Showing posts with label supermarkets. Show all posts
Showing posts with label supermarkets. Show all posts

Friday, 29 October 2021

Are zero and low alcohol alternative drinks just a drop in the ocean when it comes to tackling the real harms of alcohol?

Posted by Professor Peter Anderson, Professor Eileen Kaner and Dr Amy O’Donnell, Newcastle University

We’ve come a long way since Becks Blue was your go-to if you were looking for an alcohol-free alternative to beer.

The drinks industry now caters for a growing number of adults who are looking to reduce their alcohol consumption, or not drink at all.
‘Sober-curious’ and ‘Quit-Lit’ are buzzwords of our time, and Sober October and Dry January are now firm calendar fixtures for many.

Supermarkets offer shelves full of zero alcohol gin, 0% craft beer, prosecco – and more. A non-alcoholic Cobra with your curry? No problem. Even Guinness now offers an alcohol-free version.

They’re all a great alternative if you want to reduce or stop drinking, especially if you still want to ‘feel’ like you’re having a drink.

But who is this helping?


Our latest research has found that you’re more likely to buy zero or low alcohol alternatives if you’re younger, you fall into a higher earning bracket and you’re well-educated.

And that’s probably unsurprising, given that non-alcoholic alternatives aren’t cheap - and can sometimes be more expensive than their ‘normal’ equivalents.

For example, at the time of writing, a UK supermarket was selling a litre of Gordon’s Gin (37.5% ABV) at £15.99 a litre, alongside the new 0.0% version at £20 a litre. So if you want to switch, you’re going to have to pay a bit more.

It’s a similar story when it comes to other health-related behaviours, such as eating good quality, fresh food or having a gym membership, where those who are more affluent will lead the way – possibly because they can simply afford to.

Which leads to further questions – are zero or low alcohol drinks only able to make a small difference when it comes to harmful levels of drinking across all groups, including those who are economically disadvantaged? And - does the price and accessibility of these alternatives create some inequality in itself?

Headline findings from our study – do low or no alcohol drinks increase health inequalities?


We wanted to find out whether the purchase and consumption of zero or low alcohol beers differs by demographic and socio-economic characteristics.

To do so, we looked at purchase data from almost 80,000 households and surveys from over 100,000 adults, provided by Kantar World Panel.

We found that zero alcohol beer was more likely to be bought and drunk by younger people and more socio-economically advantaged consumers.

We also saw higher purchase levels in those who generally bought and drank the most alcohol – and this was higher in men, younger adults, and those with higher incomes.

Households that were more likely to buy low alcohol beer were also heavier buyers of alcohol overall, and more likely to be middle-aged (45-64 years).

We also found that for every purchase of a low or no alcohol alternative, there were just under 46 purchases of the alcoholic equivalent – so buying and drinking levels of the low or no alcohol products are still relatively low.

Proportion (%) of households that reported at least one purchase of zero alcohol beer (green, left vertical axis), low alcohol beer (orange, left vertical axis) and all other beer (red, right vertical axis) for any day that a household made an alcohol purchase by study day, 2015 to 2020. Data points: daily.






What does this mean?


The increasing availability of low or no alcohol alternatives might be a useful tool to reduce overall drinking in the more socially advantaged groups in society, but not so beneficial for the rest of the population.

Zero or low alcohol alternatives are great if you can afford them, but they’re not the whole answer when it comes to addressing the real issues around drinking alcohol – including some of the deeper and wider reasons that drive people to drink so much in the first place, the ready availability of alcohol, and its relatively low price.

In conclusion, we believe that promoting zero and low alcohol alternatives is not enough to address the harm done by alcohol, including alcohol-related health inequalities.

Additional evidence-based policy measures - such as a Minimum Unit Price and improved funding for alcohol treatment and intervention and prevention services - are needed to lessen harms of alcohol which are experienced by the most disadvantaged people in our society.


References

This blog is based on a paper published in September 2021 in the International Journal of Environmental Research and Public Health- ‘Is buying and drinking zero and low alcohol beer a higher socio-economic phenomenon? Analysis of British survey data, 2015-2018 and household purchase data 2015-2020.’ – by Peter Anderson, Amy O’Donnell, Dasa Kokole, Eva Jane Llopis, Eileen Kaner.

Professor Eileen Kaner, Professor Peter Anderson and Dr Amy O’Donnell are based at Newcastle University and members of the NIHR ARC North East and North Cumbria. This blog was produced by the NIHR ARC North East and North Cumbria on behalf of the report authors.

You can read the full paper, here.

Other linked research that may be useful for readers:

Friday, 7 December 2018

Steering the Coca-Cola Christmas trucks off course in 2018

Guest post by Beth Bradshaw, Alex Holt and Robin Ireland, Food Active

You may remember our guest blog for Fuse from last year, which discussed the media frenzy that goes into overdrive when the Coca-Cola Christmas Truck Tour sets off on its journey across various locations in the UK. We also noted our own campaigns and the efforts of others such as SUGAR SMART to make the case against welcoming the truck into towns and cities already grappling with a childhood obesity and oral health crisis.
 
