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Item 2 is consideration of the Schools (Health Promotion and Nutrition) (Scotland) Bill. We will hear from three panels of witnesses and I welcome the first panel. We have been joined by Cathy Higginson, who is the chair of the expert working group on nutritional standards for the regulation of school lunches and standards for the regulation of food and drinks outwith the school lunch, and Heather Peace, who is a member of the group. I thank them for joining us this morning. The expert working group's full title is quite a mouthful and I am not sure that even an acronym would be much better.
It would be an indigestible acronym.
I ask the witnesses to set the scene for the committee by telling us a little bit about the expert working group, such as how it is made up, what its remit is and how it has been involved in the bill.
That is very helpful.
It will probably be helpful if I talk separately about lunch and about food and drink outwith the school lunch. Our submission contains a lot of information and it is probably easier to go through it if I focus first on lunch.
Please carry on.
The food and drinks standards are designed to work alongside the nutrient standards, and vice versa. The mandatory nutrient standards will ensure that lunch menus do not include too many foods that are high in fat, salt and sugar, which are the key dietary elements that we are trying to reduce. Those standards will also ensure that menus contain sufficient protein, fibre, vitamins and minerals for children and young people.
What is the difference between your approach to lunches and your approach to other food and drink?
Shall I talk about the key features of the standards for food and drink outwith lunch and compare those with the standards for lunch?
That would be helpful.
The expert working group agrees with the bill's premise that it is important to set standards for food and drinks throughout the school day and not just for lunch. It is important for health-promoting schools to ensure that foods that are provided free or for sale outwith lunch do not undermine the standards of the school lunch. It is important to communicate the same messages on nutrition at every part of the school day. As we are probably all aware, young people are quick to spot double standards.
Are the food and drinks standards applicable to both sections of your paper?
Yes.
That is a good idea for several reasons. What is your rationale for supporting the phasing out of artificially sweetened drinks?
I will be honest: there was a lot of debate in the expert working group about the phasing out of artificially sweetened drinks. We think that the argument about drinks that are sweetened by sugar has already been won on the ground of oral health. However, some members of the group thought that although there is no place for sugar-sweetened drinks in schools, arguably there is a place for zero-calorie artificially sweetened drinks to help to tackle the epidemic of obesity that Scotland is experiencing. Some people thought that if artificially sweetened soft drinks could not be bought in schools, people might buy full-sugar versions of them outside the school gates instead and that it would therefore be better if people were given the option of buying zero-calorie drinks in schools.
That is helpful, but I am slightly puzzled as to why it has been proposed that only drinks with such additives should be removed from schools. Clearly, nutrient levels are important, but how would the working group respond to the suggestion that nutritional value is about more than just nutrient levels and is about such things as freshness, preparation procedures, cooking—or overcooking—and the presence of additives? Some of the artificial sweeteners that we are talking about are being used everywhere these days, in foods as well as drinks.
I do not intend to stray into the issue of carcinogens and the other controversies that surround some of those substances. However, given that the health effects of drinks containing additives provide sufficient reason to remove such drinks from schools, why should foods containing such additives—not necessarily the same additives as in drinks—not be removed for the same reason?
Let me try to address those different points.
I might want to explore those issues in future with other witnesses but, before I finish just now, I want to be clear that the working group had nothing to say about additives in food.
We have not said anything specific about additives in food.
Given that some of the working group's standards are less stringent than those that are in the "Hungry for Success" guidance, what is the health impact likely to be from putting them into statute?
Although the standards are less stringent, the committee should not take that to mean that the standards that will be achieved will be any different from those that have been achieved under the "Hungry for Success" guidance. Evidence that was provided to us in our discussions with HMIE showed that most schools are not getting anywhere near the 33 per cent standard on sodium intake recommended in "Hungry for Success". I do not remember the exact figures but I think that figures of about 48 per cent were quoted. Many schools still have a long way to go.
It might be helpful if we could get copies of the catering standards that were mentioned.
They are in development and we will provide them to you as soon as possible.
Before I ask Tricia Marwick to ask a question, I should say that, although I appreciate that the panel members have been working on this area for some time and are enthusiastic and want to impart as much information as possible, it would be helpful if they could keep their answers as succinct as possible and try to give us only additional information that is not in the briefing. We have a number of other panels to hear from this morning.
Dr Higginson said that the target for salt was challenging, which is why the expert group has not accepted the recommendation in "Hungry for Success" and has set its own. Why is it challenging? Is it because there is a high salt content in the food that is being bought in?
About 75 per cent of the salt in the UK diet comes from manufactured products. The Food Standards Agency has set a target to reduce the UK population's salt intake by 2010. The reason for that long timescale is that industry needs time to adjust or reformulate its products to reduce the salt content. Further, we are used to quite a high-salt diet. You need to bring people along with you to reduce the demand for salt. The agency is working hard on public information campaigns and with the industry to reduce the amount of salt in people's diets. We felt that we should take a similar approach to food in schools and should allow time for product reformulation.
You expect that schools use manufactured products that have a high-salt content and you are allowing the industry time to adjust. Is that correct?
Some schools use manufactured products. We have set specifications for manufactured products that will lower the fat and, in some cases, the sugar content. Those specifications are designed to help caterers to find products that will fit with the nutrient standards. Having done all of that, we feel that it is still quite a challenge to get down to the levels that are set out in "Hungry for Success". Although we would like to have set the specifications at those levels, we had to take on board the experience of those who had been involved in the implementation of the hungry for success programme and had found it difficult. As we were moving from guidance, which is what "Hungry for Success" is, to statute, we felt that we could not set people up to fail.
I sense that Tricia Marwick is also asking about the extent to which we expect schools to rely on manufactured and bought-in products rather than food that they have cooked themselves. We do not want to drive schools towards being dependent on bought-in products. Our intention is quite the opposite—we want to encourage schools to cook their own fresh food and to do so on-site, if possible.
Is it proposed that there should be no salt on the table—not even Lo Salt? How can we encourage children to use and develop their sense of taste for themselves if we simply ban salt from the table?
I would argue that, in order to develop your sense of taste, you should have as little salt as possible in your diet. People who are used to eating a lot of salt and who then cut salt out of their diet or reduce their consumption of it considerably find that, initially, their food seems tasteless. However, then they realise that what they have been tasting all along has been salt and, as they get used to the lack of salt, they find that the natural flavour of the food becomes apparent.
