Emma writes...
Thoughts, resources and comment from the NHD Editor.
Is our food system broken?
Food policy is a complex but vital part of how we produce and consume food. Governments produce food policy to shape our food system, from farm to fork, on a local, national and international scale.
It includes legislation and regulations that govern how our food is produced, processed, distributed, purchased and provided, and it aims to balance the function of the agricultural and food system, whilst meeting the needs of human health.
Our food system has multiple dimensions, which include economics, politics, the environment, health and society, all of which influence and shape how it operates.(1)
How connected all of these things are impacts on how well the food system works. There have been concerns about the state of the UK’s food system for quite some time and there has been a call for rethinking how we approach food policy and our food system.(1,2,3) Key food policy areas to address include climate change, animal and plant health, the impact of Brexit, food labelling and food poverty/hunger.(2)
Whilst there are a range of important food policy issues that need to be tackled, a healthy diet and tackling obesity are certainly two areas that ring in the ears of our profession. However, these seem to be perpetually discussed yet worsening despite numerous government policies that have aimed to address the matter since the early 1990s.(4,5)
So what’s the latest government action on this?
Back in February this year, the House of Lords Food, Diet and Obesity Committee (HLFDOC) held its first evidence session in its inquiry considering the role of foods, such as ultra-processed foods (UPFs) and foods high in fat, salt and sugar (HFSS), in a healthy diet and in tackling obesity.(6)
Questions discussed included:
What are the key barriers to eating a healthy diet?
What are the most common diet-related health issues, and to what extent do they occur?
What are UPFs, how widespread are they in diets in England, and how useful is UPF as a definition?
What are HFSS foods, how are they defined, and how widespread are they in diets in England?
What is the role and responsibility of the food industry in diet-related poor health outcomes such as obesity in England?
How effective has Government policy been in tackling diet-related obesity?
What are the most effective strategies and approaches to tackle diet-related obesity?
Following the meeting, the committee called for evidence on the links between food, diet and obesity, seeking written submissions addressing various topics on food, diet and obesity in England, as well as comparisons with approaches across the rest of the UK and in other countries.(7)
What is the House of Lords Food, Diet and Obesity Committee?
The Food, Diet and Obesity Committee is appointed to consider the role of foods, like UPFs and HFSS, in a healthy diet and in tackling obesity. Follow the Committee on X (formerly Twitter) using @HLFoodObesity
Members include a variety of House of Lords peers with an interest in health and social issues – find out more here: Food, Diet and Obesity Committee - Membership - Committees - UK Parliament
“Recipe for health: a plan to fix our broken food system”
On the 24th of October this year, the HLFDOC published an enquiry report titled: Recipe for health: a plan to fix our broken food system.(5) It includes several recommendations and calls for the development of a new strategy to fix the UK’s food system.
The report is the outcome of the inquiry that was launched in February and aims to understand the role of foods, particularly UPFs and HFSS foods in a healthy diet, including how they influence health outcomes.
In addition, the impact of shifts in behaviours and trends on obesity, and the role of industry and the wider public in the public health landscape were assessed as part of this inquiry.
What are the key recommendations?
The report highlighted that ‘obesity and diet-related disease are a public health emergency that costs society billions each year in healthcare costs and lost productivity'.(5)
The HLFDOC is looking for action to address this emergency, and demands that the government develops a long-term, robust and integrated strategy to address the food system issues that are driving obesity and diet-related disease. With a new legislative framework to reinforced the strategy. Akin to this overarching recommendation, there were several specific recommendations for the government which include:
Commission further research into the links between UPFs and adverse health outcomes and review dietary guidelines to reflect any new evidence.
Immediately develop an ambitious strategy for maternal and infant nutrition and drive up compliance with the school food standards. To aim to break the vicious cycle by which children living with obesity are five times more likely to become adults with obesity.
Make large food businesses report on the healthiness of their sales and exclude businesses that derive more than a defined share of sales from less healthy products from any discussions on the formation of policy on food, diet and obesity prevention.
Ban the advertising of less healthy food across all media by the end of this Parliament.
A salt and sugar reformulation tax on food manufacturers, building on the success of the Soft Drinks Industry Levy.
