(5 days, 3 hours ago)
Grand CommitteeI wanted to intervene just to say one or two words in support of my noble friend Lord Moylan’s amendment. In a sense, it challenges the Government to explain what they are trying to achieve, and if that is to regulate flavour descriptors, that is exactly what we should put into the Bill. I think the industry is very aware of the need to control flavour descriptors, because certain descriptors can be intentionally directly attractive to youth vapers and children, and the industry knows it needs to act on that. I will talk about that a bit more later.
We should use this amendment and this debate to find out what the Government are trying to achieve, and I hope the Minister will give an explanation. If the intention is to go down the path of, for example, the Australians or the New Zealanders, with a very narrow control of vape flavours, we run exactly the risk that the noble Baroness, Lady Fox, was just talking about. As she said, the academic research on restricting vape flavours shows that that leads to vapes not being as effective at smoking cessation as we want them to be. That is an important consideration.
I could not explain it to anybody in detail, but I remember how the uncle of a good friend of mine when I was a boy was a flavour scientist at Bush Boake Allen, now part of International Flavors & Fragrances, and there is a very precise relationship between the chemical additives that can be added to products. Of course, there were no vapes in those days; he was working on crisps. On one occasion we went to their house, and they provided for us the very first occasion on which anybody ever tasted prawn cocktail-flavoured crisps. That was a remarkable moment in one’s early life, never to be revisited.
The point is that the relationship is modulated by these companies extremely carefully. So, it is possible to regulate it, but it is quite an intrusion into an industry to think that we should need to do this. I suspect that my noble friend is on to exactly the right issue in saying that, if we regulate the descriptors, we will have done the thing that it is most important for us to achieve.
My Lords, I support my noble friend Lord Russell’s Amendment 146. It seems to me both sensible and essential to set the groundwork, as he put it, for further work on defining vape flavours—keeping in mind at all times the Government’s intention, which we support: to allow vapes as an effective, proven tool in quitting smoking tobacco while at the same time addressing the egregious activities of the tobacco industry vis-à-vis young people. It has used colours, flavours, images, packaging and marketing to encourage young people who have never smoked to take up vaping. We know that, once hooked on the nicotine in these products, it will be very difficult for these young people to wean themselves off them when they want to. We also know that evidence of real and lasting harm will continue to emerge over the next few years, and that is why the work to define flavours is so important and why I support this probing amendment.
I am one of those nerdy people who, when they go shopping at the supermarket, takes a little magnifying glass with them. I strongly suspect that the “banana ice” vape of the noble Baroness, Lady Fox, and the “mango ice” vape of the noble Lord, Lord Moylan, have never been within five miles of a banana or a mango, and that anything called “raspberry fizz” will never have been within five miles of a raspberry. These things are put together. They do not contain any raspberry, mango or banana; instead, they contain a whole mix of chemicals. It might be more honest to label them with, “This vape tastes a bit like banana, but it contains the following 15 chemicals”, but you cannot do that, can you? Hence the Government’s problem.
As with the other amendments in this group, Amendment 142 would open the way for the Government to include big-puff vapes and other technical measures in regulation—perhaps things such as age-gating at some future point—but it would not mandate them to do so. So, I would certainly not oppose it, although the Minister might tell us that the Government can do all this without the amendment.
Amendment 144 could inadvertently restrict the Government’s opportunity to limit the number of flavours. I would not want to do that, so I do not support this amendment, but I would like to see the Government allow a reasonable range of flavours to help people who use vapes or who are quitting smoking, for the very reason indicated by the noble Baroness, Lady Fox: smokers like the fruity flavours, which certainly help them. That would be a very good thing. I really do think that allowing only a tobacco flavour would be a bad idea, because tobacco is the very thing that smokers want to get away from.
I very much look forward to the Government’s response, particularly to my noble friend’s amendment.
My Lords, I am most grateful to noble Lords who tabled amendments in this group. I thank all noble Lords for their contributions to the debate.