In effect, you are using the lack of salt at the table to compensate for the fact that the food manufacturing industry cannot get its act together to reduce salt in manufactured products.
We should not place all the blame at the industry's door, as it is also about what the school cooks are cooking. It is important to try to reduce salt levels wherever we can. To be fair to the manufacturers, we all eat the food that they produce and we do not want the salt levels to be reduced as fast as the theorists among us might like because the food would not taste good. Everybody's taste needs time to adapt to the changes. For a number of years, the Food Standards Agency has had a programme of work with the industry to reduce sodium levels for the wider population in products such as soups and sauces. The reduction has to be staged, because sales would fall significantly if the levels were reduced overnight. We are working in line with that wider premise.
It is not such a radical step to take salt away from the table. Many schools are doing it now anyway.
Mr Petrie, I am conscious that a number of the issues that you wanted to pursue have already been covered. Do you want to raise any additional points?
Yes, I want to ask about the thorny issue of the uptake of school meals. The hungry for success programme has not been a resounding success in getting more kids to take school lunches. Did the expert working group take account of the potential for higher standards resulting in reduced uptake of school meals?
Yes. Uptake was a key consideration for the group, and I hope that what we have said has demonstrated the group's desire to be pragmatic in that respect. I also said that the standards that we propose for lunch are, in some cases, not as stringent as those in "Hungry for Success". The expert working group believes that its proposals will continue to raise the nutritional quality of lunch and are achievable—I have talked about achievability already. The group also believes that the meals will be tasty and appealing, which is the most important thing for keeping children in school eating lunch.
How have you taken into account the nutrient requirements of different age groups of children in your recommendations?
The standards that the expert working group proposes are based on dietary reference values that were set by the Committee on Medical Aspects of Food and Nutrition Policy. Roughly speaking, dietary reference values are what we might think of as recommended daily amounts of food. The reference values for school-age children are banded into different age bands: four to six, seven to 10, 11 to 14, and 15 to 18. In setting the nutrient standards, we took on board the experiences of those who were involved in implementing the hungry for success programme in primary schools. The two age bands that were used were thought to be impractical and there was a demand for a single nutrient standard for primary schools. We have therefore set the standard for primary schools at the seven to 10 band. However, we acknowledge that primary schools contain a wide range of individuals, from small children of four and five up to strapping 12-year-olds, with different requirements, appetites and rates of growth. It is critical that catering staff undergo sufficient training to be able to draw on their skills and knowledge to offer appropriately sized portions to meet individual children's needs.
So age is not the only criterion—physical development is taken into account.
Many criteria determine an individual's requirement for nutrients, not just their age. Some children grow quickly and can be well developed by the age of 12, when they may almost have reached their adult height and weight. Obviously, we have not ignored that. We need catering staff to be well trained so that they realise that and are not too strict.
Is training catering staff a resource issue?
Catering staff need to be trained in that respect. A lot of such training already happens under the hungry for success programme.
There has been a big programme of work to support and train caterers and it can be only good if that continues. However, the programme will need to be tweaked to help people to understand the new standards and how they differ from those in "Hungry for Success".
With secondary schools, we have taken into account the age groups and weighted our average requirements in respect of the proportion of children in schools who are in the different age bands. The requirements reflect the school population.
Will you say a quick word about children with special dietary needs and those with cultural or religious requirements?
Equality of access to school lunches for children with cultural, ethnic or religious requirements is an underpinning principle of the standards, as we set out at the beginning. In essence, food that is provided for those pupils will need to meet the standards, but it will need to be culturally appropriate, too. That is already happening in schools—they are mindful of that. The standards will still apply and we consider it perfectly possible to meet them.
Will you expand on how your recommendations differ from what is happening south of the border, not just because we have had the three-year hungry for success lead-in? Dave Petrie asked how we ensure that we increase uptake of school meals. Are there any salient differences in the English approach from the one that we are taking?
Yes. I will outline briefly some of the key differences. The sodium target that we recommend is less challenging than in England. We are phasing it in, whereas England has gone for 30 per cent of the target that was set by the Scientific Advisory Committee on Nutrition. We have not gone for that in Scotland—33 per cent was the level set in "Hungry for Success", and we found it difficult to achieve. We feel that it might be challenging for England to achieve that target.
No, that is clear.
There are just two brands on the market at the moment.
It is true that there are not many products and that there may be a gap in the market to be filled. That is a challenge for crisp and snack manufacturers.
Seeds and nuts with no added salt, sugar or fat are allowed, too, if people want them.
Thank you very much for your comprehensive answers to the committee's questions. Once you have reflected on the evidence that you have given us, if you feel that there are any points that you did not raise with us, we would be happy to hear from you in writing.
Meeting suspended.
On resuming—
I welcome the members of the second panel. We have been joined by Gaynor Bussell of the Scottish Food and Drink Federation, Len Braid of the Automatic Vending Association and Jill Ardagh of the British Soft Drinks Association. Thank you for coming.
We do not have a real issue with the consultation, although we were told the nutrient standards quite late on, which meant that there was not much time to consider them and to make judgments on them. We also wondered whether more time could have been spent doing risk impacts and reflecting on what has happened in England. Those are my only comments for now.
We feel that the consultation is just beginning, because without the recommendations from the expert working group, we do not know the detail. The devil is in the detail. We welcome the opportunity to comment on the proposals and we hope that the Executive will open up the expert working group's document for consultation. We have received it from the Parliament, but we have not heard from the Executive. It is not clear to us to whom we should respond or even whether there is an opportunity to respond on the detail of the expert working group's proposals. In the future, we hope that consultation will be maintained on the draft regulations that will implement the standards. We do not know what the procedures will be, but we hope that the industry can be involved.
I back up the point about the nutritional criteria—it would have been more helpful to have received them sooner.
Will putting the nutritional standards on a statutory basis bring any benefits?
It is very much for the regulator to decide on the method of introducing the standards. As you will have gathered, our interest is in the detail of the standards and in ensuring that the standards are workable and can achieve the desired objectives.
I back Jill Ardagh on that.
I agree.
We have already heard that the nutritional standards are to be extended from the food that is consumed at lunch time to all food and drink that is served in schools. What is your view on that? In particular, how do you think it will affect the provision of food in vending machines?
If children are given a balanced choice and lead active lives, I do not think that there is anything wrong with their having a packet of crisps or a soft drink from time to time.
