Illegal Vapes

Kirsten Oswald Excerpts

Tuesday 16th January 2024 Westminster Hall

[Kirsten Oswald (East Renfrewshire) (SNP)]

It is a pleasure to serve under your chairship, Sir Mark. I am grateful to the hon. Member for Darlington (Peter Gibson) for securing the debate and for the powerful way he introduced the topic.

Like the hon. Member for Sleaford and North Hykeham (Dr Johnson), I have made no secret of my lack of enthusiasm for vapes—specifically disposable vapes. I have held my own debates on the topic, and I have supported others, including the hon. Lady, so I am pleased to speak today, because we need urgent action on these things.

We have heard about smoking cessation a couple of times during the debate. Smoking cessation is absolutely important, and we should all take it very seriously, but disposable vapes are not risk-free, as has been pointed out. There are other, more useful ways of supporting smoking cessation—for instance, reusable vapes, which are not seen as attractive to young people. However we look at it, and whether they are illicit or not, disposable vapes are harmful, particularly to young people and our environment.

The environmental side of things is what first caused me to become interested in disposable vapes. That was thanks to Laura Young, better known as “Less Waste Laura”, who is a student from my constituency. Laura has worked tirelessly to rid our streets, parks and beaches of the discarded plastic, which is so familiar to us all, and the pollution that has become a torrent in recent years. These apparently disposable vapes are almost never properly disposed of; in fact, the way they are constructed means it is almost impossible to properly dispose of them even if someone wants to, which is quite unlikely, considering that this product is sold on the basis of its easily disposable nature.

It is a great pity—this is embarrassing for it—that the Labour party, propped up by the Tory party on East Renfrewshire Council, is so unwilling to support anything the SNP supports that it has, not once but twice, refused to support a motion to ban disposable vapes locally, putting the council out of step with almost every other local authority in Scotland and with the evidence of the harm that such devices do.

[Gareth Johnson]

Does the hon. Lady not accept that properly and legally produced disposable vapes provide an attractive alternative for adults to stop smoking and thereby save lives? Some companies, although this is not happening a great deal, can now almost fully recycle the components of disposable e-cigarettes. Does she accept that there is a danger that we move from illicit vapes and start targeting those that would be welcome for adult smokers to switch to?

[Kirsten Oswald]

No, I do not accept the hon. Gentleman’s proposition at all. That is absolutely wrong-headed. We can see in front of our eyes that these products are so attractive to young people that they are hooking them in—[Interruption.] The hon. Gentleman is mumbling from his chair. If I can finish my speech, I will set out for him that these products are hooking young people in and getting them addicted, and some of these young people then go on to start smoking. That is far from the situation he laid out, and we should take a very serious attitude to these products.

I have spoken about the harms caused by legal vapes to the planet, whether it is plastic, overuse of precious metals or fires. We have heard today about the impact that these substances have on the young people who ingest them, which should be of significant concern to us. Vaping is popular among young people. Since 2021, there has been a more than sevenfold increase in the number of 11 to 17-year-olds vaping and using disposable vapes rather than reusable ones. These devices are colourful and attractive, with snazzy names and fruity flavours. Vaping has risen so rapidly among children that one in five are now using disposable vapes.

We are not speaking about a smoking cessation mechanism. We are speaking about something that health professionals increasingly warn about. They are increasingly worried about a generation of young people who are hooked on nicotine. As the Royal College of Paediatrics and Child Health has said:

“Youth vaping is fast becoming an epidemic”.

Despite all that, and despite the fact that the public would be concerned to know all these things, we have this stream of illicit, and other, vapes on our streets. We know that local shops are the most likely source for young people to come by them, and we have heard quite a lot about that today. There is also the online space, which is a source of significant concern to me. Unregulated and untested products are coming via the online space, and we have no idea what harms will be caused to the young people consuming them.

I met a business owner from my area last week, and she talked me through her concerns about illegal medical products—obviously not proper medical products. She showed me how she was targeted by online accounts pushing these goods to her. She is a responsible professional and she resisted, but let us be clear that there are many and complex routes by which these illicit vapes arrive here, just as there are for illicit medical products. All those routes need to be closed down, and they need to be closed down now. Whatever the disposable vape, it causes harm.

We know that there are significant kinds of harm being caused with the flavours and the colours. We have heard from the hon. Member for Hastings and Rye (Sally-Ann Hart) about the worries that Action on Smoking and Health spoke about. We are hearing more and more about vape use being glamourised online, and when people under the legal age cannot purchase vapes legally, they are purchasing them illegally or purchasing illegal ones.

The public health messaging on this issue is not as clear as it should be. The hon. Member for Dartford (Gareth Johnson) tried to tell me that vapes would be a perfectly reasonable way to expect adults to support themselves in smoking cessation, but that is not right and that should not be what the public health messaging tells us. We heard from the hon. Member for Darlington that vapes are a gateway to other, sometimes very serious, concerns and to riskier behaviour, such as smoking and substance abuse. He eloquently outlined the even greater and more significant harms that can be caused.

These things are arriving in huge numbers. I am grateful to the Advertising Standards Authority, which met with me after the most recent vape-related debate I spoke in. It is doing significant work trying to uphold the ban on advertising in various places, including on social media, of nicotine-containing cigarettes that are not licensed as medicines. None the less, Members may have seen adverts that would cause them to think that was not the case, and that is part of this torrent and this pushing of vapes, which needs our urgent attention.

Indeed, vapes need attention across the world. Let us be clear that the scale of the problem and the potential harms to young people and the planet should cause us deep worry. I read a really interesting piece by Chris Kirkham from Reuters last month about the owners of Elf Bar, which is a company with roots in China. Elf Bar products are very popular here, and the company is now, according to Reuters, flooding the US with illegal vapes—ones not covered by Food and Drug Administration regulations.

[Peter Gibson]

Will the hon. Lady give way?

[Kirsten Oswald]

I am going to make progress, but if I have time, I would be happy to let the hon. Gentleman come in later.

Elf Bar is simply ignoring those regulations to get its products to market. In the UK, it is taking a different approach and complying with regulations so that it can—one presumes—sell the maximum number of its products. That means that we need different regulations that will stop the surge in young people vaping. Of course, if we banned all disposable vapes, it would be far easier to identify the illicit ones, because all vapes would be illicit. It is far better that we close down the distributors and that we do so in a wholehearted way.

I have spoken before about my own concerns about sports advertising of vapes. I spoke about Blackburn Rovers, and a 15-year-old footballer, who came on as a substitute in their FA cup win recently, made history as their youngest ever player. However, his shirt did not have the club sponsor, Totally Wicked, on it. Blackburn Rovers said that, as the legal vaping age in the UK is 18, under-18s cannot wear that logo—but they can still see it, because it is displayed on everyone else’s strip. We would not want tobacco companies advertising on sports strips. We would not want whisky, beer or cider companies on sports strips. None of those things should be acceptable to us, and advertising for vapes should not be acceptable to us either. If we are serious about dealing with the harms that young people experience because of vaping, we should expect sports clubs to take that seriously too. The claims by both Blackburn Rovers and Totally Wicked at the time that vaping had a positive and proven role in supporting the reduction of smoking are simply not credible when we think of the young people who are interested in football.

I will bring my remarks to a conclusion. I noticed recently that some vaping companies are actually going out and looking for sportspeople to sponsor. I think that is hugely dangerous and hugely unwelcome. I ask the Minister to give us some of her thoughts on that matter in her response.

[Sir Mark Hendrick (in the Chair)]

Order. I am conscious of the fact that there may be a vote shortly. Have you finished?

[Kirsten Oswald]

Well, I have now.

[Sir Mark Hendrick (in the Chair)]

Okay. There may be a vote so I may have to suspend proceedings. I call Preet Kaur Gill.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Health and Social Care (Dame Andrea Leadsom)]

It is a pleasure to speak under your chairmanship today, Sir Mark. I thank my hon. Friend the Member for Darlington (Peter Gibson), and all my hon. Friends who are here today. It highlights the importance with which the Government Benches view this issue.

I would just assure the hon. Member for Birmingham, Edgbaston (Preet Kaur Gill) that all of the issues that she has mentioned are indeed top priorities for me. I am on the warpath when it comes to children vaping. Whether it is nicotine-free, cherry-cola flavoured, legal or illegal, children should not be vaping. I will bring forward, as soon as possible, the results of the consultation, and then the smoking legislation, and all colleagues will be able to see that. However, I pay tribute to all my hon. Friends, who are here in droves in this Chamber today to make known their very serious concerns about the protection of children. I also pay tribute to the hon. Member for City of Durham (Mary Kelly Foy), who has done so much to try and promote this issue and to ensure that children are kept safe.

I am pleased to have the opportunity to talk about the work that we are doing to tackle the use and sale specifically of illicit vapes, and I am grateful to all colleagues for this being largely a cross-party issue, where we are all on the same side, and I very much hope that we will keep it that way. Like so many parents right across the country, we are all incredibly worried about the damage that is potentially being done to children’s bodies by vapes—particularly illegal vapes.

One of the main health risks posed by vapes is from their highly addictive nicotine content. Young brains are more susceptible to the effects of nicotine, and so the risk of becoming addicted is greater for younger people compared to adults.

[Kirsten Oswald]

Will the Minister give way?

[Dame Andrea Leadsom]

I will not give way, I am sorry; there is no time left and I want to make my points.

It is appalling and unacceptable when businesses knowingly and deliberately encourage children to use a product that was designed for adults to quit smoking. Often sold at pocket-money prices, easy to use and widely available, disposable vapes are the product of choice for children. Over two thirds of current youth vapers use disposable products—all illegally, because they are under age. And, as if we needed another reason to regulate, 5 million disposable vapes are either littered or thrown away in general waste every week. That has quadrupled over the last year.

Our duty is clear: to protect all kids from vaping while their lungs and brains are still developing. Businesses are shamelessly using bright colours, alluring packaging and attractive flavours, as hon. Friends and colleagues have said, like “candy bubblegum” and “blueberry razz”, in Coke-can shaped packaging, right next to the sweet counter, in the full knowledge that our children are going to become addicted to nicotine. This cannot go on.

