Wales—the council-owned Bremenda Isaf farm has been taken over to produce vegetables for the public plate as part of the Bwyd Sir Gâr food partnership. The project proves not only that we can still achieve shorter food supply chains, which are useful for food security and resilience, but that local and Government-led farm to fork initiatives can work successfully both to support local farming and to ensure better quality, tasty food for our children and residents. The Bremenda Isaf project could be an example to emulate across the whole UK, using public land to produce public food. The UK Government’s shared prosperity fund, which is being cut to £900 million in 2025-26 before being scrapped, was influential in making that initiative happen. I reiterate my call for any wider funding reforms to consider the importance of need-based funding, and for all funding allocations for Wales to be decided in Wales. Research by Nesta, an innovation foundation, argues that we can reduce obesity and improve population health by improving our food environment. That means looking at the price of healthy options, portion sizes, advertising and promotions, and convenience. In other words, a holistic approach is the way forward. As hon. Members have set out, policy ideas have already been developed to put that in motion. New ideas and initiatives have challenges, but for more effective decision making, we desperately need a different mindset. Under-resourcing these initiatives will inevitably mean higher future spending on health. Now is the time to look at our local communities and learn from them.

Order. To ensure that everybody gets in, I am setting a time limit of eight minutes.

19:59:00

On that note, I will keep it short. I thank my hon. Friend the Member for Stroud (Dr Opher) for bringing forward the debate. I slightly disagree with his suggestion that food is the only answer, because I think fitness plays a part, but I guess that is a slightly different discussion. Prior to becoming an MP, I was a physical training instructor in the Army, and I have worked in the fitness industry for 15 years, so I have seen at first hand the positive effect that good nutrition can have on people’s mental and physical health—it is absolutely massive. As the House will know, I am an extremely proud Swindonian and absolutely love Swindon—it is the best place in the world, though some might disagree—but there are some facts and statistics that I am less proud of. One of them is that 36.8% of children in my constituency leave primary school overweight—a shocking statistic. They are being set up for failure later in life, for example by getting conditions such as diabetes. It is something we absolutely have to address. As Members have mentioned, when we dig a little deeper into the statistics, we see that not only are those children overweight, but more often than not they come from deprived areas. That means it is not only a health issue, but an equalities issue. That is something our Government have set out to fix, and it is something we must take seriously. Once again, I am proud that we are having this debate. It is important that we talk about obesity and food, and I am thankful that the Government have taken forward preventative measures for care in the community first, and I look forward to hearing what the Minister has to say on that. I thank my hon. Friend the Member for Stroud for bringing the debate forward and hon. Members for taking part in it.

20:01:00

I commend the hon. Member for Stroud (Dr Opher) for securing the debate and for putting himself out there by calling for a sugar and salt reformulation tax. I will add that it is not just through penalties that we will tackle diets in this country; it is also through incentives. Today I want to talk about some incentives being used in East Devon, where I represent Honiton and Sidmouth. It was recognised a long time ago that ultra-processed foods were not only linked to obesity, but were contributing to malnutrition and poor dental health. I want to highlight the brilliant work of the charity Project Food, which is dedicated to improving diets, promoting healthier lifestyles and reducing the burden of preventable disease in the community. Project Food is linked slightly to a restaurant called River Cottage. One of the trustees, Stewart Dodd, invited me to see Project Food in October. It operates out of Axminster’s community hospital, and that is entirely fitting because the work it does is very much around public health. Project Food is a shining example of grassroots public health action. Through free cooking demonstrations, hands-on sessions, one-to-one support and online classes, it empowers people to move away from ultra-processed food. Yet it finds it very difficult to keep up with the growing demand for its services in Devon. More families than ever are turning to Project Food for help because of the high cost of nutritious food, contrasted with the relative affordability of foods packed with sugar and palm oil. Alarmingly, a report by the Food Foundation revealed that low-income households now need to spend up to 50% of their disposable income on food if they are to meet Government recommendations on what is a healthy diet. Over 11% of UK households experience food insecurity and, as we all know, millions are turning to food banks, as well as to ultra-processed foods, just to survive. While the debate is principally about diet and food, we should think about some of the co-benefits of reducing sugar intake. I will point to dentistry. Fewer than half of the children in Devon saw a dentist last year. Promoting healthy eating habits could reduce the strain not only on the wider NHS and secondary care, but on dentistry. We know that tooth decay is the leading cause of hospital admissions for children aged between five and nine, so this is plainly an area where working on the reformulation of food could help save money on dentistry too. The hon. Member for Chelsea and Fulham (Ben Coleman) referred earlier to Natasha’s law, which was about how allergens are illustrated on food packaging. That was extended through the calorie labelling regulations that came into effect in 2022. Those regulations have helped to prevent obesity by ensuring that when people go into a café or restaurant, they can see what it is they are eating and the calories associated with the meal they might choose. We should also recognise that this can have a negative effect. I had a constituent come to me to talk about the calorie labelling regulations in 2022 and the effect they had had on her daughter, who suffers from anorexia. The requirement on large businesses to put calorie counts on menus had made it extremely difficult for her to go out to eat with her daughter. Her daughter would take one look at the menu and simply refuse to eat anything, and it led to the family simply not going out to eat at all. One way the Minister might consider building on those calorie labelling regulations is by requiring those same restaurants and cafés to have menus with no calorie counts on them, so that families can dine out without the fear of stressing out somebody who has an eating disorder. To return to Project Food and how we can better support some of the community assets we have to help tackle obesity and improve diet, we should be thinking about the use of community hospitals. We have spare space in community hospitals at Axminster and Ottery Saint Mary, from where Project Food operates. I suggest that the work being carried out by Project Food would be suitable for social prescribing. It is definitely having a positive effect on the people I saw who are working with that charity. It has done some excellent work, and I suggest that its work could be scaled and implemented across the country. With that spare capacity, we could see hubs for nutrition programmes and other public health measures that support healthier communities, which would be very much in line with what the Government have been talking about in response to the Darzi report. By addressing poor nutrition head-on in the community, we can reduce inequality, improve lives and alleviate the immense pressure on our health service.

20:07:00

I congratulate my hon. Friend the Member for Stroud (Dr Opher) on getting this important debate in the House. People sometimes talk about rising levels of obesity as simply a consequence of individual choices; they say the issue is no more complex than the fact that people are choosing not to eat healthily and not to exercise regularly. But if we talk to any expert, academic or parent struggling to put food on the table, they will say that the truth is much more complicated, because rising rates of obesity are deeply tied to social and economic changes. Over the past 30 years, obesity rates have doubled while people’s knowledge of nutrition has not declined. Instead, experts point to the changes in the food environment. Unhealthy food has become much cheaper, easier to access and more convenient, while healthy options have become more expensive, harder to access and less convenient. The facts bear that out. Today, fruit and vegetables cost twice as much per calorie as foods high in fat and sugar. To eat in line with the Government’s recommended diet, the most deprived fifth of UK households would need to spend 50% of their disposable income on food, while the richest fifth would need to spend just 11%, according to research from the Food Foundation. It is little wonder, therefore, that the most deprived fifth of households eat more than a third less fruit and vegetables compared with the wealthiest fifth. Although everyone is affected by the food environment, it does not affect everyone equally. It is harder for working-class families to afford healthy and nutritious food—that is beyond doubt. That link between poverty and obesity is clearly seen among children. Those in the most deprived fifth of the population are more than twice as likely to be living with obesity than those in the richest fifth. Children in Knowsley, which forms part of my constituency, have some of the highest rates of obesity in the country. The fantastic director of public health at Knowsley council, Sarah McNulty, says that that is a poverty and deprivation issue. It does not have to be this way. Instead of a food system that pumps out unhealthy food while millions struggle to put a meal on the table, we could have a system that guarantees everyone a good, healthy diet—putting an end to the scandal of hunger and food banks. That is the demand of the Right to Food campaign, which I am very proud to lead in Parliament. It seeks first and foremost to end the injustice of food poverty, but also to ensure that food is of high quality and healthy. That means everything from ensuring that high-street planning encourages healthy eating, and building a proper safety net to get people out of food banks, to introducing universal free school meals and opening community kitchens. We know the effects that those policies have in tackling food poverty and obesity. Academic studies show that in the London boroughs that have provided free school meals for all primary school pupils, the prevalence of obesity has been reduced by around 10%. In Liverpool, co-operatives such as Food for Thought, a non-profit company that produces school meals, are waiting to go on free school meals. Many areas in Liverpool are classed as food deserts, with healthy food in short supply and unaffordable for people who are struggling to get by after the cost of living crisis and 14 years of grinding austerity. Just 24% of adults in my great city of Liverpool eat five portions of fruit and vegetables every day. In 2019, Fans Supporting Foodbanks—an organisation we set up in 2015—created the market-style mobile food pantry model to tackle the issue of food deserts in Liverpool, which has since fed thousands of families across Liverpool and St Helens in a non-stigmatising manner, with fresh fruit and vegetables an absolutely fundamental part of the offering. I take this opportunity to place on the record my thanks to all the volunteers who have created that unique model and made it such a success; it has made such a difference to lots of communities across Liverpool. Since 2017, the Rose vouchers for fruit and veg project has supported struggling families in Liverpool to access fruit and veg. Almost £300,000-worth of fresh fruit and veg has been bought with the vouchers, enabling almost 5,000 people to access healthy options and avoid food poverty. Such community-led solutions, which put people before profit, are one way we can help those in our communities who are struggling to access healthy and affordable food. I take this opportunity once again to thank everybody involved in those projects. Both those fantastic schemes are sticking plasters over a gaping wound. We need systemic change. Implementing a right to food is not the art of the impossible; it is in the Government’s gift. Its funding could be underpinned by a high fat, salt and sugar levy on food producers. The remodelling of our food system into one that keeps the population and future generations healthy is a political choice. For the sake of future generations, I hope that the Government make the right choice.

