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Has a public–private partnership resulted in action on healthier diets in England? An analysis of the Public Health Responsibility Deal food pledges

Food Policy, 2015; 54:1-10
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pub_id
2005100000003825
pubmedid
ISI
reference_type
Journal Article
author
Knai, C.; Petticrew, M.; Durand, M.A.; Eastmure, E.; James, L.; Mehrotra, A.; Scott, C.; Mays, N.
title
Has a public–private partnership resulted in action on healthier diets in England? An analysis of the Public Health Responsibility Deal food pledges
secondary_title
Food Policy
ISBNISSN
0306-9192
volume
54
number
pages
1-10
year
2015
abstract
The Public Health Responsibility Deal (RD) in England is a public–private partnership involving voluntary pledges between government, industry and other organisations in the areas of food, alcohol, physical activity, and health at work, and is designed to improve public health. The RD is currently being evaluated in terms of its process and likely impact on the health of the English population. This paper analyses the RD food pledges in terms of (i) the evidence of the effectiveness of the specific interventions in the pledges and (ii) the likelihood that the pledges have brought about actions among organisations that would not otherwise have taken place. We systematically reviewed evidence of the effectiveness of the interventions proposed in six food pledges of the RD, namely nutrition labelling (including out-of-home calorie labelling and front-of-pack nutrition labelling), salt reduction, calorie reduction, fruit and vegetable consumption, and reduction of saturated fats. We then analysed publically available data on organisations’ plans and progress towards achieving the pledges, and assessed the extent to which activities among organisations could be brought about by the RD. Based on seventeen evidence reviews, some of the RD food interventions could be effective, if fully implemented. However the most effective strategies to improve diet, such as food pricing strategies, restrictions on marketing, and reducing sugar intake, are not reflected in the RD food pledges. Moreover it was difficult to establish the quality and extent of implementation of RD pledge interventions due to the paucity and heterogeneity of organisations’ progress reports. Finally, most interventions reported by organisations seemed either clearly (37%) or possibly (37%) already underway, regardless of the RD. Irrespective of the nature of a public health policy to improve nutritional health, pledges or proposed actions need to be evidence-based, well-defined, and measurable, pushing actors to go beyond ‘business as usual’ and setting out clear penalties for not demonstrating progress.
keywords
Evaluation Public–private partnership Review Food pledges Voluntary agreement Inequalities
secondary_author
place_published
publisher
number_of_volumes
tertiary_author
tertiary_title
edition
date
7//
type_of_work
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call_number
accession_number
custom_1
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Unknown
custom_3
custom_4
10.1016/j.foodpol.2015.04.002
custom_5
Subscription Required
custom_6
10
label
notes
url
http://www.sciencedirect.com/science/article/pii/S0306919215000391 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=NULL
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created
2016-01-05 09:53:30
modified
2017-02-13 18:43:19
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