Businesses should abide by the existing regulations setting product standards, including prohibitions on certain ingredients and restrictions on nicotine strength, bottle size limits and advertising. Products should be registered with the Medicines and Healthcare products Regulatory Agency to be sold legally in the UK. Any product that is not notified and does not meet our high standards should not be sold to anyone, let alone children.

Unregulated vapes pose a massive risk because they circumvent the high standards of regulation, contain unknown ingredients, as colleagues across the Chamber have said, and stronger nicotine, and are often made available to children through black-market channels. Illicit vapes may contain dangerous metals such as lead, nickel and chromium, and contents such as antifreeze and poster varnish—unbelievable, extraordinary contents. We have no idea what frequent inhalation of those does to adult lungs, let alone still-developing lungs.

Independent research suggests that there is a direct link between the rise in children vaping and the flood of illegal, non-compliant vapes coming to our shores. That is why, to keep vapes out of our children’s hands, we must first enforce our regulations to stamp out the sale and supply of illicit and underage vapes, and, secondly, educate our children about how those products will hurt them.

On enforcement, we have learned much from our successful campaign to tackle illicit tobacco. Targeted enforcement saw the overall consumption of illegal tobacco plummet from 17 billion cigarettes 25 years ago to 3 billion cigarettes last year. In April, building on this success, we announced the formation of a new, specialised illicit vaping enforcement team, named Operation Joseph, to identify and seize illicit vapes on entry to England through the seven ports that have seen increased illegal activity. We are giving National Trading Standards £3 million of new funding over two years for the sole purpose of getting illicit products off our shelves. Across the country, it is diligently testing products for dangerous substances, and carrying out test purchases online and in shops. Recently, I had the great pleasure of meeting some of its officers in action—people such as David Hunt, a senior officer and illicit tobacco lead in Hackney, who is doing incredible work to ensure there is a fair and honest market. As a result of National Trading Standards’ work across the country, 2.1 million vapes were seized by trading standards officers in England between 2022 and 2023 alone.

My message to people and businesses that sell illegal vapes is clear: they should stop it right now. If they do not, they may receive an unlimited fine or a custodial sentence of up to two years. However, there is no room for complacency, and I am not naive to the scale of the challenge. That is why in October we announced an additional £30 million per year for our enforcement agencies over the next five years, to support their efforts to extinguish the illicit trade in tobacco and vapes. The additional funding will give agencies the resources they need to catch criminals and rogue traders.

Cracking down on illicit products entering the country is critical, but such efforts must go hand in hand with educating children about the dangers of these products to prevent their use in the first place. Over the past two years, we have taken a number of steps to increase the training resources and support available to teachers in schools, to update the curriculum to include the health risks of vaping, and to publish new online content on the potential risks of vaping for young people. We have also written to police forces right across England to ensure that dedicated school liaison officers are keeping vapes away from the playground as much as possible.

Finally, I want to touch briefly on our wider plans to reduce the overall rates of youth vaping. As I said at the start, I will set out much more detail in the near future. As colleagues know, we recently consulted on a range of measures to reduce the appeal, availability and affordability of vapes to children. Our consultation has also considered what further measures we could take to strengthen enforcement, such as by introducing new fixed penalty notices. We are in the process of finalising our response to the consultation and will update Parliament shortly on the measures we are taking forward.

As I said at the start of my remarks, we all have a duty to protect our children from under-age vaping as their lungs and brains continue to develop. We do not yet know about the long-term damage being caused to their lungs and brains, but I dread to think about it, so we will be ruthless towards those who disregard our safeguards and undermine our work to protect children’s health. I am on the warpath where vaping is concerned, and I urge all children to stop vaping. I look forward to working with colleagues across parties and across Government to make youth vaping a thing of the past.

Crohn’s and Colitis Awareness Week

Kirsten Oswald Excerpts

Tuesday 12th December 2023 Commons Chamber

[Hannah Bardell]

I congratulate the hon. Lady on the work that has been done in Upper Bann, and perhaps there are lessons that can be learned by all Governments across the UK. Incontinence can cause considerable anxiety. I often talk to my brother about what is worse now. Although a flare up can be seriously debilitating, the day-to-day anxiety never goes away and is always with those who suffer.

What is more, some Crohn’s and colitis sufferers have stoma bags, meaning that not only do they need to find a toilet, but they need to find one that has enough space for them to change and dispose of equipment comfortably, hygienically and in privacy. There was recently an excellent event in Parliament for International Men’s Day that talked about the need for sanitary bins in men’s toilets, which is incredibly important. Men often suffer from incontinence, and they certainly suffer from Crohn’s and colitis, so making sure that all toilets have such safe and sanitary facilities is crucial. I am not sure whether that would require an Act of Parliament, but it strikes me that it would have support across the House, because the fear of incontinence or being unable to locate a toilet can lead to a breakdown in mental wellbeing and social isolation through people choosing simply not to leave their home. We have all been there. We have all had a sickness, a bug or an upset tummy and either nearly not made it or not made it. Imagine that being your life every single day.

Many living with Crohn’s and colitis will understand, and I hope they will hear, these calls. A key thing we have heard about time and again is the social security system, because less than 3% of people living with Crohn’s and colitis are in receipt of personal independence payment. Four in five are denied the support they need. Words like “battling” and “fighting” are often used to describe the experience of those applying for PIP. I recently spoke to someone who talked about how degrading they felt the system is, and that was somebody who is chronically ill and often cannot leave the house. For them to be scared of going through a system that is supposed to be a safety net is utterly appalling, and I hope the Minister will hear that and talk more about how the social security system can support people with Crohn’s and colitis.

The current benefit system defines disability as a permanent and substantial impairment, or a long-term health condition that is likely to degenerate. Those I have given examples from, those we have taken evidence from and those who will be watching at home tonight—no one can tell me that their condition is not long term. There is little recognition of fluctuating health conditions, and fluctuating health conditions are not just Crohn’s and colitis. There are many other conditions, so we have to have a system that is designed to support all those people.

[Kirsten Oswald (East Renfrewshire) (SNP)]

My hon. Friend is making a powerful speech, and I hope that the Minister hears the points she is making. One thing that constituents consistently raise with me about Crohn’s and colitis is the impact of benefit assessors’ lack of awareness of the impact and fluctuating nature of the conditions, which my hon .Friend has been describing, and the need to end informal assessment in the personal independence payment process. Does she share their concerns about those points?

[Hannah Bardell]

I absolutely do. It is fortuitous that my hon. Friend raises that issue, because the statistics tell us that only one in two people score points under the toileting needs and continence descriptor, despite the severity of the symptom on everyday life. The fact that three in four people with Crohn’s and colitis will experience it just shows how profound the issue is.

I wish to highlight that the Scottish Government are reforming flexible disability assessment for fluctuating diseases. That is good news for people in Scotland, but what about people across the rest of the UK? The Scottish Government are consulting people with lived experiences on the mobility component of their adult disability payment. That includes researching the impact of moving around, planning and following journeys for those with fluctuating conditions. The adult disability payment differs from PIP, as it intends to get decisions right first time by trusting what people tell Social Security Scotland. Time and again, I have heard from people who have been through the assessment process for PIP and have been undermined and scared. I know people who have just not gone there, including some constituents who have come to see me; they do not want to go through the process, because they are so scared of it. We must move away from that. Treating people with dignity, fairness and respect is at the heart of delivering the adult disability payment.

I have highlighted just some of the impact that Crohn’s and colitis has on people’s lives. It is vital that we invest in developing a national primary care diagnostic pathway for lower gastrointestinal conditions, as my hon. Friend suggested, destigmatise IBD symptoms and create a benefits system that supports people with all types of disabilities. Just as the Crohn’s and Colitis UK campaign says, it is time to cut the crap and give greater awareness about IBD and those who suffer from this terrible life-limiting disease. We have an opportunity to do something really good: to give those who suffer from these terrible diseases an opportunity to take their full role in their communities and do jobs that they may otherwise be unable to do if they do not get that diagnosis and that support as early as possible.

I hope the Minister has heard what we have said, and heard the experiences of our constituents and those close to us. I look forward to his contribution.

Oral Answers to Questions

Kirsten Oswald Excerpts

Tuesday 5th December 2023 Commons Chamber

[Victoria Atkins]

Not only am I delighted to accept my hon. Friend’s kind invitation, but I am also extremely grateful for her work in that area. Of course, we think that community diagnostic centres are an important and exciting part of healthcare in this country. We have 136 centres operational at the moment, and we know that they have provided 5 million additional tests since July 2021. That is the future and we very much support it.

[Kirsten Oswald (East Renfrewshire) (SNP)]

We know that socioeconomic inequalities drive health inequalities and that poverty increases adverse health effects. Research by the Trussell Trust shows that one in seven people faces hunger across the UK because they simply do not have enough money. Will the Secretary of State raise with her Cabinet colleagues the Trussell Trust joint campaign with the Joseph Rowntree Foundation calling for an essentials guarantee in universal credit to ensure that the basic rate at least covers life’s essentials so as to ensure that people can afford essentials such as food and heating and to mitigate against health inequalities?

[Victoria Atkins]

Of course, conversations continue between Ministers across Government in terms of helping not just with health inequalities but with inequality of opportunity. That is why I very much hope that the hon. Lady and her colleagues will welcome the thoughtful focus that both the Chancellor and the Secretary of State for Work and Pensions have put into the back to work plan. We know that getting people into work can have enormous benefits, not just financially but, importantly, for their wellbeing. The idea behind the back to work plan is that we do it by working with people to draw out their full potential and help them to lead healthy lives.

