Further to my recent post on the childhood obesity agenda, a little refinement is necessary. This is a subject matter that might gain continual return in my writing. Briefly, my current thinking is that play, as precious and beautiful and as fraught or vociferous as it is, is engaged in for the sake of itself; play ‘used’ for instrumental gain by external parties is disingenuous to what play is, for the player. So, by not so stealthy means (and despite the fact that the ‘p’ word — as playworkers know it — hardly gains any real degree of recognition in those external parties’ outpourings), when play is manipulated (albeit under the guise of, say, ‘physical activity’) towards solving issues (societal, economic: political), I’m in disagreement.
The manipulation in question here is the obesity agenda. My writing/thinking is a reframing of prevalent perceptions of play: play, for the player, is autotelic. Regarding autotelic theory, Burghardt (2005) writes that this ‘derives from the view that all play is done for its own sake . . . the play performance is its own gratification, not the putative end or goal. Thus, autotelic means that the goal (telos) of the behaviour is itself (auto)’. Compare this to the one reference to ‘play’ I’ve managed to find, to date, amongst government documents — under a section entitled ‘supporting early years settings’ in the Department of Health and Social Care’s (2017) document Childhood obesity: a plan for action, it’s stated that:
‘In early 2017 . . . we will update the Early Years Foundation Stage Framework to make specific reference to the UK chief medical officers’ guidelines for physical activity in the early years (including active play).’
It is only ‘active play’ deemed as beneficial: there is an agenda for its use; furthermore, it’s included in a section specifically referenced to the early years. It is as if play doesn’t or shouldn’t exist beyond the early years because it will, by then, have further transmuted into other forms of activity that have (playworker un-endorsed) measurable outcomes. If playworkers continue to jump on the bandwagon of using the ‘play as physical activity to help solve obesity agenda’, then play for play’s sake loses out, even if the funding is provided. Well, some might say, play the game, twist things for your project’s benefit: it helps keep the real play agenda going. That it might, but it doesn’t help in the long run, I’d say. The wider perception of play for play’s sake won’t be enhanced because people haven’t been adequately informed.
Play for play’s sake: this is the message we should be continually shouting out. We have to call it as it is.
This ‘calling it as it is’ brings me back round to the government’s obesity agenda. It has long been my contention that, despite the rhetoric of concern for the health and well-being of the nation, the actual bottom line is that the economic strain on the NHS, and by extension, the government coffers, is the real driving force. So, it’s apposite that the following news report has been filed today: Nick Triggle (2018) writes for the BBC that the ‘NHS needs £50bn extra by 2030’, citing ‘a former health minister and leading surgeon’, Lord Darzi.
A few days ago, I felt obliged (though, really, I didn’t actually want to) to wade around in the murky depths of the Tory Party Manifesto — more technically reference-able, perhaps, as The Conservative and Unionist Party Manifesto (2017). I felt obliged to root around in order to feed my obesity agenda concerns, to get some evidence, though I felt dirty for it afterwards! I do it so you don’t have to. A few nuggets unearthed, for your consideration:
The manifesto is aimed at what it calls ‘ordinary working families’, stating explicitly that ‘[t]hey are the people to whom this manifesto is dedicated.’ (p.8). Does this then presuppose that everyone not included in the narrow overlap of whatever ‘ordinary’, ‘working’ and ‘family’ are considered to be are not included?
‘We do not believe in untrammelled free markets. We reject the cult of selfish individualism.’ (p.9). (The jury appears to be out on this one, given the reputation of ministers of recent times, based on actions). Let’s move onwards though with the economic agenda.
Under the heading of ‘five giant challenges’, the manifesto points to ‘[t]he need for a strong economy’ (p.6), and this bullet point comes top of the list. The capitalist agenda is, contrary to feeble attempts to persuade us otherwise, prevalent: ‘Without business and enterprise, there would be no prosperity and no public services.’ (p.9); ‘A strong economy is the basis for everything we want to achieve as a nation.’ (p.13); ‘Capitalism and free markets remain the best way to deliver prosperity and economic security.’ (p.16).
How does the party plan our present and our future? We’re in the sausage machine of ‘productivity’, don’t forget:
‘[W]e will continue to strive for full employment.’ (p.54); ‘We need to give every child in our country the best possible education if we are to provide them with the best opportunities in the world.’ (p.50) (that is, employability). Education is filed under a section entitled ‘The world’s great meritocracy’, where it’s stated that ours should be ‘a country where everyone has a fair chance to go as far as their talent and their hard work will allow, where advantage is based on merit not privilege.’ (p.49) (work hard, be productive, be a part of the machine, the economy requires it). Let’s just gloss over the quote about privilege here because it’s laughable.
So, we come to the NHS and the economy and the productive units of society. It must stick in the throats of the Tories who might well prefer that the NHS is sold off, to be more profitable, but it can’t, yet, when the manifesto declares that ‘[t]he Conservative Party believes in the founding principles of the NHS . . . care should be free at the point of use.’ (p.66). The ghost of Aneurin Bevan must be howling for conflicting reasons.
