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“As the nation and the EU grows fatter, taxpayers will question our priorities leading up to the Euro elections” ……
Janice Small, Conservative Candidate for Batley and Spen, expressed concern today at new European Union regulations that could lead to cuts in Yorkshire’s fire services and force up council tax bills. The European Parliament, including local Labour MEP for Yorkshire and the Humber, Linda McAvan and Richard Corbett, have voted to impose new red tape through the EU Working Time Directive.
She has also revealed how West Yorkshire Fire services were called to assist with lifting 38 obese people at a cost of £87,000.
If the new EU rules go ahead, workers’ rights to opt-out from the working time rules will be abolished. Employers would have to ensure workers work no more than 48 hours a week. ‘On-call’ time in the workplace, even when inactive, would be counted as working time. This will have a devastating impact on retained (part-time, professional) fighters, who double up their fire work with other jobs. Many have pagers – on call in the event of emergencies.
This will cut the number of retained firefighters on active duty (especially in rural communities). There will be reduced local fire cover, response times will increase as firefighters have to come from further away, and more full-time firefighters will be needed – pushing up the fire levy on council tax bills. The Local Government Association and Chief Fire Officers’ Association have attacked the plans.
Currently, in West Yorkshire, there are 238 retained firefighter posts. Only 149 posts are filled, reflecting difficulties in recruiting them. Such shortages would worsen if Labour’s Euro-MPs get their way.
Janice said:
“Retained firefighters do a superb service to our community, helping tackle fires, floods and road accidents. I am very concerned at the effect of these new rules which would cut back workers’ rights to work when they choose.
“This red tape, backed by Labour MEPs, would cut local fire services, put lives at risk and force up council tax across Batley and Spen. It is vital that the Government stands firm on this crucial issue. Labour MEPs need to be sent a message in the European elections that their failure to protect local fire services is not acceptable. Conservatives will stand up for Britain and our firefighters in the face of this new threat.
She added: “This is in addition to figures released this week that show firefighters in our area have been called out to assist in helping other services lift 38 obese people costing the taxpayer £87,000 (2004-2008). As the nation and the EU grows fatter, taxpayers will question our priorities leading up to the Euro elections.”
Notes to Editors
EU THREAT TO LOCAL FIRE SERVICES
In 1993, the Conservative Government secured an opt-out from the Working Time Directive. Workers in the UK may currently derogate from the 48-hour limit on the working week.
A majority in the European Parliament has now voted to scrap this opt-out. They want any period of ‘on-call’ time, including ‘inactive’ time, to count as working time for the purposes of the directive. Compensatory rest would also have to be taken immediately.
Currently, retained firefighters’ ‘on-call’ periods are up to 120 hours a week, rostered over five days. A 48-hour maximum working week, including inactive time, would make it impossible for most retained firefighters to supplement their primary occupation in paid service to their communities.
The Local Government Association has warned: “The loss of the opt-out provision that currently exists would result in a reduction in the number of retained firefighters and would also see the need to increase the number of wholetime firefighters employed by FRAs [Fire and Rescue Authorities] to cover shifts.”
http://www.lga.gov.uk/lga/core/page.do?pageId=1628758
The Chief Fire Officers’ Association have asserted that the Fire Service “could not function effectively” without retained firefighters.
http://www.hrfu.org.uk/pages/news/detail.asp?newsUID=100
LABOUR AND LIBERAL DEMOCRATS LET BRITAIN DOWN
In December 2008, a number of Labour and Liberal Democrat MEPs voted to scrap the ability to opt-out from the Directive. All Conservative Members of the European Parliament voted to maintain the UK’s opt-out.
Source: European Parliament Amendment 16 to the ‘common position’ agreed by the European Council on the working time directive, moved by the Socialist MEP, Alejandro Cercas, passed by 421 votes to 273; 17 December 2008.
http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//TEXT+TA+P6-TA-2008-0615+0+DOC+XML+V0//EN&language=EN
The following Labour MEPs voted to scrap the opt-out:
· Richard Howitt – Eastern region
· Glenis Willmott (then chief whip, now leader) - East Midlands
· Mary Honeyball - London
· Claude Moraes - London
· Stephen Hughes - North East
· Brian Simpson - North West
· David Martin - Scotland
· Catherine Stihler - Scotland
· Peter Skinner - South East
· Glyn Ford - South West
· Eluned Morgan - Wales
· Richard Corbett - Yorkshire
· Linda McAvan - Yorkshire
One Labour MEP (Arlene McCArthy, North West) did not vote.