Under-age Vaping

Kirsten Oswald Excerpts

Wednesday 12th July 2023 Commons Chamber

[Kirsten Oswald (East Renfrewshire) (SNP)]

It is very welcome that we are here today. There is surely nobody in this place who thinks that we should not be working to protect children and young people from the health harms of vaping. The SNP absolutely supports the motion that we are discussing today. I am also very glad that the SNP Scottish Government are taking this issue seriously, too. They are looking at tighter restrictions on vaping advertising and promotion, they have a tobacco action plan being published later this year, and an urgent review is under way of the environmental impacts. Certainly, the management of single-use vapes is something that significantly concerns me. The potential policy responses could include a ban—on a personal note, I sincerely hope that that is what happens.

I have been in a number of these debates and, usually, comments are made about smoking cessation. Just to be clear: I am very supportive of all measures that allow people to be supported to stop smoking. Reusable vapes are a potential option. My concerns are very significantly around disposable vapes, but we should look at this issue as broadly as possible. Countries around the world are already doing that. In Argentina, Japan and Thailand, there is a complete ban on e-cigarettes. In the Netherlands, production stopped on 1 July and sales will end on 1 October. China, which is the main exporter of these vapes worldwide, has itself banned the sale of flavoured e-cigarettes. As things stand, there are 35 countries, which covers around 41% of the world population, where e-cigarettes have been banned.

One of the reasons why I became interested in this issue was that a constituent of mine, Laura Young, drew it to my attention. She said that whenever she was out walking with her dog she saw these disposables discarded everywhere. Of course, once she said that to me, I could no longer walk anywhere without finding disposable vapes myself. They are everywhere. It is an incredible amount of litter. They are on streets, on beaches, and in our schools, as we have heard. I found one in the loo in Portcullis House yesterday. They are described as disposables, but these things, which are being thrown away so casually, are not disposable; they contain plastic waste, and rare and potentially harmful elements including lithium.

[Dave Doogan (Angus) (SNP)]

I am greatly relieved that my hon. Friend has touched on the environmental consequences. I realise that the motion is about children and vaping, and I think there is scarce evidence that there is anything other than harm available to children from vaping, in terms of their respiratory and oral health. Quite apart from that, the clue is in the title: disposable vapes. Only 30% of the million or so that are consumed in the United Kingdom every week are recycled, and those that are dumped are littering our communities and environment with their heating elements, lithium batteries and plastic packaging. Those that end up in landfill contribute significantly to the 250 fires a year at landfill sites. There is literally nothing to recommend these abhorrent products, so why does she think that the Tory Government are dithering in this way?

[Kirsten Oswald]

I am grateful to my hon. Friend, and am delighted that he is as enraged as I am about the harm that these products are causing. I know that in his community people are equally as concerned as in mine. His comment bears reflecting upon, because how realistic is it that children will find ways to recycle this disposable product, or so-called disposable product, which is undoubtedly targeted at children, given that they are probably hiding it from their parents in the first place? There are no positive grounds for keeping these things about. I secured a debate last year focusing on the environmental impact, which bears reflecting on. My hon. Friend is right, so I am glad that he made the points that he did.

I am also deeply concerned about the impact on children and young people, because these vapes are so available, so inviting, and so increasingly used by younger people. I am particularly concerned about under-18s. The hon. Member for Denton and Reddish (Andrew Gwynne), who opened the debate very powerfully, talked about the Health and Social Care Committee having heard from a headteacher about the significant proportion of children vaping regularly. If we speak to headteachers in any of our constituencies, they will say the same thing. I was also alarmed, though unfortunately not surprised, to hear him highlight issues of primary-aged children vaping. That is terrifying. It is why today’s motion needs to be taken seriously.

The Advertising Standards Authority says that

“adverts for e-cigarettes must be targeted responsibly”.

I am not sure that that is what is happening. Such ads must, apparently,

“not be directed at under-18s”.

Again, the ASA has a job of work to do there. I wonder, although I suspect that it is perhaps unable to, whether it would want to look at issues such as sports advertising. Blackburn Rovers—other teams may do this, but this is the only team that I am aware of that are doing it—are being sponsored by a vaping retailer, Totally Wicked, for the sixth season in a row. We would find it unacceptable if our football club came out with cigarette branding on their shirts. I cannot understand why it is any more acceptable for a football club to come out with vaping advertising. I am keen for the Minister, or Government Members, to address that.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

Would the hon. Lady be similarly outraged to know that the same company supports St Helens rugby football club, and called the stadium Totally Wicked?

[Kirsten Oswald]

I would be equally outraged. I know how much work the hon. Lady does in this regard. I am unsurprised to find that we are both enraged by the same thing. This is really unacceptable. If we are serious about dealing with the harms to children and young people, we really should expect sports clubs to be somewhere that they can see positive imagery and have positive influences. I recently visited a vaping shop near to where I live. I know they are sold in other outlets too, in corner shops and supermarkets, on Amazon and eBay, and we have heard about them being sold in a barbershop as well. They are not difficult to find, and they are so inviting. When I went into the shop, it looked lovely: the display was beautiful, with nice colours and names and all kinds of fancy shapes that looked like highlighters or lipsticks. I have seen some online that look like brightly coloured fidget spinners. These things are quite enticing, are they not? They are very attractive, and that is obviously deliberate.

I was interested to hear about the King’s College study on plain packaging, because anything that makes vapes less attractive to young people is obviously worth considering. I say that for many reasons, one being that I heard recently about young people purchasing disposable vapes to match their outfits. I must say that that had never occurred to me before, but why not? If they are purchasing them, they might want them to match their outfits, just as they might think about what flavour they would like, such as bubblegum or grape soda. The hon. Member for Denton and Reddish talked about them looking like an old-fashioned sweet shop, and he was right about that.

Disposable vapes are designed to be enticing, to draw young people in. They are throwaway and they are affordable. The right hon. Member for Romsey and Southampton North (Caroline Nokes) was absolutely right to describe them as pocket-money purchases. Parents will not always know what their children are purchasing with pocket money; presumably children throw disposable vapes away, as I have said, before the parents find them. As parents, we have no idea whether our children are using them. I hope mine are not, but none of us can know that, because they are so easy to find and so easy to throw away that we must be alive to the fact that we might not have the full picture.

Presumably we cannot all have the full picture, because, if we look at the statistics, in a recent YouGov/ASH survey the proportion of children aged between 11 and 17 who vape has gone up from 4% in 2020 to 7% in 2022, and the proportion of children who have tried vaping overall is now sitting at 16%. We have heard significantly higher figures than that cited in this debate.

I think it is reasonable to look for disposable vapes to be removed from sale. That is certainly what I would like to see. I am pleased to hear calls for retailers to ban single-use vapes in Scotland, where environmental and health charities have joined forces to call for an end to the sale of disposable vapes. Groups such as Keep Scotland Beautiful, ASH Scotland and the Marine Conservation Society are urging retailers to follow the good example of Waitrose, who I take my hat off to here, in banning the sale of those single-use products.

Waitrose did that because of reports suggesting that their popularity was soaring among people who had not previously smoked, as we have heard already, including the younger generation. It is really important that we examine the subject. I am pleased about the Scottish Government’s action in that regard and I echo Barry Fisher, the chief executive of Keep Scotland Beautiful, who also talks about a “litter emergency” and emphasises that the time to act is now.

The time to act is now also on the illicit vapes we have heard about already—the dodgy vapes and the chemicals within them. Lab research shows that they have up to twice the daily safe amount of lead and nine times the daily safe amount of nickel. There is also chromium in there. We do not want our children to be ingesting those substances, and those studies are based only on some vapes confiscated from a school in England, so we do not know what else is out there; we just know it should not be. Dodgy vapes have deeply concerning health impacts. In Scotland, there have been reports of illegal vapes confiscated from a school that left children coughing up blood. Which of us wants that for our children? We need to act.

It is deeply concerning—and that is before we even get into the notion of young people who have never previously smoked using disposable vapes and then graduating on to smoking cigarettes. We know that is an issue. The producers of vapes would have us believe they were intended to rectify and remedy that very problem, but it turns out to be the opposite that happens. The World Health Organisation has expressed significant concern about that, stating that children who use such products are three times more likely to use tobacco products in the future. If the Minister is looking for evidence, that is the kind of statistic he ought to bear in mind.

Huge profits are being made on the back of all those sales of vapes to children. Big business is being done here, but it is not always being done by the rules. The most popular brand for children is Elfbar, but in July an Observer investigation found that Elfbar had flouted the rules to promote its products to young people in the UK. Advertising videos and promotions on TikTok, for instance, were felt to be of concern. Some of those videos attracted hundreds of thousands of views, on a platform that is used by three quarters of 16 and 17-year-olds.

We have already heard about children’s doctors calling for a complete ban on disposable vapes. The hon. Member for Sleaford and North Hykeham (Dr Johnson), who is herself a children’s doctor, has spoken out about that. If we will not listen to the views of children’s doctors about the impact of vapes on children’s health, who will we listen to?

I am heartened that Humza Yousaf, our First Minister, says that a ban on disposable vapes is under consideration, and by the incredible hard work being done by the campaign group ASH, which absolutely deserves our thanks. I also thank the organisers of the TRNSMT festival, which took place in Glasgow last weekend, because they did not permit disposable vapes there, and I absolutely applaud them for that.

Less positively, however, I cannot thank the administration of East Renfrewshire Council, which is where I live. The motion, which I think is a good one, includes a passage about working with councils, and that is absolutely right. Of the 32 councils in Scotland, 28 supported motions calling for a ban on disposable vapes. Regrettably, East Renfrewshire Council was not one of them. It did not support the ban, seemingly because a ban was supported by the SNP. I am really unimpressed by that. It is a poor show from that Labour Administration and their Conservative enablers that they could not bring themselves in step with the whole of the rest of the country and, I suspect, with the Members who are present in the debate. That seems somewhat ironic given the motion that is before the House. I hope that they will reflect on that and change their mind, and that we will get a full set of councils to support the ban—although the numbers so far are pretty impressive.

