Poor diet is the leading risk factor in the UK for morbidity and premature death, accounting for 12.5% of the total burden of disease, primarily due to cancer, cardiovascular disease and diabetes. In addition, two thirds of adults are overweight or obese - the consequence of sustained overconsumption - contributing a further 8.5% of all ill-health. If we are to create a sustainable healthcare system we need a stronger focus on the prevention of these avoidable diseases. Is stronger policy action required – a nanny to protect the nation from eating itself to an early grave?