The manifesto attempts to temper the subtitle that is ‘The money and people the NHS needs’ (p.66) with its touch of the human element, but really it’s the money that stands out. Yes, it is a service that needs paying for, this can’t be denied, but the humanity rings hollow, the sentiment as read thereafter that the nation’s health and well-being are paramount is secondary (if that high up at all) to the finances. So it is we come back to childhood obesity and ‘the crisis of obesity’:
‘We will continue to take action to reduce childhood obesity . . . We shall continue to support school sport, delivering on our commitment to double support for sports in primary schools.’ (p.72). Yes, I’m cynical and no, I don’t apologise: use play, or approximations of it, or near-guesses of it, to ramp up fitness, to deliver (or pump in ‘education’) academic achievement, to create ‘opportunity’ for jobs, to become productive units for the economy. Blah.
Returning to the Department of Health and Social Care’s (2017) Childhood obesity: a plan for action document, it is stated that:
‘[N]ot only are obese people more likely to get physical health conditions like heart disease, they are also more likely to be living with conditions like depression . . . [t]he economic costs are great, too.’ I suspect that the last line here, being the first line of the second paragraph, is the real first line of the document. The first line though, as given, is rather: ‘Today nearly a third of children aged 2 to 15 are overweight or obese.’ What this doesn’t do, however, is play straight with the document it cites for this. This document, the Health and Social Care Information Centre’s (2015) National child measurement programme (England, 2014/15 school year), gives statistics for reception age (four year olds) and Year 6 (eleven year olds), not 2-15 year olds. The focus of the former document is on obesity, but the latter document has four categories of weight, being: underweight, healthy weight, overweight and obese (also combining the last two for comparison purposes). What is then read in Childhood obesity: a plan for action, no doubt, is that the ‘overweight’ category becomes subsumed into an all-encompassing ‘obesity’.
The Health and Social Care Information Centre’s (2015) document also suggests that, in fact, the trend for obesity in four year olds is going down, not up:
‘The prevalence of obese [reception age] children (9.1%) was lower than 2013/14 (9.5%) and 2006/07 (9.9%). Over a fifth (21.9%) of the children measured were either overweight or obese. This was lower than in 2013/14 (22.5%) and 2006/07 (22.9%).’ (p.9).
A closer look at the whole range of percentages for the four categories of weight, for four year olds, allows us to see a picture that isn’t just focused on the ‘negative news’, putting things in perspective:
‘Table 1: Prevalence of the BMI classifications, by school year and sex, England 2014/15: [Underweight] 1.0 [%]; [healthy weight] 77.2 [%]; [overweight] 12.8 [%]; [obese] 9.1 [%].’ (p.10).
Plugging my previous post’s figures for population of four year olds (662,738) into an equation that has it that 9.1% of these are obese (coming out at 60,309, give or take), and with the assumption of 16,786 state-funded schools for children of that age, we still come out at 4 children per school, rounded up, falling into this category. Four. Now, the added extra to the thinking is the explicit acknowledgement of children’s BMI categories being played off against each other and only those at the 95th percentile (i.e. 95% of the reference population weigh less) are seen as obese: surely, in any reference population where percentiles are made use of, a certain number are going to be in that top bracket, no matter what their weight?
Let’s come back full circle. The Department of Health and Social Care’s (2017) Childhood obesity: a plan for action document states that:
‘There is also evidence that physical activity and participating in organised sports and after school clubs is linked to improved academic performance.’
Ramp up fitness, to deliver (or pump in ‘education’) academic achievement, to create ‘opportunity’ for jobs, to become productive units for the economy. Blah. There’s even reference to how Ofsted will be used as a stick to ensure compliance of the above, though not, of course, in those words.
Poor play (or loose approximations of it, notwithstanding the argument that ‘sport’ and ‘play’ can, philosophically, be deemed as different things entirely). It is to the perception of play, or its grouping together with ‘sport’, ‘physical activity for xyz benefit’, and so forth, that I write of. Poor play: used to improve academic performance, for greater ‘opportunity’ to access the ‘world’s great meritocracy’, to be economically purposeful, to be a part of the sausage machine of productivity, to not cost the government coffers too much.
What of play, for play’s sake?
Burghardt, G. M. (2005), The genesis of animal play. Cambridge, MA: Massachusetts Institute of Technology.
Department of Health and Social Care (2017), Childhood obesity: a plan for action [online]. Available from: https://www.gov.uk/government/publications/childhood-obesity-a-plan-for-action/childhood-obesity-a-plan-for-action (Accessed April 26, 2018).
Health and Social Care Information Centre (2015), National child measurement programme (England, 2014/15 school year) [online]. Available from: https://files.digital.nhs.uk/publicationimport/pub19xxx/pub19109/nati-chil-meas-prog-eng-2014-2015-rep.pdf (Accessed April 26, 2018).
The Conservative and Unionist Party Manifesto (2017), Forward together: our plan for a stronger Britain and a prosperous future [online]. Available from: https://s3-eu-west-1.amazonaws.com/2017-manifestos/Conservative+Manifesto+2017.pdf (Accessed April 26, 2018).
Triggle, N. (2018), NHS needs ‘£50bn extra by 2030’ [online]. Available from: http://www.bbc.co.uk/news/health-43898963 (Accessed April 26, 2018).