I hope that the Scottish Government come to the conclusion that these things are too dangerous and damaging, although I am grateful for their sterling work so far. I hope that the UK Government will listen to what is being said to them. Like my hon. Friend the Member for Angus (Dave Doogan), I was not entirely convinced that a huge degree of listening was going on, but I hope that I am wrong about that and that we will hear about a very serious focus on the matter. The industry will not take the steps that are needed; politicians need to do that. Disposable vapes are a danger to the environment and to our young people. It is high time that we took them off the shelf.

[Mr Deputy Speaker (Mr Nigel Evans)]

I call the Chair of the Health and Social Care Committee.

[Steve Brine (Winchester) (Con)]

As the Chair of said Committee, I am very conscious of the importance of these issues, and I am pleased to see them debated in the House. I welcome the debate, but anywhere I have seen this issue debated, including in my cross-party Select Committee—many of its members are here—I do not see an awful lot of politics in it. I have a lot of time for the shadow Minister, the hon. Member for Denton and Reddish (Andrew Gwynne), but I thought that he was uncharacteristically partisan in his remarks—a Labour Government this and a Tory Government that. I thought that that was misplaced, but maybe that’s just me.

Our Committee heard from the chief medical officer back in February at the start of our major inquiry on prevention. Professor Whitty highlighted then what he called “an appalling situation” whereby vaping, which he described as

“an addictive product with…unknown consequences for developing minds”,

is being marketed to children. I absolutely agree with him that that is totally unacceptable and out of control. As a parent of secondary school-age children, I see, hear and read letters home about the subject in a way that I never imagined I would only a couple of years ago, let alone when I started in this House 13 years ago.

Professor Whitty noted that

“rates of vaping have doubled in the last couple of years among children”,

which is consistent with what we are all hearing as constituency MPs. That situation cannot be allowed to continue, which is why I agree with the part of the Opposition’s motion that calls for plain packaging for vaping. The record will show that I most certainly did not vote against new clause 4 to the Health and Care Act, tabled by the hon. Member for City of Durham (Mary Kelly Foy), in November 2021. I support that part of the motion—it is consistent and in line with what happens for cigarettes. I do not think anybody would argue that we should go back to the days of the Marlboro Man and branding on cigarette packets, so I urge my hon. Friend the Minister to take that point away.

[Kirsten Oswald]

I am grateful to the hon. Gentleman for giving way as he is getting into the meat of his speech. Does he share my concerns about the impact that advertising on sports kits could have on any attempts to bring down the number of children vaping?

[Steve Brine]

Yes, I do. I suspect that point may be raised later in the debate by one of my fellow Committee members, if she catches your eye, Mr Deputy Speaker. The Blackburn Rovers issue has been raised, and it is not a historical sports deal, either: some may think that it was something that happened last season, but they have renewed it for the new season, which in my opinion is the opposite of “totally wicked”. I have young children who use that expression, and I can see why that would be attractive to a company wishing for Blackburn Rovers to carry its advertising on their shirts—I can only think that is the company’s motivation. I would ask Blackburn Rovers to look themselves in the mirror about that deal as much as the company that is doing the advertising, because it takes two to tango. Yes, I am concerned about that.

A couple of weeks ago, the Health Committee held one of our topical oral evidence sessions on youth vaping. We did so because we are very concerned about increasing media reports of children taking up vaping, as well as what we are hearing in the House and from our own constituents. During that evidence session, we heard from representatives from the health policy world and the medical and education sectors about the impact of the rising trend in child vaping. As was mentioned by the shadow Minister, the hon. Member for Denton and Reddish, we heard directly from a headteacher from the constituency of my hon. Friend the Member for Sleaford and North Hykeham (Dr Johnson)—a fellow Committee member—about the disruption that vaping is causing in her school. She did indeed talk about the impact on education of students vaping in the toilets and setting off the fire alarms.

We heard about the cost associated with putting heat sensors on top of fire alarm sensors—teachers have got enough to be doing! We heard about the disruption, which has an impact on education. During exam season recently, there were examples of exams being impacted by alarms being set off. As the headteacher told us,

“I became really concerned about interruptions to the exam season, so I had to change the smoke sensors to heat sensors really quickly to prevent us being in and out while students were sitting GCSEs and A-levels.”

That beggars belief. Young people have suffered enough in the past few years, their education has been disrupted enough, and now this—an epidemic of vaping that we are allowing to happen.

I raised the same point with the children’s doctor who gave evidence to the Select Committee. The issue of toileting in schools has wider impacts than just the disruption of education: children do not want to use the toilets, because they do not want to walk into an environment where people are vaping. They are worried about that, so toilets have become off-limits places. There is a much wider issue around toileting in schools and schools closing toilets. There is a very good charity called ERIC that works in the area of children’s bowel and bladder health, and without getting into too much detail, there is an impact on the retentiveness of children who do not use the toilet when they are at school. That can have serious medical implications, so once again, it beggars belief that we find ourselves in this situation because of vaping.

In my opinion, the industry has not gone anywhere near far enough in ensuring that its products do not appeal to the young demographic, and it is disingenuous for it to claim otherwise. Shops are able to display wide ranges of vapes in colourful, flavoured varieties and in locations that do not usually sell similar products: for example, we heard about vapes being sold in chicken shops and pound shops. That is in sharp contrast to tobacco products, which must be locked away and packaged in standardised plain packaging containing health warnings.

Evidence given to us by ASH from its surveys shows that flavour is a reason but not the main reason why young people who have never smoked start vaping. The most common reason for trying vaping among young never smokers is “just to give it a try”, at 54%, followed by “other people use them so I join in”, at 18%, and then there is “I like the flavours”, at just 12%. It is worth putting that statistic on the record, because there was a bit of a debate earlier between those on the Front Benches about flavours.

I have a few other points. Vapes are an age-controlled product; it is not legal for people under the age of 18 to buy them. There are a number of ways that young people obtain vapes anyway—for example, through the lack of age verification in shops or by buying them from other sellers who are often older teenagers who buy in bulk to sell them on, sometimes in school settings. I know schools take a very tough line on that, and rightly so, but teachers have better things to do than play trading standards officers on campus. We are particularly concerned in the Select Committee about online ordering, which is an area I think would benefit from more Government attention in order to avoid the law being circumvented. Overall, there is a need for much better enforcement of the law on not selling the products to under-18s. It is crucial that trading standards officers tackle non-compliant vendors, and of course are resourced to do so. I know the Minister is seized of that, and he rightly put that in his recent tobacco plan. I say tobacco plan, but I mean the tobacco strategy; as someone who has written a tobacco control plan, I was careful about using that word.

Price is another important issue, particularly the price of disposable vapes, as others have mentioned. They are much cheaper than tobacco products—much cheaper—in part because they are not subject to the same levels of excise duty. I understand that that is clearly not a matter for the Minister on the Front Bench, but maybe he could take that up with his Treasury colleagues. ASH told us that there is evidence that children are highly price-sensitive when it comes to buying these products, and that adding an excise charge of £5 on the battery, which is what we have often heard about, would act as a significant deterrent.

There are a lot of young people in the Gallery, and I wonder what they are thinking listening to this debate. I would urge right hon. and hon. Members to talk to young people, as I am sure we all do, either in their own homes or in the schools in our constituencies, and to ask them their motivation for vaping and what story they know about vaping, because their stories are interesting. I dropped into a vape shop in my constituency just the other day. I made a full disclosure: I told them who I was and that I chair the Health and Social Care Committee. High street vape shops are often very responsible in what they do, and this shop was very clear about how it approaches young people who come in. It told me about a product that basically looked like a bag of Skittles—other nice sweets are available. Skittles took the producer to court and the producer then had to withdraw that product. It does not take a genius to understand why someone might want to brand a vape to look like a bag of Skittles. Popping into vape shops and talking to them about how they do their business is time well spent on a constituency Friday.

To conclude, I have so many serious concerns about disposable vapes and the way they are marketed to children. However, I have to say that I do not support a total ban because, as ASH told the Select Committee in evidence, they can play an important part in helping people to quit smoking. We have to be very careful about a broad-brush ban, but the Government need to step forward even more than they already have, and this debate may help the Minister to form his views. I know he is personally very seized of this issue; he has spoken to me about it on a number of occasions.

The Government need to stay on this issue as an urgent case. A number of friends who also have children at secondary school have asked me, “What are the Government doing about this?” because they know what I do. The concern out there in parent land is growing by the day, and we parents are concerned—very concerned—about this. We on the Select Committee are also very concerned about it, and we will be writing to the Minister and the Secretary of State off the back of our session a couple of weeks ago to set out some of our concerns and some of the recommendations we may make. I hope the Government will take that on board, and come back to us promptly as part of the ongoing consultation the Minister has told us about.

I agree with some of the interventions that have been made. The Khan review was commissioned by the Government and it is a robust piece of work containing with lots of evidence. There is an awful lot to be seized of. I appreciate that it is challenging to get grid slots and get stuff through No.10, but the Prime Minister has personally identified himself with this issue and is concerned about it. I therefore say to the Minister that in that regard he would be pushing at an open door if he banged on a black door with a No.10 on it.

--- Later in debate ---

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

I thank the Labour Front-Bench team for a great choice of debate today. I thank, too, all those Members who have made nice comments about me today. I agree with the Chair of the Health and Social Care Committee, my hon. Friend the Member for Winchester (Steve Brine), who said that it is a shame to see children’s health being made a party political issue, because surely everybody in this House, from every party, wants children’s health to be as good as possible. In that vein I declare an interest as both a consultant paediatrician and a member of the Royal College of Paediatrics and Child Health.

I was pleased to see the shadow Minister talk about Laranya Caslin, the headteacher of St George’s Academy in Sleaford, who spoke so eloquently at the Select Committee about her experiences of children vaping in her school. Let me reflect on some of the things that she said. She said that there was heavy peer pressure in school encouraging children to vape. She said that vaping was seen to be cool and that children had to vape to feel that they were part of the in-group. She also talked about how it has a higher burden of addiction. She said that, sometimes, children would go out at break time to have a cigarette, or to share a cigarette with friends, but now they vape not just during break times but need to top up during lessons. That continual top-up is something that we see in Parliament, too. Yesterday, while eating in the Tea Room, a Member of the House was vaping at the table. It must be said that we did have quite a long session of votes yesterday. During voting, in the Labour Members’ cloakroom, a Member of the Opposition Front Bench was sat vaping. We are seeing people topping up anywhere and everywhere it would seem, and that is something that I would like to see stop.

