Smoking-Related Diseases

Baroness Janke Excerpts
Wednesday 14th September 2016

(8 years, 1 month ago)

Lords Chamber
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Baroness Janke Portrait Baroness Janke (LD)
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My Lords, I rise to draw attention to Public Health and its contribution to the success of cutting smoking. I speak as someone who comes from Bristol, where the legacy of the tobacco industry has left generations suffering following the free cigarettes that were provided to workers as a matter of course. As has already been said, the estates in south Bristol, which were built to provide workers for the tobacco industry, are still among the most deprived in the country. Life expectancy there and in other parts of the city differs by 10 years and sometimes more. It is not just about death. It is about the quality of life for very many people in those communities.

When I was leader of the city council, I took a very active part in the Smoke Free Bristol campaign. The campaign was very successful because it captured the imagination of local people. The owners of clubs, bars and pubs were not all as enthusiastic, but very many of them could see the arguments, and we supported them and worked with them to bring the campaign in.

Equally, in the Public Health self-help groups, the fact that local people were trained to support each other —the health trainers and assistants were all local people —led to a much greater awareness of health within these communities. There was a wide range of projects, tackling not just smoking but such things as obesity, alcohol, depression and diabetes. I was very impressed with the progress that was made. However, the Public Health budget is being cut by 9.6% from 2015-16 to 2020. That is on top of the dramatic local authority cuts.

I would like the Minister to consider making this a priority. The emphasis on health that we have through Public Health, rather than on illness, has had a huge impact in these poorer communities. Public Health has enabled people-led schemes rather than professional-led schemes. I agree with others who have said that sustained investment and funding is absolutely vital if we are to do the things that are needed in these communities and to help people take responsibility for their own health.