Read the full report here: Recipe for health: a plan to fix our broken food system
The report shares the scale of the obesity and diet-related diseases epidemic and highlights the health and economic costs. However, it does not focus on obesity treatment and looks towards preventative measures rather than a cure. The report aims to demonstrate the links between food, a healthy diet and tackling obesity.
What happens next?
The UK Government will provide a response to the report and its recommendations by 6th January 2025. It’s likely that it will accept and move forward with a number of the recommendations, as the Minister of State at the Department for Environment, Food and Rural Affairs, Daniel Zeichner, has already mentioned these as part of his review of the National Food Strategy.(8,9)
Reactions to the report:
The Food Foundation (TFF) is a charitable organisation campaigning to achieve a sustainable food system that delivers health and well-being for all.(10) TFF welcomes the findings and it has clearly stated where the government should be focusing off the back of this report:
"Their three big areas for action are first a systematic regulatory crackdown on businesses which continue to relentlessly push low-nutrient foods which are loaded with calories; second a raft of measures which government can introduce to support children to get the good nutrition they need to grow; and third the steps needed to ensure that good policies can be developed into the future, and progress can be monitored – including a new law which sets out our expectations of the food system to protect the nation’s health. All can be initiated in the next five years and I hope that the Prime Minister takes this list and makes it his personal priority." Anna Taylor, Food Foundation Executive Director.(11)
The British Nutrition Foundation (BNF) also welcomes the report’s findings and recommendations.
“We welcome this report and its call for a comprehensive, integrated government strategy to deliver a healthier food system. Unhealthy diets characterised by high intakes of foods high in fat, salt and sugar (HFSS) are driving an epidemic of diet-related disease and we need urgent action to help people choose healthier foods and live healthier lives.” Elaine Hindal, Chief Executive, British Nutrition Foundation.(12)
End note
The Government’s next steps following the publication of this report are yet to be made clear, however, there is support for the significant changes that are required to improve our current food system. To achieve progress, it's paramount that there is a coherent approach and a robust strategy which addresses the issues and holds those responsible for our food system accountable for the health of us and our planet. Emma
Emma has been a Registered Dietitian for over 18 years and has experience in adult and paediatric dietetics. She has been the Editor of NHD for nine years, steering the editorial content and supporting the production process.
Emma currently works in industry.
Emma Coates, RD
References
City, University of London (2019) Rethinking Food Policy: A Fresh Approach to Policy and Practice. Brief 2: Understanding the food system: Why it matters for food policy. https://www.city.ac.uk/__data/assets/pdf_file/0004/570442/7643_Brief-2_What-is-the-food-system-A-food-policy-perspective_WEB_SP.pdf
Parsons, K. (2021) Rethinking Food Governance 2: How connected is national
food policy in England? https://foodresearch.org.uk/publications/how-connected-is-national-food-policy-in-england-mapping-cross-government-work-on-food-system-issues/
Nuffield Foundation (2022) The Food Foundation report highlights impact of Britain’s food policy disaster. The Food Foundation report highlights impact of Britain's food policy disaster - Nuffield Foundation
UK Parliament (2024) The Government needs a plan to fix our broken food system and turn the tide on the public health emergency. The Government needs a plan to fix our broken food system and turn the tide on the public health emergency - Committees - UK Parliament
UK Parliament (2024) Lords Committee holds first evidence session of new inquiry into Food, Diet and Obesity. Lords Committee holds first evidence session of new inquiry into Food, Diet and Obesity - UK Parliament
UK Parliament (2024) Call for evidence launched on the links between food, diet and obesity. Call for evidence launched on the links between food, diet and obesity - Committees - UK Parliament
UKPOL.CO.UK (2022) Daniel Zeichner – 2022 Speech on the National Food Strategy and Food Security. Daniel Zeichner – 2022 Speech on the National Food Strategy and Food Security – UKPOL.CO.UK
Parallel Parliament (2024) Debate: Food Security, Commons Chamber, Thursday 21st March 2024. Debate: Food Security - 21st Mar 2024
The Food Foundation (2024) Who we are. Who we are | Food Foundation
The Food Foundation (2024) News, 24th October 2024 - Our reaction to House of Lords Food Diet and Obesity Committee report. Our reaction to House of Lords Food Diet and Obesity Committee report | Food Foundation
British Nutrition Foundation (2024) Response to House of Lords report
25th October 2024. British Nutrition Foundation response to House of Lords report