TACKLING OBESITY IN ENGLANDCase Study 8: British AerospaceBritish Aerospace (Bristol) employs over 5,000people on a vast site that accommodates offices,manufactur<strong>in</strong>g facilities and a research centre. Topromote cycl<strong>in</strong>g among staff British Aerospacehas <strong>in</strong>vested <strong>in</strong> showers, chang<strong>in</strong>g facilities andadditional bike park<strong>in</strong>g.The company Bicycle User Group reports thatcurrently 10 per cent of staff cycle to work butthe numbers are <strong>in</strong>creas<strong>in</strong>g as the improvementprogramme unfolds. The company also sponsorsa public Project Bike helpl<strong>in</strong>e for general cycleroute advice, and <strong>in</strong> 1998 sponsored the BristolBike Festival.Source: Active Transport 274.18 Much of this activity takes place through the fund<strong>in</strong>gprovided by the Department to organisations such asSport <strong>England</strong> and the Central Council of PhysicalRecreation, who themselves fund local providers suchas local authorities and sports clubs. With<strong>in</strong> its fund<strong>in</strong>gagreement with the Department for Culture, Media andSport, for example, Sport <strong>England</strong> has objectives to<strong>in</strong>volve more people <strong>in</strong> sport and to <strong>in</strong>crease thenumber of places <strong>in</strong> which sport is played. Theagreement places particular emphasis on <strong>in</strong>creas<strong>in</strong>gparticipation amongst young people.4.19 These aims fit with the Department of Health's objectiveto improve health by encourag<strong>in</strong>g more people to takemore physical activity. Although there has beenrelatively little formalised jo<strong>in</strong>t work<strong>in</strong>g between theDepartment of Health and the Department for Culture,Media and Sport to date, there is frequent ad hocwork<strong>in</strong>g level contact to discuss issues and projects ofmutual <strong>in</strong>terest and to ensure consistent approaches(Figure 19). More formalised jo<strong>in</strong>t work<strong>in</strong>g relationshipsare now be<strong>in</strong>g established, <strong>in</strong> particular through theInter-M<strong>in</strong>isterial Group to Improve Children's Diet andActivity, set up <strong>in</strong> July 2000. In addition, Sport <strong>England</strong>has employed for the first time a consultant to advisethem on improv<strong>in</strong>g <strong>in</strong>tegration with the health sector.4.20 Much of the jo<strong>in</strong>t work<strong>in</strong>g to <strong>in</strong>crease participation <strong>in</strong>sport, particularly amongst socially disadvantagedgroups, is centred around school-based activities <strong>in</strong>designated Sports Action Zones. More detail on theestablishment of these zones and related <strong>in</strong>itiatives isprovided at paragraphs 4.51-4.52.iii. Identify<strong>in</strong>g and promot<strong>in</strong>g healthypatterns of eat<strong>in</strong>g4.21 Encourag<strong>in</strong>g healthy eat<strong>in</strong>g is a key component <strong>in</strong> try<strong>in</strong>gto address the ris<strong>in</strong>g prevalence of obesity. It is also animportant part of the Department of Health's strategy toimprove health and reduce health <strong>in</strong>equalities byaddress<strong>in</strong>g priority disease areas, <strong>in</strong> particular coronaryheart disease and cancers. The M<strong>in</strong>istry of Agriculture,Fisheries and Food and, s<strong>in</strong>ce April 2000, the FoodStandards Agency, play an important role <strong>in</strong> ensur<strong>in</strong>g theadequate provision of safe and healthy foods, help<strong>in</strong>g toeducate the public about diet and encourag<strong>in</strong>g healthyeat<strong>in</strong>g. The M<strong>in</strong>istry has a high level objective "Tosafeguard the cont<strong>in</strong>u<strong>in</strong>g availability to the consumer ofadequate supplies of wholesome, varied and reasonablypriced food and dr<strong>in</strong>k".4.22 The creation of the Food Standards Agency <strong>in</strong> April 2000explicitly acknowledged the l<strong>in</strong>ks between health anddiet. The Agency brought together former policy staff onaspects of nutrition from the Department of Health andthe M<strong>in</strong>istry of Agriculture, Fisheries and Food, and is19 The l<strong>in</strong>ks between health and physical recreationDepartment of HealthTo improve healthand reduce health<strong>in</strong>equalitiesEncourage and facilitate sportand physical activity for allDepartment forCulture, Media and SportTo improve quality of life forall through cultural andsport<strong>in</strong>g activitiesMore participation <strong>in</strong> sportby more peoplepart fourHealth DevelopmentAgencyTo provide evidence andguidance on what worksto improve healthn Ad hoc consultation on topics ofmutual <strong>in</strong>terestn Inter-M<strong>in</strong>isterial GroupSport <strong>England</strong>To lead developmentof sport <strong>in</strong> <strong>England</strong>by <strong>in</strong>fluenc<strong>in</strong>gand serv<strong>in</strong>g thepublic, private andvoluntary sectors36Source:<strong>National</strong> <strong>Audit</strong> <strong>Office</strong>