One Lib Dem MEP voted to scrap the opt-out: Elspeth Attwooll – Scotland.
LOCAL FIGURES
The table below shows how many retained firefighter posts there are currently, and the number of posts which are filled. Many fire services have difficulty recruiting retained firefighters – which will be even more acute under the new working time red tape.
Retained fire fighters |
Posts |
Current strength |
|
|
|
Metropolitan |
|
|
Greater Manchester |
44 |
16 |
London |
0 |
0 |
Merseyside* |
80 |
185 |
South Yorkshire |
89 |
60 |
Tyne & Wear |
24 |
14 |
West Midlands |
10 |
7 |
West Yorkshire |
238 |
149 |
|
|
|
Non-Metropolitan |
|
|
Avon |
159 |
165 |
Bedfordshire & Luton |
136 |
136 |
Buckinghamshire |
226 |
194 |
Cambridgeshire |
360 |
297 |
Cheshire |
223 |
172 |
Cleveland |
90 |
72 |
Cornwall |
425 |
403 |
County Durham & Darlington |
168 |
147 |
Cumbria |
474 |
452 |
Derbyshire |
360 |
204 |
Devon & Somerset |
1,162 |
1,131 |
Dorset |
356 |
312 |
East Sussex |
259 |
206 |
Essex |
458 |
438 |
Gloucestershire |
300 |
252 |
Hampshire |
676 |
614 |
Hereford & Worcester |
383 |
315 |
Hertfordshire |
257 |
203 |
Humberside |
347 |
282 |
Isle of Wight |
168 |
148 |
Isles of Scilly |
39 |
39 |
Kent |
716 |
667 |
Lancashire |
316 |
317 |
Leicestershire |
216 |
147 |
Lincolnshire |
495 |
433 |
Norfolk |
530 |
497 |
North Yorkshire |
392 |
334 |
Northamptonshire |
260 |
196 |
Northumberland |
155 |
160 |
Nottinghamshire |
252 |
206 |
Oxfordshire |
328 |
287 |
Royal Berkshire |
132 |
100 |
Shropshire |
340 |
292 |
Staffordshire |
389 |
313 |
Suffolk |
498 |
396 |
Surrey |
144 |
76 |
Warwickshire |
153 |
133 |
West Sussex |
310 |
282 |
Wiltshire |
303 |
298 |
|
|
|
ENGLAND |
13,213 |
11,744 |
Source: DCLG, Fire and Rescue Service: Operational Statistics Bulletin for England, December 2008.
http://www.communities.gov.uk/publications/corporate/statistics/frsoperationalstats2007-08
* The Merseyside figures (with strength being larger than posts) are a reflection that retained fire fighters have only recently been introduced there.
Obese figures:
1. Conservative Freedom of Information Act request
Conservatives asked all 44 fire authorities in England how many times in the past five years they were called out to assist other services in lifting obese patients and how many of these call outs were to assist the NHS. Fire authorities were also asked whether they charge other services for assistance in lifting obese patients.
We received responses from 37 fire authorities, a response rate of 84 per cent.
2. Fire authorities called in to assist with obese patients
Eight fire authorities either did not record this information or could not provide it within the cost limit for Freedom of Information Act request. The table below shows the response for the years from 2004 to 2008 for those fire authorities that could provide data.
The cost has been calculated using latest government figures for the average cost of fire and rescue service attendance at an incident: £2,289 (Hansard, 9 March 2009, Col.36WA).