20:13:00

I thank the hon. Member for Stroud (Dr Opher) for bringing this matter to the House, and everybody who has spoken so brilliantly. This debate further proves the point that the issue of diet and health is personal to so many people, and it has been incredible to hear that echoed across the House. Food is essential for life. It is part of who we are, part of our story and, for many in this House and across the UK, part of our cultural heritage. However, so many families across the UK cannot make ends meet; they are literally struggling to put food on the table. I pay tribute to the Resurgam Trust community fridge based in the Laganview and Old Warren estate in Lisburn, and to Dee and Carol, who operate the St Vincent de Paul service at the chapel in Lisburn. I feel almost awful saying that, because people in our society should not be forced to use charity in this day and age. Food banks were not normal whenever I was growing up 30 years ago, and talking about them in this way still makes me feel really queasy. I want to call out something that for me is an elephant in the room just now. Like all thorny societal issues, it will not be addressed and dealt with in the Health Departments here in England and in Northern Ireland. We have people who work some of the longest hours in Europe. Workers on minimum wage, and often on zero-hours contracts, go home at the end of the day to houses that do not have big kitchens and fancy utensils. They might not know how to use pasta or this, that and the other. And why should we dictate what foods people should eat? It is up to them to choose what to eat. Yes, ideally it should be healthy, but we are now in a situation where we are saying, “Well, if you use your money wisely, you can spend £20 and buy a big job lot of pasta and a bit of pasta sauce.” What people eat is up to them; what we should be doing is ensuring that they are paid well and in stable work, and then they can choose the good, nutritious and sustainable foods that they want to eat, rather than having to go to some place to beg for food just to live. [Interruption.] Sorry, this is something I feel really passionately about. At the heart of all this is inequality. What the Resurgam Trust community fridge does well is link it all together. We are dealing with a situation in which some of the biggest issues of the day, including housing and health, are all linked. It is because we have taken things for granted. Some of the wealthiest people live in my Lagan Valley constituency—there are houses on the market at £250,000 to £1 million—but on the estates in Lisburn, what people are eating is not healthy and is not good for them. I can also list the associated health problems, which include various comorbidities, obesity, heart disease and cancer. I really worry about the impact of ultra-processed foods, particularly on young people. We are seeing a stark rise in colorectal cancer in particular. I know that some people are reluctant to make that link, and I am not explicitly making it, but we have fundamentally changed the sorts of food that we eat. I could go and do a supermarket shop today and buy something called noodles, but they are not noodles at all. I do not know what they are made of. I was not very good at science, but I know that margarine is one molecule away from plastic. Is that the sort of stuff that we should be eating? It does not sound good to me to eat plastic. That is the bare reality of it. We also tell people to eat their five a day. Yes, they should, but the number of pesticides and herbicides in some of our food worries me. Some people might not want to hear that. People think that they are eating healthy food, but we must consider how we process that food. I was shocked to learn about how we classify processed foods, some of which I, a relatively educated person, would have thought were unprocessed, but are not. I cannot remember which hon. Member said that ingredients are marketed as a cereal with certain vitamins, for example, which sounds great, but that actually that is nonsense. We could not put anything more unhealthy on our children’s plates. That goes back to my earlier point: if people are short on time and money, it is because of choices that we have made in this Chamber and in chambers right across Europe and the world. We have made the choice to deprive people and families, whether they are family units, carers or people who look after children. I do not think that that choice is right. We cannot turn around now and decry the obesity epidemic whenever we are not supporting people to live and work well. I simply ask that we look at the other external factors linked to this. Yes, it is about food, and yes, we should be doing more, but we should not be considering that in isolation. We in this House are tasked with the job of looking after every constituent in the UK. That should be as much about ensuring that they have a roof above their head as it is about ensuring that they have a choice of nutritious and affordable food because we have given them good, stable jobs. That is all I ask. I send that message strongly from my Lagan Valley constituents.

20:19:00

This has been an excellent and wide-ranging debate, and I am so happy to have the opportunity to speak in it. I commend the right hon. Member for Wetherby and Easingwold (Sir Alec Shelbrooke), who I have worked with over a number of years, for his excellent speech. It is always really hard to talk about oneself, but he did it with grace. Listening to his really thoughtful contribution today will have helped a lot of people—it has definitely helped me. As hon. Members know, I am a huge supporter of school food. I make lots of contributions about it in this place; I believe that it should be universal, for all the reasons that I will go on to discuss. It is not only about stigma, poverty alleviation and all of that, but about the health benefits that all children eating healthy school food would bring, especially in regard to their diet and obesity. Looking at schools up and down the country, the food that they serve is far too inconsistent. We have seen some brilliant examples across the country—we have all visited schools in our constituencies that serve a variety of salads and nutritious hot meals—but others are serving things like pizzas, burgers or chips far more often than they should be doing under the school food standards. That is damaging the health of a generation. The report by the House of Lords Food, Diet and Obesity Committee, chaired by the wonderful Baroness Walmsley, discussed the fact that too many secondary schools in particular were serving up food that was not preparing students for the rest of their school day. As Members across the House know, this is where the school food standards should come in. However, a study by Impact on Urban Health shows significant differences between what is mandated by the school food standards, what appears on menus, and what actually ends up on plates. In fact, 60% of secondary schools have been found not to follow the school food standards at all. In other words, the school food standards exist on paper, but not on plates. That is why, across the sector and in this House, we have been calling for proper enforcement of the school food standards. This Government must end the postcode lottery in what children get to eat at lunchtime. There is no greater priority for this Government than raising the healthiest generation of children ever. This is a matter of health: one in three children are already at risk of future food-related ill health, such as type 2 diabetes or heart disease, by the age of 10. Existing Government initiatives are already going above and beyond to combat that, and providing a free breakfast to every primary school child will ensure that pupils are starting their day nourished and ready to learn, but there is more to be done. The Department for Education has reported that 11% of families nationally who are entitled to claim free school meals have not applied to receive them. This means that between 240,000 and 470,000 children in England—the figure seems to vary depending on who you talk to, but it is a large number—are missing out on their statutory right to a free school meal. This is due to barriers such as complex applications, language or literacy challenges, stigma and low awareness. An auto-enrolment plan, as outlined by my hon. Friend the Member for Crawley (Peter Lamb) in his private Member’s Bill—the Free School Meals (Automatic Registration of Eligible Children) Bill—and by my hon. Friend the Member for Stroud (Dr Opher) in his opening speech, would solve the problem. Many local authorities have already had massive success, but data-sharing challenges or bureaucracy should not prevent children from eating at school, especially when they are entitled to a free school meal. Because free school meals are a statutory scheme, Government funding should already exist to provide the up to 470,000 missing children with a school lunch, so this should not be seen as a spending commitment. That funding also unlocks vital pupil premium funding. Since 2016, Sheffield city council has unlocked £3.8 million of extra pupil premium funding every single year to support 5,400 children. Small tweaks like auto-enrolment really can have huge impacts on thousands of children’s lives. Another concern that must be addressed is the scarily low eligibility criteria for free school meals. Households must be earning less than £7,400 a year before benefits to be entitled. That leaves out up to 900,000 children who are living in poverty by any measure but are not in receipt of that crucial support. We have heard examples of children pretending to eat from empty lunchboxes, hiding in the playground because they do not want others to know that they do not have any food or money for lunch, or asking their friends for an extra sandwich for their friend who never has any food for lunch. We must bring the eligibility criteria in line with universal credit, which would provide those 900,000 children with a hot, nutritious meal at lunchtime. Surely that is the least we should be doing in one of the richest countries in the world. In an ideal world, we would follow the example of the London Mayor and extend free school meals to all primary-age children, with the ambition of a universal offer. This would level the playing field and eliminate inequality at lunchtime, while also ensuring that all children eat healthy, nutritious meals, setting them up for a healthier life as adults with lower rates of obesity. As we have heard, that would save up to £35 billion a year. It is a win-win, surely. These progressive steps, empowered by the new breakfast club programme, should be taken when funding allows. The results would speak for themselves, delivering on our ambitious manifesto commitment for the UK to be raising the healthiest generation of children ever. Surely they deserve no less. They are our future, after all.

