{"id":48928,"date":"2020-10-29T15:53:35","date_gmt":"2020-10-29T14:53:35","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=48928"},"modified":"2020-11-03T13:14:18","modified_gmt":"2020-11-03T12:14:18","slug":"max-davie-food-poverty-is-not-just-a-problem-of-the-pandemic-the-uk-is-falling-behind-on-child-health","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/10\/29\/max-davie-food-poverty-is-not-just-a-problem-of-the-pandemic-the-uk-is-falling-behind-on-child-health\/","title":{"rendered":"Max Davie: Food poverty is not just a problem of the pandemic\u2014the UK is falling behind on child health"},"content":{"rendered":"<p><span style=\"font-weight: 400\">What does the UK prime minister want for Christmas? He certainly <\/span><i><span style=\"font-weight: 400\">hopes <\/span><\/i><span style=\"font-weight: 400\">not to see children going hungry. &#8220;We will do everything in our power to make sure that no kid, no child, goes hungry this winter during the holidays\u2026&#8221; he said at the start of this week.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">This was in response to the campaign by Marcus Rashford, a footballer and campaigner for free school meals, to provide food vouchers to cover school holidays for children in England from low-income backgrounds\u2014already available in Wales, Scotland and Northern Ireland.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">That was his response to the millions who have backed the campaign: from Children\u2019s Commissioners and food campaigners, to a host of children\u2019s charities; from MPs and Lords on every side of the House of Commons and the House of Lords, to teachers, social workers, businesses leaders, and citizens right across the country.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">And that was his response to the <\/span><a href=\"https:\/\/www.rcpch.ac.uk\/news-events\/news\/2200-paediatricians-sign-open-letter-prime-minister-urging-government-extend-free\"><span style=\"font-weight: 400\">open letter from the Royal College of Paediatrics and Child Health\u2014<\/span><\/a><span style=\"font-weight: 400\">signed by me and nearly 3,000 other paediatricians in just 24 hours\u2014asking him to do the right thing for children.<\/span><\/p>\n<p><span style=\"font-weight: 400\">I admit to feeling underwhelmed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">It is appalling that children are going to bed hungry anywhere in the world. But it is shameful that the leader of a rich country like the UK should offer a vague assurance that children will have enough food over the Christmas holidays.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Back in June, The Royal College of Paediatrics and Child Health warned that covid-19 was increasing deprivation; families who were previously getting by OK were coming under severe financial strain. Eight months in, and many of those families are now unable to provide even the basics of nutritious food.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">But food poverty is not just a problem of the pandemic\u20144.1 million children in the UK were living in poverty before we\u2019d even heard of covid-19. Just days before the whole country went into lockdown, The RCPCH released our <\/span><a href=\"https:\/\/stateofchildhealth.rcpch.ac.uk\/\">State of Child Health report<\/a><span style=\"font-weight: 400\">. It showed the detrimental effect deprivation was having on the UK\u2019s children and young people and how we\u2019re in danger of falling behind many other comparably wealthy countries on so many measures of child health.<\/span><\/p>\n<p><span style=\"font-weight: 400\">You know it and I know it: good nutrition is central to the health, wellbeing, and development for children and young people. Without it, children\u2019s health outcomes worsen. Their health as adults suffers and their life chances are impaired.<\/span><\/p>\n<p><span style=\"font-weight: 400\">We know, too, that under-nutrition negatively influences cognitive development and academic performance. So just when so many have missed out on weeks of schooling, a lack of good food\u2014or sometimes, any food\u2014is leaving children with less energy and interest for learning and reduced levels of concentration. At the same time, knowing where the next meal is coming from is central to a child\u2019s feeling of safety and security.<\/span><\/p>\n<p><span style=\"font-weight: 400\">If the moral arguments are somehow not convincing, shouldn\u2019t the financial ones sway any government? Study after study has shown the economic benefit of investing in our children\u2014and the cost of failing to do so.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">When we wrote our open letter, I\u2019ll admit I thought we were pushing at an open door. Sadly, I was mistaken. So what\u2019s behind this baffling intransigence?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We\u2019re told that local authorities will sort out the problem.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">That would be great if authorities had money ring-fenced for this, but they don\u2019t. Provision for vulnerable children is already their priority. But the <\/span><a href=\"https:\/\/www.local.gov.uk\/lga-statement-free-school-meals-and-hardship-funding\"><span style=\"font-weight: 400\">short-term hardship funding that the Government provided has now run out<\/span><\/a><span style=\"font-weight: 400\"> and they are making increasingly difficult decisions about which budgets can be raided. Helping the poorest families is being weighed up against providing for the rise in rough sleepers, for adult social care, for child protection services\u2026\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We hear that parents need to be &#8220;better at budgeting.&#8221; Tell that to the children we paediatricians see, who feel frightened and guilty that their parents are going without meals so that they can eat.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Others argue that poverty &#8220;isn\u2019t just about food.&#8221; I couldn\u2019t agree more; we need to look at deprivation across the board\u2014housing, infrastructure, and all the other inequalities which give some children a poorer start in life. At the RCPCH we believe it\u2019s imperative that all UK governments adopt a &#8220;<\/span><a href=\"https:\/\/stateofchildhealth.rcpch.ac.uk\/key-priorities\/reduce-health-inequalities\/\"><span style=\"font-weight: 400\">child health in all policies&#8221; approach to policy-making<\/span><\/a><span style=\"font-weight: 400\"> across every department.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">But that\u2019s long term. Right now, prime minister, it\u2019s really quite simple; children are wondering where the next meal is coming from. Help them.\u00a0<\/span><\/p>\n<p><em><strong>Max Davie<\/strong>, RCPCH Officer for Health Improvement, and a consultant community paediatrician in south London.<\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: None declared<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What does the UK prime minister want for Christmas? He certainly hopes not to see children going hungry. &#8220;We will do everything in our power to make sure that no [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/10\/29\/max-davie-food-poverty-is-not-just-a-problem-of-the-pandemic-the-uk-is-falling-behind-on-child-health\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":44610,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-48928","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Max Davie: Food poverty is not just a problem of the pandemic\u2014the UK is falling behind on child health - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/10\/29\/max-davie-food-poverty-is-not-just-a-problem-of-the-pandemic-the-uk-is-falling-behind-on-child-health\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Max Davie: Food poverty is not just a problem of the pandemic\u2014the UK is falling behind on child health - The BMJ\" \/>\n<meta property=\"og:description\" content=\"What does the UK prime minister want for Christmas? 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