We discussed the issue as part of the consultations that were held in England and Wales. Members of the Scottish Food and Drink Federation and the English Food and Drink Federation agreed that some protection should be afforded in schools. After all, parents at home would not tell their kids where the crisp and chocolate drawers were and invite them to help themselves whenever they wanted. That is why we came up with our target nutrient specifications based on guideline daily amounts, on which the committee has been provided with details. I would be happy to elaborate on the specifications, which do not ban any particular category of food. They simply help children to learn how certain foods can fit into a balanced diet. Schools should be providing such information.
We definitely support the improvement of nutritional standards in schools. The industry is developing a wide range of products that it believes can meet the targets of reducing sugar intake and tackling obesity. We would like to discuss the standards further to ensure that the right products can be provided.
Children should obviously be encouraged to drink throughout the school day. The question is what they should drink. If they were to drink 2 litres of a fizzy drink, that might be a little excessive. There needs to be a balance.
Absolutely—hence the need for standards. We do not dispute the need for standards but, within those standards, children should be provided with a choice of suitable drinks that meet the targets that the Government is setting.
The previous panel suggested that the bill gives the food and drink industry an opportunity to pick up on something that is not done at present—the provision of healthy snacks that meet the nutritional requirements. Do you agree that there is an opportunity to give children the choice of having healthy and nutritional snacks that will safeguard their future health?
The drinks industry has developed a range of juice drinks—effectively, they mix water and juice—but we also need to talk about preservatives. Obviously, if we package a drink, it has to be preserved. It is not clear to us yet whether the standards will permit that. In England, we are discussing the role of preservatives with the School Food Trust.
The food industry is happy to find ways in which to innovate and to be driven to innovate. We are constantly looking at our products to see how we do things such as gradually reduce the level of salt—and now fat and sugar levels. Any initiative that helps to drive the industry towards innovation is a good thing. If standards are set for snacks, that is fine.
The vending industry in Scotland has not offered carbonated sugared drinks in secondary schools for a year now. To be honest, there has not been much effect in terms of the children. The drinks industry has been ready to supply, but it is very difficult to find healthier products on the food side. The manufacturers are not there yet—they are not up to speed. As the committee heard earlier, at the moment, the vending industry can offer only two types of snack that meet the healthier snack criteria. It will be quite a while before any of the manufacturers get up to speed in offering healthy products that children want to buy.
Children also need to accept the change; we should move them along gradually. The change also needs to be doable by the industry: companies need to feel that there is a market for their healthy products, once they have developed suitable options. There are lots of drivers on both sides.
Finally, do you accept the argument that the Executive and members of the expert working group are putting forward in promoting the bill—that the proposal will not prevent Scotland's young people from eating certain foods? The point that is being made in introducing the bill is that, while they are at school, children will not have such easy access to certain foods.
As you said, we do not want to move the problem to the corner shop or local supermarket. The industry tries to offer two types of vending machine. Alongside a machine that sells regular confectionery and crisps there might be a healthy-options machine that sells products that are deemed to be healthy. However, take-up on a healthy-options machine is, on average, five times lower than take-up on a conventional vending machine.
The convener talked about children who go outside school to buy food and drink because they cannot find what they want in school. The food industry would like to work with schools to help change children's tastes and choices, so that children choose what is available in school instead of buying something that is deemed to be less healthy from the corner shop, where the range of products is restricted.
The proposals in Scotland are a little more pragmatic than the approach in England, which is good. The Scottish approach offers more scope for doing things gradually—gradual is the name of the game. If primary school age children start to learn about healthy eating, healthy eating habits are more likely to stick when they reach secondary school age.
Can the witness from the Automatic Vending Association tell us the value to its members of the vending machine industry in schools in Scotland or in the UK?
There is a £1.5 billion refreshment industry in the UK. Probably about 80 per cent of vending machines are in workplaces and 20 per cent are in leisure facilities, schools and colleges.
Did you say that the UK-wide figure for the value of vending machines is probably 20 per cent of £1.5 billion?
Yes.
We have let the cat out of the bag. The bill is intended to provide for health-promoting schools, but the imposition of controls over what is available in schools will not achieve much if kids can just go along the street and buy what they want—the convener described how that happens in Airdrie. Should we amend the bill to extend controls to outlets outside schools?
Such as corner shops and supermarkets?
Yes.
I do not know whether you could do that.
I do not know, either, but kids simply go out of school and buy unhealthy stuff. Are we wasting our time on the bill? Do we need to do something else?
You are not wasting your time. Children must be educated about healthy eating from primary school age onwards. To be honest, we have lost a generation—
Do you guys make more profit from what you sell in corner shops than from what you sell in schools?
I do not have a corner shop—
Sorry, I meant the industry.
We should not assume that all the products that are sold outside schools are unhealthy or that there is no role for them in the diet. I am a mother and I have sent my kids to school with a Penguin biscuit and a sandwich and some fruit. If such products are suddenly not allowed in the lunch box, children might look for them elsewhere, but access to those products does not necessarily mean that the children have an unhealthy diet. Vending machines can provide all sorts of so-called healthy products.
A vending machine cannot differentiate between something that is healthy and something that is classed as unhealthy.
But you can differentiate when you choose what to put in it.
Yes.
There can be too much focus on individual foods or drinks when we should be considering diet as a whole. The important thing is that children's overall diets improve and are balanced. Children should be taught how to construct a balanced diet. Rather than pointing at individual foods and saying, "That's good, and that's bad," we should be taking an overall approach to diets. We hope that children will learn about that in school.
Earlier, Mr Braid described a young person having a fizzy drink and a bag of crisps and said that it would not do much harm as long as it happened only once in a while and the young person had a balanced diet and an active lifestyle. Does the panel agree that that is not an accurate description of what happens, but is an aspiration? Far too often, such a meal is breakfast for children in Scotland. We have a big problem and we have to change things.
It sounds like an educational problem. We have to teach children about what constitutes a proper breakfast, a balanced diet, or a snack that should be occasional and just part of that balanced diet.
That balanced diet is not being achieved; too many of certain products are being eaten too often.
That is the rationale for your approach.
Dietary surveys show that even if a person eats excessive amounts of any one product—even biscuits, cakes or confectionery—you cannot necessarily predict that they will become obese. It is often the opposite: quite a few people who eat a lot of such foods are actually less obese. However, the story can be complicated, and those people may be more physically active.
I hope that you are not suggesting that that breakfast was a healthy breakfast.
No, no, no. I am not saying that.
I ask only because there is a danger of perceived complacency if we even suggest that there is not a problem.