I am sorry to hear that the noble Lord, Lord Mott, is unwell, and I am sure we all wish him well. On his Amendment 142, which was moved by the noble Lord, Lord Udny-Lister, restrictions currently set a 2-millilitre tank size limit, and a 10-milliletre refill tank size limit for vaping products. Over recent years, manufacturers have developed devices where multiple refill tanks are attached to the device itself. I assure the noble Earl, Lord Howe, and other noble Lords that the Bill already contains powers that allow us to regulate the nature and amount of substance that may be released into the body of a person using a relevant product, which includes vaping devices and the emissions released by such products. This includes restricting not only the nicotine in the tank but the nicotine that can be emitted in the vapour.
My next point is key to a number of points made in the helpful debate today: on 8 October we launched a call for evidence, which runs until 3 December. That, to me, is crucial in informing the development of future regulations under the Bill, which noble Lords are correctly asking for. We are seeking evidence to ensure that all nicotine-containing products have safe and appropriate levels of nicotine.
I understand the spirit in which Amendment 144, spoken to by the noble Lord, Lord Moylan, and Amendment 146, spoken to by the noble Earl, Lord Russell, have been tabled and the points that were made. I also heard clearly the concerns expressed by the noble Baroness, Lady Fox. We agree that descriptions of flavours are part of the appeal of vapes to children. The Bill allows us to regulate flavour descriptors. However, evidence suggests that children are attracted to the fruit and sweet flavours of vapes, both in their taste and smell, as well as how they are described.
Can the Minister tell me exactly where in the Bill the power to regulate flavour descriptors is to be found?
I am sure that I will be able to do that, if the noble Lord will allow me to continue in the meantime.
What we do not yet know is the long-term harms of certain ingredients or flavours. This is why we need to be able to limit the flavours themselves, with the ability to respond to emerging evidence or scientific advances in the future, as well as how flavours are described. I can refer the noble Lord, Lord Lansley, on the point that he raised to Clause 91, which says:
“The Secretary of State may by regulations make provision about—”
et cetera. I hope that will be helpful to him.
I understand the concerns that were raised about how restrictions on flavours can impact former smokers who have switched to vaping. We absolutely recognise that vape flavours are an important consideration for adult smokers, and we will carefully consider restrictions to avoid any unintended consequences for those who seek to quit smoking. Our aims for future regulations on vape flavours, as well as for the wider regulations on vapes, are to reduce the appeal of vapes to young people while ensuring that they remain a viable quit aid for adult smokers. I heard the concern of the noble Earl, Lord Russell, about ensuring that the legislation is right. I am sure that all noble Lords share that view.
The published call for evidence includes flavours of tobacco, vape and nicotine products, to ensure that we are considering the best available evidence. We will also review the approaches taken by other countries, to learn the lessons and to consider whether they are appropriate for the UK. I give an assurance, as I have done before, that we will then consult on specific proposals before making regulations.
On the point about international comparisons—the noble Lord, Lord Lansley, raised a certain aspect of them—there are varied determinations on what a flavour is. For example, in the Netherlands, there is a specified list, and, in Finland, there is a restriction on all characterising flavours. That is why the call for evidence and the subsequent consultation are so important.
May I make a suggestion? It seems that we are trying to find out whether it is the Government’s intention to regulate flavours—that is, to determine which chemical additives can or cannot be added to vapes, which would end up determining what flavours are allowed—or whether it is the Government’s intention to regulate the description of flavours, meaning which flavours are to be “described”, “characterised” or any such word. We do not yet know what the Government’s intention is. If the Government want to retain the power to do both, I submit that they need to specify in Clause 91 that they will have the power to do both.
Before the Minister answers that, may I ask her another question? Which agency regulates and licenses the various flavours used in vapes? Is it the Food Standards Agency or some other agency?
