The Parliamentary Under-Secretary of State for Health (Anne Milton)
I congratulate the hon. Member for Coventry North West (Mr Robinson) on securing this debate on a topic so vital to the health of the nation. The number of Members who have stayed here late to listen and, indeed, to contribute to this debate is a testament to that.
As the hon. Gentleman rightly pointed out, smoking kills more than 100,000 people in the UK every year. Fully half of all long-term smokers will die prematurely from a smoking-related disease. Smoking, of course, harms those around smokers, too. The Royal College of Physicians estimates that about 2 million children currently live in a household where they are regularly exposed to cigarette smoke. The cost of this level of ill health is huge. In England, about one in 20 of all hospital admissions among adults aged 35 and over is down to smoking. Of course, it is not just a question of the financial cost; there is a human, and often tragic, cost as well.
Although smoking rates have declined over past decades, in recent years the fall has lost momentum. Most smokers take up the habit before they turn 18. This year, in England alone, 330,000 children under the age of 16 will try smoking for the first time. Reducing the uptake of smoking by children and young people remains one of the key public health goals. We want to prevent those young people from turning into adult smokers. Most smokers say that they want to stop. Quitting can be difficult, but smokers who kick the habit for good can quickly reduce their risk of contracting smoking-related diseases and lead longer, healthier lives, irrespective of their age.
Our approach to reducing tobacco use is comprehensive and evidence-based, and much has already been achieved, including—as the hon. Member for Coventry North West pointed out—many cross-party initiatives. We have introduced a comprehensive ban on advertising, and picture warnings on packs; we have raised the age for the sale of tobacco to 18; we have ended the sale of tobacco from vending machines; from April the open display of tobacco products in supermarkets has been banned; tobacco taxes were increased significantly again in this year’s Budget; and, of course, there is a ban on smoking in public places. I pay tribute to the right hon. Member for Rother Valley (Mr Barron) for his role in the introduction of that ban when he was Chairman of the Select Committee on Health.
It is recognised that the UK has the best “stop smoking” services in the world, and I feel proud when I go abroad and am congratulated on all that we have achieved. However, we clearly need to do more. Given the existence of all the measures to which I have referred, it is surprising that about 20% of people still smoke.
Mr Sutcliffe
I congratulate the Minister on the work that she is doing. However, as she is aware, a small number of people will continue to smoke because of the illicit trade. What does the Minister think we can do to stop that trade?
Anne Milton
I shall say something about the illicit trade shortly, because it is an important issue. However, it should not be confused with the separate issue of plain packaging, which is also important and on which we are to consult.
In March last year, we published “Healthy lives, healthy people: a tobacco control plan for England”, which described how our programme of tobacco control would be delivered over the next five years within the framework of the new public health system. The tobacco control plan included a commitment to consult on options to reduce the promotional impact of tobacco packaging, including standardised packaging. There is strong, consistent evidence that the advertising and promotion of tobacco can influence young people in particular, from the first puff to full addiction.
I am pleased to say that yesterday we published a UK-wide consultation document, with the agreement of the devolved Administrations. The consultation will consider what measures could be taken to restrict or prohibit the use of logos, colours, brand images or promotional information on packaging other than brand and product names displayed in a standard colour and font style. At this stage, we have an open mind about the introduction of standardised packaging of tobacco products. We hope that the consultation will help us to establish whether there is evidence that it would have an additional public health benefit, over and above the existing tobacco control initiatives.
John Cryer (Leyton and Wanstead) (Lab)
I do not approach this issue with particularly strong views in either direction, but it occurs to me that if I were a counterfeiter, I would probably welcome the introduction of plain packaging. I know that that is a bit of a euphemism, but for want of a better term, I would welcome it, because I would find it easier to copy than other packaging.
It also concerns me that in the illicit trade some really nasty substances go into the cigarettes. Tobacco is bad enough, but the other substances that are added are even worse.