As many Members have mentioned, the flavours and colours of vapes are very child-friendly: there are even unicorn flavours, which I struggle to believe are directed at teenagers, never mind adults. My 12-year-old would not thank you for anything with a unicorn on, because that is very much for younger children. Indeed, we saw in the Healthwatch survey that 11% of 10 and 11-year-olds are already vaping. That grew to 42.4% of 16 to 17-year-olds, with a gradual increase during the teenage years. Laranya Caslin also told us that flavours are important to the peer pressure on children to vape. She talked about how children would discuss, “Have you tried the cherry cola? Have you tried the unicorn milkshake? Have you tried the green gummy bear?” It is the flavours that enable that discussion to take place among peers, which encourages children.

I asked the industry representative, “Why do you need these flavours? Why can’t you make them basic mint flavour, no flavour at all, or tobacco flavour?” He said that when people smoke they lose their sense of taste to an extent. Indeed, the NHS website says that one of the benefits of stopping smoking is that after 48 hours a sense of taste will start to return. What the industry has found, it told me, is that if it has tobacco or plain flavoured vapes, people will move off smoking on to the vape, but when their tastebuds return they will not like the vape anymore and will discontinue their vape use. That is of course what we want them to do, but it is perhaps not what the industry wants them to do. Making it cherry cola flavoured, bubble gum flavoured, or whatever flavour the person likes to inhale means that they will continue to be addicted to that product and continue to use it. I encourage the Minister to consider that when she considers banning flavours, or which flavours should be allowed to be used.

The ten-minute rule Bill that I introduced on 8 February this year would have banned disposables. I understand that the Minister has challenges in defining a disposable in a way that the industry, which has such a heavy financial interest in the product, cannot get around and make the legislation weak quickly. I look for an update in how that is going, but 1.3 million are disposed of every week. We have heard already about the fires that they can cause, and the fact that most of them are not recycled. I understand that they are very difficult to recycle, because the nicotine salts leak into the plastic. It is not like a plastic water bottle, which can be easily recycled if it is disposed of properly. These vapes cannot be, because they become a hazardous waste, because the nicotine has leaked into the plastic itself.

[Kirsten Oswald]

The hon. Lady is making an excellent speech. Does she agree that the whole way these things are designed seems as if it is to prevent them from being recycled? They are impossible to take to bits. They contain, as she said, plastic, which is then infused with other substances. There are lithium batteries, and all manner of things. How would one possibly go about recycling that properly? I think that the answer is that one could not unless one were a specialist.

[Dr Johnson]

The hon. Lady is right: these things are incredibly difficult to recycle, and since 70% of children use disposable vapes, and they are the most attractive and cheapest for children to use, it is increasingly important that we ensure that they are not available. The call to ban disposables has been backed by a wide variety of people, including the Royal College of Paediatrics and Child Health, of which I am a member, the Children’s Commissioner, and the Royal Society for the Prevention of Cruelty to Animals. There is a widespread desire across all parties, and across communities, to see these products banned.

The industry said at the Select Committee that a ban will drive the industry underground and make things illicit, but as we heard from the hon. Lady earlier, that is already happening. There are already illicit vapes. When a school in my constituency confiscated five vapes and the police tested them, they found antifreeze and all sorts of products, including trichloroethylene, which was banned before I was born. All those types of products are contained in vapes already, so that cat is very much already out of the bag and should not dissuade us from getting rid of these disposable products.

We also heard on the Health and Social Care Committee about the health challenges. We hear that vapes are 95% safer than smoking. The industry continues to repeat that statistic. Where does it come from? How could anyone possibly quantify that? It comes from 2013, when a group of people who were not specifically experts in tobacco control got together and had a discussion. They then published a paper. Let me read something that was published in The Lancet at the time, which was more than 10 years ago. The editorial of The Lancet said:

“But neither PHE nor McNeill and Hajek report the caveats that Nutt and colleagues themselves emphasised in their paper. First, there was a ‘lack of hard evidence for the harms of most products on most of the criteria’. Second, ‘there was no formal criterion for the recruitment of the experts’. In other words, the opinions of a small group of individuals with no prespecified expertise in tobacco control were based on an almost total absence of evidence of harm. It is on this extraordinarily flimsy foundation that PHE based the major conclusion and message of its report.”

The Lancet also noted that

“one of the authors of the Nutt paper…reports serving as a consultant to…an e-cigarette distributor”,

and that another

“reports serving as a consultant to manufacturers of smoking cessation products.”

In the Westminster Hall debate on 29 June I asked the Minister to look further into the veracity of the claim that vaping is 95% safer, and whether, given that that study was 10 years ago, the modern evidence for that still stacks up. I look to the Minister for an update on how they are getting on with that, because we heard in the Health and Social Care Committee that there are significant health impacts for children, with eight children hospitalised from St George’s Academy in Sleaford alone.

We also heard about children being frightened to go into toilets, as the Select Committee Chair said. Some of those children were frightened to do so because they found that when they did, it triggered their asthma symptoms. Those are children who do not vape, but who have asthma and are frightened to go into the toilets because there is so much vaping vapour left in the toilets by other children that it is triggering their asthma and making them unwell. Some of these children are unable to go to the toilet all day, which leads them to have problems not only with asthma, but with urinary retention, which potentially leaves them at risk of urinary infection and incontinence issues in later life. It is for that reason that Dr Stewart from the Royal College of Paediatrics and Child Health told us that she supported a ban on the use of vaping in public places.

I would also like the Minister to look at the use of accessories. On Etsy.com today, under the categories “girly smoking accessories” or “cute smoking accessories”, for £7.78—within the pocket money range—one can buy a teddy bear vape stand. It is a tiny teddy bear that people can stand their vape in when they are not using it. Will the Minister look at whether such items are suitable for sale, given that they are essentially there to attract children to this activity?

Moving on to advertising, we have a bizarre situation where Transport for London banned an advert for “Tony n’ Tina’s Wedding” that initially featured a picture of a three-tier wedding cake, because it would encourage people to eat fat, salt and sugar and that might drive the obesity crisis. That was on the tube, yet TfL buses have many adverts for vaping, including ones that appear to me personally to make vaping look cool and something to be aspired to.

I think TfL’s priorities are all wrong. The London Bus Advertising group states, as part of the group’s advertising to encourage people to put their adverts on the buses, that 5.8 million people would see the buses per week. I would ask those on the shadow Front Bench to use their good offices with the Labour Mayor of London to consider whether he can influence the chair of TfL to remove not just cake adverts, but vaping adverts from places such as tubes, buses and taxis, where they may be seen by children.

In the Minister’s opening remarks he talked about tobacco track and trace, and I wonder whether he is planning to bring in the same for vaping.

The other thing I want to talk about is taxation. Other hon. Members have talked about the price of disposable vapes and how they are accessible with pocket money. Very rarely comes an opportunity for a Chancellor to bring in a tax that will promote the public’s health, still make vaping cheaper than smoking, protect our children’s health and be relatively popular, yet raise revenue. While we wait to ban the disposable versions, I encourage the Chancellor to consider adding at the next fiscal event perhaps £5 to the price of a vape, to move them out of the pocket money range.

In summary, the Minister needs to look at a whole range of measures to challenge children’s vaping, including price, location, sale and use, colours, flavours, disposable items, advertising, education and enforcement.

[Richard Foord (Tiverton and Honiton) (LD)]

I join Members from across the House in expressing concern about the way in which vaping is marketed to, and taken up by, children.

We have heard that vaping is a useful tool to help people to quit smoking, and that it is safer than smoking tobacco and cuts down the chances of developing conditions such as cancer. However, the Liberal Democrats are deeply concerned by the rise and prevalence of single-use disposable vapes, which are explicitly targeted at young people, be it through the use of brightly coloured advertisements, a range of playful colours or their placement near the front of supermarkets. We must ensure that young people do not become addicted to those products, and that vapes do not become a gateway to smoking. I am grateful to the right hon. Member for Romsey and Southampton North (Caroline Nokes), who, during her excellent speech, referred to the location of vape bars in supermarkets. I will expand on that point by talking a little about my own experience of it.

A few months ago, a parent of a student at Tiverton High School in Devon reached out to me as he was deeply concerned by the rise in the theft of vapes from our local Morrisons supermarket, which is just a short walk from Tiverton High School, making it easily accessible before and after school, and perhaps during lunch breaks. I visited the store and found that the vape stand was indeed right next to the shop entrance, offering a range of single-use disposable vapes. My staff spoke to the staff at the store, and it emerged that that spot was, yes, chosen by the vendor. The vendor specifically insisted on the vape stand being at the front of the shop in that way, and paid extra for it. As is the case in other supermarkets, the security team were not regularly stationed by the front of the shop, so it seemed ludicrous to me and my team that those products were placed so close to the door and left unprotected.

We took up the cause and campaigned with community representatives, including those from Tiverton High School, and spoke with staff from Morrisons to get that changed. After a short investigation, the store offered first to have a security guard stand next to the vape stand, but clearly, that was not enough. I am pleased to say that, after a lot of pressure, the vapes are now kept safely behind security doors, which are locked during school opening and closing periods on weekdays, meaning that vapes can be bought only from the kiosk.

That is very welcome news. I thank and pay tribute to Frazer Gould, from my part of Devon, who raised this issue with me. I do not think it should take a constituent lobbying a Member of Parliament, and that Member of Parliament getting directly involved, to ensure that those addictive products are not left openly accessible to young people.

[Kirsten Oswald]

The hon. Member is making an excellent speech. It is very helpful of him to point out the constructive actions of his constituent in this regard, although he is correct to say that it is we who should act. We should appreciate all the constituents of ours who are very focused on this, including my constituent Laura Young, who has done so much work to try to get vapes off our streets.