Every year, we are met with growing support from the public health community and the public including GPs, dentists, teachers and parents. Last year Public Health England issued guidance to local authorities about hosting the Coca-Cola truck. However, there was also some criticism of our position, especially where we were seen as ‘spoiling’ Christmas in some way.

However, this year, things seem to be different. We feel a change in the air this festive period with a scaling back of the Coca-Cola tour, both in terms of numbers of locations and less prominent venues.

There are a number of important changes that have happened both in the build-up and the start of the Coca-Cola Christmas Truck Tour for 2018. While these might appear small, together they demonstrate quite a significant shift by the soft drinks corporate giant.

This year, the Coke Truck allowed just three days between the announcement of the tour and its start, compared to 11 days last year. Within this time frame, SUGAR SMART coordinated an open letter to Coca-Cola bosses with over 40 signatories from local authorities, Clinical Commissioning Groups, and national campaign groups to oppose the truck visiting their areas [1]. This meant there was time to coordinate responses both nationally and locally, including a series of Tooth Fairy stunts, and for noise to be made to create negative publicity before the truck had even arrived.

The Coke Truck vs the Tooth Fairies
Another important shift is the size of the tour – downsizing by over a third (37% to be exact), from 38 stops last year to just 24 this year. The 2018 tour is also visiting some much smaller locations - the media has called it ‘snubbing’ cities such as Milton Keynes and Liverpool - and there are just four visits on council-owned land. We are pleased to see so few local authorities allowing the truck on council-owned land but would urge those that are welcoming the truck to seriously consider whether this is in the best interest of their local population.

There are also more stops hosted on supermarket car parks this year, with as many as ten of the stops to Asda and Tesco. The same Tesco that announced a five-year ‘strategic partnership’ with national health charities including the British Heart Foundation, Cancer Research UK and Diabetes UK to help ‘remove barriers to healthy habits’ earlier this year. A Coca-Cola truck pitching up in their car park is certainly a barrier to healthier habits, both literally and figuratively speaking. This move has also been met with criticism and Sustain and SUGAR SMART are calling on the public to write to Asda and Tesco to ask them to reconsider hosting the truck next year. On taking this action ourselves, we received a response from Asda customer relations which said:
“We have been in conversation with Coca-Cola prior to this tour and we are happy that they will be encouraging customers to sample their sugar-free brands. They will only provide Red Coke on request and they estimate that at least 90% of their drinks sampled will be sugar free.”
As of yet and unsurprisingly, we have had no response from Tesco.

Asda’s response is consistent with the quote provided by Coca-Cola’s press release, which also appears to have satisfied Public Health England’s concerns, as they have decided not to respond to the truck this year.

Finally, in the North West of England (where Food Active is based), the truck is visiting just one city in the region compared to six visits in 2016 and four in 2017. Over the past four years, Food Active has been lobbying against the arrival of the truck in the North West, including publishing an article in the British Medical Journal [2], writing an open letter to local and national press (with over 100 signatories) and supporting SUGAR SMART’s open letters to Coca-Cola bosses. We hope that this continued pressure, even in the face of significant criticism, has helped to steer the Coke truck away from the North West.

However, we know the battle is by no means over - 14 of the 19 stops in England have above average prevalence of excess weight amongst 10-11 years old, and in some locations including Manchester, over 30% of the children have experienced tooth decay.

Last year, our blog concluded that “our experience shows us that public health has to be persistent in ensuring our messages are heard in the current victim-blaming culture”. This statement is perhaps even more validated following this year’s experiences.

In the spirit of good will this Christmas, we thank Coca-Cola for helping more of our local authorities in the North West to help tackle issues of childhood obesity and dental decay in their areas - many of which are already disproportionately burdened with deprivation and health inequalities.

www.foodactive.org.uk

@food_active


References:
  1. Ireland, R and Ashton, J.R. (2017) “Happy corporate holidays from Coca-Cola” i8633. Available at: https://www.bmj.com/content/356/bmj.i6833
  2. SUGAR SMART (2017) Spending holidays in good health. Available at: http://www.foodactive.org.uk/wp-content/uploads/2017/11/Open-Letter-to-Coca-Cola.pdf
Images:
  1. Courtesy of Beth Bradshaw
  2. With thanks to Sustain and Sugar Smart UK: https://www.sustainweb.org/blogs/nov17_coke_truck 

Thursday, 17 March 2016

Obesity: many perspectives, no magic solution

Lorraine McSweeney, Research Associate, Newcastle University

To coincide with Nutrition and Hydration week Lorraine reports back from the Westminster Food and Nutrition Forum.

On the 9 March I attended a Westminster Food and Nutrition Forum titled: ‘Next Steps on Policy for Obesity - Prevention, Sugar Consumption and Priorities for Children’s Health’. The original purpose of the forum was to discuss the Government’s childhood obesity strategy. However, as publicised in the Guardian on the 26 February, this has been delayed; with the Department of Health calling it a ‘complicated issue’ that they want to ensure is a ‘game changing moment’. Despite the strategy delay the forum went ahead to allow ‘experts’ in the field to share ideas and possible approaches for the strategy.