20:26:00

I thank everyone for their contributions so far. In particular, I thank the right hon. Member for Wetherby and Easingwold (Sir Alec Shelbrooke) for his contribution. It was a very personal story, and when we tell a personal story in this Chamber or anywhere else, it always carries more weight—that is not a pun, by the way. It carries a different focus, and I thank the right hon. Gentleman for sharing that story. We all thank him for sharing it, because it may inspire others outside this Chamber who find his words wise and helpful. I am happy to speak in this debate. I declare an interest as a type 2 diabetic; my story of diabetes is personal to me, but it is one that many go through. I have experienced the health problems that a fast food diet brings. When I discovered I was a type 2 diabetic back in 2008, I weighed some 17 stone. I was in the Northern Ireland Assembly. We were at the Scottish Parliament in Edinburgh, and I had been to see my doctor, because I had some pains that men get in certain places and I had some concern over them. Dr Mageean phoned me in Edinburgh and said, “Jim, I’ve good news for you. Do you want the good news or the bad news?” I said, “Well, Dr Mageean, give me the good news first. That’ll get me on good form.” He said, “The good news is that you’ve got a heart like an ox. The bad news is that you’re a diabetic.” Why had I become a diabetic? I did not recognise it, because I did not know what diabetes was. I was a diabetic probably a year before the doctor told me that day. I lived on Chinese meals five nights per week and two bottles of Coke. The sugar content was extreme, and I was 17 stone. Doctor Mageean told me, “Jim, it is up to you how you handle this.” His very wise words to me were, “Jim, it is up to you what you do, but if you do not do the right thing, it will progressively get worse.” I went on a diet that day, and I lost an extreme amount of weight. Along with that, I of course had fairly high stress levels. I was able to make those changes and I lost 4 stone in weight, which kept me stable for a while. Then I went on to the Metformin tablets, the Linagliptin tablets, the Jardiance tablets and all the other ones. In the morning I start with nine tablets and I finish the day with five. Many others will do similar things, because that is how we keep alive and how we manage it. Coffee became a substitute. I drink copious cups a day. I used to drink 12 cups of coffee a day, and I have reduced that to six, mostly in the morning, with five before 11 o’clock. There are probably side effects from drinking too much coffee as well. I tell all these stories to make the point that the right hon. Member for Wetherby and Easingwold made. He said that we have to do it ourselves, and we do. That is how it works, although I understand some people cannot. Over the years, I have helped numerous people with gastric band operations. They have all been successful, and it has helped those people. They had special circumstances, and they were able to lose weight. The hon. Member for Lagan Valley (Sorcha Eastwood) referred to food banks, and my food bank in Newtownards can give diabetic food to those who have diabetes, and those foods can help to manage diabetes. I remember my mum telling me when I was a child, “Always eat your carrots, and your eyesight will never go astray.” Well, it did not work for me. It was not an issue for me, because I love carrots and I love vegetables. The carrots did not do me any good, but my mum did perhaps engrain in me the necessity to eat greens—the six a day, or five a day as it was. My lifestyle was unhealthy, which led to lifelong consequences. It also means that I understand how very easy it is for convenience and a lack of time to lead to an unhealthy option, which is why I would like to focus on how we can make healthy meals more accessible. I am aware that it can be daunting as a parent with young children to try to work out healthy options that children will eat which are also affordable and do not take too long to make. It is clear that more work needs to be done to help young families, particularly to get the skills to cook and to create good eating patterns in families of all incomes. I am really pleased to see the Minister in his place and I look forward to his answers, because he is aways constructive in his answers. My son and daughter-in-law are staying with us and they have two children—Freya four and Ezra two and a half—and, as a grandfather, I have noticed that they had their children eating their vegetables from a very early age, which helps get that focus in place at an early stage. One of my local residents associations, Scrabo residents association, in conjunction with Ards community network, have used funding to put on classes for families to learn how to cook in a cost-effective and healthy way. Their fun, innovative and informative classes helped with budgeting and planning, and they know they were successful. However, as so often, the Government funding for that process has no longer continued. There is therefore less of an incentive for those volunteer groups in the community network to do that, which is a problem. Can the Minister give any indication of whether he and his Department are prepared to target that area to help families understand that there is a way to save money on healthy food? The latest data for Northern Ireland shows that 27% of adults and about one in 16 children, or some 6%, are living with obesity, and the development of obesity is strongly linked to deprivation. The hon. Member for Lagan Valley referred to deprivation, and it is so important for people to have a decent wage to buy the right food to look after themselves. Between 2011-12 and 2018-19, one in three or 36% of primary year 1 children living in the most deprived areas were more likely to be overweight or obese compared with those living in the least deprived areas. That represents a 12 percentage points increase since 2012, when the figure was 24%. It is now 36% of primary year 1 children, which is a real problem for us in Northern Ireland, although I am sure those figures are replicated on the mainland. Obesity also increases the risk of developing chronic diseases such as colon cancer, high blood pressure or type 2 diabetes, and it is linked to substantial direct and indirect costs estimated to be in the order of £370 million in Northern Ireland in 2009. What are those costs today? I look to the Minister to consider the approaches that I have referred to. As he and others know, I always try to be constructive in my comments and in describing what we have done in Northern Ireland. What is available to help communities put on the training, and help people realise that healthy eating is not just for those who can afford to shop at wholefoods and organic groceries, but for all of us, and that it can be easier to cook such food in the daily struggle of feeding our families? Obesity is a ticking time bomb; we need to defuse it with a co-ordinated and joined-up approach, and funding is the foundation of that.

20:35:00

I echo earlier comments by thanking all Members who have contributed to this debate. As a new Member, it has been heartening to hear so much agreement across the House and so many colleagues putting their evidence, enthusiasm and opinions into finding a solution to this epidemic. I thank my hon. Friend the Member for Stroud (Dr Opher) for introducing this debate. Unlike my hon. Friend, who has a medical degree and has become a GP, I took my medical degree and went into public health. I am a public health consultant and that is why I am here. It has been fantastic to hear everybody in this House talk in such resoundingly positive public health terms. It is past time for us to address this issue. Many great points have been made and I do not intend to repeat them, but I would like to stress a couple of things, starting with an interesting observation about the term “obesity”. It carries with it a certain load and stigma, which as a female I very much recognise. I want to put on record that this is not about fat-shaming; this is not about how people look or how society tells us we should look. This is about our health; this is about being well and feeling well and being able to live well and thrive. I also want to put on record something about body mass index. This is a slightly controversial subject in my area at the moment. It is a useful tool, as people have said, but as my hon. Friend the Member for Ilford South (Jas Athwal) mentioned, there are different levels of BMI for different ethnicities, and also it can be a limited metric. The House might be aware of the case of a female Olympic bodybuilder being classed as obese. We need to be careful about BMI and what we are saying to people— children or adults—when we see their BMI. This is about taking health in the round, and looking at what we eat, not what we look like. There is no debate about the evidence of obesity’s cost to our population’s health and our health system. We have heard the figures from multiple Members across the House, and £6.5 billion annually to the national health service is no small figure. We are literally eating ourselves into our sick beds, from diabetes to heart attacks, from liver disease to cancer; as we have heard, this is the second most preventable cause, after tobacco, of cancer. I have spoken before in the House, and will continue to do so, about creating conditions for people to thrive and to make healthy choices. Today, as so many hon. Members have highlighted, we live in an obesogenic environment—an environment that promotes unhealthy eating and does not make it easy to undertake regular exercise. A less familiar term is the opposite of that, and perhaps Hansard has never heard it: a leptogenic environment promotes healthy food choices and encourages physical activity. The comments on housing and on fair pay for good work were about a leptogenic environment. We might reflect on our own environment, Madam Deputy Speaker—whether it is an obesogenic or leptogenic environment. I wonder how many of us have managed to have dinner yet this evening, and how we are feeling. That is something for the Modernisation Committee to reflect on. To achieve a leptogenic environment we need to look at measures that create a functioning food system. As we have heard, we need to work with our farmers and food producers to produce a skilled food sector and a vibrant food economy. For our food system to allow us all to enjoy healthy food—again, we have heard this before—we need to ensure that it is accessible, affordable and attractive. We are visual creatures: what we see really influences us and our choices, and, boy, do the food organisations and the food companies know that. On accessibility, how easy is it to buy nutritious food? We have heard Members across the House talking about their constituencies, their residents, food deserts and how for some people, when they go into a shop, the choice is not from an array of vegetables, fruits, decent carbohydrates and decent proteins, but from processed, often cheap, quite filling, nutritionally poor food. That is not making healthy food accessible. On affordability, we have heard several times from different Members that healthy food—this is worth repeating—on average is more than twice as expensive per calorie as less healthy options. If people feeding their children across the country this week on a budget are faced with two different options, and one is cheaper and will fill their children’s stomachs, the odds are that they are likely to take that option, and there is no judgment in that at all. It is on us to make healthy food much more accessible and affordable for people. On attractiveness, how attractive is healthy food? We have heard this evening about the marketing and branding of ultra-processed, high-fat, high-sugar, high-salt food. It is fantastic that our Labour Government and our Minister for Public Health and Prevention, my hon. Friend the Member for Gorton and Denton (Andrew Gwynne) have taken the step to ban junk food advertisements before the watershed. That is a great step forward, but we need to be mindful of how much investment the major brands of high-fat, high-sugar and high-salt foods put into advertising. In digital advertising alone, that figure was £87.5 million. Food organisations do not put money into things if they do not make profit from them. Profit essentially remains their bottom line, not our waistlines. These are systemic issues, but we do not need to reinvent the wheel. We need to implement the wide-ranging recommendations of the national food strategy. The last Government missed that opportunity, but as we move forward with this Government, let us look at those recommendations, many of which have been mentioned in the House this evening. They include introducing a sugar and salt reformulation tax and expanding the Healthy Start scheme. In conclusion, we need to ensure that we in this place are legislating to make good nutrition an easy choice for all and that we are curating a healthy leptogenic environment. In that way, we will ensure that we are enabling healthy choices for all our residents and reducing obesity to a slim, historical footnote as we move forward into a healthier future for everyone.

