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The UK soft drinks industry levy: implications for dental health

From Volume 44, Issue 6, June 2017 | Pages 476-484

Authors

Colwyn Jones

Consultant in Dental Public Health, NHS Health Scotland, 1 South Gyle Crescent, Edinburgh EH12 9EB, UK

Articles by Colwyn Jones

Neil Craig

Principal Public Health Advisor, NHS Health Scotland, 1 South Gyle Crescent, Edinburgh EH12 9EB, UK

Articles by Neil Craig

Neil Anand

Public Health Advisor (Health Economics), NHS Health Scotland, 1 South Gyle Crescent, Edinburgh EH12 9EB, UK

Articles by Neil Anand

Abstract

A Soft Drinks Industry Levy on sugar-sweetened beverages (SSBs) was announced in the Westminster budget on 16 March 2016. The UK Government plans to introduce the SSB levy in 2018, with legislation enacted in 2017. The aim of the levy is ‘…..to give companies plenty of space to change their product mix’.

The levy is a banded duty on soft drinks with less than 5 g/100 ml being classed as tax exempt, drinks with between 5−8 g/100 ml taxed at a basic level tax at 18 pence per litre, and drinks with greater than 8 g/100 ml taxed at a higher level of 24 pence per litre. The Office for Budget Responsibility forecast that the Soft Drinks Industry Levy will attract revenue of £500 million for 2019–2020, the second year of implementation. Unusually, the expected revenue raised will be hypothecated to fund physical activity and breakfast clubs in English schools.

CPD/Clinical Relevance: The UK Soft Drinks Industry Levy on SSBs has the potential to reduce both childhood obesity and the prevalence and severity of tooth decay, although precise estimates of effect are unclear. The levy should be welcomed by the dental profession as a structural fiscal policy to improve both general and dental health.

Article

As a developed European country, a relatively small group of health conditions (the non-communicable diseases or NCDs) are now responsible for a large part of the overall disease burden in the UK. The impact of the major NCDs (diabetes, cardiovascular diseases, cancer, chronic respiratory diseases and mental disorders) account for an estimated 86% of the deaths and 77% of the disease burden in Europe.1

The WHO NCD global action plan 2013–2020 proposes addressing four risk factors: physical inactivity, tobacco, alcohol and unhealthy diet. Producing and selling processed food and drink (sometimes described as ultra-processed food products see Table 1), alcohol and tobacco is big business, with substantial profits generated throughout the supply chain. These business interests have been classed as unhealthy commodity industries, producing health-harming products specifically designed to be ingested.2 Existing efforts to reduce or stop alcohol and tobacco use include market interventions which aim to change the supply/demand for these products.

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