(5 days ago)
Grand CommitteeMy Lords, my amendment is grouped with Amendment 199, in the names of the noble Baronesses, Lady Northover and Lady Walmsley, and Amendment 193, in the name of my noble friend Lord Young of Cookham. I repeat my declaration of interest that my wife is a non-executive director of Tesco. I will speak to my own amendment and leave it to others to speak to theirs.
I remind noble Lords that the ambition of the Bill is nothing less than the wholesale eradication of smoking. I laid out the costs of smoking to our society in my Second Reading speech: the immense economic impact on our national finances, the relentless pressure on our health system, the toll on our human capital and the deep corporate injustice that sees tobacco companies profit while society, particularly the poorest, pays the price. I also laid out the benefits of getting rid of smoking, so I will not detain noble Lords by restating that.
The purpose of my amendment, and the opportunity presented by the growth of vaping, is a natural extension of the Bill’s intent: a logical, fair and legally robust endpoint, in 2040, to the regulatory ratchet that is already contained within the Bill. It would give clarity and confidence to consumers and industry alike, deal with the long tail of divided rights between generations and be fair to retailers, offering certainty, managed transition and guidance towards new business models.
We know that a hard stop with a long run-up can work because we have done it plenty of times before. Under John Prescott, the Asbestos (Prohibitions) (Amendment) Regulations 1999 completed a phased ban that took nearly two decades and provided industries with time-limited exemptions and sunset clauses. Today, I am pleased to say that workplace asbestos exposure has fallen by 80%. Another example of a full-stop measure was the phase out of leaded petrol, initiated in 1987 and completed in 2000, which gave manufacturers and motorists 15 years to adapt. I am pleased to say that lead levels in urban air have fallen by 94%. Thirdly, the elimination of CFCs under the Montreal protocol, signed in 1987 and implemented through UK regulations in the 1990s, relied on structured deadlines and support for innovation. I am pleased to say that global CFC consumption has dropped by 98%.
Each of those measures that tackled toxins that poisoned our society followed the same formula: clear deadlines, fair transitions and decisive action. Each was thoroughly opposed by the industry. There were warnings of economic collapse on each occasion, but none of that came to pass. Instead, we emerged with a healthier, safer and more innovative society.
Let me explain how this amendment—the “extinction 2040” amendment—might operate in practice. Proposed new subsection (1) would provide for the prohibition of the sale of tobacco products to any person in the United Kingdom from 1 January 2040, thereby establishing a complete stop date for smoking. Proposed new subsection (2) specifies that all licences to sell tobacco and tobacco retail registrations would be invalid as of midnight on 1 January 2040. In other words, the licences currently administered by local authorities under powers anticipated in Clause 58, which establishes a national tobacco licensing regime, would be ended. Local councils in Scotland already operate such schemes under the Tobacco and Primary Medical Services (Scotland) Act 2010, and similar powers will be extended to England and Wales on Royal Assent.
Proposed new subsection (3) would impose a mandatory duty on the Secretary of State. It states that, within 12 months of the Act passing, the Secretary of State would
“lay before Parliament a strategy for … implementing the complete prohibition”.
This strategy must address four elements. Proposed new subsection (4) would require
“provision for a phased reduction in tobacco product availability beginning not later than 1 January 2030”.
This would be delivered through progressive amendments to licensing regulations issued under Clause 58, reducing the number of retail authorisations by geographic area, imposing proximity restrictions near schools and health facilities and ultimately restricting sales to larger retailers with compliance infrastructure. This task would fall jointly to the Department of Health and Social Care, His Majesty’s Revenue & Customs, the Office for Health Improvement and Disparities and the National Centre for Smoking Cessation and Training.
In practice, phased reduction means progressive tightening of retailer licensing, initially capping licensing numbers per local authority, then applying proximity restrictions and ultimately withdrawing licences from smaller retailers, while allowing supermarkets to transition shelf space to vaping devices and alternatives—products that the Government already support as harm-reduction tools. This plan aligns with changing consumer behaviour. Smoking prevalence is falling and retailers are diversifying, as we have discussed.