My Lords, in this group we are, in a way, returning to an issue that we discussed earlier in relation to my noble friend Lord Udny-Lister’s amendment on the nature of the regulatory regime and how it will be deployed. I freely admit that mine is by way of a probing amendment, because we want to establish how this regime will work.
I will briefly establish my way of thinking on this matter. We have a tobacco control regime; I was responsible for it once. I think that we had about the toughest tobacco control regime anywhere in the world in those days, and I do not want in any way to do other than to strengthen it. We are debating the vaping industry alongside the tobacco industry, but I contend that we need to examine the regime of regulation for the vaping industry in its own terms and not by reference to the tobacco industry, despite the fact they are in the same Bill. These products are substantially different in terms of their possible harm—I will not dwell on that point; we will have a later group on that in relation to my Amendment 197. Picking up a point made by the Minister, the importance of research and of understanding the relative harms of a long-term use of vaping products both need to be established over time. I also contend that that should be independently interpreted in relation to how the regulatory regime will be managed.
A better analogy, although not an exact one, for the regime that we are looking to establish for the vaping industry is with that for the alcohol industry. We are discussing products that if used inappropriately, or if used by young people or used to excess, can do significantly greater harm. However, as I think we generally acknowledge, we want the products to be accessible to adults. We principally want them to be accessible for the reasons of smoking cessation, but we do not intend to prohibit access to them for other purposes; it is all part of a general proposition that they should be accessible to adults. There is therefore, to an extent, an analogy with the alcohol industry but not with tobacco.
In this group, my noble friend Lord Moylan has Amendment 198, which I think is complementary to my own amendment in the sense that what I am proposing is about an independent industry body. I will go on to describe what I have in mind by analogy with the Portman Group, which works in relation to the drinks industry—noble Lords may well be familiar with it through its work over quite a number of years. What my noble friend’s Amendment 198 is talking about is a forum representative of the industry for discussions with the Government about the application of the Government’s powers in relation to the industry.
I hope noble Lords will forgive me: I have tabled an amendment to my own amendment, just for the purpose of making it clear that it became apparent that, in relation to brand sharing, for example, it might be appropriate for this to apply in Part 6 as well as Part 5. All the arguments similarly apply.
My Lords, I think I am correct in saying that all of the amendments I have proposed so far have generally been met with a buoyant response and a good level of engagement. I suspect that Amendment 198 will be less welcome; I will speak to it briefly, partly because my noble friend Lord Lansley has already explained what the amendment says and made a comment with which I do not, in essence, disagree.
The amendment seeks to establish a vaping and nicotine industry forum so that the Government can engage with the industry properly. It would disapply the World Health Organization’s Framework Convention on Tobacco Control, which Ministers treat as if it were binding but which has not been the subject of a parliamentary statute imposing it on Ministers. My noble friend Lord Lansley says that this should not be necessary—I rather agree with him—but, in fact, it is necessary in practice because Ministers are treating the framework convention as binding. They are, therefore, excluding from their consultation vaping industry firms that are part of tobacco groups. They will engage with those firms that are involved exclusively in producing vapes—or are at least involved in producing vapes without being tobacco firms—but they will not engage with the others. Obviously, that leads to a very fragmented level of engagement with the industry.
We must be practical and realistic about this. As the tobacco companies transition—they clearly are transitioning—away from cigarettes and into vaping and e-cigarette products, the Government should start to engage with them differently as to their background. That is what Amendment 198 proposes; I do not have to say very much more about it.
My Lords, each amendment in this group constitutes a suggestion to the Government that there is a place for regulation with a lighter touch in what is currently a rather heavy-handed Bill. As our Committee debates move forward, I get the sense that a large number of restrictions, rules and regulations are now being devised centrally and will, in due course, be placed on some very large industries, some of them very responsible, without those industries being brought properly into the loop. I hope that I am wrong on that latter point.