Fire Authority |
Assistance to other services in lifting obese people |
Cost |
Assistance to NHS in lifting obese people |
Cost |
Suffolk |
3 |
£6,867 |
3 |
£6,867 |
Bedfordshire |
6 |
£13,734 |
6 |
£13,734 |
Northamptonshire |
11 |
£25,179 |
11 |
£25,179 |
Cheshire |
17 |
£38,913 |
17 |
£38,913 |
Cornwall |
21 |
£48,069 |
21 |
£48,069 |
East Sussex |
21 |
£48,069 |
19 |
£43,491 |
Hertfordshire |
23 |
£52,647 |
23 |
£52,647 |
Cambridgeshire |
25 |
£57,225 |
Mostly NHS |
|
Hereford & Worcester |
26 |
£59,514 |
26 |
£59,514 |
Merseyside |
28 |
£64,092 |
22 |
£50,358 |
Devon & Somerset |
31 |
£70,959 |
31 |
£70,959 |
Northumberland |
34 |
£77,826 |
34 |
£77,826 |
Tyne & Wear |
34 |
£77,826 |
22 |
£50,358 |
Kent |
37 |
£84,693 |
31 |
£70,959 |
West Yorkshire |
38 |
£86,982 |
38 |
£86,982 |
Buckinghamshire |
42 |
£96,138 |
40 |
£91,560 |
Leicestershire |
46 |
£105,294 |
40 |
£91,560 |
Lincolnshire |
46 |
£105,294 |
34 |
£77,826 |
Cleveland |
51 |
£116,739 |
38 |
£86,982 |
Humberside |
53 |
£121,317 |
53 |
£121,317 |
Oxfordshire |
56 |
£128,184 |
56 |
£128,184 |
Staffordshire |
60 |
£137,340 |
Mostly NHS |
|
Greater Manchester |
70 |
£160,230 |
10 |
£22,890 |
South Yorkshire |
76 |
£173,964 |
76 |
£173,964 |
Durham and Darlington |
84 |
£192,276 |
25 |
£57,225 |
London |
128 |
£292,992 |
128 |
£292,992 |
North Yorkshire |
147 |
£336,483 |
127 |
£290,703 |
Hampshire |
180 |
£412,020 |
180 |
£412,020 |
Essex |
390 |
£892,710 |
344 |
£787,416 |
England |
1784 |
£4,083,576 |
1455 |
£3,330,495 |
Most fire authorities did not charge other services for assistance with incidents. However, there were some exceptions:
o Lancashire fire authority charged £202.13 in 2008
o South Yorkshire fire authority said charges were ‘discretionary’
o Northumberland fire authority said: ‘NFRS have not charged for providing this assistance in the past; however there is now a facility under a newly introduced Bariatric Patient Policy to charge for non-emergency assistance and to refuse to attend if the Fire Service are not the best placed agency to deal with the request’.
o London fire authority said: ‘Special service incidents are charged’.
o Devon and Somerset fire authority said: ‘We do not currently charge for assisting with the moving of heavy people but if the incident is not of a life-threatening nature we do have the authority to make the incident a chargeable special service call (although we can not recall ever doing so). The reason for this being that nursing homes or hospitals that make the request for our attendance should have adequate resources/procedures in place to deal with these situations without requesting the assistance of the FRS.’
o Staffordshire fire authority said: ‘We have not yet instigated any charges for assistance to other emergency services including the NHS. Most of our requests come via the Ambulance Service. This decision is however under review since the ratio of requests for calls is increasing’.
o Cleveland fire authority said: ‘We have only charged for 3 incidents and these were during 2005/06. Middlesbrough Borough Council (social services) were charged for two of them and Coast & Country Housing for the remaining one. They were all incidents within the person’s home address. The total collected in charges is £633.79’.
Many fire authorities provided examples of the type of incidents to which they were called:
Fire Authority |
Incident |
Staffordshire |
AMB INAT - LARGE MALE STUCK IN THE CAR NOT BREATHING |
Staffordshire |
DECEASED FEMALE - APPROX 30 STONE - POL AND PARAMEDICS INAT REQUEST ASSISTANCE WITH REMOVAL OF FEMALE |
Staffordshire |
ASSISTANCE WITH OBESE FEMALE ON THE FLOOR - DISABLED - 4 AMB PERSONNEL INAT UNABLE TO LIFT |
