2. Will the Minister make a statement on Welsh Government efforts to tackle obesity amongst children and young people? OAQ53566

Thank you. We are consulting on our new 'Healthy Weight: Healthy Wales' strategy. This will set out our long-term aims to reduce and prevent obesity across Wales. We currently have a range of preventative policies, funding and legislation, such as the daily mile, active travel and an obesity pathway.  

As you’ll know, one in four children of four and five years of age are either overweight or obese. England and Scotland have set targets to halve obesity among children and young people by 2030. Why doesn’t the Welsh Government have a target? As with tackling poverty, without a target it’s impossible to see how the future should look. There is no clear aim to be delivered and no means of monitoring action in order to ensure that it does lead to the correct outcomes. Once again, Labour is avoiding taking responsibility in an important area. Will you set a target?

I understand the debate around targets perfectly well. The challenge, though, is that for the targets that England and Scotland have set, there isn't an evidence base that underpins those targets. I've not met a single public health professional who has been prepared to look me in the face and say that the targets make sense and they think they're going to reach them. The last thing I want to do is to set a series of aspirational targets that we can't actually achieve. I'm interested in how we actually make a real difference in turning back the tide. We've seen a leveling off in the levels of overweight and obese children, but the challenge is not to say we've leveled them off but actually how we see the curve going backwards again. That is the challenge that we're consulting on in the 'Healthy Weight: Healthy Wales' strategy.

But, crucially, this isn't simply about the Government saying, 'You can and you must', because actually we need to work alongside people, with families, to see children in their context and the different influences around them—things like food labelling and food advertising, what goes into the food and drink that people have—as well as having that conversation in a way that isn't judgmental. Part of my real fear is that if you say to parents,'You are responsible for the weight and size of your child', then that actually will turn into a judgmental conversation and will turn people away from where we actually want them to be—to help people to make different choices.

I am not convinced—not just me, but neither is our chief medical officer convinced—that actually setting targets, as you've suggested we should do, is the right thing to do for the strategy. I will of course be accountable to this place for not just having a strategy in place after consultation, but actually whether we are making the sort of difference that I know that every Member in this room would want us to.

Minister, I'm sure you'll be aware that Hywel Dda Local Health Board's latest Public Health Wales statistics show that an alarming 12.5 per cent of four to five-year-olds are obese, which is higher than the Welsh average and the second highest health board in the whole of Wales. Once children are obese, they are at real risk of getting even more obese as they get older, and we need to reverse this trend. I appreciate that individual health boards are responsible for introducing specific measures to tackle obesity, but it is important that the Welsh Government drives forward this agenda. So, given that obesity statistics are actually increasing, what are you now doing differently as a Government to tackle this very serious issue?

We have a range of different measures in place. I described some of them in answer to the question. This isn't simply a matter for the health service. It is about health and health outcomes. For example, the daily mile is not something that the health service itself directly delivers, but it is working in partnership with schools about different forms of activity. Other schools won't have a daily mile, but they will have a different form of regular physical activity within the school.

You're right about the pattern for life that is set in our earliest years, both in the learning and the example that comes before engaging in school, as well as in particular the lessons in life and the patterns for life that are set at the end of primary education. So the 'Healthy Weight: Healthy Wales' consultation will look again at an evidence base. We looked at, for example, Holland, where there has been leadership and there's been a turnaround in some contexts, to see how we apply that successfully here.

Actually, the work that I've seen at Bishop Childs school—they attended the launch of the 'Healthy Weight: Healthy Wales' consultation—does demonstrate that it is possible to do something, but the challenge is how consistently we're able to do that, and not just in Hywel Dda but right across the country. Hywel Dda may have the second highest rate of obese children, but, in statistical terms, there isn't a significant difference. You actually see the difference in the socioeconomic status of where our children are, and that is a big challenge for us in every part of the country.