Speakers and panel members were a diverse group ranging from Public Health England (PHE); School Food Plan; Southampton Health and Wellbeing Board; Children’s Food Trust; ukactive kids; Family Lives; primary care; Advertising Standard’s Authority; British Retail Consortium; Kantar World Panel; Food and Drink Federation; and London Food Board… the list goes on...

The McLympics - advertising and sponsorship
PHE stated that the average diet in the UK is poor with too much saturated fat and sugar and too little fibre, fruit and vegetables. This is having a knock-on effect on our children, with one in five primary school kids overweight or obese, by the time children leave primary school, this figure rises to one in three. Contrary to popular belief, this is not just an issue of poverty; obesity is happening in both the most and least affluent areas. We are bombarded with opportunities to eat 24 hours a day and there are many drivers to buy and eat. Advertising and sponsorship, which some people don’t associate with advertising, can have a negative impact on child health.

The Chief Executive Officer from the Children’s Food Trust argued that good food should be a part of a child’s life from day one, right through their life. Food should not be tailored to be ‘child-friendly’. Children should be encouraged to eat smaller portions of adult food and should not be targeted by the food industries. Parents need to be listened to and families should be helped to cook more.

The need to get children moving more was discussed and included comments about modern life not encouraging children to be active; and schools too scared to work with parents and tell them how to keep their children active. It was stated that only a third of children enjoy sports and other solutions need to be encouraged. The primary care representative felt that too many patients are being treated with the consequences of obesity. She believes that primary care professionals are missing opportunities to discuss weight with parents; however, GPs reported not wanting to cause offence and felt they did not have the time to deal with the issues.

An overarching theme from the ‘health’ representatives was that prevention is key and that the food industry was part of the problem and should be involved in solving the problem. We were informed that in an average supermarket consumers have 30,000 products to choose from and consumer change is very hard to drive.

The impact of volume of sales of products such as sugar and bread, which have no immediate substitute, are shown not to be affected by price rise. The introduction of a sugar tax was highly debated; some felt it would not change consumer behaviour, whilst others argued it would offer one solution. However, following the success of the reformulation of products to reduce salt and saturated fat, it was agreed that the reformulation of products containing sugar could be a way forward. However, representatives from the food and drink industries stated that sugars would be more difficult as it has a structural function in food.

In addition, if a product was made ‘healthier’ consumers may be inclined to eat more of the product but it was agreed that alongside reformulation, portion size control could be beneficial. There was much discussion of whether legislation should be enforced on food and drink companies – the representatives believed that due to diversity of companies, a voluntary approach was better. However, it was argued that ‘if consumers continued to make incorrect choices – legislation was all that was left’.

As you can see from this very brief summary, obesity continues to be a very complex issue; it was thought-provoking to hear the different perspectives from health, policy, practice and industry. However, the discussions emphasised the point that there is no magic solution; the publication of the Government’s childhood obesity strategy is eagerly awaited.

Photo attribution: flickr.com, Santo Chino, "McLympics": https://www.flickr.com/photos/santochino/2797034750

Thursday, 9 July 2015

Setting resolutions or finding solutions?

Posted by Dr Joanne-Marie Cairns, Fuse Post-Doctoral Research Associate at Durham University

So it’s National Childhood Obesity week and yet again we are surrounded by plenty of public health campaigns promoting us to lead healthier lives – be more physically active, join the gym, lose weight, eat and cook more healthily as well as problematic media rhetoric such as ‘beat the bulge’ and de-moralising and stigmatising imagery typically of overweight or obese children on scales or eating junk food. How is this helpful? This will only serve to further exacerbate the situation rather than help to bring about effective and sustainable solutions to not only help those who wish to become more active and lose weight but promote healthier population health more widely.

I am heartened to hear that Head of NHS England, Simon Stevens, has called for a national conversation to be held and a joined-up approach which has started to think about regulating food and drink companies. In my opinion this is long overdue. We may have a degree of individual ‘choice’ but how much choice do we really have when we are surrounded by (and in some places bombarded with) advertisements, local take away shops, overly-priced fresh nutritious food compared to the tempting ‘bogof’ (buy one get one free) offers which typically tempts us into getting double the amount of unhealthy snacks, often at a fraction of the price it would cost to get healthier options?

I came across this image as I was searching through websites related to National Childhood Obesity week on http://www.noaw.org.uk/about/ with reference to National Obesity week earlier on this year.


While I am sympathetic to this message which encourages us to make these positive changes I am also sceptical about the effectiveness of doing these alone. Repeatedly research studies have shown that educational and behavioural interventions have limited and short-term effectiveness, so why do we continue to focus on the individual rather than looking at the environment within which the individual is placed?