20:42:00

I thank the hon. Member for Stroud (Dr Opher) for securing this important debate, and I thank all the Members who have contributed so passionately. When we talk about obesity, and in particular childhood obesity, we must not overlook the structural barriers that prevent healthy choices. Several key policies could make a transformative difference, and I will draw attention to some of those tonight, but I will start by saying that every family in the UK in the 21st century should have access to affordable, healthy and nutritious food. The covid-19 pandemic contributed to an increase in household food insecurity and food poverty, widening health inequalities. Recent increases in food costs have become one of the primary contributors to the cost of living crisis. Tackling food insecurity in our communities is a step towards reducing obesity. It requires a restructuring of the whole system that takes into consideration how we produce, source, sell and prepare our food. Early years nutrition is critical. Financial support schemes need to be expanded and increased in value. The current rates are inadequate, leaving many families unable to provide their children with a nutritious start in life. Expanding free school meals would be a game changer. The lack of a healthy, nutritious diet does not just affect physical health; it affects a child’s ability to learn and thrive. Universal access to free school meals would ensure that every child had at least one nutritious meal a day, reducing health inequalities and supporting educational attainment. Last year, Stratford-on-Avon district council, on which I am a councillor, passed unanimously my motion to tackle food insecurity in our area. It included looking at how planning policy can help reduce unhealthy diets by, for example, encouraging community food growing, the creation of food co-operatives and limiting the spread of fast-food outlets. I pay tribute to the Warwickshire food forum partnership, which developed a Warwickshire-wide food strategy along the priorities of access and affordability, food education and sustainable choices. I welcome the “Right to Food” campaign supported by many councils in England that are working towards making access to food a legal right, embedding food justice in their policies and calling on the Government to have the right to food enshrined in law. Finally, we need to look at how we disincentivise unhealthy food choices that are high in calories and low in nutrients. The soft drinks industry levy has been effective, but we must close some of its loopholes by extending it to high-sugar foods and milk-based drinks. That revenue could be reinvested in public health initiatives, creating a positive cycle of preventing disease. Such measures and policies are not just about tackling obesity but about creating a healthier and fairer society. I urge the Government to make the changes that our communities so desperately need.

20:46:00

I thank my hon. Friend the Member for Stroud (Dr Opher) for securing this important and informative debate. I will start with some statistics. Over the last seven years, Southend has seen one of the highest increases in England in the number of children living with obesity, with 22.7% of five-years-olds starting school with a weight classified as overweight or obese. That rises to 33.8% by the time they leave primary school. The chief medical officer Professor Sir Chris Whitty found in his 2021 annual report that coastal communities were some of the worst affected by rising childhood obesity rates, along with many other preventable health harms. It is not fair that where someone lives can affect their family’s and their children’s health outcomes. In Southend, we have seen not only that increase in obesity but the closing of sports facilities. I concur with my hon. Friend the Member for Swindon North (Will Stone) with regard to physical activity and exercise, which is also a vital component in the debate. I recently visited Hamstel infant and junior schools, whose swimming pool has unfortunately been closed down. In that scenario, students who predominantly come from lower socioeconomic backgrounds do not have access to local swimming facilities. That was yet another facility to close down, leaving children with less opportunity for physical activities. More widely, in 2021 Swim England reported that almost 2,000 swimming pools could be lost by 2030, which is simply unacceptable. The trend is not limited to swimming: since 2010, nearly 1,000 public football pitches have been lost across the UK. Childhood obesity is a complex issue, and the closure of sports facilities is certainly not the only contributing factor to the increase. Poor diet and the cost of living crisis also play a considerable part. Poor diet is one of the biggest preventable risk factors in ill health contributing to lower life expectancy and earlier onset illness. The cost of living crisis and compounding pressures on families’ pay packets mean that children from lower socioeconomic backgrounds and areas do not have the option of a healthy diet. Healthy foods are twice as expensive calorie for calorie as less healthy foods. That is simply not good enough. We need to improve health outcomes for children in Southend and in Rochford and create the conditions for them to thrive. As many Members will know, the House of Lords inquiry into food, diet and obesity set recommendations that have been supported by key organisations such as the Obesity Health Alliance. In fact, over the past 30 years we have had 14 strategies to address obesity, containing almost 700 policy recommendations. In that time, obesity has doubled. This poses a major health risk for our country and a catastrophic cost to our NHS and workforce. The vast majority of recommendations were not implemented under the last Government. The few that were implemented placed the burden on the individual and ignored the necessary structural changes. Our Labour Government have been clear in our mission on health and the NHS: to shift the narrative from ill health to prevention. We are already making changes. The advertising of unhealthy food will be banned across all media before 9 pm from October 2025. We could go one step further and put an end to the advertising of less healthy foods altogether. Furthermore, we could introduce more stringent labelling and regulations on snacks, so that companies can no longer mislead parents with false taglines such as “one of your five a day” or “source of protein” on foods with huge amounts of sugar. Finally, we could investigate introducing a salt and sugar tax on food manufacturers, building on the success of the soft drinks levy. The Government could use that revenue to make healthier food cheaper, particularly for people living with food insecurity. Our Labour Government are on a mission to improve living standards. To do that, we need to make changes where the previous Government failed. They include tackling obesity head-on, with better access to sports facilities, better protections around the marketing of unhealthy food and easing the pressure of the cost of living crisis.

20:51:00

My constituency faces some of the highest levels of food-related health problems and deprivation in the country. With the second highest density of fast-food outlets in the country and high levels of poverty, many of my constituents lack access to nutritious food. Obesity is one of the most difficult issues we face. In Blackpool, 72% of adults are overweight or living with obesity. In children of reception age, that figure is 27%, but by year 6 it is a shocking 42%. These are some of the reasons why the House of Lords Food, Diet and Obesity Committee visited Blackpool last year. Its report “Recipe for Health” highlights Blackpool not only as a critical case study, but for our potential to lead meaningful change. The report demonstrated that Blackpool is a food desert, with many areas lacking access to fresh fruits and vegetables. Instead, fast-food outlets dominate the landscape, offering cheap, high-calorie options that often are the only affordable choice for families on a budget. In fact, Blackpool is among the places where food insecurity is most deeply felt, with rising reliance on food banks and emergency food parcels. The report stresses that communities such as Blackpool need better access to healthy and affordable food. For Blackpool, that could mean revitalising local food markets, setting up food hubs and creating partnerships between local farmers and residents to bring fresh food directly into our community. That would bypass the high prices and limited options of the supermarkets, offering a more sustainable way to source food locally. At the same time, the report suggests reforming the food environment in Blackpool and other areas facing similar challenges, where fast-food outlets are prevalent. By limiting the number of unhealthy outlets and supporting the growth of healthier businesses, the town could make it easier for residents to make better food choices. Such small changes could have a big impact on public health. One of the most important recommendations in the report is for food education to be a priority. In Blackpool, where diet-related illnesses are rampant, providing nutrition education could make a real difference. That could include teaching people how to cook healthier meals on a budget and offering workshops in schools to help children to understand the importance of good nutrition. Late last year, I visited Blackpool Learning Rooms, where this approach is already under way. The council-operated project has kitchens, where I met adult learners on the “Eat well, spend less” course, which runs fun and informative classes teaching the basics of cookery and budgeting. The report also highlights the importance of local food initiatives. Projects such as community kitchens, urban farms and food co-ops are already taking root in Blackpool with the likes of At The Grange, which Committee members visited. The community centre has an on-site growing project, Grow Blackpool, and a café offering affordable and nutritious food on a housing estate that has no shop selling fresh food. Projects such as At The Grange could be the key to transforming our food system, helping people to access healthy, affordable food and creating stronger and more resilient communities. The food landscape in Blackpool clearly needs urgent attention, but the town also holds an opportunity to lead the way in transforming our food system. The “Recipe for Health” report paints a picture of a better future, where communities like those in my constituency are healthier, more sustainable and more connected to the food we eat. Local organisations like the Blackpool Food Partnership and Blackpool food bank, alongside Jamie Oliver’s Ministry of Food, are already making strides in this direction. By working together, community groups, local authorities, businesses and entrepreneurs can create a more sustainable, equitable food system that puts health at its centre. The key is to invest in these community-led projects and ensure that everyone, no matter their income, has access to healthy, affordable food. If Blackpool can implement the changes suggested in the Food, Diet and Obesity Committee’s report, it could serve as a model for towns across the UK. Local food hubs, healthier eating habits, better education and a shift in the food environment could change our future. It will not happen overnight, and it will not be easy, but the foundations are already there. With the right investment and support from both local and national leadership, Blackpool can become a shining example of how we can build a more sustainable food system and a healthier community.