I agree. I have seen children having a packet of crisps and a can of fizzy juice for breakfast. Speaking from the point of view of someone in the vending industry, I can say only that all the machines that I have in schools are on timers. They can vend only at break times.
What are your views on the expert working group's recommendations on the type of drinks that should be permitted in schools?
We are alarmed that soft drinks are being associated with health risks, and we would obviously seek clarification on what is meant by that. Perhaps the wording could be looked at. After all, it is not legal to sell products that could be injurious to health.
Yes it is.
Not under food hygiene law. It is illegal to sell foods that are injurious to health.
It depends on how much is consumed.
Exactly. That is the issue. One soft drink does not constitute a health risk—which takes us back to diets and how they are composed. We are concerned at the way in which soft drinks are being presented.
Such as?
Such as preservatives—which will be packaged if my members are supplying it—and perhaps some natural flavours. When fruit juice is diluted, that obviously affects the taste. Adding some natural flavour from fruit can enhance the product and make it tastier and more enjoyable for children.
Do you accept in principle the proposal to remove artificial sweeteners, which is what we are talking about? How do you respond to the previous panel's comments on the impact on dental health?
We are looking for consistency in the standards. The Executive has decided to phase out so-called artificially sweetened drinks, but producers will still be permitted to add artificial sweeteners to milk drinks or drinking yoghurt. Artificial sweeteners will be allowed in drinks but not in still or carbonated non-dairy drinks.
So you agree that if there is a case for removing artificial sweeteners from liquid drinks, the same case exists for removing them from yoghurts?
We seek consistency and we want to get to the bottom of the issue. Dental erosion was mentioned earlier. As is obvious, good oral hygiene is important to protect children's teeth, but using a straw, for example, can help to avoid contact with the teeth if that is an issue. We suggested that idea in Wales and the chief dental officer there was receptive to it.
So there should be drinks that are permitted to be drunk only through a straw.
Drinks can be supplied with straws if that is an issue. The industry is keen to work with you to address the concerns that have been raised.
The point about straws is a genuine one. I have heard it from dentists as well. The problem is the acidity of the fruit juice or the canned drink. If it is drunk through a straw, it is removed from the teeth and sent to the back of the throat.
What would be the impact on the drinks industry if the drinks that may be provided in schools were restricted as the expert group proposes?
As I said, we have some outstanding questions, particularly about whether anything can be added to juice drinks, such as a preservative. If that is not permitted, there will be a big impact on the industry and a reduction in drinks in schools. Also, people who cannot supply drinks with the new specification will lose out. Heat treatment is one way to preserve drinks, but it is expensive. We are talking to the Department for Environment, Food and Rural Affairs about that. If the industry moves to use heat treatment to preserve products, there will be a climate change impact and the industry will miss its energy reduction targets.
The BSDA submission states:
Certainly. Some of our members bottle water. For example, Strathmore Ltd is a respected member of the BSDA. The question is whether children drink enough if only water is on offer. Research shows that offering a choice of drinks encourages children to drink more. If they drink only water, it is a question of measuring how much they drink and assessing whether they achieve adequate levels of hydration.
Do you have any general comments on the recommended nutritional standards?
We agree that the standards could be met and that they have a good nutritional basis. We felt the same in England. The Caroline Walker Trust guideline that 30 per cent of pupils' daily requirements should be provided by school lunches seems reasonable. As I say, we have tried to fit that in with saying that snacks should perhaps provide 10 per cent of the total daily intake. That is what we came up with in our scheme. We are happy with the nutrient standards as they stand. Scotland has been a little bit more pragmatic. In England, the level of 40 per cent has been suggested for micronutrients. I was on the school meal review panel and it was very difficult to plan a diet that provided that much—30 per cent is a little bit more reasonable.
Do you think that the Scottish Food and Drink Federation's members would be equally happy and would be able to meet nutritional standards if they included considerations such as freshness and the impact on nutritional values of processed food as opposed to fresh food?
If you meet the standards, you meet the standards. Freshness will be included because people will want to include some fresh fruit and vegetables in the meals. To be honest, we do not have a particular view on whether the food has to be fresh or not. We would just provide foods that would help to meet the standards. Freshness is a side issue.
We heard from Mr Braid that the vending machine operators can set machines on a timer. We are agreed that the supplier will decide what is in the vending machine—whether it is healthy and nutritious or rubbish and sugary.
You said that suppliers decide what is in the vending machines. I do not dictate what goes into the vending machines in any of the schools in which we operate; I do not think that any vending company does that. We have regular meetings with parents, teachers and schoolchildren. We consult schoolchildren, probably three times a year, on what they would like to see in their vending machines. We have kept them well informed of the changes that will happen and which have happened over the past year in relation to soft drinks. We told them that they would no longer be able to buy carbonated sugared drinks from the vending machines and that we would slowly replace such drinks with products that fall within the guidelines. They welcomed that whole-heartedly.
In response to a previous question, you mentioned that you had difficulty in getting savoury snacks.
Yes.
I am trying to make the point that the vending machines can churn out whatever you put into them. A machine could contain healthy products, but you are having difficulty in getting suitable savoury snacks. How is the Scottish Food and Drink Federation responding to that? There is a call from politicians and parents for the challenges that lie ahead to be met in respect of the health of our children and the health of the nation. How will you respond to that? The changes will happen. Either you will be left behind or you will respond, so that Len Braid and the members of the Automatic Vending Association can continue in business.
At the FDF, all our members were round the table and we all signed up to the scheme that we had decided on. That includes the big members, such as Nestlé and Cadbury, and the little members. The scheme would set a limit of 10 per cent of the total daily intake for calories and other nutrients of concern such as salt, sugars and saturated fat.
You are saying that a scheme exists, but that no one will go with it unless Government agrees to it.
The scheme is similar to the FSA target nutrient specifications, but we based it on portion size because children eat portions of food. We are saying that we would provide food and that there could be an accreditation scheme under which we would guarantee that those snacks would not surpass the 10 per cent figure for all the nutrients of concern. When children went to their vending machine or tuck shop, they would get only portions that met that limit for fat, sugar and salt. For example, in a school for 11 to 18-year-olds, the limit for a snack would be 223 calories and 0.6g of salt; those are the levels that we are talking about.