So I urge you, instead of making yet another individualised ‘resolution’ this coming New Year (which will come around before you know it!) to lose weight or exercise more, why don’t we collectively put our efforts together by standing up and protesting about the lack of resources or opportunities within our localities to be able to lead healthier lives and be more physically active? For example, if you have children in schools ask yourself (or better yet ask the school directly) the question: what is the school doing to not only promote healthier food and physical activity but to actually enable this to happen by creating school environments that support children to do this? Or what are supermarkets doing to help us to afford to buy fresh and nutritious food and drink that isn’t going to cost a fortune? Or write to your local MP to ask the government to recognise the wider issues that can prevent even those of us with the best of intentions from eating more healthily and increasing our exercise. Childhood obesity is not the responsibility of the child/family, since ‘responsibility’ infers that we have ‘control’ over something. It is rather a societal consequence, and therefore society should bear the responsibility for finding a solution.

Jo Cairns and Professor Clare Bambra have produced a Fuse brief entitled: What is the most effective way to reduce inequalities in childhood obesity?

Did you enjoy reading this post? If so, please vote for Fuse in the UK Blog Awards 2016 by clicking here

Tuesday, 14 April 2015

Have we been had?

Guest post by Jean Adams, Centre for Diet and Activity Research (CEDAR)

Parents don’t like sweets at supermarket checkouts. The ‘guilt lane’, as it’s been called, seems designed to attract children in a place where they are a captive audience – you can’t just move away from the checkout when you have a trolley full of shopping that you need to pay for.

This consumer concern is what seems to have prompted many supermarkets to impose total, or partial, bans on checkout confectionary.

It was certainly a healthy dose of parental curiosity that prompted our recent study on food at checkouts in non-food stores. The lead author was in Primark with her pre-schoolers, noticed a LOT of sweets by the till, and started to wonder how pervasive a phenomenon this was.

We felt food at checkouts in non-food stores was a worthwhile thing to study for two reasons. Firstly, these are places where we assumed most people aren’t naturally thinking about food. Buying confectionary at a supermarket is, perhaps, appropriate. But at a clothes shop? Presumably most people don’t go into Primark to buy some energy-dense, nutrient-poor snacks. So any purchases they do make are unplanned and prompted entirely by the display, rather than, say, hunger. Secondly, a lot of campaigning attention has been devoted to #junkfreecheckouts in supermarkets. To some good effect. But if the problem has just shifted to other types of shops, then any war is not yet won.

So we enlisted the help of two medical students, who were keen to get some hands-on experience of public health research, and did a survey of all the non-food stores in the MetroCentre - which has the dubious accolade of being the second largest shopping centre in the UK (I’m sure it was the largest in Europe at some point).

Of 205 non-food stores in the MetroCentre, 32 of them, or 16%, had food within arm’s reach of the checkout queuing area. All these stores stocked less healthy checkout food, although about half of them also had foods that were not specifically identified as less healthy. This was mostly bottled water or chewing gum – so not exactly healthful! Overall more than four-fifths of checkout food was less healthy and would not be allowed to be advertised on children’s TV in the UK.

As well as making life easier for the parents of young children, there may well be health benefits of #junkfreecheckouts. Around the world, most checkout food really is ‘junk’ – soft drinks, and foods high in energy and salt, and low in vitamins and minerals. Checkout food may prompt impulse purchases and purchasing requests from children, which parents find hard to resist.

But, importantly, I’m not aware of any research that shows that people who see more checkout junk food eat more junk food, or that removing checkout junk food leads to changes in what people buy or eat. This is one of those absence of evidence, rather than evidence of absence situations – we just don’t know what effect checkout confectionary has on what kids eat.

There was an interesting discussion on the Food Programme recently suggesting that sales of confectionary from UK supermarkets were steady, or rising, despite many stores removing it from checkouts. Checkouts aren’t the only way to prompt impulse purchases in supermarkets. Prominent, end-aisle displays, and price promotions seem to be keeping sweets sales buoyant. At least for now.

This wasn’t what we meant: a prominent confectionary display opposite a #junkfreecheckout at my local supermarket (that pizza wasn’t mine!)
Which makes me wonder…have we been had? Have supermarkets taken confectionary off tills because it makes them look responsible and ‘part of the solution’, knowing full well it will have no effect on sales? And what might the consequences of that be for public health? Well, no change on the diet front. But what if supermarkets voluntarily choosing to remove checkout junk food, means that it also closes down a conversation on unhealthy food environments? Could the supermarkets keep referring to this non-change as a way of trumpeting how importantly they take health, and silencing any requests for further, serious, meaningful change?

I find this a bit scary. Some well-intentioned public health campaigning might have made things worse? I don’t know that it has. Maybe it hasn’t. Probably it hasn’t? Hopefully it hasn’t. Probably it’s just made no difference. At the very least, it makes life a bit easier for stressed out parents trying to get the shopping done and their kids to eat a healthy diet?

Thursday, 12 March 2015

Who’s opting out of responsibility? Battle of the checkouts

Posted by Mel Wakeman

Let's make Britain healthier. Please remove all junk from all tills and make EVERY store take responsibility

This was the message that was shared by all the supporters of our Thunderclap campaign on Monday 9th March. The Children’s Food Trust, British Dental Association, British Dietetic Association, Action on Sugar and Faculty for Public Health signed up alongside more than 100 other advocates asking stores to get rid of the junk food they display and promote at their checkouts. Our social reach exceeded 94,500 which is hugely encouraging and supports the idea that much of the public would welcome and benefit from such a move.