20:56:00

I congratulate my hon. Friend the Member for Stroud (Dr Opher) on securing what has been a powerful and impactful debate. It has reflected the personal experiences and relationship that people have with food, which can be complex. My interest in this subject started as a councillor in West Lothian, when I became acutely aware of the growing financial pressures that have left people really struggling to put food on the table. My experiences with constituents experiencing hardship led me to champion the Co-operative party’s “Food Justice” campaign and initiate the set-up of the West Lothian Food Network. The network, which consists of local third sector and community groups, has evolved over the years. Initially set up just days before lockdown, it ended up providing emergency food support to those in financial hardship and experiencing social isolation during the pandemic. Today, the network is a 21-member organisation that addresses inequalities and supports those on low incomes, from rural areas and from disadvantaged groups who are at risk of poor health outcomes because of food insecurity. I put on the record my thanks to all the staff and volunteers from those organisations that have played a part in the network over the years, including West Lothian food bank. I also thank the team at Bo’ness Storehouse, which supports my constituents in that area. With the increasing obesity gap between the most and least deprived, health inequalities are also on the rise. The reality in Scotland is startling. As we have already heard, two thirds of all adults are overweight, and a third of children start primary school at risk of being overweight. One in six Scots is on a waiting list, and there is no doubt that many will be there due to obesity and diet-related health complaints, with many more on long-term medication for conditions such as high blood pressure, osteoarthritis and type 2 diabetes. The damage of unhealthy food does not fall evenly across the country. The vast majority of billboards for junk food advertising are targeted towards the most income-deprived communities, and fast-food outlets make up a significantly higher proportion of local food options. Again, that is something I heard time and again as a councillor. Many communities were crying out for fresh fruit and veg shops, but all they saw were more fast-food outlets opening. It has become worryingly common that communities that have the least do not have access to choice when it comes to where they shop. We have heard about food deserts. Limited transportation options further compound the problem. If someone does not drive and they live in an area that is ill-served by bus or train routes, the foods that are more likely to be on offer to them will be highly processed with less nutritional value, higher in salt, fat and sugar, and often more expensive. The underlying pressures on time, local infrastructure and earnings impact on the freedom to choose and the ability to lead healthier lives. I am very grateful for organisations such as the Whitburn Community Development Trust and the West Lothian Foodbank, which have community gardens and take the produce from the gardens and put them directly into their pantries to support people to access nutritious, healthy food. But if you live in an area where there is no such group or community garden, and if you are struggling financially to put food on the table and you have no way to make it to a lower-cost supermarket that does have healthier options, can we really say that you have a choice? Adults on low incomes are more than twice as likely to have diets that are high in sugar, saturated fats and salts, and low in fibre, fruit, vegetables and fish. We know that a weaker diet from a young age is detrimental to long-term development and health. That impact can be seen in our hospitals, where, as we heard, tooth decay is the most common reason for the admission of children. Lack of access to local dentists is an issue I raised at Prime Minister’s questions last week. In Scotland, we have the shameful statistic that one in four children are starting school with tooth decay. The cost is personal and societal. The human cost of obesity can be measured in increasingly impaired mobility, slower recovery from illness and earlier physical decline. Last year, Diabetes UK reported that in Scotland the number of cases of people under 40 living with type 2 diabetes rose by almost a third between 2016 and 2022. In 2023, Frontier Economics estimated that the total economic impact of obesity in the UK is £98 billion, including costs to the NHS and social care, lost productivity, workforce inactivity and welfare payments. Diabetes care alone accounts for nearly 10% of the NHS budget. The scale of the pressure demands urgency in how we respond. The impact on the economy can be measured in lost productivity, but most importantly it reflects a really worrying trend: the shrinking working population, greater social isolation and the rise in the number of people with complex health needs. Policy often talks of the last mile, the final few yards, to get support over the line and accessible to those who need it most. In my view, that must be the first and most essential mile. There are national changes that we can make and that we have made. I welcome the Government’s new restrictions on advertising to children, with the new watershed restriction and online advert ban as a strong first step to reduce exposure. We have to do more to make food accessible, cheaper and more available in communities where they have the least. The uprating of the sugar levy will force businesses to further innovate their products, lower the sugar content and find taste without relying on unhealthy additives. The revenue raised, as we have heard, could be used to address the gap in accessibility to healthier food at community level, particularly in those areas with the greatest challenges. I look forward to that constructive conversation continuing across the House. Doing nothing is not an option if we are to have a healthy workforce in future, reduce health inequalities facing those with the least, and leave our children a legacy of living longer, healthier and more active lives.

21:04:00

I thank my hon. Friend the Member for Stroud (Dr Opher) for securing this important debate. The growing prevalence of obesity is a public emergency. It is profoundly affecting not only individuals’ lives, but the economic and social fabric of our nation. Let me clearly state that this is not a debate about willpower or individual choice; it is about the systems, environments and inequalities that shape those choices. What does it say about our country when children in areas of deprivation are twice as likely to experience obesity as their peers in wealthier communities, when children in the least well-off families eat significantly fewer fruit and vegetables, or when families with the lowest incomes are more than twice as likely to consume diets that are high in sugar, salt and fat? To me, it says that we are failing those on the lowest incomes. As a physiotherapist, I have worked with families grappling with the challenges of facing childhood obesity. I have seen the emotional toll on children who are bullied or excluded, and the frustration of parents who have no access to affordable, healthy food or safe spaces for their children to play in. Medical practitioners are also witnessing the impact on people’s mental health. Obesity is not merely about calories in and calories out; the medical journal The Lancet has rightly described it as a “complex adaptive system”. There is a battle to be had against obesity on so many levels. It starts with Government policies on housing and education and behaviour relating to diet and exercise. There are also biological factors at play, including genetics, age and ethnicity. The further statistics are alarming. In England, two thirds of adults live with obesity or are overweight, and 29% are severely obese. Among children, the situation is equally troubling. The weight of one in five children entering primary school is above a healthy level, and by the time they leave, the figure rises to one in three. This is compounded by societal changes and challenges: the high cost of living and of healthy food; the prevalence of products high in fat, sugar or salt; and environments saturated with fast-food outlets and inadequate green spaces. The financial costs are staggering. Obesity-related illnesses currently cost the NHS £6.5 billion a year, a figure projected to rise to £9.7 billion by 2050. Across the economy, the broader impact, including loss of productivity, has been estimated to be £98 billion each year. To address this multifaceted crisis, we must adopt a systematic, whole-society approach. We need key interventions to help us to deal with our obesity public health problem. We must make changes such as expanding the healthy start scheme and increasing the value of payments to reflect rising food costs; perhaps looking again at the advertising ban and considering whether we should go further; incentivising businesses to reformulate products to reduce salt, sugar and fat content; supporting after-school activities hubs to increase physical activity among children; strengthening school food standards to ensure that children have access to nutritional food; creating and maintaining safe, accessible green spaces, thus encouraging outdoor activity, reducing sedentary behaviour and improving mental health; and designing urban environments that prioritise active travel such as walking and cycling through better infrastructure—for instance, cycle lanes and pedestrian zones. The Government should adopt a comprehensive food strategy with independent oversight from the Food Standards Agency. Targets should be set for reducing the availability of products with high levels of fat, sugar or salt, and increasing the number of healthier food options. Local authorities should be empowered with greater planning and licensing control to limit the proliferation of fast-food outlets and promote healthier eating. Parliament has a responsibility to lead on this issue. We must move away from the medicalised paradigm that isolates obesity as an individual issue, and focus on the societal structure that underpins it. Policies must address the root causes of inequality, which drive the disproportionate impact of obesity on lower-income families. I call on the Government to enact bold, decisive measures to transform our food system and environment. This is not just about health; it is about fairness, opportunity and creating a future in which no child’s potential is limited by the circumstances of where they were born. Let us grab the opportunity to address obesity comprehensively by putting health, equality and wellbeing at the heart of our policies.

21:10:00

I, too, thank my hon. Friend the Member for Stroud (Dr Opher) for securing this really important debate, and for his thoughtful and incredibly insightful speech on one of the biggest health challenges that our country faces, as many Members have said. After a week’s delay, I am glad that we are now able to have this debate, and it has been great to see how much consensus there is across the House on the need to act. As we set out in our manifesto, and as the consultation on the 10-year plan for the NHS says, we must move towards having a much sharper focus on the prevention of ill health for the sake of the long-term viability of our NHS. As other Members have said, there is a huge crisis, with growing levels of obesity putting the nation’s health at risk. In my constituency, nearly 15,000 Dartford residents meet the definition of obese. Such statistics denote immense health inequalities, with those on low incomes far more likely to be obese, as other Members have pointed out. There are plenty of reasons why we must take action in this area. We spend £6.5 billion annually on treating obesity-related ill health, and around £10 billion a year on diabetes, with the number of type 2 diabetes diagnoses doubling over the last 15 years. Aside from the financial cost, we should surely wish for people to live longer, healthier lives. This month I am privileged to be spending my Tuesdays and Thursdays on the Public Bill Committee for the Tobacco and Vapes Bill, a landmark piece of legislation that we will go through line by line. Among other measures, it will prevent anyone born after 1 January 2009 from purchasing tobacco. I am very pleased to see in this Chamber a number of colleagues who are also on that journey with me, including the Minister and the shadow Minister, the hon. Member for Sleaford and North Hykeham (Dr Johnson). The arguments that we hear against obesity interventions today are the same ones that we heard about restricting smoking in days gone by: that it is “nanny state”, that regulatory approaches do not work, that the public will not stand for it, and that it makes things more expensive, which impacts on those who can least afford it. One of the greatest public health legacies of the last Labour Government are their interventions on smoking. Smoking was to the last Labour Government what obesity can be to the current one. Obesity currently places a staggering burden on the NHS and the wider economy, but it will be one of the great legacies of this Government if we can turn things around and make our country healthier. Solutions are urgently needed. I very much welcome the Government’s plans to review the sugar tax and to consider extending it to milk-based drinks. As many Members have said, however, we need to go so much further, including by taxing foods that are high in salt, fat and sugar, as recommended by the House of Lords inquiry. Manufacturers reformulated their products in the face of the soft drinks industry levy, and I see no reason why that cannot happen with a well-designed levy on foods high in fat, salt and sugar. I very much welcome the Government’s commitment to banning advertisements for junk food aimed at children and the sale of high-caffeine energy drinks to under-16s, and I look forward to working with Members of different parties to tackle this crisis. In my time in local government, I have seen how supporting less well-off families to replace unhealthy foods in their diet with fresh fruit and vegetables—such as through the programme run by the Alexandra Rose Trust, which others have mentioned tonight—has had a transformative impact on families’ physical and mental health. I urge the Government to fund voucher schemes, introduce food ambassadors to improve cooking skills, and encourage food growing as part of the solution. As we are in Veganuary, I commend the work to increase the level of plant-based food in people’s diets. I hasten to add that I am not a vegan myself, although I do aspire to eat more healthily. Veganuary and vegan diets are good for our health and good for the planet. That could be part of the solution, and I urge the Minister and others, particularly those in local government, to consider it too.