In my earlier question, I was trying to get at how the industry is responding to the coming change, but you are not responding to it. Len Braid told us that he cannot get healthy snacks to fill his vending machines with. I might be being a bit slow on the uptake here, but—
Ours is a suggested scheme that we thought would fit—
You say that it is a suggested scheme and that, if the Government does not agree to it, you will not go ahead with it. Surely it is up to the industry to respond to demand. There will be no demand for sugary, high-fat snacks; there will be a demand for healthier snacks.
But almost 50 per cent of the snacks that we have suggested fit into the scheme that we have devised. I am not sure that so many of our products would fit into the target nutrient specifications that the FSA has provided. Of course we will try and innovate to make the products fit but, at the moment, there is quite a bit of work to do, particularly with the savoury snacks, to bring down the levels of salt and fat to the targets. We are offering a scheme that does not ban any particular category such as cereal bars or chocolate, but which allows children to see how those things can fit into a broader, more balanced diet.
On the side of innovation, I can see how my industry is trying to meet the new standards. Changing a product or recipe, or the way in which something is manufactured, is sometimes a big financial commitment. The industry needs to be clear on what the standards are first, but they are in draft form. The industry wants to show that it is willing to adjust, but it cannot start producing to the standards until it is sure what they are. My members have tried hard to take sugar out of products and invest in new developments, but the standards get tighter and tighter all the time, so some of the new products might not be acceptable in schools. What are they to do?
That lets me move on nicely to a point that the Scottish Food and Drink Federation makes in its submission. It states:
We have had estimates of £35,000 to £250,000 for product reformulation, depending on the number of parameters that have to be reformulated. Salt is one but, if sugars and calories have to be reformulated as well, the cost increases. There is often a sugar-fat seesaw: if we reduce sugar levels, we sometimes fat up and the other way round. The product has to be bulked with something and it is a difficult matter.
Another example is that, if preservatives are not permitted in juice drinks in school, a company that produces such drinks will have to buy the kit to heat treat them, which will cost more than £1 million. As you can understand, that is a significant investment.
I do not want to be rude but, from some of the comments that I have heard, it seems that you feel like King Canute trying to hold back the tide. The reality is that the nutritional standards are coming, but you seem to be in denial that they might. You are still trying to influence Government with ideas like smaller portions of confectionery and chocolate biscuits, or by suggesting that the solution might be to use a straw to drink sugary drinks, rather than addressing the fundamental questions that we are trying to address.
We are innovating hugely. Our members rose to the target nutrient specifications in "Hungry for Success". A lot of reformulation is going on. We are not trying to say that we will not engage, because we clearly are engaging. We are trying to think outside the box and offer some other pragmatic ideas for what could be done in schools. We are prepared to engage as far as we can, and I hope that that is happening even as we speak.
On the subject of thinking outside the box, have you investigated the costing and compliance of fair trade products?
No, but I can find out about that for you.
We offer fair trade products in all our machines in schools. They come with an extra premium, but we have found that children are prepared to pay that premium.
Is the premium significant?
The products are 10 or 15 per cent dearer.
I understood that that was improving.
It has improved, yes.
That is interesting Mr Petrie, although I am not sure that that line of questioning is relevant to the bill.
First, Trish Marwick made a point about straws. I understood that, whether children were drinking natural fruit juice or fizzy drinks, it was beneficial for them to use straws. What have you been doing in that area?
Your first point goes back to the dental issue. The main reason for wanting to phase out soft drinks in schools is dental erosion. That is an acid issue. Obviously, a lot of food and drink contains acid, so it is not just drinks that have erosive potential. We are not in denial. The issue has been raised, so we are looking for a solution to it. We have good dental advice that straws can be helpful. If straws are the solution—it is not unusual to drink through a straw—we would promote that solution.
On your second point, as an industry, through time we will be able to meet the standards and offer a range. I do not know how long that will take, and there are still too many grey areas on what can and cannot be sold in vending machines. Gaynor Bussell mentioned portion control. I cannot sell a standard 50g bar of chocolate in a machine but I can sell one that weighs 15g. What is to stop a child buying five of those bars? Those issues have to be sorted out.
On the dental issue, some of our members already sell cartons of drinks that have little straws attached. I am a dietician by profession and I understand that the issue is the contact, and the length of contact, of the acid with the tooth. If someone drinks quite rapidly through a straw, that is a solution.
I want to touch on something that was mentioned by the Automatic Vending Association. Are you aware of any examples of schools having introduced healthier options in their vending machines? If so, what have been the benefits or otherwise of such changes?
We deal with a number of schools that have introduced healthy option or perceived healthy option machines. The sales through those machines have fallen drastically.
Is that where pupils have had the option of one machine offering Coke and another one offering healthy options?
No, we deal with some schools in which only healthy options are available—either no chocolate is available or, if it is, it is fair trade. Sales are minimal. Pupils vote with their feet and go to the corner shop, ice cream van or burger van to buy a Mars bar.
How recently has that been happening?
Yesterday.
So that is the current situation.
Yes.
Have you any comment to make about the potential impact on revenue to schools from changes to food that is provided in vending machines?
There would be a big impact on revenue to schools, which would probably be down by about three quarters on current revenue.
You mentioned healthy options and perceived healthy options. I am not clear about the meaning: were you describing two different categories?
No, but a lot of headmasters and rectors seem to think that a product is healthy just because it is not chocolate or wrapped with chocolate. That is not the case.
What kind of products are we talking about?
We are talking about Nutri-Grain bars, other cereal bars, and things like that, which have high salt and sugar content.
Is it possible for more rigorous nutritional requirements for school lunches to go hand in hand with increased uptake, or are they mutually incompatible?
There is a real possibility that the two can go hand in hand, but it depends on how changes are made. Gradual step changes will be helpful, as will considering the wider situation of a child's life rather than just giving them a lunch and expecting them to eat it.
That concludes the committee's questions to the panel. Thank you for your attendance. If there are points that you believe have not been covered this morning, the committee would be delighted to hear from you in writing and would give those points due consideration.
Meeting suspended.
On resuming—
I welcome our third and final panel of witnesses. We are joined by Audrey Birt of Diabetes UK, David McCall of the British Dental Association, Mary Allison of NHS Health Scotland and Hugh Raven of the Soil Association. I thank them for coming.
The consultation was wide and we were allowed to participate in it. We welcome the fact that it included environmental groups, which are an important aspect, as well as community groups and schools. We welcome the approach.
The British Dental Association did not get a copy of the consultation straight off, but became aware of it and submitted evidence. We feel strongly that we need to be involved in the process.