TACKLING OBESITY IN ENGLANDaccountable to Health M<strong>in</strong>isters. The Agency has nospecific objective to address the effect of diet on weightga<strong>in</strong> or obesity, though the follow<strong>in</strong>g objectives of theAgency are relevant to encourag<strong>in</strong>g healthy eat<strong>in</strong>g:nencourag<strong>in</strong>g <strong>in</strong>novation and diversity <strong>in</strong> the range offoods available, backed up by clear and <strong>in</strong>formativelabell<strong>in</strong>g to enable consumers to make properly<strong>in</strong>formed choices.nnnto def<strong>in</strong>e a healthy diet (<strong>in</strong> other words, the ranges ofdietary <strong>in</strong>takes which m<strong>in</strong>imise the risk of adverseeffects <strong>in</strong>clud<strong>in</strong>g nutrient deficiencies) and to putthis <strong>in</strong> the context of other lifestyle factors such asexercise;to ensure that <strong>in</strong>formation provided to consumersabout the food they buy is accurate, adequate andnot mislead<strong>in</strong>g; andto secure the greatest possible level of consumerchoice and value for money.4.23 The core activities of the Agency <strong>in</strong>clude:nnnncommission<strong>in</strong>g research <strong>in</strong>to human nutrition andthe factors that affect food choice;provid<strong>in</strong>g up-to-date educational material andadvice on healthy eat<strong>in</strong>g for health professionals andthe public;ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g and dissem<strong>in</strong>at<strong>in</strong>g <strong>in</strong>formation on thenutrient composition of food;monitor<strong>in</strong>g the diet and nutritional status of people;and4.24 Figure 20 shows the ma<strong>in</strong> ways <strong>in</strong> which theDepartment of Health and the Food Standards Agencywork together to identify and promote healthy eat<strong>in</strong>gpatterns.4.25 Prior to the establishment of the Food Standards Agency,the M<strong>in</strong>istry of Agriculture, Fisheries and Food wasalready active <strong>in</strong> pursu<strong>in</strong>g research topics related to theissue of obesity and its prevention. A strategic review ofresearch undertaken <strong>in</strong> 1996 identified the desirabilityof the Department of Health establish<strong>in</strong>g a cross-cutt<strong>in</strong>ggroup to co-ord<strong>in</strong>ate research on obesity.4.26 The Food Standards Agency now works closely with theDepartment of Health to commission research onnutrition and the effects of diet on health. Research thatmight <strong>in</strong>form both food and health policy is alsoconsidered by the Diet and Health Research FundersGroup, which meets annually to discuss researchprogrammes, exchange <strong>in</strong>formation and explorel<strong>in</strong>kages and possible overlaps. The group <strong>in</strong>cludesrepresentatives of the Department of Health, the FoodStandards Agency and the related Research Councils.20 The l<strong>in</strong>ks between health and dietM<strong>in</strong>istry of Agriculture,Fisheries and FoodTo provide good qualityfood which meetsconsumers' requirementsDepartment of HealthTo improve healthand reduce health<strong>in</strong>equalitiesTo promote andfacilitate healthy eat<strong>in</strong>gFood Standards AgencyTo improve the diet of thewhole populationHealth DevelopmentAgencyTo provide evidence andguidance on what worksto improve healthn Concordats provid<strong>in</strong>g framework for co-operationn Regular consulation on topics of mutual <strong>in</strong>terestn Shar<strong>in</strong>g <strong>in</strong>formation on scientific research/survey datan Jo<strong>in</strong>t plann<strong>in</strong>g and fund<strong>in</strong>g of surveys and researchn Scientific Advisory Committee on Nutritionn Inter-M<strong>in</strong>isterial GroupSource:<strong>National</strong> <strong>Audit</strong> <strong>Office</strong>part four37