Smoking-Related Diseases

Lord Hunt of Kings Heath Excerpts

Wednesday 14th September 2016 Lords Chamber

[Lord Hunt of Kings Heath (Lab)]

My Lords, I first declare an interest as a president of the Royal Society of Public Health. Principally, I would like to reinforce the argument made by my noble friend Lord Faulkner about the need to tackle health inequalities, in which smoking clearly plays a key part. He said smoking was responsible for half the variation in life expectancy. My noble friend Lady Gale also spoke eloquently about the impact of smoking on mothers during pregnancy and after the birth of their children.

The principal question I would like to put to the Minister focuses on the tobacco control plan. It is generally agreed that the last tobacco control plan produced a huge number of positive outcomes. Clearly, it is vehicle by which further improvements can be made. However, despite the UK’s leadership and the advances that we see, there is no room for complacency. Will the Minister tell the House exactly when we can expect to see the plan published?

Secondly, may I raise with the Minister the problem of local authorities reducing funding for stop-smoking services? He will know that, with the transfer of budgetary responsibility to local government, there were great hopes that local government would use its position to enhance public health programmes. I am afraid that so far the opposite has been the case. How much is his department monitoring what is happening with local authorities and smoking cessation services? Can he make it clear to Public Health England that it is empowered to make interventions when it feels that local authorities are not doing the right thing? I have a great deal of time for Public Health England but it feels inhibited in challenging local authorities where they are not investing sufficiently in these kinds of services. It would be good if the Minister was prepared to say that it can do that.

Will the Minister also help us on mass media campaigns? They have proved very effective. Will he assure us that in the plan there will be sufficient investment in those campaigns in the future? On the question of electronic cigarettes, I agree with the noble Lord and the noble Baroness that they ought to be part of the smoking cessation programmes. Equally, some research would also be welcome to pick up some of the issues that have come to the fore recently. On the general principle, I have no doubt that for adult smokers who find it difficult to give up smoking, e-cigarettes definitely have their part to play. It is important that the Government continue to signal their support for that.