Courtesy of dailymail.co.uk
I am not ignoring the fact that when it comes to the power of pestering from children, parents have a responsibility to set boundaries and deal with whining requests for sweets and treats. I also appreciate that the public are entitled to choice but my point is that if we want to make healthier choices, they should be the easiest of choices. Why not promote fresh fruit and low fat, salt and sugar options at the tills? In my mind if you want to buy junk, then walk to the dedicated aisle; that is your decision and your responsibility. We have been advised to reduce our sugar intake (the WHO released new guidelines last week) and many will need support to do this; we must have an enabling environment that promotes positive health behaviour change rather than be constantly tempted and encouraged to pick up sugar rich and energy dense foods.

In our first blog we named and shamed the leading stores that have yet to step up to the plate: Marks and Spencer, Morrisons, Asda, Sainsbury's Local, Iceland Foods and WHSmith. I have since written to all these stores asking them to adopt a blanket policy to remove all junk from all their tills. In each letter I stated that not doing this undermined any company values and intentions to be responsible for the products they sell. They are essentially sending out mixed messages concerning their company priorities (i.e. profits vs health) and most importantly they are undermining customer efforts to make healthier choices. I mentioned that evidence now suggests we are more likely to choose unhealthy products when impulse buying and that highly processed foods may be linked to addictive eating. These factors all exacerbate the negative impact junk food has on our health.

The fact that Tesco, Lidl and Aldi have most recently committed to junk free checkouts is evidence enough that it can be done. Implying healthier checkouts can't be done and that customers don’t want them says these stores haven't tried hard enough! Many may want to have their cake and eat it but this is really not the way forward to better health. Tesco for example only display food items that contribute one of our five a day, have no ‘red’ traffic light ratings, and are deemed by the Department of Health to be a ‘healthier snack’. This approach makes a lot of sense to me, they still offer choice so what’s the problem?!

So let’s go store by store and examine what I learnt about their company values and marketing policies. I checked out what they are currently doing in terms of in-store health initiatives and questioned why they did not acknowledge their role in supporting customers in making healthier choices.


1. My first letter went to the CEO of Marks and Spencer.

I commended their 22 pledges on the Government’s responsibility deal; they provide calorie controlled options as part of their ‘Calorie Reduction Plan’ and they have developed a ‘Well-being Week’ and ‘Veg Pledge’ but they could do so much more as part of their ‘Plan A’ initiative to promote healthy living.

Their initial response to my letter was read with some amusement. It contained this statement:

“From May 2012 we removed all sweets that might appeal (to children) from our belted till points. Belted tills are the most common type of tills we use in our food sections and are where we believe customers are most likely to be distracted by their display.”

My reply went like this:

With all due respect, how can you determine which sweets might and might not appeal to children at your belted till points? The colourful, character sweets may certainly appeal to younger children (and adults!) but how can you assume that in the absence of these, children will not go for the next best thing? You are also assuming that parents and families tend only to use the belted till points? Children are certainly not just the vulnerable party here either; as stated in our letter, health problems attributed to diet significantly affect both adults and children.

With the continued roll out of your self-serve checkouts, surely it would be wise to review your current policy on all sweets at all till points. A blanket policy certainly sends out a much stronger message concerning your health agenda. The range and quantity of sweets on display at the self-service points are often vast and as we said previously, the accumulative impact of impulse buys (of high calorie foods) can be extremely detrimental. Our suggestion is simply to swap these items that are of low nutritional value with those that are healthier and more nutritious.

Their reply came back as follows:

M&S have “made a note of and will pass on my comments about having more healthier and more nutritious items to their Service and Policy team for their consideration.” Of course they “can’t confirm that any changes will be made” and following my request, would not provide a contact name for the person that leads this team (so that I could continue discussions). It was interesting to read that M&S are so “focused on engaging with millions of customers” yet they were very reluctant to commit to or continue conversations with me.

2. My second letter went to Sainsbury’s

Sainsbury Company Values acknowledge they have a key role to play in promoting healthy eating and (apparently) set out to make healthy choices easy for their customers. They state they are encouraging good health and helping people change their behaviour. Their 2014 marketing code of practice is very explicit regarding the protection of children; that they will aim to support the role of parents, uphold responsible consumption and nutrition. This all sounds great as they implement these values and policies in their large supermarkets but they fail to do so in their smaller, local stores. My request was to continue to roll out their Company Values and codes of practice to ALL Sainsbury’s stores.

I have yet to receive a proper response other than being allocated a case manager with assurances that a full investigation will be conducted on behalf of the CEO. This was over a week ago....

3. My third letter went to Asda

Asda have reformulated products and cut the costs of healthier produce but other than that I found it very difficult to find any mention of specific healthy marketing policies. They have 22 pledges on the Government responsibility deal but the majority are related purely to alcohol. They have pledged to lower salt and saturated fat but, in my experience, on entering an Asda store you often hit a wall of doughnuts, muffins and biscuits before you get to the fruit and veg sections.

