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Nanny Knows Best?

Nanny Knows Best? Should the Government do more to enforce healthier lifestyle choices?

Date: Tuesday 16th September 13:00 - 14:00

Location: Royal Bath Hotel Mirabelle

Speakers: Lord Clement-Jones Julian Hunt, Director of Communications, Food & Drink Federation Tony Gilland, Science and Society Director, Institute of Ideas Dame Deirdre Hutton, FSA

Chair: David Furness, SMF

Market-based instruments and tax incentives are the traditional mechanism for influencing behaviour and they remain important policy tools. However, many of the policy challenges facing government are not readily responsive to the traditional policy levers, such as taxation, particularly in areas like energy consumption, public health, savings and public order. We often ignore the many other instruments that could be used successfully to alter people’s behaviour and consumption patterns, including the use of social marketing, public education and alternative service delivery models. If policymakers have a better understanding of how people actually make decisions they will create policies and incentives that are both more effective and more efficient.

The now burgeoning science of behavioural economics attempts to take these lessons on board and at its heart is a simple and intuitive message: what we do and how we behave when making decisions is influenced by many things including habits, emotions, culture, and the example of others, as well as by cost and the availability of information. People are just as likely to do what they have always done or what their neighbours or friends generally do as to do what is financially most beneficial.

The impact of lifestyle choices on people’s health is a particular area in which the government is attempting to encourage changes in behaviour. Infectious diseases are no longer such a burden on health services; instead it is conditions like heart disease and cancer that require most attention. These conditions are affected by lifestyle – eating badly, drug and alcohol abuse, unprotected sex, smoking and lack of physical activity all contribute to the medical conditions that are now the top priority for the health service.

Preventing illness, not just curing it, is now recognised as an essential part of healthcare in the UK and is an absolute necessity to maintain affordability. As part of that shift, more effort has been placed on encouraging people to live healthier lives; we are seeing the beginnings of cultural change in this respect, but it is clear that more needs to be done. Added to this, there are a number of issues around the legitimacy of government intervention which need to be addressed in order to successfully encourage change.

Possible questions in the debate:

  • How can we encourage, educate and incentivise people to make healthier life choices?
  • Can the government legitimately attempt to change citizens’ behaviour to increase their welfare?
  • What works successfully to change behaviour and consumption? Should we be moving away from fiscal disincentives and towards social marketing?
  • What results have campaigns by bodies such as the FSA had in changing behaviour? How easily measurable are the results?
  • Should individuals be made to pay more for treatment of illnesses relating directly to poor lifestyle choices? Would this approach simply discourage people from seeking treatment, especially those on lower incomes who are often the individuals with the least healthy lifestyles?
  • Are we heading for an NHS crisis if we do not address public health issues?
  • Does greater choice lead to better decision making?
  • What role do the food and brewing industries have to play in promoting healthier living?