[Richard Foord]

I am grateful to the hon. Member. I also pay tribute to other constituents of mine: many of the young people who attend Tiverton High School. I do not want to mischaracterise them as people who are only out to steal vape bars from the supermarket at lunch times. I have been to that school several times, and there are some brilliant pupils there. Many of them are aware of the risks of becoming addicted to vape bars.

The campaigners, the high school and my team have worked with Morrisons and we have got that arrangement in place, but that is clearly just one arrangement with one supermarket. What we definitely need to do is think about single-use vape bars in the round. It is clear that we need to ban the sale of single-use disposable vapes, clamp down on the appealing packaging and the advertising of those products, and ensure that the shameless vaping companies cannot get our children hooked on those addictive devices.

[Jerome Mayhew (Broadland) (Con)]

One of the great pleasures of being tail-end Charlie in these debates is that one has the opportunity to sit through and listen to every contribution. The disadvantage is getting nudged to hurry up by those on the Front Bench. So, I have torn up my original speech, Madam Deputy Speaker, and will focus instead on the bits from the contributions of others that you did not have the opportunity to hear yourself.

There have been lots of interesting suggestions on how we can solve this problem, which we all agree needs to be addressed. I am a father of teenage children as well, and I share the concerns of my hon. Friend the Member for Winchester (Steve Brine). I have experience of my own children’s friends using vapes—their friends, I hasten to add.

[Kirsten Oswald]

That’s what they all say!

[Jerome Mayhew]

As the hon. Lady says, that is what they all say. Obviously that is wholly inappropriate, but part of the problem in reaching the correct solution to this shared concern has been demonstrated by the richness of the debate we have had today.

All sorts of suggestions have been made. My non-exhaustive list indicates that some hon. Members said that we should ban flavours. Some of them said that we should ban all flavours; others said that we should ban only flavours that are targeted directly at young palates. There have been suggestions that we should ban disposable vapes, or that we should require bland packaging for vapes, although others suggested that the issue is not so much the packaging as the fact that they should be hidden behind closed doors. There has been a suggestion that we should increase the cost of vapes, but that was controversial—the hon. Member for North Tyneside (Mary Glindon) rightly pointed out that for adults seeking to give up smoking who are on very limited means, the cost of vapes is a very relevant consideration.

[Jerome Mayhew]

I am grateful for that intervention. I do not have skin in the game about whether it is better to have a higher cost or a lower cost, but my hon. Friend’s intervention has highlighted my fundamental point, which is that this is a complex area where we need evidence to base our policy on.

It has been suggested that we should crack down on marketing. Others have suggested that we should increase education in schools, and there is a wider debate about schools policy and the use of loos in schools. There are other concerns, overriding all of these, about what impact our actions in relation to vapes—including single-use vapes—could have on the ability of adults to give up smoking, in order to continue the downward trend of smoking addiction in this country. These are serious and interrelated issues. If this debate were to result in a Division, there is no way that I could support the Labour motion, which focuses solely on banning branding and advertising for the young, because it may not go far enough. It may just focus on one little area, when the richness of the debate on both sides has highlighted how much wider and more complex the issue is.

As such, what we are really talking about is not so much our concerns about vaping, including by children: the main issue is, “How should we make our law?” It is a given on both sides of the Chamber that action should be taken, and the first speech on behalf of the Government, made by the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O'Brien) made it clear that the Government have already acted and are intending to go further. In fact, the Secretary of State said at Health questions yesterday that the Government were looking to go further, particularly on single-use disposables. It is not a question of whether we are going to act: the question is, on what basis do we act? For my money, we should act on the evidence and not solely on anecdote, important though that is.

[Kirsten Oswald]

Will the hon. Gentleman give way?

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. I would gently say that the hon. Lady has made a long contribution, and I do have two other speakers to get in. That is the only problem.

Oral Answers to Questions

Kirsten Oswald Excerpts

Tuesday 11th July 2023 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

We are conscious that more is going on in general practice than ever before. There are 10% more appointments than before the pandemic, as well as 29,000 extra clinicians and nearly 2,000 more doctors, but we are conscious of the pressures that puts on the estate locally. I would be very happy to meet and have further conversations with my hon. Friend.

[Kirsten Oswald (East Renfrewshire) (SNP)]

T3. I am sure that the Secretary of State shares my concern that school nurses report increasing rates of children presenting with health issues resulting from poor nutrition. In Scotland, the SNP Government have rolled out universal free school meals for all pupils in primary years 1 to 5 and special schools, and the expansion of the programme continues. What discussion has the Secretary of State had with Cabinet colleagues about following Scotland’s lead and expanding free school meal provision in England to improve children’s health and wellbeing?

[Steve Barclay]

Of course we have regular discussions, not just with Cabinet colleagues, but with our counterparts across the UK. I had a meeting just yesterday with Health Ministers, including my counterpart in Scotland, on the shared challenges. On the issue that the hon. Lady raises, as the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O’Brien) said a moment ago, we are providing significant support for households—over £3,300 in support—but we also have measures that target schools, including holiday support measures and wider health and wellbeing measures, such as our significant investment in school sport.

Brain Tumour Research Funding

Kirsten Oswald Excerpts

Thursday 9th March 2023 Commons Chamber

[Derek Thomas]

I will come on to that point later. I am grateful for the contributions that we have already heard.

I pay tribute to the late Dame Tessa Jowell, who sadly received her own diagnosis of a brain tumour soon after that debate, when Government funding was being announced. At that time, about five years ago, she said in the other place:

“For what would every cancer patient want? First, to know that the best, the latest science was being used…wherever in the world it was developed, whoever began it.”—[Official Report, House of Lords, 25 January 2018; Vol. 788, c. 1170.]

Sadly, she passed away in May 2018.

Soon after, an additional £20 million of Government money was made available and the Tessa Jowell Brain Cancer Mission was established. I pay tribute to Dame Tessa Jowell’s daughter and the mission for the way that they have transformed the pathway and the care that brain tumour patients get, and for the work that they continue to do. I appreciate the way that they have engaged with me and others on the all-party parliamentary group on brain tumours in their work.

The provision of £65 million heralded a significant shift in focus towards brain tumours. Given the high-profile commitment to brain cancer research, we should not be here calling for a commitment and a focus on brain tumour research five years later. Sadly, however, despite the £40 million of Government funds that were committed to research, there has been a lack of grant deployment to researchers.

It is important to note that Cancer Research UK, since announcing its commitment to spend £25 million on strategic initiatives in brain tumour research in 2018, has committed almost £28 million to that cause. That is not the case for Government funding. To date, the figures of the National Institute for Health and Care Research—the body responsible for distributing that research funding—state that of the £40 million, between £10 million and £15 million has been deployed, and that depends on how we interpret brain tumour research.

The all-party parliamentary group on brain tumours, which I am privileged to chair—perhaps I should have declared my interest at the start—decided to conduct the “Pathway to a Cure—breaking down the barriers” inquiry, which aimed to identify barriers preventing that important funding flowing to its intended recipients. We felt the need to launch that inquiry only because a series of meetings, including with the National Institute for Health and Care Research, the Medical Research Council, the Department of Health and Social Care and a Government Minister, failed to reassure us that dedicated research funding would or could be used to ramp up the research needed if we want to discover the breakthrough that every brain tumour sufferer and their family longs for.

Those of us who serve on the all-party group were able to understand the severity of the issue and the lived experience for patients, families, clinicians and researchers only because of the sterling work of the charity Brain Tumour Research. It provides the secretariat for the all-party group and brings together thousands of people across the UK to share their experience, knowledge and understanding, and to make up what I affectionately know as the brain tumour family.

In February last year, we launched our inquiry and took evidence from clinicians, researchers and patients. We released our report last Tuesday. Today, part of the way into Brain Tumour Awareness Month, we will set out what we have unearthed during the inquiry and press the Government to review and reform their method of deploying research funds to those who can make best use of them.

From our work, we know that researchers find it challenging to access Government funding, because the system is built in silos. We know that cell line isolation and biobanking are happening, but at only a minority of sites across the research community; that the pool of talented researchers is finite; and that NIHR processes act as a disincentive to researchers who can apply their expertise and intellect more easily elsewhere in the medical research field.

We also found that there are a limited number of clinical trials available for brain tumour patients, and that the national trials database is not reliable. We found that pharmaceutical companies are choosing not to pursue the development of brain cancer drugs in the UK, and that funding is not ringfenced—specifically for research into childhood brain tumours, as has been mentioned, where survival rates for the most aggressive tumours have remained unchanged for decades.

[Kirsten Oswald (East Renfrewshire) (SNP)]

The hon. Member is touching on a point that I am sure will have been heard by every MP in this place. Constituents who, sadly, have children who have been or are affected by brain tumours know only too well that things have not changed for decades. That is why what he has come here today to talk about is so important. We need to shift the dial. It is not good enough, it is terribly unfair and the consequences of us not shifting it are obviously profound.

[Derek Thomas]

Sadly, I have met far too many parents who have lost loved ones. It is heartbreaking to speak to them, and to see how a juggernaut has charged through and destroyed much of their lives. They give me so much hope that we can do this work because of the commitment they have to this subject.

Before I address the specific recommendations of the report, may I thank colleagues—many of them are here today—who have given up the last year to interrogate witnesses and to take evidence? I want particularly to mention my hon. Friend the Member for Scunthorpe (Holly Mumby-Croft), the right hon. Member for Leeds Central (Hilary Benn), my hon. Friend the Member for Buckingham (Greg Smith), the hon. Member for Ceredigion (Ben Lake) and Lord Polak CBE from the other place, but also Sue Farrington Smith MBE of Brain Tumour Research, Dr David Jenkinson of the Brain Tumour Charity, Professor Garth Cruickshank, Dr Antony Michalski and Professor Tony Marson, who took part in the inquiry, and most importantly, Peter Realf, whose son was lost and who triggered the petition back in 2015.