21:15:00

I thank my hon. Friend the Member for Stroud (Dr Opher) for his persistence in securing this debate. The right hon. Member for Wetherby and Easingwold (Sir Alec Shelbrooke) talked in his captivating speech about the difference between adult obesity and childhood obesity. My Cheshire colleague the hon. Member for Chester South and Eddisbury (Aphra Brandreth) talked about choice, but of course children do not always have a choice. They are the ones I hope to speak for tonight. In Mid Cheshire, the levels of children measuring as overweight are worryingly high. The statistics broadly track the England average, but there are some notable significant peaks and troughs, with over 38% of children in year 6 measuring as overweight in six wards out of 12. Children from the most deprived areas of England are twice as likely to be living with obesity as those from the least deprived areas, which demonstrates that persistent inequalities exist in childhood obesity. That tracks with the pattern in my constituency. Worryingly, more than half of children living with obesity go on to be obese adolescents and more than three quarters of obese adolescents become obese adults. This is certainly reflected in the levels of adult obesity locally and nationally. In my area, over 68% of adults are classed as living with overweight or with obesity, which is more than the England average of 64%. It is sometimes too easy to reduce the issue to cold statistics. Doing so not only fails to recognise the real consequences of obesity both on individuals and on society, but overlooks its causes. We certainly cannot ignore the impact of food and diet on obesity, particularly in the context of health inequalities and the current cost of living crisis. The food choices we make are heavily influenced by our environment and socioeconomic status. It is crucial to understand that the availability and accessibility of healthy food options are not the same for everyone. Health inequalities persist in our society, with many individuals and families facing barriers that hinder their ability to make nutritious food choices. These disparities are further exacerbated by the cost of living crisis, in which rising prices of essential goods have forced many people to prioritise affordability over nutritional value. In that environment, unhealthy processed foods often become the most accessible option, leading to a rise in obesity rates among vulnerable communities. The consequences of obesity are profound, particularly for our children. Studies show that children struggling with obesity are at higher risk of myriad health issues including diabetes, heart disease, asthma and mental health challenges. Beyond the physical ramifications, obesity can limit their life chances. This cycle of disadvantage not only impacts their present but shapes their future, creating a lasting legacy of inequality that follows them into adulthood. The evidence could not be clearer that inequality and obesity are intrinsically linked. The repercussions from both constitute a notable source of morbidity and impaired quality of life, and their complications can have a major bearing on life expectancy. The toll on individual health is staggering, but it is only part of the story. Beyond individual health, we must consider the wider economic and societal consequences of obesity. The costs associated with treating obesity-related illnesses strain our NHS and divert resources from other essential services. As obesity rates continue to rise, so too does the burden on our healthcare system. The annual £6.5 billion cost of obesity is projected to increase to £9.7 billion by 2050. The total cost to the UK economy, including NHS treatment costs and lost productivity, is estimated to be a staggering £98 billion per year. We bear a collective responsibility to address the root causes of food and diet on obesity, to tackle not only the individual health implications but the implications to our wider society. To do so, we must advocate policies that promote healthier food environments, ensure equitable access to nutritious food and support families in making healthier choices, regardless of their financial situation. Education and awareness must also play a critical role in this effort. By empowering individuals with knowledge about nutrition and healthy lifestyles, we can help to break the cycle of obesity. I am proud that this Labour Government are committed to leading on a bold food strategy. Similarly, I welcome the introduction of school breakfast clubs through the Children’s Wellbeing and Schools Bill and the updates to the national planning policy framework on the siting of hot food takeaways, the promotion of increased access to green spaces and sustainable transport. Both policies will help in the fight to tackle childhood obesity, address systemic health inequalities and promote positive health outcomes. However, given the clear statistical link between poverty, inequality and childhood obesity, we must bear down on child poverty in this Parliament if we are to tackle the issue. I look forward to hearing more from the child poverty taskforce when it reports this year. Addressing obesity is not just a moral imperative. It is critical to supporting this Government’s efforts to ensure the long-term sustainability of the NHS, to break down barriers to opportunity and to increase economic productivity. As we have heard today, the impact of food and diet on obesity is a multifaceted issue that requires our immediate attention. By implementing effective policies and working towards a healthier future, we can create a society in which everyone can thrive, free from the burdens of obesity and its associated health challenges.

21:21:00

A bariatric bed is a special big, strong bed used in hospitals for extremely obese people. When I was a medical student, there was no such thing as a bariatric bed—not invented, not needed. But then, hospitals did not have food banks for their staff either. So how have we got our relationship with food into such a mess? The epidemic of obesity is a public health emergency costing billions. Millions of our citizens are dying early. The Government simply must act. This cannot be left to the market. We did it with smoking, and now we will do it with obesity. We have no choice. We know that at the heart of the matter is high-fat, high-sugar, high-salt, factory-produced food that is often ultra-processed, cheap, convenient, tasty and very profitable for a few very large food businesses. Nor must we forget that it is our poor citizens who are most affected—those who are cash-poor, time-poor and at high risk of a poor diet. We cannot continue like this. The Government must act to change food habits. This is not the nanny state; this is simply good government. “Smoking kills,” it says on cigarette packets. Some food kills, too, so how about “The food in this packet will kill you if it is not part of a healthy, mixed diet”? Obesity is a massive issue for surgeons, increasing morbidity and mortality. Although we can staple stomachs or inject up to 3.5 million people with anti-obesity drugs, we all know that that is not the answer. Let us use the power of Government to legislate: warnings on food packets, breakfast clubs in schools, which we have already introduced, advertising bans, tax incentives, cooking education and an end to the dependence on the cheap, unhealthy food that blights the lives of so many of our citizens. We have no choice.

I thank my hon. Friend for giving way during a very interesting speech. Does he agree that the national curriculum review presents the Government with an opportunity to encourage and strengthen the healthy eating component of the relationships, sex and health education curriculum so that citizens and especially young people are empowered to make healthier decisions on eating?

My hon. Friend’s intervention was not really an intervention, because I had reached the end of what I wished to say. Nevertheless, I thank him sincerely.