Anne Milton
I will come on to deal specifically with that point. Like the hon. Member for Coventry North West, I am sure that this will not be the last debate we have on this issue. It will be important to dispel some of the myths, and this week Cancer Research UK has put out a good piece of information that does so.
As I say, the Government have an open mind, and it is important that we hear everyone’s views. We will keep that open mind until the consultation closes. The consultation has four aims: to reduce the appeal of tobacco products to consumers; to increase the effectiveness of the health warnings; to reduce the ability of tobacco packaging to mislead consumers about the harmful effects of smoking; and to have a positive effect on smoking-related attitudes, beliefs, intentions and behaviours, particularly among young people and children. The consultation will be open from 16 April to 10 July, and I encourage all hon. Members, and any other person, business or organisation with an interest, to respond to it.
Jim Sheridan
As chair of the Unite union parliamentary group, which includes an awful lot of health service workers, who agree wholeheartedly with what the Government are trying to achieve, I wrote to the Department some weeks ago seeking a meeting to discuss the jobs implications. Is there anything the Minister can do to expedite a response to that request?
Anne Milton
I will certainly look into the matter, and I apologise if the hon. Gentleman has not received a timely response. I would hope that we would always give him such a response, and I will make sure that he gets one. He mentions jobs, but we have also to consider the human costs of smoking-related disease. If breadwinners in families die prematurely, that has an implication for families. This is not just about jobs.
Any decisions to take further policy action on tobacco packaging will, as I say, be taken only after full consideration of the consultation responses and of any other relevant information or evidence, which is emerging all the time. In addition, we will explore any implications relating to the sale of illicit tobacco, a matter that has been raised. I point out that existing packs are very easy to forge; covert markings are already used to distinguish illicit cigarettes and this proposal will make absolutely no difference to the situation.
Our tobacco control plan explicitly complements Her Majesty’s Revenue and Customs and the UK Border Agency’s strategy to tackle the illicit trade in tobacco products, which was published in April 2011. There is absolutely no room for complacency, but thanks to the hard work of HMRC, local councils, the NHS and civil society, good progress is being made in reducing the amount of illegal tobacco products finding their way on to the market. According to the latest information collected by HMRC, fewer people are using illicit tobacco. Illicit sales of cigarettes were down to 10% in 2010 from 21% in 2000—that is a marked reduction. The figure for hand-rolling tobacco remains high, at 47%, but it has reduced from 61%. So the trend is in the right direction. I particularly wish to compliment the north of England tackling illicit tobacco for better health programme—some of these programmes have ghastly names, do they not? None the less, it is an example of how organisations can work together to tackle the supply of and demand for illicit tobacco. In coming to a view on the impact of standardised packaging, the availability of illicit tobacco will obviously be important, but we do want to see good, hard evidence on this.
Ian Paisley
I thank the Minister for being very generous with her time. Has she given any thought to the view that if the Government are ultimately successful and stop people smoking, the Treasury will lose £11.1 billion in resources? How will that gap be filled?
Anne Milton
I will happily cross that bridge when we get to it; of course the Treasury would lose revenue, but as Minister with responsibility for public health, my aim is to improve the public’s health. Premature deaths would be prevented, and there is a huge human cost, let alone the financial cost to families, of people dying early.
Under the terms of the World Health Organisation’s framework convention on tobacco control, to which the UK is a signatory, we will be asking all respondents to consultations on tobacco control measures, including the consultation on tobacco packaging, to disclose whether they have any direct or indirect links to the tobacco industry. Responses from the tobacco industry, or from those with links to the industry, will always be carefully considered alongside other views received.
I hope Members will make their constituents aware of the consultation. The hon. Member for Paisley and Renfrewshire North (Jim Sheridan) raised the issue of jobs, and we must take that into account. We must also make sure that this consultation is real and meaningful and that the public know that we value their input.
I welcome having had a chance to discuss this matter, and I hope this will not be the last opportunity to do so. I look forward to hearing the views of all Members.
Question put and agreed to.