On enforcement, proposed new subsection (3)(c) would require
“strengthening enforcement mechanisms to prevent illicit trade”.
This responsibility falls to HMRC under the existing powers of the Tobacco Products (Traceability and Security Features) Regulations 2019 and Schedule 23 to the Finance Act 2020, which authorises civil penalties and empowers HMRC to deactivate economic operator identification numbers. Trading standards officers provide complementary enforcement. Critically, this system already exists and is cost neutral, as penalties, duty recovery fund operations and phased withdrawal of the legal market actually reduce illicit activity by cutting demand.
Finally, proposed new subsection (3)(d) would mandate
“enhancing smoking cessation services to support individuals ahead of the 2040 prohibition”.
The Government have already committed £70 million annually to local stop smoking services, distributed to upper-tier local authorities based on smoking prevalence. This funds the National Centre for Smoking Cessation and Training and NHS community pharmacy services, which offer nicotine replacement therapy and behavioural counselling. Scaling this architecture over 15 years would ensure that, by 2040, the vast majority of current smokers would have been supported to quit, minimising enforcement costs and public backlash.
This amendment would work with the grain of existing systems, emerging technologies and declining smoking rates. It would assign clear responsibilities to established agencies: local authorities for licensing; HMRC and trading standards for enforcement; the DHSC and OHID for cessation. It would grant a 15-year transition period, ensuring fairness to industry and retailers. A complete prohibition by 2040, with phased reductions and cessation support, would generate measurable productivity gains for our economy, savings for the NHS and reduced economic inactivity, likely reducing the costs of our national debt within a decade. Crucially, this amendment could be scored by the Office for Budget Responsibility.
We stand at a crossroads. This Bill could be remembered in two ways: as a high point for incrementalism, a policy that is cautious and takes a century to work, that is not registered economically and is complex; or it could be the beginning of a more emphatic approach to regulation where Britain stops tinkering and starts deciding. I believe that we should choose the second path—the evidence supports it and so do the public. It is not my intention to push this amendment, but I urge the Minister to consider it seriously. If she cannot find a place for it in today’s Bill, could she comment on how the department might study such a measure for a future Bill?
My Lords, Amendment 193 in my name and those of the noble Baronesses, Lady Northover and Lady Grey-Thompson, covers much of the same territory as Amendment 199. It would require the Secretary of State to publish a road map to a smoke-free country every five years. It lacks the ambition of my noble friend Lord Bethell, who provides not just a road map but a destination and a date. If we were to agree with my noble friend, that would be worthwhile progress.
This group of amendments is important because, although the Bill is a step forward in promoting public health and reducing the numbers who start to smoke, as it stands it does very little to help the 6 million smokers who are already endangering their health. The amendment reflects the latest APPG on Smoking and Health report, which calls on the Government to publish a road map to a smoke-free country. The Labour Party promised to publish such a strategy in its health mission document, Build an NHS Fit for the Future, saying it was important that no one should be left behind. It said:
“We will build on the success of the last Labour government with a roadmap to a smoke-free Britain”.
I hope this amendment will find favour with the Minister. Can the Government confirm that they have the same target as the last one, to achieve a virtually smoke-free England by 2030?
As I said, the rising age of sale will not affect current smokers but, as the legislation is progressed with, we should not forget them. Smoking is not evenly distributed across our society. There are higher rates of smoking in nearly all groups experiencing disadvantage and high rates among people with mental health conditions, those on low incomes and those living in social housing—the people most at risk of being left behind, whom the Government have rightly said they will look after. In turn, these differences fuel the gaps in healthy life expectancy between different groups in our society and undermine progress on addressing inequality.
