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      Parliamentary reaction to the announcement and implementation of the UK Soft Drinks Industry Levy: applied thematic analysis of 2016-2020 parliamentary debates

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          Abstract

          Objective

          The UK Soft Drinks Industry Levy (SDIL) (announced March 2016; implemented April 2018) aims to incentivise reformulation of soft drinks to reduce added sugar levels. The SDIL has been applauded as a policy success, and it has survived calls from parliamentarians for it to be repealed. We aimed to explore parliamentary reaction to the SDIL following its announcement until two years post-implementation in order understand how health policy can become established and resilient to opposition.

          Design

          Searches of Hansard for parliamentary debate transcripts that discussed the SDIL retrieved 186 transcripts, with 160 included after screening. Five stages of Applied Thematic Analysis were conducted: familiarisation and creation of initial codebooks; independent second coding; codebook finalisation through team consensus; final coding of the dataset to the complete codebook; and theme finalisation through team consensus.

          Setting

          The United Kingdom Parliament

          Participants

          N/A

          Results

          Between the announcement (16/03/2016) - royal assent (26/04/2017) two themes were identified 1: SDIL welcomed cross-party 2: SDIL a good start but not enough. Between royal assent - implementation (5/04/2018) one theme was identified 3: The SDIL worked - what next? The final theme identified from implementation until 16/03/2020 was 4: Moving on from the SDIL.

          Conclusions

          After the announcement, the SDIL had cross-party support and was recognised to have encouraged reformulation prior to implementation. Lessons for governments indicate that the combination of cross-party support and a policy’s documented success in achieving its aim can help cement the resilience of it to opposition and threats of repeal.

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          Most cited references29

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          Applied Thematic Analysis

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            Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk.

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              Impact of the announcement and implementation of the UK Soft Drinks Industry Levy on sugar content, price, product size and number of available soft drinks in the UK, 2015-19: A controlled interrupted time series analysis

              Background Dietary sugar, especially in liquid form, increases risk of dental caries, adiposity, and type 2 diabetes. The United Kingdom Soft Drinks Industry Levy (SDIL) was announced in March 2016 and implemented in April 2018 and charges manufacturers and importers at £0.24 per litre for drinks with over 8 g sugar per 100 mL (high levy category), £0.18 per litre for drinks with 5 to 8 g sugar per 100 mL (low levy category), and no charge for drinks with less than 5 g sugar per 100 mL (no levy category). Fruit juices and milk-based drinks are exempt. We measured the impact of the SDIL on price, product size, number of soft drinks on the marketplace, and the proportion of drinks over the lower levy threshold of 5 g sugar per 100 mL. Methods and findings We analysed data on a total of 209,637 observations of soft drinks over 85 time points between September 2015 and February 2019, collected from the websites of the leading supermarkets in the UK. The data set was structured as a repeat cross-sectional study. We used controlled interrupted time series to assess the impact of the SDIL on changes in level and slope for the 4 outcome variables. Equivalent models were run for potentially levy-eligible drink categories (‘intervention’ drinks) and levy-exempt fruit juices and milk-based drinks (‘control’ drinks). Observed results were compared with counterfactual scenarios based on extrapolation of pre-SDIL trends. We found that in February 2019, the proportion of intervention drinks over the lower levy sugar threshold had fallen by 33.8 percentage points (95% CI: 33.3–34.4, p < 0.001). The price of intervention drinks in the high levy category had risen by £0.075 (£0.037–0.115, p < 0.001) per litre—a 31% pass through rate—whilst prices of intervention drinks in the low levy category and no levy category had fallen and risen by smaller amounts, respectively. Whilst the product size of branded high levy and low levy drinks barely changed after implementation of the SDIL (−7 mL [−23 to 11 mL] and 16 mL [6–27ml], respectively), there were large changes to product size of own-brand drinks with an increase of 172 mL (133–214 mL) for high levy drinks and a decrease of 141 mL (111–170 mL) for low levy drinks. The number of available drinks that were in the high levy category when the SDIL was announced was reduced by 3 (−6 to 12) by the implementation of the SDIL. Equivalent models for control drinks provided little evidence of impact of the SDIL. These results are not sales weighted, so do not give an account of how sugar consumption from drinks may have changed over the time period. Conclusions The results suggest that the SDIL incentivised many manufacturers to reduce sugar in soft drinks. Some of the cost of the levy to manufacturers and importers was passed on to consumers as higher prices but not always on targeted drinks. These changes could reduce population exposure to liquid sugars and associated health risks.
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                Author and article information

                Journal
                9808463
                Public Health Nutr
                Public Health Nutr
                Public health nutrition
                1368-9800
                1475-2727
                19 January 2024
                24 January 2024
                2024
                16 February 2024
                : 27
                : 1
                : s1368980024000247
                Affiliations
                [1 ]MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, United Kingdom
                [2 ]Population Health Innovation Lab, Department of Public Health, Environments & Society, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, United Kingdom
                [3 ]Faculty of Health and Life Sciences, University of Exeter, United Kingdom
                [4 ]Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
                [5 ]Department of Social and Policy Sciences, University of Bath, United Kingdom
                [6 ]Global Food System and Policy Research, School of Global Health, Faculty of Health, York University, Canada
                Author notes
                [* ] Corresponding Author: Dr Catrin Pedder Jones, MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Box 285 Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, United Kingdom. Catrin.jones@ 123456mrc-epid.cam.ac.uk +44 (0)1223 769 114
                [^]

                Present address: School Of Cardiovascular & Metabolic Health, University of Glasgow, United Kingdom

                [<]

                Present address: Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom

                Article
                EMS193498
                10.1017/S1368980024000247
                7615650
                38263748
                4f1ce211-774b-4f06-93ae-3e98484c079b

                This work is licensed under a BY 4.0 International license.

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                Public health
                government,parliament,political debate,sugar tax,soft drinks industry levy,health policy
                Public health
                government, parliament, political debate, sugar tax, soft drinks industry levy, health policy

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