To turn to the findings, the Government must recognise brain tumour research as a critical priority. Five years ago, a remarkable effort was made by Government to respond to the shocking statistics that surround brain tumours. Brain cancer remains the biggest cancer killer of children and adults under 40. In order for survival rates to increase, the Government must go further and treat brain tumours as a key priority. This has been achieved in other countries through legislation, and I urge the Minister to see what can be achieved here. A brain tumour champion, which has already been hinted at, is needed to co-ordinate the funding and implementation of a strategy between the Department of Health and Social Care and the Department for Science, Innovation and Technology.

In order for brain tumour research to lead to tangible changes in survival rates for patients, it needs to receive funds across the research pathway, including discovery, translation and clinical research. I recognise the recent advances and improvements in molecular testing and prognostic information, but there is a requirement for further discovery research. That will improve the understanding of disease biology, and how best to frame and support pre-clinical trial research. For instance, a particular issue for tackling brain tumours is the complexity of drug absorption through the blood-brain barrier.

It is crucial that the Government enable the building of critical mass in these elements of the research pipeline. With no ringfenced funding to support poorly funded disease areas such as brain tumours, investment in the disease is not always prioritised. Focused calls for multidisciplinary research into brain tumours through organisations such as the MRC would support this. Additionally, making the blood-brain barrier a strategic priority and encouraging investment in cutting-edge research could yield game-changing results in the treatment of brain tumours and other neurological diseases.

On translational research, on average, it takes 15 years for an idea to move from the pre-clinical stage to helping a patient. Patients have not got that long to wait. Researchers have said they found it challenging to access Government funding for translational research, relying on charities to fund risky elements of the pipeline. More must be done to support this valley of death element of the research pipeline. That seeks to move basic science discoveries more quickly and efficiently into practice, and that shift would increase interest among the research community, ensuring a greater concentration of research expertise in this area.

The inquiry also found that there is a perception that review panels have a lack of understanding about the unique nature of brain tumour research, due to a deficit of specialists on panels. That was reported to account to some degree for low application success rates. During oral evidence sessions, it was also highlighted that a lack of feedback disincentivised unsuccessful applicants from reapplying, bearing in mind that they would potentially have spent a year on such work before their original application was ready for submission.

Positive and proactive engagement with the research community should be nurtured through a continued programme of workshops and funding toolkits for researchers, supporting navigation of the funding system and increasing success rates. Currently, due to many of those issues, and a lack of funding and support, early stage researchers, especially post-doctoral researchers, are moving away from the field of brain tumour research. They are attracted by more readily available and secure funding in other disease areas. A solution for that would be the MRC and the NIHR ringfencing opportunities, such as specific brain tumour awards, across the research pipeline.

Funding could also be prioritised for a fellowship programme, supporting early stage researchers to develop their skills in the field. There is an example within the Cancer Mission, where two teaching fellowships, match-funded by the NIHR, are taking place. That number needs to increase. Learning about brain tumours early in careers results in researchers going on to choose the discipline.

Currently, only 5% of brain tumour patients are entering the limited number of trials available. Clinicians stated that many trials that patients with brain tumours are eligible to enter are not accessible to patients, who often have physical disabilities, as participants are expected to travel long distances across the UK. Poor health and the cost implications were key barriers to patients entering studies that were available to them.

A survey carried out by Brain Tumour Research highlighted that 72% of patients who responded would consider participating in research or a clinical trial if offered the opportunity. Only 21% believed that healthcare professionals gave sufficient information about opportunities to participate in clinical research, including trials.

That approach does not take account of the benefits that new and repurposed therapeutics could provide for brain tumour patients. If brain tumour patients are excluded at an early stage, possible benefits for such patients are not identified and carried forward in later trials. Access to trials should be assessed not by the location of the tumour, but by other individual criteria such as genomic profile and medical history.

It was also demonstrated that clinicians are risk-averse to children accessing early phase trials, despite parents’ wishes. As a result of those limitations, patients are encouraged to travel overseas in pursuit of treatment not available in the UK. Some small improvements to both systems would allow many more clinicians to successfully support patients to access trials across the country.

We have touched on this briefly, but paediatric brain cancer is viewed by researchers as different from adult brain tumours because brain tumours in children are linked to physical development, rather than ageing. Current treatments for children have significant long-term side effects and much more research is needed into kinder treatments and novel drug delivery for children. Additionally, more must be done to tackle brain injury issues and the consequences of brain tumour treatments.

In this place, we often talk about the need to support people to meet their potential and to live life to the full to address issues that curtail life chances. That is no less important for children and young people who have experienced a brain tumour or brain cancer. Using the method adopted by the NHS to measure survival rates, children’s survival following a tumour is positive. However, they are often left with a brain acquired injury caused by the surgery and treatment of the brain tumour itself.

Once the child is discharged from the hospital, there is no guaranteed pathway of rehabilitation or access to suitable education, therapies, services or physio. That causes tremendous additional strain on the family as they seek to access and fight for the appropriate step-down care. In many cases, the lack of those therapies means that the recovery and life chances of the child or young person are nowhere near as good as they could or should be.

In this place, we want life to be a success. I pay particular tribute to Success Charity and Dr Helen Spoudeas, who has worked tirelessly to ensure that these brain acquired injuries are taken more seriously and that a concerted effort is made to ensure the best possible recovery. Success Charity exists to advocate for survivors and provide them with the care and support that they need and deserve. It has its annual conference at the Royal College of Physicians this Saturday, which will give families an opportunity to share experiences and make friends with other survivors, siblings and parents, and to listen to inspirational speakers.

Having given some thought to this issue, and having discussed it with others, I think that an appropriate approach would be to introduce a commitment that every child and their family would be entitled to a carefully crafted package that ensures that all the needs of a growing and developing child are met, including access to education services, and that the best person to ensure the implementation of this package would be an occupational therapist.

This Government want the UK to be considered a science and technology superpower. The UK must start setting the pace for recovery rather than fall further behind. Business as usual threatens the UK’s ability to lead clinical trials for brain tumours. Brain tumour research must be seen as a critical priority, with Government developing a strategic plan for adequately resourcing and funding discovery and translational and clinical research. Robust tissue collection and storage facilities must be put in place across the country. As a Government Minister said in this place only last week, every willing patient must automatically be part of a clinical trial, and that includes collecting and storing tissue for research. There must be equity of access to clinical trials and a robust and up-to-date clinical trial database. The regulatory process must be simplified, with the introduction of tax relief and incentives for investors to encourage investment for the longer-term periods necessary to develop and deliver new brain tumour drugs.

There is so much more that could be said, and I am sure that much more will be covered this afternoon. I hope that the Minister will take the report and our recommendations seriously, and that he will have an opportunity to come back to us at a later date—when he may have more time than that afforded to him at the close of this debate—to set out how the Government intend to respond to our recommendations. Will he also agree to meet me and members of the all-party group to discuss the recommendations of our Brain Tumour Research report? Thank you, Mr Deputy Speaker.

World Menopause Day

Kirsten Oswald Excerpts

Thursday 27th October 2022 Westminster Hall

[Kirsten Oswald (East Renfrewshire) (SNP)]

It is a pleasure to serve under your chairship, Mr Hollobone. I am delighted to be in the Chamber with this very fine group of women and men to speak in this debate, and I congratulate the hon. Member for Swansea East (Carolyn Harris) and the right hon. Member for Romsey and Southampton North (Caroline Nokes) on having secured it. The hon. Member for Swansea East’s opening speech was outstanding, and exemplified her approach to this issue, which—unusually for this place—is something we can all agree on. That is quite refreshing.

It is also refreshing to be in the Chamber talking about this issue. It is very slowly—far too slowly—getting better, but as the right hon. Member for South Northamptonshire (Dame Andrea Leadsom) said, we do not speak about it enough. That is what needs to change, and we in this place have a big role in pushing for that to happen. We all know what I am talking about, don’t we? My hon. Friend the Member for Motherwell and Wishaw (Marion Fellows) referred to it: that unspoken sense of “This is not quite proper to discuss”, that it is maybe wrong, or a bit unspeakable. Well, it is not. It is absolutely normal; it will affect more than half of us. Not to put too fine a point on it, I suspect that if it was the other half of us who experienced menopause, we might hear a good deal more about it, and we might see better provisions at work and in wider society.

There are some important voices out there who are doing a brilliant job of keeping the issue on the wider radar and making sure that these conversations about menopause are not unspeakable—that they do happen. We have heard about Liz Earle, and I also want to mention Davina McCall. Her work—I am very grateful to Carolyn McCall for drawing my attention to it—is really helpful in getting people talking. My hon. Friend the Member for Motherwell and Wishaw talked about Nicola Sturgeon, and I think the First Minister of Scotland discussing menopause and her own feelings about it is really powerful and important. It does not matter who you are or what your job is: menopause is something that will affect all us women.

Locally, too, I would like to mention some of the wonderful work that goes on in East Renfrewshire. My friends and colleagues Councillors Annette Ireland, Caroline Bamforth and Angela Convery are great advocates for women, and are practically supportive as well; they are the ones who champion information sharing and practical steps to support women going through the menopause. Councillor Ireland shared a great graphic from NHS Greater Glasgow and Clyde on World Menopause Day. It was really helpful—I did not know all those facts, and I think about this issue quite a lot, for personal as well as work reasons. We should know these things.

The average age for a woman to reach the menopause is 51. One in 100 women reaches menopause before the age of 40. Some 70% of women—as the hon. Member for Strangford (Jim Shannon) referenced—experience some form of mental health impact during the menopause, and 38% of partners feel helpless when it comes to supporting their other halves through the menopause, as we heard clearly just now. This one gave me the heebie-jeebies: menopause symptoms can last for 15 years. I am not sure I can cope with that. I did not know that until recently and I have not quite come to terms with it. I heard that fact, and a lot more, at the Menopause Café at The Bank in Neilston, which I went along to recently. It was absolutely brilliant. It was utterly reassuring, informative and full of smashing women having really frank conversations and supporting one another. If someone is at the point in their life when they are able to go along to something like that, please do so.