To end this inequality, the Government need a clear plan or road map on how we can achieve a smoke-free future for all parts of society. That road map should include clear targets. For example, the APPG on Smoking and Health has called for a national target of 2 million fewer smokers by the end of this Parliament. Is that something that the Minister could sign up to? If such a reduction were achieved, the country would be on track to have less than 5% smoking two years later and could continue progress to make smoking obsolete within 20 years, within shooting range of my noble friend Lord Bethell’s target.
There should also be specific targets for vulnerable groups with high rates of smoking. Under the last Conservative Government, the target to reduce smoking among 15 year-olds was achieved. The previous Government also set a target to reduce the prevalence of smoking in pregnancy to 6% or less by the end of 2022. That target was not met, but it helped mobilise significant support for pregnant women, which has led to a reduction—it fell at the fastest ever rate last year.
The last Government also committed to other targets—for example, using the pioneering Swap to Stop scheme. It is welcome that the Government have maintained their commitment to some of these initiatives, but they should be part of an overall strategy so that we have a clear vision of where we want to go and how the various components help us reach that target. There is also a risk that, once this legislation has passed, the Government, both locally and nationally, are lulled into believing the job has been done, so we need a clear plan now and every five years until we have created a smoke-free country.
I understand the pressure on the NHS, but the astonishing decline in smoking among pregnant women was achieved by embedding support in hospitals alongside financial incentives. However, these services are now threatened with cost pressures in the NHS, seeing some ICBs reduce or decommission those vital services. Within a road map to a smoke-free country, the role of ICBs could be clearly laid out and the importance of these services in helping to reduce the incidence of smoking could be clarified.
So the Bill is ambitious. It is world leading when it comes to stopping the start, but we need the Government to have a similar ambition for supporting the current 6 million smokers in the UK to quit for good.
(4 years, 11 months ago)
Lords ChamberIt will not be possible to publish any results until we have the clear data on the vaccines. Individual vaccines may behave quite differently with different groups of people. There may be some vaccines that work well with the elderly, some that work well with those with clinical conditions and some that work well with children. It is only when we know that data that the final prioritisation can be published.
My Lords, on 12 November I asked my noble friend’s ministerial colleague, my noble friend Lord Greenhalgh, if he would recommend to the JCVI that rough sleepers and those who work with them should be a priority for vaccination. He said he would. Does that remain the case, and will they indeed get priority?
My noble friend has made the case for rough sleepers extremely well. It is one that we are deeply concerned about. When it comes to the prioritisation list, what has been published so far is an interim and indicative list. It will be reviewed, and a more detailed list will be published in time.
(5 years ago)
Lords ChamberMy Lords, the Government’s current priority for adult social care is for all recipients of care to receive the support they need throughout the Covid pandemic. While we published a winter plan that looked ahead through winter 2021, we are acutely aware of the long-term challenges to the social care system in England and the importance of reform. Putting social care on a sustainable footing, where everyone is treated with dignity and respect, is one of the biggest challenges our society faces.
I am grateful to my noble friend for that reply, but this is not a happy story. Last year, the Prime Minister said:
“We will fix the crisis in social care once and for all with a clear plan we have prepared to give every older person the dignity and security they deserve.”
A few weeks ago, however, that reply was diluted in a Written Answer that said:
“There are complex questions to address to which we want to give our full considerations in the light of current circumstances.”
That is straight out of “Yes, Minister”. When will we see the clear plan announced 15 months ago, together with a commitment to the necessary funds to redress the imbalance between health and social care, so tragically revealed by the current pandemic?
My Lords, I reassure my noble friend that there is absolutely no dilution in the commitment to a long-term solution. No one in the Chamber would deny that the challenges in this question are extremely complex. The Government are also committed to cross-party talks and everyone in the Chamber recognises that we need a generational solution, not a political fix. In terms of finance, it is undoubtedly the case that the social care system has been under pressure during Covid. That why we have put an enormous number of funds—I could list them—into social care in the past six months. The refinancing of the social care system is one of the items that will undoubtedly be on the agenda.