The response I received from Asda was the most positive and promising:

Their new Vice President of customer relations responded on behalf of their CEO. She indicated that following some recent changes to their structure, she was taking on Asda’s health agenda. She said she appreciated some of the significant issues that we face as a nation, and is keen to quickly determine how they as a business can help. She explained how she was currently recruiting a team to help first define their role in people’s lives from a health perspective (their customers, colleagues and communities they serve) and then prioritise the areas where they can make most material impact. To that end, she assured that her new Senior Director, once appointed, would contact me to discuss this subject further. I was quite happy with this and will certainly look at following this up.

4. Next was WHSmith

As a leading non-food retailer, I reminded WHSmith that they still have a key role to play in promoting healthy eating and enabling their customers to make healthier choices from the food that they offer. In their Corporate Responsibility document they acknowledge WHSmith “take the responsibility for the products we sell seriously”. Their Marketing Code of Practice states WHSmith “aim to offer customer’s choice but it is also essential that we accept and act responsibly concerning the food and drink products we offer”. The volume and variety of junk food displayed next to their tills is vast. WHSmith also use a particularly strong upselling strategy which further encourages the purchase and consumption of junk food. Buy a book or magazine and be asked to buy a massive bar of chocolate is entirely irresponsible.

I read with interest that WHSmith “always take into account the level of knowledge, sophistication and maturity of the people we are marketing to, particularly children”. In light of this statement, I thought they would be interested to know that research suggests our nutrition knowledge is not sophisticated and adults often make food choices based on taste preferences without considering the health ‘value’. Adults often act impulsively too so it is a very large assumption that we can expect children to make sophisticated informed choices when it comes to food!

Coincidentally a paper was published in the journal Public Health Nutrition around the time that I wrote to WHSmith and reported that almost one-sixth of non-food stores displayed checkout food and the majority of this was ‘less healthy’ and displayed at child height. Less healthy food was also more likely to be subject to a written price promotion than healthier food. Surely this has to change?

I have had no response from WHSmith.*

5. Next was Morrisons

Their corporate responsibility review clearly outlines the commitments they have made and it is reassuring to see continuation of the 27 pledges made as part of the Governments’ responsibility deal. They have reformulated products and are promoting healthier options, fruit and vegetables but as yet there are no signs that they plan to remove the junk. When questioned on this matter via Twitter they reported that they were responding to customer demand for choice.

I was intrigued by this and asked them if they had completed any customer surveys. Tesco and Lidl for example reported that over two-thirds of their customers prefer healthy checkouts and that adopting junk free tills had received overwhelmingly positive responses.

I have had no response from Morrisons

6. Last but not least was Iceland Foods

Iceland’s corporate responsibility document outlines the commitments that they have made as far back as the 1980s. They have 10 pledges on the Government’s responsibility deal. Like Asda, they have reformulated products and are actively promoting fruit and vegetables. Again, they seem reluctant to take responsibility for the products they promote.

I have had no response from Iceland Foods.

If we are to see improvements in the levels of overweight and obesity in the UK, we must change our social and food environment. Without doubt they (amongst other factors) influence our food preferences. The responsibility simply cannot be put on the consumer alone; the responsibility also lands firmly on the shoulders of our stores too.


*UPDATE 13/03/15

Posted simultaneously, through the power of the internet, here and on Mel's personal blog The Grub Hub.

Yesterday I received a reply from WHSmith (pictured right), so I felt it only fair to share this and my response to it, as I have for Marks and Spencer, Asda, Sainsbury’s, Morrisons and Iceland Foods.

My reply was addressed to WHSmith Group Communications Director Mr Mark Sabin:

Thank you for your letter in response to my request to stop the display and promotion of confectionery at WHSmith till points. I have read with interest your 2014 corporate responsibility report and would now like to raise some issues and questions concerning this report and some of WHSmith’s responsible retailing policies:

1. In your letter you explained that: “WHSmith are a very small player in the UK confectionery market”. I strongly believe this is not valid justification to ‘opt out’ and pass on your responsibility to the major supermarkets. As a seller of confectionery, sweets and soft drinks, no matter how small your contribution to the market, you are obligated to consider the full impact your products may have on consumer health.

2. Your report states: “you have extended your healthy food range”. Whilst products such as granola pots, smoothies and health food bars may be marketed as and appear ‘healthy’ they often contain high amounts of added sugar. These items are generally no better than sweets or chocolate and mean that we exceed our recommended sugar intake when consumed in excess. Have you consulted a registered nutritionist or dietitian when determining your product range? Do you have a specific threshold using traffic light labels or set a maximum sugar or fat content (that I mentioned in my previous letter) to help identify healthier products? Reviewing portion sizes of the products you provide is certainly a valuable step you have made but simply looking at the total calorie content is not always entirely helpful. As a nation that is in the midst of a health crisis attributed to diet, it is very important to consider the added sugar, saturated fat and salt content too.