21:24:00

It is a pleasure to close the debate for the Liberal Democrats. I congratulate the hon. Member for Stroud (Dr Opher) on securing the debate. All the contributions, including his opening speech, have been excellent and well informed. I was particularly interested to hear about the existence of good food deserts in Blackpool South and Liverpool West Derby. Even in Shropshire, where we grow some of the most wonderful and nutritious food that can be imagined, we have a higher-than-average obesity rate: 67% of adults are overweight and 32% are medically obese. That is an interesting reflection on the availability of good food and on people’s ability to choose healthy options because of the cost of food at the supermarket. In rural areas, housing is more expensive but average wages are lower. If people cannot access public transport, as the hon. Member for Bathgate and Linlithgow (Kirsteen Sullivan) pointed out, they are often forced to shop at expensive local shops and are thereby forced into buying packets of less nutritious food. We need to deal with obesity. Two thirds of the adult population are overweight. The NHS is spending almost a tenth of its annual budget on diabetes. Obesity has a significant impact on the health and wellbeing of people who deserve better: they are three times more likely to develop colon cancer, two and half times more likely to have high blood pressure, and five times more likely to have type 2 diabetes. The history of tackling those problems is a litany of failure for all three major parties in 30 years of government because, as other hon. Members have mentioned, we have had 700 different policies on the issue over the years, with no impact. It is time for a coherent strategy to tackle the obesity crisis. It is good to tentatively welcome the Government’s new national food strategy and their steps on junk food advertising, which are a positive move. The Liberal Democrats would like to see the Government go further, particularly on the use outdoor advertising in areas where people are particularly vulnerable to seeing it. For example, we want local authorities to be allowed to restrict outdoor advertising near schools. I am interested in some of the suggestions that have been made about planning and fast food outlets, especially as 35.2% of children aged 10 to 11 are now overweight—a staggering 20% rise since 2015. That coincides with a 16% fall in spending on obesity-related measures in the public health grant during the same period. We welcome the Government’s proposed preventive measures. We hope that some of the large sum earmarked for health and the NHS in the recent Budget can be put into public health and prevention measures, because we want to stop people getting unhealthy in the first place rather than dealing with the problem after it occurs. In Shropshire, one in five children aged four to five are overweight and more than one in 10 are obese. Ironically, almost half are not eating enough fruit and veg, despite the fact that they are grown all around us. The same number are not active enough. To encourage activity, we could introduce a different classification for leisure centres. Hon. Members have mentioned the importance of swimming pools and places to become fit and healthy. I know that the hon. Member for Stroud says that the food element is more important than the activity element; none the less, we should be encouraging getting fit as part of a healthy lifestyle. Will the Minister consider making leisure centres part of our critical health infrastructure so people can rely on their leisure centre staying open and can have somewhere to go if they cannot exercise in their home or their local area? Healthy eating helps with other preventable problems, such as tooth decay. My hon. Friend the Member for Honiton and Sidmouth (Richard Foord) mentioned poor oral health, another avoidable issue that we can deal with. The importance of good oral health in care homes has recently been impressed on me by various members of the dentistry profession, because poor oral health can lead to aspirated pneumonia. That is a partially separate issue from obesity, but unhealthy and sugary snacks are being offered to people in care homes, so I wonder whether we can encourage healthier eating in those settings as well as in our schools and hospitals. There is no getting away from the fact that obesity is intrinsically linked to inequality and deprivation. Since 2019, the cost of a weekly food shop has risen by almost a third. As I mentioned, rural areas are not excluded. In Shropshire, 14% of households are struggling with food poverty, or as I prefer to call it, poverty. There is a high risk of cost of living vulnerability for children who are in poverty. Lots of Members spoke about the great work of their local food bank. In Shropshire, an organisation called OsNosh takes food that is due to be thrown away by the supermarkets at the end of the day but is still perfectly good to eat. The next day, it produces fantastic chef-cooked lunches that people can enjoy. If people are able to pay for those lunches, they can do so; if they are not, they do not have to. It is a wonderful way of bringing the community together to eat good food without the stigma of not being able to afford it. However, I think we all agree that reliance on the third sector to solve this problem is not really acceptable in the modern age, so lifting families out of poverty must be a priority for the Government. Our policy is for free school meals for all children in poverty, and a roll-out of free school meals to all primary schools is our ambition when funds allow. I hope that the Government also have the ambition, when funds allow, of lifting the two-child benefit cap, which would lift a quarter of a million children out of poverty. Holiday activities and food programmes happen across the country, not just locally. In the summer, I visited a HAF programme in Oswestry at which children were offered a healthy meal, a day out of the home—often in a much safer environment than their home—and a good day of activities. The organisation that delivers that in Oswestry, the New Saints Foundation, offers it not just to children whose families cannot afford a nutritious meal at home but to all children, to remove the stigma, and give all the kids a fun day at the HAF programme. Future funding for HAF programmes is not certain, so will the Minister clarify what will happen to them? They are a really good way to ensure that children eat healthily through the holidays, as well as when they are at school and in receipt of free school meals. The hon. Member for Stroud also mentioned labelling. I am conscious of time, so I will be fairly brief with this little anecdote. Labelling can be really misleading, even to parents who are comfortably off—I would not describe myself as the most well off—and well meaning. It was a long time ago, so I will not mention the brand, but I resorted to buying an organic brand of food for my child when we were at the puree stage of weaning. He became so addicted to it that it became really difficult to wean him off on to something much more nutritious, filling and healthy, such that I had a sleepless night every night because he was still hungry. One evening, I had a very embarrassing moment in the supermarket, almost having a breakdown because I had bumped into an old friend and the supermarket had sold out of these food pouches, and that was a complete disaster. I found out later that although the puree was organic and had no added sugar, it was actually really high in sugar. It was essentially just pears, water and some spelt, so it was really sweet and sugary. I had inadvertently given my child something that I had expected to be healthy but was not. Good labelling would have solved that problem; I am sure that it would help many parents whose child has a single brand addiction. It was 15 years ago, and the brand may well have reformulated since then, which is why I will not mention the name, but it is something that we need to be aware of. The right hon. Member for Wetherby and Easingwold (Sir Alec Shelbrooke) spoke powerfully about his own struggle with his weight, and he mentioned the use of various different types of jab to tackle obesity. I do not think that we should dismiss jabs out of hand. Clearly, they are very helpful for some people, but I really think that the Government’s emphasis needs to be on prevention, and on a public health strategy to stop people getting to the point of needing to use those drugs in the first place. The UK should be one of the healthiest countries in the world. We have a great history of grassroots sports, the highest-quality food production imaginable, and world-leading medical research, but we are becoming sicker, and falling behind similar countries. It is time to act. We welcome the junk food advertising ban and restrictions on high-caffeine energy drinks as a really good first step. We also welcome the commitment to a national food strategy. I put in a plea for our farmers, who work to very low margins. I ask for the strategy to consider the role of the Groceries Code Adjudicator, and ensure that our farmers are kept in business to continue to deliver our food. Finally, please consider our calls for prevention, to give children a healthy start in life.

21:34:00

I should declare an interest as a children’s doctor and a farmer’s wife. We all want to live healthy lives. It gives us a healthy life expectancy, reduces illness burden and gives us more happy years to spend with those whom we love. However, beginning in the second half of the 20th century and continuing today, the developed world has seen an unprecedented rise in obesity levels. The growth of high-calorie processed food and sugary drinks, along with our more sedentary lifestyles, has undoubtedly played a key role. In the UK, two thirds of adults are classified as overweight or obese. According to the recent House of Lords report, over a fifth of children are overweight or obese before they even start school, and by the time they leave school, that number has doubled. As a children’s doctor, I have seen children with significant medical complications from obesity, including a child of 12 who weighed over 120 kg and a child of nine who weighed over 95 kg. As the hon. Member for Stroud (Dr Opher) said, doctors and other clinicians have a responsibility to let people know of the harms of obesity, but they do not always do so. That is partly because of time constraints and because there is not necessarily a clear path to point the individual towards. Such messages can also be received with hostility, which is another deterrent. As hon. Members have said, obesity leads to health problems. The excess body fat disrupts the normal bodily functions, amplifying the risk of heart disease, diabetes, cancer and arthritis while weakening the body’s ability to fight infections. During the pandemic, an obese person had a 40% higher chance of dying from covid-19 than their peers of a healthy weight. The hon. Member for Ilford South (Jas Athwal) spoke of the human consequences. An obese mother is more likely to suffer from complications during pregnancy. She is more likely to miss out on important life events as the child grows up, and when her grandchildren are born, she will have a lower chance of being there to enjoy them. What is causing this obesity? At its most fundamental level, overweight and obesity are the storage of fat as surplus energy—energy consumed as food that was extra to requirements—but the reasons may be more complex. Many hon. Members have discussed the lack of affordable food, but they did not recognise or heed support for those growing our food and our fruit and veg. Instead, this Government have so far attacked our farmers with high taxes during their lifetime and at death. That will only increase the price of fruit and veg. Lincolnshire grows 20% of the country’s vegetables, but the Labour Government seek to carpet our beautiful farmland with miles and miles of solar panels, reducing the area available for growing healthy fruit and veg, increasing imports and prices. As my hon. Friend the Member for Chester South and Eddisbury (Aphra Brandreth) said, time is key. For families in which both parents are working, finding time to collect children, prepare wholesome meals from scratch, help with homework and get children to bed on time can lead to pressure to grab quick food or use packet sauces. A YouGov survey from 2022 found that a third of British people feel that they need a recipe to produce food from scratch, and one in six feel uncomfortable even with a recipe, so confidence in the kitchen needs to be improved. It is also worth remarking that genetics play a part, as can medications and medical conditions. Hormonal responses to food restriction also play a part, so once someone has gained weight once, it is not necessarily as easy as just saying, “Eat less”. I have spent a great deal of my time in Parliament sitting on the Health and Social Care Committee, where the need for greater focus on prevention was continually raised. Nowhere better is that illustrated than on the issue of obesity. For example, Public Health England’s laudable Better Health diet campaign that ran from 2020-21 cost only 0.05% of what the NHS spends on obesity and overweight treatment annually. Healthy eating begins with education. People should know how to create healthy nutritious meals on a budget, as the hon. Member for Blackpool South (Chris Webb) said. I appreciate the work done by the previous Government to expand nutritional education in state schools, and I would like to mention Washingborough academy and its headteacher Jason O’Rourke, who have won awards for locally produced healthy school foods. People also need to know what is in their food so they can make informed choices when they eat on the go. The Conservatives took action to display calorie information on menus, so that people can make informed decisions. That can also influence portion sizes. The previous Government introduced the soft drinks levy in 2018, and in 2022 we restricted promotions on foods high in salt, sugar and fat. Recent data from the NHS health survey shows that obesity rates among adults have stabilised over the past five years, and the number of overweight or obese children is now at its lowest level since 2000—although I note that those figures have continued to rise in Scotland and Wales. Let me turn to advertising. Does advertising work? Of course it does. If I say, “The red car and the blue car had a race,” I am sure that Members of a similar age to me would know which sweet that line advertised. If I asked them which sweet would be “Just enough to give your kids a treat,” they would know exactly which one I meant. [Interruption.] The Minister is nodding—as are you, Madam Deputy Speaker. But is the problem the adverts, or is it what they are advertising? Is what they are advertising the same as or different from what they were advertising 20 years ago? At the moment, the Government’s approach to advertising seems a little wrong-headed. Their plans to restrict the advertising of junk food before 9 pm paints with a very broad brush, and muesli, porridge and rice cakes are included under the ban. However, the NHS website says that porridge is a healthy breakfast. Does the Minister disagree with the NHS? Do the Government intend to implement a similar policy to that of Transport for London under the Mayor of London, which allows the advertising of fried chicken burgers but not of strawberries and cream? The Minister needs to think carefully about what he wants to promote as a healthy and diet and then work from there. Before the general election, the previous Health Secretary asked the National Institute for Health and Care Research to gather evidence on the impact of ultra-processed foods on health. Have the Government developed a strategy to address the prevalence of ultra-processed foods in our diet? The hon. Member for Lagan Valley (Sorcha Eastwood) mentioned that many such foods contain artificial ingredients. One of my concerns is that a ban or tax on high fat, salt and sugar foods causes reformulation, but not necessarily to take sugar out and make an item less sweet, for example; it can be to add sweeteners and other chemical substitutes that may also trigger addictive eating behaviours. That may be more harmful and retains the sweetness, so it does not change people’s need for that sort of food. Members have mentioned the prospect of new pharmaceuticals such as Ozempic in tackling obesity. The Government have expressed an interest in exploring that further, and we welcome the new partnership with life science companies to consider the potential of pharmaceuticals in tackling some of the challenges facing the country. My right hon. Friend the Member for Wetherby and Easingwold (Sir Alec Shelbrooke) talked powerfully of his use of Wegovy to lose 5 stone, and I congratulate him on his success in doing so. One important point that he made about that class of drugs is that they are not by themselves a silver bullet; they require willpower and people need to work with not against them, as he said. They are not without potentially severe side effects, and as they might only work when an individual is using them, they may require lifelong use. We need a judicious use of intervention with pharmaceuticals, combined with the necessary education and lifestyle changes for weight loss to be sustainable in the long term. This debate has focused on the issue of nanny state versus the freedom to choose. This is a Labour Government, so of course they are very keen for widespread state intervention, but what we need is not a list of bans and taxes but a coherent policy based on a clear understanding of what they mean by “healthy diet”; a strategy for food security that includes more home-grown food; education on diet and cooking; the removal of the stigma associated with being overweight or obese, which many Members mentioned; the avoidance of bans and taxes leading to reformulation with additives and processing; and, as obesity is such a difficult condition to reverse, the judicious use of medication. Most importantly, prevention is better than cure, so let us focus on the children.

