Lynne Neagle AM: Okay, thank you. We're going to move on now to talk about how we create healthy settings. I've got some questions from Suzy Davies.
Suzy Davies AM: Thank you very much. Yes, perhaps if we could just stay in this area of education just for a moment, I think we all agree that healthy habits acquired early on probably tend to last quite well, so I wonder if you can tell us a little bit about the healthy and sustainable preschool scheme and whether you think some timescales should be made public about what you expect the achievements from that scheme to be. But, in particular, I was struck with what you said about local leadership, and I just want you to bear that in mind in answering the next question, which is about the foundation phase. You're probably aware that this committee has heard from various school leaders that they're struggling in some cases to meet the ratio of staffing for the foundation phase, which potentially compromises the purpose of it in terms of physical activity. I'm just wondering how the strategy development board is considering that at the moment. Is it something that's come on the radar for the board? Is it something you're thinking about? And, if so, who do you think should be responsible for pinning that down a little bit? Because this is education, not health, and—.
Dr Frank Atherton: Well, look, I've got to confess to you, I'm not an educationist, and so the question on staffing numbers in schools is not one that I have been asked to give a deal of consideration to, and it hasn't really been discussed, I don't believe, in the context of development of the strategy. If there is a specific point around that that the committee would like to make in terms of a response into the consultation, which I presume you'll be making, then we'd be happy to consider that. As to healthy preschools, I don't know, Nathan may have some view on that. I've not been closely involved with the work. We have standards and we perhaps need to think about how we tighten those standards and how we—enforce isn't the right word, but how we implement and make sure that those standards are properly implemented, because you're absolutely right to say that habits are developed early in life. That's in the preschool; it's also in the home of course, and then later in the school. So, we do need to look at all of those as settings and are there more things we can do within those settings to drive healthier behaviours—that's exactly why we need the consultation.
Nathan Cook: But I would say, through that scheme as well, we've really got a really good bank of preschools that are actually doing some really great work in this area as well. So, I think the more we can understand the successes that some of those environments are having—you know, how we can roll those out and work across other settings to create that wider impact as well is going to be really important.
Suzy Davies AM: Okay. Thank you. What I'm thinking about is expectations at that level will be expectations at a slightly older level, which will be contained within the foundation phase. And while you're quite right—obviously, parents have a role in this, or families—there will be, particularly with the introduction of the new curriculum, certain expectations on schools to provide not just healthy environments but to actively work towards well-being and healthy weight in children and things. And that's why I asked you about local leadership, because, if it fails for reasons that have nothing to do with the plan at foundation phase, it's going to fail further up the school years as well. I think it might be something that the board might want to consider here, because at some point there'll be an accountability question and we will want to know how 'Healthy Weight: Healthy Wales' fits in with the new plans for the new curriculum, and whether it's merely persuasive and influential or whether it has the weight to place some obligations on school leaders about what they do in their schools. So, this connection, I think, is quite an important one, and, if the strategy development board could consider that, I think it would be very helpful, because this doesn't exist in a vacuum.
Dr Frank Atherton: Well, I'd certainly be delighted to take that back and we can look at it in terms of how we move from the consultation into the final strategy. It's certainly a point we can try and look at.
Suzy Davies AM: Because we will want to know who to ask: 'you're the accountable person—why has something worked, or not worked?' We will need to know that at some point.
Dr Frank Atherton: Just building on Nathan's point, some of the schools—I know it's schools rather than the preschools, and I take your point, but some of the schools we've been working with have absolutely brilliant models of good practice and good local leadership. I remember the Minister actually at the launch, and one of the schools was represented there, and they presented—the school came and some of the children came and presented—to the whole audience about the activities that they were undertaking in their school around physical activity and on healthy eating, and it was such a model of good behaviour the question was, 'Well, why not everywhere?', so that probably speaks to your question.
Suzy Davies AM: Okay, well, thank you for that commitment anyway.
Lynne Neagle AM: And have you had any discussions, then, with education officials around things like teacher training and CPD, because you'll be aware the Health and Social Care Committee has made a number of recommendations in this area? It's crucial that we skill up the staff to develop these things in an appropriate way, isn't it?
Dr Frank Atherton: Well, we certainly discuss with education colleagues in Welsh Government. There's more we need to do in terms of that, because you're absolutely right: there's something about building the whole of the workforce—education is really important, but elsewhere as well; it's about how do we really make every contact count, you know, that construct. So, everybody who's working in the health and social care system should have a role in this; everybody who works in education, whether it's the old—. Do we still have dinner ladies? Or teachers, you know, they have a role to play in supporting children to be as healthy as they possibly can. And, actually, I see them, Chair, as a really essential part of the public health workforce.
Lynne Neagle AM: Okay, thank you. Suzy, are you going to do your curriculum one?
Suzy Davies AM: Well, I've bound it in together, but that final point you make about teachers being part of the answer to this, they're already under a range of pressures: is it fair to make them accountable for whether this works or not? Or should that local leadership lie somewhere else? I don't expect you to pin down a person today.
Dr Frank Atherton: I wouldn't like to blame a teacher or performance manage them on the proportion of their children in their class who are overweight. That would clearly be nonsense, wouldn't it? But they are part of the solution, and so the accountability lies further up the chain, doesn't it? The question I think we would have, and public services boards might well ask, and the local education authorities may well ask, is: how effective is any particular school at driving forwards these healthy behaviours?
Suzy Davies AM: Okay, thank you. I'll leave some questions for Hefin.