Before I begin, I want to add my voice to those of other Members in thanking the hon. Member for Totnes (Dr Wollaston) for securing this debate.
Childhood obesity is a problem across the UK, and the devolved legislatures as well as the UK Government must do all they can to tackle the problem, both in the short and the long term, for the benefit of our children and tomorrow’s citizens, to relieve the health problems obesity all too often creates, and for our long-term economic sustainability, as has been outlined this afternoon. All corners of the UK can learn from each other, and I hope they will. The Scottish Government have been working hard on this concern by taking forward a number of initiatives to enable people more easily to become active, to eat more healthily and generally to find ways of feeling better through an improved lifestyle.
There is no silver bullet, as we all know. We all agree that there is a significant problem. We must take into account the clear socioeconomic considerations that have a direct effect on the health of our children in general and on obesity in particular. The SNP Scottish Government are implementing several measures both to combat and to prevent childhood, and indeed adult, obesity. However, there are far too many to mention in the limited time available.
It is worth remembering that fruit and vegetable consumption among the poorest 20% has fallen by 20% since the recession began, with children’s diets being hit hard. On a number of national indicators of obesity and childhood obesity in Scotland, performance is improving or being maintained. In particular, physical activity performance has improved. The SNP Scottish Government are working well with schools and local authorities to ensure that children are more physically active. My local authority, North Ayrshire Council, has developed its own outdoor access strategy.
Much has been made today about imposing a sugar tax. The food we consume all too often contains significant quantities of sugar, of which many of us are seldom aware. I know that both the UK and the Scottish Government are considering a sugar tax. It is certainly an option that we are quite right to consider, but we must be careful about a tax that may, disproportionately, hit the poorest hardest. We all know that eating healthily is not always affordable for families on a tight budget, and a sugar tax must not be held up as a panacea for a
very complex problem. If it is introduced, we must be certain that it has a positive impact on our health, without the unintended consequence of increasing inequalities.
We pay the price for our poor choices. We pay the price with our health and with our life expectancy, due to the development of serious health problems such as heart disease, type 2 diabetes and cancer. This puts more demands on our health services, and those demands will become greater unless we tackle this problem. The Health Committee has recently heard that the cost to society of this problem is £27 billion.
Beyond the cost in pounds, shillings and pence, overweight children face other problems, such as bullying, social exclusion, lack of self-confidence, unfulfilled potential and underachievement in school, which plague them long into adulthood and feed into their job prospects for many years afterwards. In Scotland, about 31% of children were at risk of becoming overweight in 2014, and 17% were at risk of obesity. Although those figures have stabilised in recent years, they are still worryingly high.
Research in Scotland shows that factors associated with children being overweight or obese include snacking on crisps or sweets between meals, skipping breakfast, not eating in a dining room at home and a lack of parental supervision, not enough physical activity and greater social deprivation. A higher proportion of children are at risk of obesity in Scotland’s most deprived areas—22% in 2014, compared with13% for the least deprived. Any action to tackle this problem must be sensitive to that fact. Any debate about how to make our children healthier must avoid wagging fingers at parents, who, often in very difficult circumstances, are doing the very best they can. It is important to support people to make healthy choices where possible, not to shake our heads at them in righteous condemnation.
I end by making an important point for us all. Food labelling must be part of the solution. Although labels telling us what is in our food have improved over the years, in my view they are still too complex. One should not need to be a pseudo-scientist to understand what is in the food one buys. Labels must be clearer for shoppers so that parents are fully informed about what is in the food they eat and in the food they feed to their children.
There is no doubt that there are challenges ahead, but we must take people with us in this debate. How and what people feed their children can be a sensitive matter. Parents of course want the best for their children, and we must support and enable all parents to make the best choices for their children. Otherwise, regardless of what we say in this place, they just will not swallow it.
2.28 pm