21:43:00

I am grateful to the Backbench Business Committee for ensuring that this debate took place, and I am particularly grateful to my hon. Friend the Member for Stroud (Dr Opher) for securing it in the first place. I am also grateful to all Members for their valuable contributions. We have heard speeches from across the House, including from my hon. Friends the Members for Bolton South and Walkden (Yasmin Qureshi), for Chelsea and Fulham (Ben Coleman), for Ilford South (Jas Athwal), for Swindon North (Will Stone), for Liverpool West Derby (Ian Byrne), for Washington and Gateshead South (Mrs Hodgson), for Worthing West (Dr Cooper), for Southend East and Rochford (Mr Alaba), for Blackpool South (Chris Webb), for Bathgate and Linlithgow (Kirsteen Sullivan), for Dudley (Sonia Kumar), for Dartford (Jim Dickson), for Mid Cheshire (Andrew Cooper) and for Bury St Edmunds and Stowmarket (Peter Prinsley). On the Opposition Benches, we heard from the right hon. Member for Wetherby and Easingwold (Sir Alec Shelbrooke), who I have to say looks so healthy as a consequence of the medication he is taking. I remember what he looked like before—he is a shadow of his former self. We also heard from the hon. Members for Newbury (Mr Dillon), for Chester South and Eddisbury (Aphra Brandreth), for Caerfyrddin (Ann Davies), for Honiton and Sidmouth (Richard Foord), for Lagan Valley (Sorcha Eastwood), for Strangford (Jim Shannon) and for Stratford-on-Avon (Manuela Perteghella), and then obviously from the Opposition spokespeople for the Liberal Democrats and the official Opposition. The United Kingdom has an obesity crisis. It poses serious challenges to our health, adds preventable pressure on the NHS, and restricts our economic productivity. I am reassured that none of us in the Chamber today underestimates the scale or importance of the task ahead, and we all recognise the need for action. I am proud that this Labour Government have already acted on manifesto commitments in several key areas, as I will outline, but I am also aware that much more needs to be done. Over two thirds of adults are living with excess weight, and around 36% of children are living with obesity or are overweight by the time they leave primary school. That is appalling, but while it is shocking by itself, that average hides the deep inequalities we see in obesity. Children living in poorer areas are more than twice as likely to be living with obesity than those living in the least deprived areas. That has a huge impact on our lives, increasing the risk of many serious diseases—as we have heard—as well as exacerbating mental health issues and reducing the years that we and our loved ones can expect to live in good health. Almost 22% of all working-age people are economically inactive, and much of that is due to long-term health conditions caused or exacerbated by obesity. The cost of obesity-related conditions to the NHS now stands at £11.4 billion a year, and the cost to wider society is a staggering £74 billion every year. I am so proud that we are committed to raising the healthiest generation of children ever. That means going further on prevention and tackling the drivers of obesity. Over recent decades in the UK, food and drink that is calorie dense, nutrient poor and less healthy has become cheaper. It is vital that we ensure our policies continue to drive companies to make food and drink healthier. That is why this Government took action to uprate the soft drinks industry levy in the October Budget. That levy has already taken thousands of tonnes of sugar out of the drinks we consume every day, and I give credit to George Osborne, the Conservative Chancellor in the coalition Government, who introduced that measure. Uprating the levy is a key part of keeping it effective and continuing to drive reformulation towards healthier products. However, this is not just about what is in our food and drinks; less healthy foods are more heavily promoted, marketed and advertised than ever before. One third of the food industry’s advertising budget is spent on marketing confectionery, snacks, desserts and soft drinks, while only around 1% of that budget is spent on marketing fruit and vegetables. It is therefore not a surprise that our children want to eat those products. One study estimated that 6.4% of UK childhood obesity is attributable to junk food TV advertising. That is why this Government have already met our manifesto commitment to lay the secondary legislation required to ensure the ban on junk food ads targeting our kids comes in from October this year. This includes a 9 pm TV watershed for the advertising of less healthy food and drink products, and a restriction on paid-for online advertising of all these products.

The Minister is giving a very comprehensive response, and it is much appreciated. One of the things I asked for in my speech—I know he will do this, but I think we could probably do it better—is to look at initiatives in each of the regions of Scotland, Northern Ireland or Wales that could complement the policy driven from here. Is it the Minister’s intention to do that with the regional Administrations?

The advertising regulations of course cover the whole of the United Kingdom, but this Labour Government have a good working relationship with the devolved Governments in Northern Ireland, Scotland and Wales. We have the intergovernmental ministerial meetings, and we have been liaising closely on a whole range of public health measures, including the Tobacco and Vapes Bill, directly with ministerial counterparts in the devolved Governments. I want that relationship to deepen and mature because that is good governance across the whole United Kingdom. We know that our chances of accessing healthy food depends on where people live. Children living in less affluent areas see five times more fast-food outlets on their high streets. That is why it is so important that strengthened the new national planning policy framework. Local authorities now have clearer powers to block fast-food outlets near schools, and also where children and young people congregate, to stop the relentless targeting of children and young people by the fast-food industry. Making the healthier choice the easier choice is a major part of achieving our shift to prevention. We will continue to look at ways to support people to make and sustain changes in their diet in line with the Government’s “Eatwell Guide”. This may be a good point at which to clarify our position on ultra-processed foods. There are concerning associations between ultra-processed foods and negative health outcomes, including obesity. However, where the evidence is not yet clear is whether the negative health outcomes are due to processing or to these products tending to be high in calories, sugar, saturated fat and salt. I want to reassure hon. Members across the House that many ultra-processed foods are already captured by the existing healthy eating advice, policy actions and regulations relating to HFSS foods. Our scientific advisory committee on nutrition continues to monitor the evidence on ultra-processed foods, and we will commission further research where needed. In my last few minutes, I will turn to a number of the issues that have been raised. First, just to reassure the shadow Minister, porridge oats will not be banned. The majority of porridge, muesli and granola products will not be affected by the restrictions, but some less healthy versions with added sugar, chocolate or syrup could be affected. To be in scope, products must fall within one of the categories of food and drink set out in the schedule to the advertising regulations and be defined as less healthy by the 2004-05 nutrient profiling model. For example, categories include but are not limited to soft drinks with added sugar, savoury snacks such as crisps, breakfast cereals, confectionery, ice cream and pizza. Despite recent media reports, the majority of porridge products will not be affected. The right hon. Member for Wetherby and Easingwold made a really important point about stigma, and he is absolutely right that we really have to tackle stigma. Our genetics and our will power have not changed in the last 50 years. What has changed is the food environment and that we are bombarded with marketing for unhealthy foods. We already know that the issue is even worse in some of the poorer communities. Finally, my hon. Friend the Member for Chelsea and Fulham and the hon. Member for Caerfyrddin mentioned accessibility to healthier affordable food. No child should live in poverty; that is why our ministerial taskforce is exploring all levers available across Government to give children the best start in life. We will tackle food insecurity by rolling out free breakfast clubs in every primary school and continuing to provide free healthy food during the holidays for children who receive free school meals. It is really important that we continue with that. There is no silver bullet for obesity. This debate has shown that obesity is not just about health; it is about food, tax, education, business, employment, advertising and more. It is both a national challenge and a challenge within local communities. Our health mission is focused on shifting towards a more preventive approach which will benefit this agenda. In addition the Department for Environment, Food and Rural Affairs has announced an ambitious new cross-Government food strategy to work with the food industry to deliver on our goals for food security, health, affordability and the environment. Obesity is a hugely complex challenge, but tackling it is a key part of achieving the change needed in this country. This Government are committed to taking effective action and I look forward to updating Members on what we do next.

21:56:00

I thank the Minister and all who have spoken because this has been a genuinely interesting debate about an essential topic. I would just like to say in summary that the hon. Member for Chester South and Eddisbury (Aphra Brandreth) needs to go into the supermarket when she is really busy and pick up a tasty healthy snack. If the Government can get people doing that, it will be fantastic. I say to the Minister that the House is behind him being radical; it is not the time for non-intervention. I thank all who have contributed. I missed supper and am starving, so I am going to go and have a healthy snack.

Hear, hear! Question put and agreed to. Resolved, That this House has considered the impact of food and diet on obesity.