3. You state that: “where your stores are in travel locations and you offer a more extensive range of food, drinks and snacking products, you have been increasing the range of healthy alternatives”. If you are assuming we are more likely to snack whilst travelling, it would be useful to have an evidence base here and if you are stocking more ‘healthy’ items, are you actively promoting them instead of the confectionery? You must also be confident your healthy alternatives meet the appropriate legislation if they are to be labelled as such. Please can I point you towards this rather large faux pas in one of your stores:


4. You state that: “your staff are trained to never offer promotions repeatedly to regular customers”. Are you assuming your customers are more likely to be regular if they purchase from stores in travel locations i.e. commuters making repeated journeys? How would WHSmith staff know if a customer is regular or not? Surely staff rotations and altering customer habits would make this impossible to determine with confidence and is a large assumption to make?

5. You explain that: “when chocolate or confectionery is included as part of a promotion, it is often designed for sharing or as a gift”. This clearly passes on the responsibility to your customer, rather than accepting it yourselves. Again, how can you possibly assume that the confectionery you sell will be shared or gifted?

6. You explain that WHSmith staff are: “trained on how to offer promotions so that staff never offer confectionery products to parents with children and never offer promotions repeatedly to anyone who has made it known they do not wish to be advised about such promotions”. How can your staff make a judgement that an adult has or does not have children? Children are not the only vulnerable party here either and unless your staff manage your till points throughout every working day, how can they determine if a customer has already been previously asked? You are also putting the onus on the customer to state if and why they don’t want your product. This could potentially be awkward for the customer in making unnecessary justifications.

Overall I am concerned about the assumptions made about WHSmith customers and from the explanations you have provided, I am not convinced your methods and criteria for selling products is sufficiently robust. I would be very happy however to discuss the nutritional contents and values of the products you offer and help establish a range that is clearly healthy and varied for your customers. I look forward to hearing from you again.
Yours sincerely,

Mel Wakeman

Did you enjoy reading this post? If so, please vote for Fuse in the UK Blog Awards 2016 by clicking here

Thursday, 19 February 2015

Thunder, thunder, Thunderclap: when a blog post hits the campaign trail*

Posted by Mark Welford

A nationwide viral campaign to remove junk food from supermarket checkouts has been launched on the back of the success of a post on this very blog.

The ‘Chuck out the checkout junk’ campaign was born out of a Fuse open science blog post, which described the ‘pester power’ difficulties faced by parents in supermarket checkouts, what supermarkets are or aren’t currently doing about it, and why they should be doing more in the midst of a growing obesity epidemic.

Written by Mel Wakeman, senior lecturer in nutrition and applied physiology at Birmingham City University and Fuse academic Amelia Lake, dietician and public health nutritionist based at Durham University, the post has received more than 500 views and sparked debate on Twitter.

Mel has now started a campaign using the social media tool ‘Thunderclap’ that has already reached close to 30,000 people.

Thunderclap will simultaneously post the health message on social media feeds
On the Thunderclap page Mel writes: “We are still in the midst of an obesity epidemic; poor diet is to blame for overweight and obesity, tooth decay, type 2 diabetes, high blood pressure, cardiovascular disease, cancers and more.

“As a nation we should be reducing much of the added sugar in our diet but we often need help to do this. Making positive changes to our diet is not easy; cutting down our sugar intake is difficult when it is present in so many everyday foods (like sweets and chocolate) and being constantly tempted to pick up confectionery at the checkout undermines much of our efforts to be healthier. Small changes can lead to big differences however, so let's ask more stores to adopt junk free checkouts.

Marks and Spencer, Morrisons, Asda, Sainsbury's Local and Iceland Foods as well as WHSmith and other non-food stores need to take more responsibility for the products they promote. Many stores have signed up to the Government's Voluntary Responsibility Deal but they could do so much more if they want to demonstrate they are truly committed to promoting healthier diets and improving public health.


“The evidence is irrefutable. Asking stores to replace confectionery with healthier foods will be a huge step forward in helping protect the future of the British public.”

Mel is also writing to the above stores, asking them to seriously consider this proposal.

Show your support


If you want to share your support for the campaign visit the Thunderclap page and click the red ‘support with’ buttons (via Facebook, Twitter or Tumblr).

“Let's make Britain healthier. Please remove all sweets from all tills and make EVERY store take responsibility.”

Thunderclap will simultaneously post the message above on your feed along with other supporters on 9 March when the campaign will ‘go viral’.

Still unsure? Below are six points that explain why this campaign is so important:

1. The UK has one of the highest levels of obesity in Western Europe: 67% of men and 57% of women are either overweight or obese.

2. More than half of men and women are at an increased risk of multiple health problems.

3. The level of childhood obesity is a huge concern. In the UK, 1 in 10 children are obese when they start school. By the time they leave primary school, nearly 20% of children are obese with a 75-80% risk of obese adolescents becoming obese adults.

4. According to the latest diet surveys, children and teenagers consume around 40% more added sugar than the recommended daily allowance; much of this coming from snacks and sweets. We are now seeing diabetes, high blood pressure and signs of heart disease in young children.

5. In 2014 Public Health England reported 12% of children under three have tooth decay and an average of three teeth in these children are decayed, missing or filled.

