BFLG-UK response to the Competition and Markets Authority (CMA) infant and follow-on formula market study: 8 April 2025

UK government authority calls for follow-up formula ad ban and generic labelling

Press release

14th February 2025 

Baby Milk Action/ IBFAN UK warmly welcomes the long-awaited report from the UK Government’s Competition and Markets Authority (CMA) on the infant and follow-on formula market, an investigation prompted by the unjustifiable price hikes of 17-31% in the last two years.

The CMA package of proposals, also welcomed by the Baby Feeding Law Group, First Steps Nutrition Trust and UNICEF, recommends generic packaging of formula in health care systems, a ban on follow-up formula advertising (a safeguard that Baby Milk Action has campaigned for for decades), pre-authorisation of products, better enforcement of legislation and enhanced information for families on the nutritional equivalence of all infant formulas. . The aim is that parents make better informed decisions and not be lured by misleading claims to pay inflated prices for products – products that may contain ingredients that have not been independently proven to be safe.

The proposal to ban Follow-on Formula advertising for babies 6-12 months is especially welcome and important. Follow-up formulas were deliberately invented by the baby food industry to get round the marketing restrictions of the International Code of Marketing of Breastmilk Substitutes, the first global consumer protection tool, adopted in 1981 by the World Health Assembly, the world’s highest health policy setting body.  This Code, partially in law in 144 countries, and has saved millions of children’s lives and safeguarded the optimal health of millions more.

Companies keep expanding the commercial formula range,  targeting children with these ultra-processed products that contain artificial, industrially modified, hydrolysed  ingredients that fuel the obesity epidemic and add to the environmental burden.  The CMA highlights how many are cross promoted with infant formula for newborn babies. Countless WHA Resolutions have called for their promotion to be prohibited to protect all children, however they are fed.(1)

Idealisation of Optional ingredients 

The CMA report also stresses that UK (and EU) legislation requires that all infant formulas be nutritionally similar and calls for this critically important fact to be  highlighted in retail outlets.(2) As manufacturers’ attempt to differentiate their products and build consumer trust in the brand, they make unsubstantiated claims that their ‘optional ingredients‘ have additional nutritional benefits. The CMA recognises that this has had “a disproportionate influence on consumer choice”

Patti Rundall, member of IBFAN’s Global Council: “These are important and proposals that could make a welcome difference to infant feeding in the UK. While the CMA’s purpose is specific, thankfully the proposals all support the current UK Government view that breastfeeding should be protected and not undermined by misleading marketing.  Our submission to the CMA  highlighted the idealising claims and names used to promote optional ingredients with claims such as ‘human milk oligosaccharides (HMO) that falsely imply similarity with breastmilk.  The fact is, if an ingredient is proven to be safe and necessary for child health, through rigorous independent and credible science, it should be mandatory in all formulas and added to the essential ingredient list. The supermarket shelf is not the place to make difficult decisions that could fundamentally affect children’s  health and development.”(3)

Digital Marketing

The CMA’s proposals apply to online retail sales. Most of the problematic marketing that misleads parents and undermines breastfeeding and sound infant and young child health, now exists in the digital space and manufacturers and distributors are not the only ‘actors.’ When the UK law is updated, specific legal duties will need to be allocated to social media platforms and service providers who control their content. Earlier this week the WHO Executive Board, decided to send a draft Resolution Regulating the digital marketing of breast-milk substitutes to the World Health Assembly. A decision on its adoption is expected in May. (4)

Future steps

The CMA concludes its report by strongly encouraging  “governments to act on our recommendations, vigorously and in full. We note however that these options are aimed at shifting widespread and deep-seated patterns of consumer behaviour. While we believe that this package has a strong chance of achieving this, the extent to which it will do so is inherently uncertain. ……If, having implemented our recommendations, governments consider that the impact on consumer outcomes is insufficient, it remains open to governments to consider the backstop option of introducing price controls. (5)

For more, contact: Patti Rundall prundall@babymilkaction.org

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Notes:

(1)   IBFAN attends FAO/WHO Codex Alimentarius Commission meetings where global standards for foods are set,  advocating that standards are brought into line with WHA recommendations. The 1987 Follow Up Formula Standard was poorly worded and by failing to acknowledge that these formulas function as breastmilk substitutes and should not be promoted,  legitimised these problematic products and boosted the growth of a multi-billion $market. The  revised  Follow-up formula standard, adopted in 2023,  clearly mentions WHA Resolutions and states that these product are Breastmilk Substitutes Countries can now bring in laws that ban the promotion of  formulas up to 36 months, without fear of triggering costly, time-consuming challenges at WTO and elsewhere  – challenges that have had a chilling effect on health policy-making.
(2) The CMA calls for clear, accurate and impartial information on nutritional sufficiency While this is an important fact it should not be done in a way that promotes formulas and undermines breastfeeding.
(3)At the Codex Nutrition meeting in October in Dresden  the USA led an industry inspired attempt to open the issue of so-called HMOs and similar  ingredients as new work.  This was rejected by Member States and the  FAO secretariat urged that Codex not waste time on optional ingredients and focus instead on ESSENTIAL ingredients. Report of the 44th Codex Committee on Nutrition and Foods for Special Dietary Uses.  Dresden, Germany 2 – 10 October 2024,  (Agenda item 8)
(4) The draft Resolution Regulating the digital marketing of breast-milk substitutes contains many important safeguards: PP7: Recognizing that digital marketing, including influencer marketing, has become the dominant form of marketing in many countries;3 that when not effectively regulated, it leads to harmful impact on public health; and that parents and caregivers in every country of the world are exposed to direct and indirect promotions of breast-milk substitutes; (PP9) Noting the importance of ensuring that information on infant and young child feeding available to health professionals and consumers is unbiased, objective, evidence- based, free of conflicts of interest and in accordance with WHO recommendations;
(5). FINAL CMA REPORT   Next Steps. Page185:

8.184 We consider that implementing this package of measures is essential to drive improved outcomes for parents. We therefore strongly encourage governments to act on our recommendations, vigorously and in full. We note however that these options are aimed at shifting widespread and deep-seated patterns of consumer behaviour. While we believe that this package has a strong chance of achieving this, the extent to which it will do so is inherently uncertain. It remains open to governments to consider, additionally, removing some regulatory restrictions including on price promotions should they wish to revisit the public policy position in terms of any impact on breastfeeding. We note in this regard that we have not seen any evidence that infant formula prices influence the decision of whether or not to breastfeed. 

8.185 If, having implemented our recommendations, governments consider that the impact on consumer outcomes is insufficient, it remains open to governments to consider the backstop option of introducing price controls. 

Media coverage:
UNICEF UK RESPONSE TO CMA REPORT BABY FRIENDLY INITIATIVE
BBC 1 Breakfast. 14.2.25   Watch from 2 hours 30
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