I will repeat what Mr McCall said: we became aware of the consultation; we were not sent it. Somewhat confusingly, after we submitted our response we noticed that it was not listed in the annex to the consultation response analysis. We therefore contacted the Executive and ascertained that our response had been taken into account. The same happened to several other groups. I suspect that some groups that responded are not aware that their responses were received and taken into consideration. In that respect, the process could have been conducted better. However, that is the only matter on which I have any criticism, because the process seems to have been effective.
The process was entirely satisfactory for us. We were allowed to respond fully and we engaged actively in cascading the consultation through our partnerships and networks. We were encouraged and supported in that.
As you will be aware, the bill will place a statutory duty on the Scottish ministers and local authority education departments to ensure that all schools are health promoting. What benefits will that bring to Scotland's school children?
It will accelerate the positive change that is already happening and strengthen the hand of schools and education departments in the community planning process. Much of the philosophy of health-promoting schools is about schools being at the heart of the community, which requires them to engage with a diverse range of partners. For example, schools need to get the people who have responsibility for road traffic to play their part in promoting safe routes to school and physical activity around schools. The duty will strengthen the hand of schools by enabling them to initiate and pursue the wide range of actions that they need to take. It will also give them a stronger hand in their work with parents, both in encouraging and supporting parents whom they know are moving in the right direction and in giving added incentive to those who need to be encouraged more.
From a dental point of view, the duty will be a major step forward. A lot has been done to promote beneficial measures for teeth, such as the tooth-brushing programmes in schools and nursery schools. The nutrition aspect of the bill will address harmful factors, so that, as well as adding pluses, we will be doing our best to remove some of the negatives that contribute to Scotland's poor oral health.
I am interested in what my colleagues said. I agree with Mary Allison that the duty should accelerate change and encourage schools to develop a culture in which the issues are taken more seriously. More specifically, the inspection regime should change to ensure that, as a formal part of the process, consideration is given to whether the statutory targets are being met. At present, it is a rare event for an inspection to consider school meal nutritional standards, so that needs to become much more common. I hope that that will flow from the duty.
We welcome the duty from the point of view that it will help to accelerate change. We also welcome the fact that the serious problem of obesity among children in Scotland has been recognised. Whereas type 2 diabetes used to be known as a maturity-onset condition, we are now seeing it in children. We know that between 28 and 40 children in Scotland have been diagnosed with type 2 diabetes. Work that we have done suggests that about 1,400 children in the United Kingdom potentially have the condition. Not only does type 2 diabetes carry with it all sorts of complications and risks but, according to research from the United States, children tend to develop those complications earlier than adults do. There has been much talk of time bombs, which is perhaps an overused phrase, but that is what we face. We welcome the bill's approach as it will reinforce the importance of the issue and accelerate change.
Finally, do the different organisations believe that any issues should be covered in guidance as a result of the statutory obligation that will be placed on local authorities?
We assume that the guidance on food and nutrient standards will be fairly comprehensive, but attention needs to be given to the guidance on how authorities are to fulfil their duty in relation to health-promoting schools. We know that many aspirational statements tend to be contained in guidance. Many schools will know exactly what it means to be health promoting and how they need to pursue that aim but, at some levels, the idea could remain just rhetoric. The guidance needs to be specific about the standards and outcomes that are expected of health-promoting schools. The guidance should state how the schools will be performance managed to ensure that they make progress towards a standard rather than just a general aspiration about health improvement.
I will also chip in on the issue of guidance. Like my colleague Mary Allison, I believe that guidance will be vital for implementing the bill. As she perhaps implied, some issues that it would be inappropriate to provide for in the bill will nonetheless be as important as the statutory elements.
Committee members are looking forward to our visit to East Ayrshire next week, where we will see what is happening in schools that are in partnership with the Soil Association.
The guidance indicates strongly that we should not add sugar to drinks or sell confectionary. However, the acidity of some drinks should also be considered. Fruit-flavoured drinks might not contain artificial sweeteners or sucrose, but their acidity is still of concern, because it causes dental erosion. I hope that the committee will give me an opportunity to say whether drinking through straws is beneficial to teeth.
Yes, please do.
You may cover the point now, Mr McCall.
It has been demonstrated that using a straw can reduce the contact of the consumed item—the soft drink or whatever—with teeth. However, children drink flavoured drinks because they like the flavour, so we should consider the location of the sensors that identify flavour. Children will not knock a drink back unless it is a horrible, horrible medicine, in which case they will suck on the straw as fast as is physiologically possible, so that they can swallow the medicine quickly. However, soft drinks are drunk for pleasure, which is derived from the drink's texture and the feeling that it creates in the mouth through the sensory perception of flavour. Children maximise that perception. We have all seen a child drink a fizzy drink through a straw and then swish the drink round their mouth until the drink has gone flat. Straws are a good idea in theory but, in practice, when we are dealing with children, they are a non-starter.
It is good to have that on the record.
That was a useful explanation. If the expert group's recommended nutrient standards are introduced, what benefits will there be to oral health in children? We have talked about the acidity of soft drinks.
The majority of oral disease in childhood occurs in dental hard tissue. Dental caries are caused by the frequency and duration of exposure to sugars, so the recommendation that drinks containing sugar and confectionary should not be sold will have a marked impact. During school hours, which are most of children's waking hours, children's teeth will be able to recover from the sugar onslaughts at breakfast and tea time.
If someone chooses to consume a canned drink, whether they drink it straight from the can, through a straw or via a tube down their throat, they want to experience the flavour. Does the expert working group's recommended approach of focusing on changing the levels of sugar, artificial sweeteners and so on in liquid drinks rather than products such as yoghurt make sense to you?
Not really. It does not matter whether the drink is in the form of a true liquid or a food that is turned into a liquid—which is what chewing does in any case. The problem is the acidity that is in contact with the enamel and the sugar—sucrose, dextrose or whatever—that is in contact with the oral bacteria. It does not matter how the liquid is dressed up: the problem lies in the effect that it has on teeth.
We went off on a little tangent there, albeit a helpful one. Before we move on, do you have anything to add on the guidance, Audrey?
Yes, but if I may, convener, I will first say something about sugary drinks.
Please do.
There is increasing evidence on the contribution that sugary drinks make to obesity. For example, they have more calories than similar food products have, and liquids do not bulk up in the same way as foodstuffs do, so people who drink sugary drinks consume large amounts of calories and yet, because the drinks do not make them feel full, they go on to eat foodstuffs. Coca-Colanisation has been blamed for the worldwide increase in diabetes. In Scotland, perhaps the effect should be called Irn-Bruanisation, but that does not roll off the tongue in quite the same way. Whatever we call it, fizzy drinks play a large part in obesity.