Staffordshire |
MALE FALLEN WITH NO LEGS - OVER 21 STONE. |
Staffordshire |
LADY BEEN LYING ON FLOOR ALL DAY APPROX 30 STONE |
Staffordshire |
REQST FOR ASSISTANCE - FEMALE APPROX 36 STONE - CREWS UNABLE TO GET CAS OUT OF PROPERTY |
Staffordshire |
LARGE LADY STUCK IN HOUSE - AMB REQUIRE ASSISTANCE GETTING HER OUT |
Staffordshire |
VERY LARGE PATIENT - INJURED. LIFE THREATENING. AMB ARE INAT. POSS HIP INJURY. 42 STONE FEMALE FALLEN |
Staffordshire |
30 STONE MALE PATIENT STUCK UPSTAIRS - |
Staffordshire |
72 YR OLD FEMALE FALLEN OUT OF BED - REQ TO GAIN ENTRY AND POSS LIFT CASUALTY |
Staffordshire |
AMB INAT WITH 40 STONE FEMALE - BARIATRIC PATIENT - SPECIAL AMB EN ROUTE FROM WARWICK |
Staffordshire |
LARGE LADY FALLEN ON HER FRAME FACE DOWN ON HER FACE |
Lincolnshire |
Assisted ambulance staff to lift female from upstairs into awaiting ambulance - 18 stone lady - lift broken |
Lincolnshire |
Set up rope system from first to ground floor, placed lady into stretcher in conjunction with ambulance service and inter-agency with health service |
Lincolnshire |
Assisted police and funeral directors to remove deceased from ground floor of house using manpower and salvage sheet |
Lincolnshire |
Used salvage sheet and manpower to manoeuvre patient from floor to bed and then to ambulance. |
Lincolnshire |
Assisted ambulance staff with lighting & manpower to move bariatric patient to ambulance. |
Humberside |
FIRE CREWS ASSISTED AMBULANCE STAFF TO MOVE 35 STONE MALE FROM THE FLOOR BACK INTO A SITTING POSITION. CATEGORY S. |
Humberside |
FLAG 1 ASSIST AMBULANCE PERSONNEL WITH BARIATRIC PATIENT INTO AMBULANCE FOLLOWING CARDIAC ARREST. RIGID STRETCHER IN USE. CATEGORY S |
Tyne & Wear |
Obese person stuck in bath |
Tyne & Wear |
Obese person collapsed and trapped between furniture |
Tyne & Wear |
Obese female fell from wheelchair |
Tyne & Wear |
Obese woman caused bed to collapse |
Tyne & Wear |
Obese person unable to get off the floor |
Tyne & Wear |
Obese lady trapped in stair lift chair at head of staircase on first floor |
Tyne & Wear |
Person to be moved from one hospital bed to another |
Cornwall |
Assistance given to Ambulance Service to lift a 21 stone female who had fallen |
Cornwall |
Assistance given to Ambulance Service with 29 stone casualty to lift them through a caravan window |
Cornwall |
Assistance given to Ambulance Service with a 30 stone patient from caravan to ambulance |
Bedfordshire |
Fire crew assisted Ambulance personnel to convey bariatric fatality to hospital. Crew accompanied ambulance crew to hospital to assist with conveyance to mortuary |
Bedfordshire |
Bariatric patient released from bath by fire crew. Crew accompanied ambulance to hospital to assist with casualty conveyance. |
Bedfordshire |
Fire crews assisted ambulance crew to remove large male casualty from toilet |
Bedfordshire |
Fire crew assisted ambulance crew to lift large female patient downstairs and into ambulance. Fire Service spinal board used. Fire crew then followed ambulance to hospital to retrieve FRS equipment. |
Bedfordshire |
Fire crew assisted ambulance crew lifting a female patient weighing approx 37 stone from commode into bariatric ambulance. Fire crew then followed ambulance crew to hospital to facilitate completion of special service. |
Bedfordshire |
2 fire appliances and 1 specialist rescue unit with crews provided by Fire Service to assist ambulance crew to move bariatric patient with heart and breathing problems into ambulance. Fire Service casualty carrier with skid fitted on bottom used. Fire Service followed ambulance crew to hospital to assist with patient transfer from A&E to bariatric bed following medical assessment. |
