1. Can we rely on the food industry to help lead the policy response on obesity? Professor Terence Stephenson Nuffield Professor, Institute of Child Health, University College London & Great Ormond Street Hospital, London Chairman, Academy of Medical Royal Colleges President Royal College of Paediatrics & Child Health 2009-12

2. The problem 1.Around a quarter of women and a fifth of men in the UK are obese 2.The UK now has the highest rates of obesity in Europe with one in three children overweight or obese by age 9. Based on current trends, by 2020, half of children will be overweight or obese 3.Obesity is currently costing the NHS £5 bn a year, and if trends continue, this figure will double by 2050 4.On average obese adults die 9 years prematurely References 1. Health and Social Care Information Centre (2009) 2. Health and Social Care Information Centre (2009) 3. Department of Health, Obesity: General Information September 2011 4. National Audit Office

5. The Responsibility Deal Pledges: Calorie labelling Salt reduction Artificial trans-fats removal Calorie reduction

6. Success? Café Rouge -Café Rouge does show the main meals that are under 500 calories but nothing else (for example no labelling on the desserts) Cadbury’s Bar -the front calorie labelling usually tells you the amount of calories in three chunks rather than the bar (which you have to look on a small table on the back of the bar) Mars -“We are proud that 94% of our pasta sauces already meet the RD 2012 targets, along with 100% of our Dolmio Pasta Vita and Uncle Ben’s Rice Time meals. Our pasta and plain rice also meet the RD 2012 targets.” Coca-Cola -calorie reduction pledge BUT the most popular drink, Coca-Cola will remain untouched, because, in their words “our customers love the taste”!

7. The Responsibility Deal Which? analysed what progress had been made on some of the key pledges. It found only two of the top 10 restaurant and pub groups had agreed to provide calorie information, with the likes of Pizza Express, Garfunkels and Cafe Rouge among those not involved. Which? acknowledged the fast food outlets had done better - McDonald's, KFC and Pizza Hut are all on board. Of the top five coffee shops, just Starbucks and Marks and Spencer's The Cafe had signed up. Meanwhile, big name brands such as Iceland, Findus and Birds Eye had yet to commit to reducing salt in their food

8. Obesity vs. Profits Creative labelling? Go large? BOGOF

9. Obesity vs. Profits £50m £14m One advertising campaign for just one chocolate bar (Dairy Milk) was £6.2 million (leading to at least around 10% increase in sales).

10. AoMRC Campaign Individuals Health professionals Education Environment Fiscal mechanisms

11. Dying of a necessity? 1.USA markets amongst the most heavily regulated in the world 2.OfCom, OfToff etc regulate within bands 3.All governments tax petrol, alcohol, cigarettes but food is a necessity 4.People like me are flawed and weak in the face of nudge 5.Special K marketed as a healthy food is 17% sugar 6.Frosties 37% sugar compared to cornflakes

12. So what do we need to do?

13. Government consultation on food labelling

14. Advertising & Sponsorship

15. NHS should set an example

16. Fiscal mechanisms – harnessing the competitive power of the food industry