As the witnesses know, the Executive's hungry for success initiative does not set statutory nutritional standards for school lunches. The bill will set statutory standards for lunches and snacks that are provided in schools. What do the witnesses think about that?
We welcome the move to statutory standards. As I said, children who have type 1 diabetes can be managed in schools. We welcome the removal of high-calorie snacks and drinks from vending machines, but such items should be available for children who have type 1 diabetes, if they need them. There should be no complexity or stigma in accessing such products.
The introduction of statutory standards will be hugely beneficial, because it will mean that children who are catered for by the school catering system receive a meaningful meal or snack rather than, as a committee member said, rubbish, which would be disadvantageous instead of advantageous to them.
The setting of statutory standards will make it possible to inspect regimes in a way that currently does not happen, as I understand it. The statutory nutritional standards will extend to food other than that provided at lunch time, so they will apply to morning and afternoon snacks and the food that is provided at breakfast and after-school clubs.
We are in complete agreement with the approach, which will lead to consistent adherence to the standards and will accelerate change. From a public health perspective, we must be mindful that history tells us that such policies often have a surge effect that is broader than the effect of the action that is taken, and can be difficult to quantify or predict. The bill will not only deal with food in schools but signal a much broader attempt to tackle public health.
I want to ask all the witnesses about the expert working group's recommendations, but first I ask Hugh Raven about the food-for-life target that 75 per cent of food should be unprocessed. I do not know whether you heard the discussion with members of the expert group about the amount of salt in processed food and the group's recommendation that ministers set an achievable target for salt content in food. Would the adoption of the food-for-life target on unprocessed food enable schools to meet a more rigid target on salt?
I think that the answer is yes, but I do not have adequate personal experience of whether that would be the case in the food-for-life schools. My colleague Pam Rodway is more involved with the programme and could add to my comments.
Does anyone have any comments on the recommended standards, not necessarily just on salt but on nutritional values?
A lot of evidence supports the premise that unprocessed foods have a positive impact on what people eat and on reducing obesity. We welcome the use of unprocessed foods, but I cannot comment on the achievability of that in schools.
I referred earlier to the importance of reconnecting people with where their food comes from. Experience in East Ayrshire and elsewhere has shown that locally it is easier to get unprocessed food than processed food, which tends to encourage the re-establishment of local supply chains.
I will direct this question to Mary Allison. How will the bill benefit public health in Scotland?
There will be a direct and immediate impact on children as the consumers of the food in schools. I cannot paint a more terrifying picture of childhood obesity and diabetes in the future than the images that we are seeing now of children aged 15 who weigh the same as their father who has taken 40 years to get to that weight. Those 15-year-olds will be considerably heavier when they are 40 than their parents are. The accumulation of weight over a lifetime is a serious public health issue that has huge repercussions for the national health service, for people's quality of life and for their ability to engage in economic activity.
I take your point about the wider public health agenda. After all, given what young people eat outside school—especially at home—one healthy meal a day for five days in each week of the school term will not necessarily change their health overnight. As you say, the real task will be in how we engage with the wider community and change not only eating habits in school but lifestyles in general.
A number of strategies can be introduced. In that regard, we welcome the fact that the expert working group has taken a pragmatic approach to changing nutrient standards. It has also accepted that any such move will require behavioural change and that immediately and radically changing things by bringing down the curtain on what is offered is not the most sensible strategy for anyone. The group's standards are tough, but its incremental approach should take children along to some extent and lead to an increase in uptake.
I will move on to snacks. Under the bill, local authorities will have the power to provide pupils with food or snacks at any time of the day. What benefits to children will the proposed power provide?
It is not so much the power to provide snacks as it is the ability to control what is provided that will be of particular advantage in that it will enable us in dentistry to ensure that education authorities are not providing foods that are not beneficial to teeth.
Is the fact that local authorities will have the power to offer food at any time of the day, such as breakfast time, beneficial to children?
Indeed it is. That is a further opportunity to maximise children's eating healthy foods. Some children may not get breakfast at home: we see them going to school with their packets of crisps and fizzy drinks. If they know that they will get breakfast when they get to school, there will be no need for them to buy the less beneficial, less nutritious foods. Substitution is hugely beneficial. As we have heard, word will get out and the parents will learn what the education authorities are providing and, I hope, take that as the example that they need to follow. If the right food is given at breakfast time, that sets the children up and they will be less likely to want to nip out at break time to get other foods. It enables an holistic approach.
I agree. It is necessary to send consistent messages and to give children more access to healthier foods. For example, type 2 diabetes is linked to social deprivation—people on low incomes are often less able to provide their families with healthy meals, so healthy options in schools will help the education authorities to send consistent messages and give children good access to healthy food. The power, alongside the improved measures to reduce the stigma of free school meals, would provide additional benefits.
To pursue the free school meals thought for a moment, it seems to the Soil Association that the power is good and positive as far as it goes but, in the absence of information on how the Executive intends local authorities to use it, it is hard to say more. Is it intended that local authorities should provide to children who qualify for free school meals healthy meals in the morning and the evening? If that is the Executive's intention, it can be only a good thing, but it is not clear from the bill that that extension is intended.
My reading of the bill is that that option will exist, but the meals may be paid for or may be free.
In that case, if the power is intended to extend the range of food that schools offer to include breakfasts and afternoon or high tea, it must be beneficial that the same standards will apply to those. However, in the absence of that information, it is difficult to make a judgment.
The consistency of the message is important. If we are taking the broader view on promotion of physical activity, for example, it is important that children have access to a healthy meal before they go on to do more activity. To help children to understand hunger and to eat when they are hungry is a healthy approach. It is important that children have access to appropriate foods and healthy options when they are hungry.
Will not there be disruption to the curriculum and will teachers get annoyed about kids wanting to snack all the time?
The policy is also about helping teachers to understand the importance of nutrients and hydration for children's learning. A long time ago, when I was at school, we were not allowed to drink in the classroom, which was not a good idea.
No. Children are allowed water, I think.
We need to educate people and help them to understand that, when children are hungry or thirsty they need to eat or drink and have access to good-quality food and drink.