Cambridgeshire |
NEED HELP EXTRICATION OF MALE WITH BROKEN NECK |
Cambridgeshire |
HEAVY PATIENT SERIOUSLY ILL WITH HEART CONDITION |
Cambridgeshire |
MALE STUCK IN BATH 23 STONE |
Cambridgeshire |
LARGE LADY STUCK IN BATH; |
Cambridgeshire |
REMOVE A DECEASED MALE FROM 1ST FLOOR WINDOW |
Cambridgeshire |
AMB REQ ASSISTANCE WITH LIFT,71 YRS OLD |
Cambridgeshire |
LARGE PATIENT IN LIFE THREATENING POSITION; |
Cambridgeshire |
MALE FALLEN OUT OF BED |
Cambridgeshire |
PATIENT STUCK UPSTAIRS NEEDS LIFTING; |
Cambridgeshire |
81YR OLD STUCK ON STAIR LIFT |
Cambridgeshire |
ASST TO LIFT 30 STONE PERSON |
Cambridgeshire |
LADY NEEDING CARRYING OUT OF WINDOW |
Cambridgeshire |
LARGE PATIENT STUCK IN MOBILITY VEH |
Cambridgeshire |
ASSIST AMB WITH 30 STONE MALE |
Cambridgeshire |
ELDERLY MOTHER STUCK IN BACK OF CAR - HEAVY LADY |
Cambridgeshire |
LADY STUCK ON COMODE |
Cheshire |
A call was received from the Ambulance Service at 06:00 to request assistance in lifting an obese patient who had become unconscious in the Crewe area of Cheshire |
Cheshire |
A call was received from the Ambulance Service at 09:51 to request assistance in lifting an obese patient in a first floor bedroom in the Nantwich area of Cheshire. |
Devon & Somerset |
M29 HEAVY FEMALE EXTRICATED THRO F/F WINDOW TO AMBULANCE CREW |
Devon & Somerset |
M60 CREWS ASSISTED AMBULANCE TO MOVE HEAVY PATIENT |
Devon & Somerset |
M60 ONE MALE CASUALTY REMOVED FROM FIRST FLOOR USING TURNTABLE LADDER |
Devon & Somerset |
M60 FS PERSONNEL ASSISTED AMBULANCE CREWS WITH HEAVY CASUALTY |
Devon & Somerset |
M60 1 LARGE MALE MOVED ONTO AMBULANCE STRETCHER |
Devon & Somerset |
M60 ONE MALE CASUALTY ASSISTED FROM BUILDING WITH AMBULANCE PERSONNEL |
Northamptonshire |
Assisted Ambulance with lifting large male adult into wheelchair |
Northamptonshire |
Assisted in putting female back to bed, (Ambulance were in attendance) |
Northamptonshire |
Assisted Ambulance in removal of male from floor |
Kent |
35 Stone lady on floor - GP has attended and is concerned – Assistance to ambulance. |
Kent |
Assist with lifting lady from bath - patient over 25 stone |
Kent |
Woman with serious breathing problems-approx 30 stone – Person unable to get out of house |
Durham and Darlington |
Nursing/Care Homes requested assistance in lifting heavy patients |
Durham and Darlington |
Private residence requested assistance in lifting heavy patients |
Durham and Darlington |
Assisted Police to lift heavy deceased bodies |
Hereford & Worcester |
Assist ambulance to move a heavy casualty into an ambulance |
Hereford & Worcester |
Assist in lifting a heavy patient at Hereford Hospital |
North Yorkshire |
LARGE LADY FALLEN TRAPPED DOWN SIdE OF BED |
North Yorkshire |
ASSIST LARGE PATIENT INTO DENTAL CHAIR |
North Yorkshire |
ASSIST LARGE GENTLEMAN TO MOVE FROM CHAIR TO BED |
North Yorkshire |
MALE STUCK IN BATH |
Oxfordshire |
MALE CASUALTY REMOVED FROM 1ST FLOOR BEDROOM OF 2S TERRACE HOUSE THROUGH THE WINDOW UTILISING HP B01L B01P DETAINED APPROX 45 MINS REFITTING WINDOW |
Oxfordshire |
FS ASSISTED AMB SERVICE IN MOVING 40 STONE GENTLEMAN |
Oxfordshire |
1 X 35 STONE FEMALE ASSISTED INTO WHEELCHAIR AND MADE COMFORTABLE. |
Suffolk |
In 2008 there were 3 incidents. Two of these incidents related to requests to remove deceased obese patients and the third was a request to assist with the transportation of an obese patient to the ground floor. |
South Yorkshire |
SS2, BARIATRIC LADY FALLEN IN BEDROOM. SUPERVISORY OFFICER IN ATTENDANCE REQUEST 1 PUMP |
South Yorkshire |
SS1, BARIATRIC MALE FATAL ON SUPERTRAM SUSPECTED HEART FAILURE, TRAPPED BETWEEN SEATS |
South Yorkshire |
SS2, LADY APPROX 25 STONE FALLEN AND NEEDS ASSISTANCE, MAKE PUMPS 2 FOR PERSONNEL |