We cannot do all of this ourselves. Even those of us in this Chamber cannot do all of this ourselves, nor should we think we can. We need structures put in place to support and inform women, and create the space to talk. Women’s health issues should be a topic of conversation any and every day. The polite silence that surrounded things for far too long needs to be consigned to history. I mention the voice of the hon. Member for Strangford in that; he speaks up about those issues, and it is very helpful.

I really appreciate the work that has been done in Scotland on free period products. I mention that because, as well as appreciating the practical support that provides, we need to be comfortable talking about periods if we are going to be comfortable talking about menopause. I also appreciate the free prescriptions that we have in Scotland under our SNP Scottish Government. That is a bit of a game changer in terms of HRT provision. As the hon. Member for Swansea East said, menopause is not a choice and HRT is not a luxury. She is absolutely right. It sounded to me a wee bit like women in England are facing a menopause tax. That is really challenging in the context of the current cost of living crisis, as the hon. Member for Luton South (Rachel Hopkins) raised.

Women’s health matters here, it matters in Scotland and it matters all over the UK. In Scotland, as the first country in the UK to publish a women’s health plan last year, I think it is important that we are constantly looking at those things, as we need to be. We have got a specialist menopause service in health boards. That is important because it needs to be a subject that we are focused on.

Why does it matter? We have heard about the really challenging situations that some menopausal women face. There is a 16% increase in the suicide rate of women aged between 45 and 55; that is a really stark statistic. We do not talk about that. That is a taboo that we need to address. The silence, inability or lack of knowledge about some of those facts means that many women—most women, I guess—should know more. There is an awful lack of knowledge among women generally about what menopause can mean. My hon. Friend the Member for Motherwell and Wishaw spoke very powerfully about the silence and the unknown, and the problems they can cause. That lack of knowledge damages lives. We have heard about what that means in reality, whether that be for family life or work. We must remember that this affects more than half the population.

I welcome the Women and Equalities Committee report. The right hon. Member for Romsey and Southampton North spoke very powerfully about why it is important that we consider looking at making menopause a protected characteristic—that we look at reasonable adjustments. From my point of view, bravo to the Scottish Government for their focus on fair work. There will be another action plan shortly, focused on fair work—with focus on women and those over 50. It would be interesting to hear where the UK Government are on that.

I know it is perhaps unfair to ask this Minister, but I would like to know where he thinks the employment Bill is—I certainly cannot see it anywhere. It is really important. The employment Bill would be the appropriate vehicle to deliver a lot of the structures in relation to work and the menopause. Menopause support in the workplace will not happen by magic; it is our job here to facilitate some of that. Things like the right to flexible working from day one, for instance, might be the very thing that helps a woman who is going through menopause cope and sustain.

The graphic that I mentioned had a couple of really interesting statistics about work, which I thought were important. Nearly half of women—45%—feel that menopause symptoms have had a negative impact on their work. That should terrify us. We have heard repeatedly today that 10% of women have given up work or thought about giving up work because of their symptoms. That is a huge chunk out of the labour market. I appreciate that, despite the lack of an employment Bill—and I continue to hope one appears—there are employers out there that are doing great things on the menopause anyway. Well done to them; they will be the employers of choice, they will be the ones who retain the talent in their workforces and they are the leaders—we will all know who they are.

I appreciate that dealing with menopause in the workplace might not always be completely straightforward. Menopause is not linear, and that is before I even get into my questions about the huge gaping holes in knowledge about how menopause interacts with polycystic ovary syndrome and other medical conditions. Even at the most basic level, the symptoms, duration and physical and emotional impact are very individual and variable, but women need us in this place to get a grip on the issue, because at the moment many of them feel unable to seek support for the menopause at work. That could be the same for any one of us, or for our friends and family members. We will all know—perhaps we are—women who have experienced uncertainty, misery, confusion and symptoms of all kinds.

The hon. Member for Warrington North (Charlotte Nichols) spoke eloquently about the groups who are even more disadvantaged in all this. Some of us might sail serenely through the menopause, but it is still far too often the case that women’s troubles—I really, really hate that phrase—are not to be spoken of or dealt with. The reason that we have not done that is simply sexism. That is all there is to it. Let us decide that we are not going to accept that anymore, because this issue matters. Let us talk and share, as the hon. Member for North Devon (Selaine Saxby) said, and let us push for improvements in education and employment.

My hon. Friend the Member for Motherwell and Wishaw spoke eloquently about why younger people need to know about the menopause. We should not suddenly need to know about it when we reach middle age. Let us talk about the menopause and how we can practically improve things, because women’s health should be part of normal, everyday conversations. We should make sure that the conversations relate to our work and our families, and to people of different age groups and different backgrounds, because the menopause is absolutely normal and we need to talk about it as if it is.

Oral Answers to Questions

Kirsten Oswald Excerpts

Tuesday 19th July 2022 Commons Chamber

[Gillian Keegan]

This is absolutely key, which is why we are implementing a comprehensive reform programme of adult social care. In September 2021, we committed to investing an additional £5.4 billion over three years, and in December we published “People at the Heart of Care”, which set out our 10-year vision for reforming adult social care and our priorities for investment. This absolutely has to be done—it is a key part of the system—but we have to put the foundations in place. Our 10-year plan will put those foundations in place.

[Kirsten Oswald (East Renfrewshire) (SNP)]

12. If he will make an estimate with Cabinet colleagues of the amount of unusable PPE procured by the Government since the outbreak of covid-19.

[Alan Brown (Kilmarnock and Loudoun) (SNP)]

22. If he will make an estimate with Cabinet colleagues of the amount of unusable PPE procured by Government since the outbreak of covid-19.

[The Minister of State, Department for Health and Social Care (Maria Caulfield)]

Around 3% of PPE that the Department purchased was unusable. We are working to dispose of this unusable stock in the most environmentally friendly way.

[Kirsten Oswald]

I am grateful for that response. From the onset of the covid-19 pandemic, the Scottish Government have worked with the NHS and Scottish suppliers, as well as on a four-nation basis, to ensure that Scotland has adequate stocks of PPE. In Scotland, 88% of PPE is produced locally, and the overall cost of pandemic procurement was a third less than for the UK. The Scottish Government have committed to retaining powerful safeguards on the use of public money in healthcare through strong procurement rules. Will the UK Government follow suit and replicate this ethical model?

Childhood Cancer Outcomes

Kirsten Oswald Excerpts

Tuesday 26th April 2022 Commons Chamber

[Kirsten Oswald (East Renfrewshire) (SNP)]

I have spoken previously about a fine young man from East Renfrewshire called Daniel Caplan, who passed away at the end of 2020 aged 17, having been diagnosed with diffuse midline glioma. His brave family have kept raising awareness and funds in the memory of their lovely boy. Every nine days, a UK family gets that particular diagnosis for their child, which is devastating.

Another local family has a teenage daughter who is undergoing treatment for leukaemia. Her father made a number of important points that I would like to put on the record. For example, some current therapies for cancers, including types of leukaemia, are particularly onerous and can lead to challenging side effects in the long term. A lack of research means that in some areas, treatment and care has barely advanced in 40 years, so research is very much needed. He also made the point that professionals in the field are doing tremendous work, but they need more backup. Charities are taking on too much of the heavy lifting, and we need a Government commitment to that specific research.

I would like to make most of my remarks in relation to one wee girl from Barrhead, because recently so many people there have been in touch to ask me to raise the case of little River. I have heard from River’s mum, Katie, and am grateful that she spoke to me. When she first got in touch, she wrote:

“If you ever had to live on a child’s cancer ward, anyone would soon realise that childhood cancer isn’t that rare. They deserve so much more than 3% government funding.”

She also said that she really appreciated my speaking about little River. I am glad to speak about the wee girl and know that everyone in the Chamber will want to send their best wishes to River, her family and the other families that I have mentioned.

Little River is only two, and she was diagnosed with a brain tumour last September. She has been through surgery, she is going through intense chemotherapy and she will need further treatment. She is also in intense physio rehab. She is really going through the mill, but she is ploughing on with the love and support of her family. However, even when understandably her mum could be focused only on River, she points out that she is thinking of not only her girl but all the other children who would benefit from greater emphasis on research. That better treatment and increased knowledge can come only with better research.

River is being treated at the Schiehallion ward at the Queen Elizabeth University Hospital. Her mum says that the staff there are so lovely, which I know is true—I have heard it so often before—and we are all grateful to staff across the UK for the outstanding work that they do. But, fundamentally, none of us can disagree that we need a commitment to further research, because, without that, we will not see the better outcomes, the better treatment and the better ways forward that these children and their families deserve.

Oral Answers to Questions

Kirsten Oswald Excerpts

Tuesday 1st March 2022 Commons Chamber

[Sajid Javid]

I once again express my condolences to my right hon. Friend for his loss. He is absolutely right to raise this issue and the need for more research. That is one of the reasons why, back in 2018, we announced £40 million of extra research funding over the next five years. I can tell him that some £9 million of that has already been committed to 10 projects. In addition, the Tessa Jowell Brain Matrix is an exciting new trials platform that will give people with brain cancer access to trials of treatments that are best suited for their individual tumours.

[Kirsten Oswald (East Renfrewshire) (SNP)]

T9. According to the Royal College of Obstetricians and Gynaecologists, less than 3% of medical research funding in the UK is focused on women-specific diseases such as endometriosis and polycystic ovary syndrome. They are serious conditions, but too little is known about them and we do not hear enough about them, especially polycystic ovary syndrome. The failure to increase research funding is holding back women’s outcomes and experiences. What are the UK Government doing to increase the priority given to research funding for both those conditions?

[Maria Caulfield]

The hon. Lady raises an important point. She is right that women are under-represented in clinical research and are waiting far too long for diagnoses of conditions such as endometriosis. The women’s health strategy will be published very shortly and I think that she will be pleased with some of its recommendations to drive improvements forward.