I would like to touch on the implications for education authorities. What issues do you think education authorities should take into account when making use of the power? I come from a rural area where a lot of the schools do not have kitchens and the food is transported to them, so there will be resource implications if they are going to offer snacks at any time of the day—staffing, catering and financial resources will be needed. Will complying with the legislation place a particularly heavy burden on education authorities?
That will depend on how the Executive intends to apply the policy in practice. In the absence of that information, it is difficult to respond. Application of the standards to all the food that is provided by schools seems entirely possible, but will it mean anything in practice and will schools be providing more than the school dinner that is currently the main focus of school catering?
My understanding of the guidance and legislation is that they are to enable authorities to provide a restricted range of foods as snacks if they, not the children, feel that it is appropriate. The intention, as I understand it, is not to have children nipping out from lessons every five minutes because they want a snack, even if the snacks meet the nutritional standards. The intention is that, if schools are to provide snacks, they will have to be of the correct standard.
I assume that there could be fairly straightforward ways of meeting the requirements of the legislation without necessarily engaging people in hugely complex requirements. I mentioned the need for children who have type 1 diabetes to have access to snacks at appropriate times and Mary Allison talked about the fact that, although it is appropriate for people to have access to snacks, the arrangements do not need to be hugely complex. That makes sense.
A lot has already been learned—there are examples of good practice and many creative solutions have been brought to bear on how the cost, training and human resource implications can be dealt with. Those lessons can be shared, and my organisation will have a role in supporting the networking and sharing of good practice and in showcasing the creative solutions, as will the health promoting schools unit, Learning and Teaching Scotland and other bodies.
I would like to ask about the food for life programme. Hugh Raven mentioned the targets of 75 per cent unprocessed, 50 per cent local and 30 per cent organic food, and talked about the impact on local economies and on control of salt levels. I am sure that meeting such targets would also greatly enable the reduction of a whole range of additives. Are there other benefits, either for health or in other areas, from the targets?
There are many benefits across a wide range of areas. We think that all the areas that are covered by the term "sustainable development" will benefit from the targets. There is ample evidence for that, and more is being collected all the time. I shall try, if my memory serves me adequately, to run rapidly through a series of examples that illustrate why we are so keen to pursue the programme.
Do you agree that there is a bit of a philosophical difference between the approach that you are talking about and what we might see in some parts of Scotland where—leaving aside the question of what the food consists of—the physical environments of the canteens are reminiscent of McDonald's or Kentucky Fried Chicken, with polystyrene cartons for people to eat out of and plastic forks and knives to eat with? Should we be trying to use this bill to shift the balance towards the development of the more holistic relationship with food that you are talking about?
That should certainly happen. I do not want to diminish the achievements of the hungry for success programme in moving towards that, however. Gillian Kynoch speaks extremely persuasively—evangelically, almost—about the importance of getting children to value the experience of going into the school dining room. We extend that to saying that the school dinner time is an important focus of the day. School food is not something to be grazed on during the process of the school day; it is something to be focused on during school dinner time in a dining room that feels like a welcoming environment and which provides a valuable social experience. The provision of adequate water is crucial and, as Patrick Harvie implied, good cutlery and china plates are an important part of the experience. All those elements relate to ensuring that people value food as an important social part of their lives as well as being necessary for nutrition.
Organic food, locally sourced food and even, I am sad to say, cooking of food using real ingredients are sometimes seen as elite or middle-class. Are you confident that, if the Scottish Executive said that some of those targets should be more widespread in Scotland, they could be achieved, particularly in some larger urban secondary schools?
Yes, but Patrick Harvie is right to raise that issue, because most of the authorities that have taken up the programme have been the more rural ones and some of the island ones. East Ayrshire is a bit easier to get to than Whalsay in Shetland but the same applies there.
Mr Raven talked about the supply chain, which for a long time has been phenomenally complicated in relation to procuring food for institutions such as schools. There is a culture of going to wholesalers—who get the food from goodness knows where—and expecting the whole range of products all year round. On the other side of the farm gate, if you like, there is not much of a culture of selling directly from farms and market gardens. How difficult is it to connect that up and to get people who are purchasing food for schools to go looking for what is available locally, perhaps at a lower price and of higher quality?
You are right to raise that difficult issue. In East Ayrshire, that process has happened successfully over time. I gather that the committee is going to examine the food for life programme in East Ayrshire—you will doubtless know more about it than I do by the time you return.
I congratulate Hugh Raven on the food for life programme. Could you become a victim of your own popularity? I do not know whether you have experienced this in East Ayrshire, but many children complain about having to queue for school lunches. The big challenge we have is to encourage children to stay in school to eat, which you are telling us is happening. However, have you found that there is a problem of kids eating outwith the school because of long queues for school lunches?
That is a good point. The programme has so far been applied mainly in fairly small schools, where getting the required quantity of food on plates has not been a particular issue. I am not sufficiently expert in the programme's application to comment further, but my colleague Pam Rodway knows a great deal about it. If it would be helpful, we could write to you about our experience elsewhere.
I have not yet asked any questions because I am new to the committee. My question arises from Hugh Raven's answer to John Home Robertson. In the Highlands, an authority or school may be tempted to buy the cheaper Cyprus potatoes rather than local potatoes. Based on what you have said, is there an argument that the regime of subsidies to farmers could be changed or tweaked so that that payment would go instead to the local authorities, with the instruction that the grant is linked to their buying locally? In other words, there would be a 180° shift.
That is an interesting suggestion and I can see the merits in it, but I suspect that it would, under the European regulations that apply to farm payments, be a highly complex and probably unlawful thing to do. We need to think of other ways of achieving the same objective. Woe betide the person who, in initiating discussion, would suggest what Jamie Stone has just outlined to the National Farmers Union of Scotland. I like the idea, but under existing European Union regulations it would be difficult. I am sure that there are other ways of achieving the same objective without falling foul of John Kinnaird and his colleagues.
Or George Lyon.
Indeed.
Public health has a tendency to take its eye off the ball in terms of the outcome. On the immediate need to manage children's health, we could argue that many things matter, but what is important is the nutrients that they are getting today and tomorrow. I can see many longer term and connected arguments relating to the source of those nutrients but, from a health perspective, the most important thing is that the nutrients be provided in schools now. We do not want to slow or divert progress on that. The history of public health is littered with important connections, but there is an immediate and critical opportunity here.
That concludes the committee's questions. I thank the witnesses for their attendance. If there are other issues that have not been covered by the committee today, please feel free to write to us—we will give any further written submissions due consideration.
Meeting suspended.
On resuming—
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