South Yorkshire |
SS2, BARIATRIC PATIENT FEMALE APPROX 35 STONE ASSIST AMBULANCE IN REMOVAL FROM UPSTAIRS BEDROOM - |
South Yorkshire |
SS2, BARIATRIC LADY AGED 53 STUCK IN BATH |
Hertfordshire |
Crews requested to lift 'Bariatric patient with suspected broken back'. |
Hertfordshire |
Crews requested to help ambulance lift 'large patient from a flat'. |
Hertfordshire |
Crews requested to help ambulance lifting 'overweight patient suffering cardiac arrest'. |
Hertfordshire |
Crews requested to help ambulance lift a 'large lady stuck at bottom of stairs'. |
Leicestershire |
Assist ambulance crew with large heavy patient |
Leicestershire |
Assist ambulance crew to release 30 stone lady stuck in bath |
Leicestershire |
Assist ambulance crew-40 stone man Assisted to his feet after falling |
Leicestershire |
Assist ambulance crews-heavy patient physically trapped and released from room-transferred to ambulance |
Leicestershire |
Assist ambulance crew-heavy patient removed from house to ambulance |
Hampshire |
1 ELDERLY GENTLEMAN ASSISTED TO GROUND FLOOR AND TO HANTS AMB |
Hampshire |
ONE FEMALE ASSISTED BY HFRS AND AMB FROM BEDROOM TO AMB. |
Hampshire |
SSC COMPLETE ACCESS GAINED USING 135 LADDER |
Hampshire |
ONE ELDERLEY FEMALE PATIENT ASSISTED TO AMB |
Hampshire |
ASSISTED AMB TO MANOUVRE AND LIFT CAS TO VEH |
Hampshire |
1 LARGE MALE REMOVED FROM F/F BEDROOM TO AMB BY HFRS |
Hampshire |
1 PERSON TO HOSPITAL BY HAMP AMB |
Hampshire |
SSC COMPLETE USING CASUALTY LIFTING SHEET AND STROP |
West Yorkshire |
HAVE ASSISTED CASUALTY ONTO BED USING AIR MATS |
West Yorkshire |
ASSIST WITH HEAVY PATIENT TO AMB WHO NEEDS TO ATTEND HOSPITAL - AMB STATE MEDICAL EMERGENCY |
West Yorkshire |
PATIENT NOW BACK ON BED ALLOWING TIME TO RECOVER BEFORE RETRIEVING LIFTING SHEET |
West Yorkshire |
NOW AT PGI REMOVING CASUALTY FROM BARIATRIC AMBULANCE |
West Yorkshire |
ASSISTING AMB IN MOVING NON AMBULANT CASUALTY |
Buckinghamshire |
Assisting Ambulance Crew - Lifting 30+ stone patient fallen out of bed |
Buckinghamshire |
Request by hospital - lifting 32+ stone patient |
Buckinghamshire |
Assisting Ambulance Crew - lifting 14 stone patient with arthritis from bath |
Buckinghamshire |
Assisting Ambulance Crew - Lifting 35-40 stone patient fallen on floor |
Northumberland |
Requested to assist two ambulance crews to return a 30+ stone individual to their bed. No hoist user on duty on either of the ambulance crews |
Northumberland |
Assissting NHS to move a bariatric person until arrival of NHS Heavy Lift Ambulance |
1. Labour’s failure on obesity
- Obesity Rising. A quarter of adults and a sixth of children are now obese. This is up from one in seven adults and one in ten children in 1993 (NHS Information Centre, 25 February 2009). The UK now has more obese people than anywhere in the OECD except Mexico and the US (OECD Health Data 2008).
- Labour’s missed targets on obesity. In 1999, the Government abandoned the target set by the last Conservative Government in 1992 to reduce obesity to 6 per cent for men and 8 per cent for women. After two scathing reports – one by the Chief Medical Officer in May 2003 and another by the Health Committee in May 2004 – the Government set a new target in July 2004 to, ‘halt the year-on-year rise in obesity among children under 11 by 2010’. In the Comprehensive Spending Review last year, the Government abandoned its 2004 target and published a new target on childhood obesity to reduce the proportion of overweight and obese children to 2000 levels by 2020. This target is incredibly ambitious given the Government has not yet managed to stall, let alone reverse, obesity levels to date.