6. Obesity can reduce life expectancy by 8-10 years. This is equivalent to the effects of lifelong smoking.

*A headline for children growing up in the 1980s

Did you enjoy reading this post? If so, please vote for Fuse in the UK Blog Awards 2016 by clicking here

Tuesday, 3 February 2015

Time to chuck out the checkout junk?

Posted by Mel Wakeman (introduced by Amelia Lake)

As mum to a toddler I usually avoid any kind of supermarket. I am lucky enough to have a local fruit and veg shop (where I welcome pester power!). However the other week whilst waiting at the till in Marks and Spencer I had to summon all my powers of distraction to keep my two year old son occupied so that he didn’t spot the masses of high sugar, energy dense food and have (another) melt down. Hours later, I started venting via twitter (@lakenutrition) and I vowed to write a Fuse blog post on the topic. I got a standard response from Marks and Spencer but more interestingly I got a response from Mel Wakeman (@MelWakeman2) a Senior Lecturer in Nutrition and Applied Physiology at Birmingham City University. Mel had written about this topic on her own blog. Her piece was eloquent and summed up my frustrations and so I asked her to write a piece for our Fuse blog. Happy reading and let's turn the pester power on the supermarkets!


For over 20 years, supermarkets have been criticised for displaying sweets, confectionary and other unhealthy items at their checkouts. Back in 1994, TESCO was the first British supermarket to remove sweets and chocolates from checkouts but only at the larger stores. As of January 1st 2015, they have finally applied this policy to all their smaller stores, i.e. TESCO Express. Their research revealed 65% of their shoppers wanted confectionery removed from checkouts to help them make healthier choices. 67% said it would help them choose healthier options for their children. It only took 21 years but this is definitely a case of better late than never. So well done TESCO for finally stepping up to the plate! Lidl also carried out similar research and found that 7/10 customers would choose a sweet-free checkout over the traditional one laden with chocolate. 68% of parents reported they were pestered by their children for chocolate at the checkout and 66% gave in some or all of the time. So in January 2014, Lidl committed to clearing out the junk from their tills. Great stuff and Aldi have just followed suit with their ‘healthy tills’ campaign. So we are making progress, albeit pretty slow but it's positive. We can do so much better though!

In 2013 the Co-op stopped displays of high fat, sugar or salt products from their checkouts and kiosks. Waitrose and Sainsbury’s also have a policy of no sweets or chocolate next to checkouts now but not in the smaller Sainsbury's Local stores. Why is this? If you make a decision to do something, just do it! You can’t give with one hand and take it away with the other. To me this screams of a half-hearted commitment, where they prioritise their profits over customer health. We are in the midst of a growing obesity epidemic; poor diet is one thing to blame for overweight and obesity, tooth decay, type 2 diabetes, high blood pressure, cardiovascular disease, cancers.......I could go on. As a nation we should be reducing unnecessary sugar, saturated fat, salt and calories from our diet but we need help to do this. Many supermarkets have signed up to the Government's voluntary Responsibility Deal where they have committed to making some of their ranges lower in sugar, fat and salt. They have pledged to help customers make healthier choices and eat more fruit and veg. Joining the deal implies they accept responsibility for promoting better health, so what's with all the checkout junk?!

One way the supermarkets can make a real difference is to curb our impulse buys. You know the ones - standing in a queue, twiddling your thumbs as they check a price for the customer in front. The three for two chunky Kit Kats or £1 bags of liquorice allsorts are staring at you. They suddenly seem so necessary and such good value too! They effortlessly land onto the conveyor belt. These impulse buys at the checkout can add several hundred unplanned calories to a family shopping basket. Yes, we have freedom of choice but the supermarkets that are sticking with the unhealthy are simply undermining all the efforts anyone is making who wants to follow a healthier diet. And it’s not all about adults either. When it comes to the checkout, colourful character laden sweeties are positioned around one metre from the ground; perfectly placed at eye level of a young child. Crafty. I really don't want to hear it is the fault of the parent and they should just say ‘NO’. If only it was that easy. For anyone that has taken their child shopping and encountered the relentless pestering and lie-on-the-floor-screaming-abdabs as we try to unload, pack up and pay for the shopping on four hours sleep, will appreciate how the whole experience can become impossible. Rather than blame and judge the parents (or grandparents etc.) for this disruptive behaviour (yes I have seen the stares, eye rolling, tutting and suggestions as to why my child is having a massive tantrum), blame the shop!

So let’s name and shame. Marks and Spencer, Sainsbury's Local, Asda, Morrisons and Iceland are all refusing to step up and do their bit. Why?! Their lower calorie, ‘lighter’ and ‘fuller for longer’ ranges obviously sell well. Surely offering healthier snacks at the tills will not cause their annual profit to plummet? It's not as if we are even asking them to stop selling these products; just move them to an aisle (preferably far away from the tills!) This is really not rocket science is it? The Government’s responsibility deal is obviously not working because it’s far too accommodating. Stores are reluctant to change and are getting away with it. If nothing happens soon, another 20 years will go by and we will have moved no further on. It really is time to get the junk off the checkouts once and for all.