- Government dithering on food labelling. The Government’s strategy still fails to make a clear commitment on food labelling. Since 2004, Conservatives have been calling for one system of food labelling: compulsory labels on the front of all packaged food showing what percentage of our recommended daily amount of calories, fats, sugar and salt a product contains, combined with ‘traffic lights’ for each of these items. The European Commission is now also calling for this approach to be taken. The Government’s strategy still only calls for a voluntary code of practice based on the ‘traffic light’ system. On its own, this is flawed because it only assesses whether an item of food is good or bad food, when what matters is whether a diet is good or bad.
- Britain could be a ‘mainly obese society’ by 2050. The Foresight reported also predicted: ‘The prevalence of obesity has more than doubled in the last 25 years in the UK. In England, nearly a quarter of adults and about 10% of children are now obese, with a further 20–25% of children overweight (see Section 2). Foresight’s extrapolations suggest that we can anticipate some 40% of Britons being obese by 2025. By 2050, Britain could be a mainly obese society’ (Ibid).
- Over 1 million prescriptions of obesity drugs. In 2007, 1.23 million prescription items were dispensed for the treatment of obesity compared to 0.13 million items in 1999. Between 2006 and 2007, the number of items dispensed for the treatment of obesity increased by 16 per cent. Last year prescriptions of obesity drugs hit 1.2 million, up from just 39,000 in 1998). 2,724 people were given surgery for obesity in 2007-08, up from 140 in 1997-98 ((NHS Information Centre, 25 February 2009; Hansard, 26 November 2008, Col.2112WA).
- NHS spending on equipment to treat obese patients. NHS trusts have spent £44.8 million on specialist equipment for obese people in recent years. This includes £7.4 million spent on specialist ambulances to transport obese patients, £21.4 million spent on reinforced beds for obese patients and £11 million on specialist operating tables for obese patients (Conservative Party Freedom of Information Act request, November 2008).
2. Labour’s failure to prioritise public health
- Public Health Given Low Priority. Sir Derek Wanless’s 2007 NHS Review found that it is ‘indicative of the relatively low priority given to public health that, while non-public health medical staff numbers have increased by nearly 60 per cent since 1997, the number of public health consultants and registrars has gone down overall’ (The King’s Fund, Our Future Health Secured?, September 2007).
- Raiding of public health budgets under Gordon Brown ‘unacceptable’. The Health Select Committee said in the conclusions of its inquiry into NHS Deficits: ‘Soft targets such as mental health and public health services have also suffered as has funding for voluntary organisations. We believe this to be unacceptable’ (NHS Deficits, 13 December 2006).
3. Conservative approach to public health
On 16 March 2007, we announced the legislative side of our public health strategy to make prevention a priority:
· A strengthened Chief Medical Officer’s department, made more independent of ministers. The Department would advise the Secretary of State for Health, who would be responsible (rather than a junior minister, as now) for public health, on the steps he or she would need to take to tackle today’s epidemics of obesity, alcohol abuse and sexually-transmitted disease.
· A robust public health infrastructure, which would see local Directors of Public Health – jointly appointed by PCTs and local authorities – determine how funding for public health services would be spent. These Directors of Public Health would be better placed to make effective interventions across the health, local government, education and social housing sectors.
· Independent public health budgets. At present, budgets for public health interventions are largely channelled through PCTs. With PCTs either in deficit or being asked to support hospitals in deficit, most of these budgets have been raided. Over time, these budgets should be taken from PCTs and spent through our new public health structure, rather than through traditional NHS bodies whose focus is on acute and community services.
Responsibility deal with business
Earlier this year, the Conservative Party set out the concept of a ‘Responsibility Deal’ – of how, instead of the constant and escalating resort to legislation and regulation and public sector intervention, we should instead enter into a non-bureaucratic partnership with the business community, together to tackle key challenges in society.
On Wednesday 27 August, Shadow Health Secretary, Andrew Lansley launched the Conservative Party’s plans for a responsibility deal with business on public health. He invited Dave Lewis, Chairman of Unilever UK, to chair a working group of business representatives, voluntary groups and experts. Our proposals for the responsibility deal include: supporting EU proposals for a mandatory GDA-based front of pack food labelling; Industry-led reformulation initiatives and reduction of portion sizes; proportionate regulation on advertising and positive campaigns from the industry and government to promote better diets; a responsible drinking campaign matched by community action projects to address drug abuse, STIs and alcohol abuse, using a proportion of drinks industry advertising budgets and supported by the Government; and incentives and a local structure, through business organisations, for SMEs to improve the health of their employees, working with business organisations, “NHS Plus” and the Fitness Industry Association. |