My noble friend Lord Lansley has helpfully drawn attention to the codes of practice and the standards that already exist in the vape and nicotine industries, which are overseen by representative industry bodies. The existence of these standards and codes is a reflection of a desire on the part of those businesses to act responsibly towards consumers—and to be seen to do so because, of course, these industries understand their businesses best and are in the best position to frame rules that are designed to drive out poor practice but nevertheless maintain healthy competition in the marketplace.
My noble friend may correct me if I am wrong but, as I interpret his amendment, he is not saying that there is no room for government regulation on top of what these industries are already doing; as we debated earlier, there may well be further restrictions that, for public health reasons, prove to be appropriate. What he is saying, however, is that the Government need regulate only where there is a patent need to do so; and that there may be less need to regulate if there is a responsible industry body in place. There is a parallel with the Portman Group.
Before my noble friend moves on to that helpful analogy, I would like to say—not least in response to what the noble Baroness, Lady Northover, said—that I do not regard what I am putting forward as asking for industry self-regulation. In fact, I am asking for co-regulation in that relationship with government. Making the regulation effective is what I am all about.
To my knowledge, he did not. I return to the point about consultation. There is a requirement to consult before making regulations under the majority of the powers in the Bill. At the risk of repeating myself, which I will do, we published a call for evidence on 8 October. The evidence is—I am sorry for pausing, but I have a cough. Perhaps the noble Lord, Lord Lansley, would like to take advantage of that.
I will give the Minister a moment to drink a glass of water.
If I may presume to ask a pointed question, I am looking for Ministers not to say, “Well, you didn’t do it in the past, therefore you can’t be expected to do it in future”, but to have a conversation with the industry about what this new regime will be, how it will work and how we can—most effectively, with the least interference in how an industry operates and with the lowest compliance costs—arrive at something that is flexible and effective. This may mean that the industry comes together to do something that it has not done in the past, but I do not think that we should exclude the possibility that the industry is capable of doing that.
I understand that. I refer to my previous comments about Clause 104 already providing for legislative sub-delegation, although I am aware that the noble Lord has raised a broader point and drawn on the interests of the alcohol industry. I understand the point he is making. However, at the risk of repetition, our concern is very much based on our experience and the evidence of the industry. I realise that the noble Lord does not agree with that.
If I may intervene, since this is Committee and we cannot interrupt each other on Report and have this conversation, the point I am making is very simple: the past is not a necessary guide to the future. The fact that the industry did not do something in the past does not mean that it is not capable of doing it effectively in the future. As the Minister knows, the department’s experience is that, in relation to the alcohol industry, the Portman Group is an effective instrument for coregulation, so we should not exclude that possibility. I acknowledge that it is not simply a question of what powers are in the Bill; it is about how one structures the regime, and that conversation should happen now.
I will be very happy to write further to the noble Lord, referring to the points that he raises, but I feel that he and I are at risk of repeating the same points to each other. My concern is that the industry has had much opportunity and not taken it. Indeed, it has been extremely creative—I am being polite—in working its way around legislation. Noble Lords will have heard my resistance to setting up more loopholes, and that is also for this very good reason. Although in theory I can understand the point the noble Lord is making, I am afraid that my reality does not bear it out. But I will gladly write to him. I appreciate that he is seeking to be constructive and draw on good practice elsewhere, which I understand. I thank him for the break that he gave me.
Finally, as I said, we published a call for evidence on 8 October on issues where more evidence is needed before we consult on specific proposals. That allows all stakeholders, including those relevant to Amendments 154, 154A and 198, to contribute their views. I hope that, with this, noble Lords will feel able not to press their amendments.
My Lords, I had plenty of opportunities to respond as we went along during the debate, so I simply take this opportunity to beg leave to withdraw Amendment 154A.
(1 week ago)
Grand CommitteeMy Lords, I have tabled two amendments in this group, both with the intention of creating a stepped and more proportionate approach to fixed penalty notices, which I feel to be a very draconian measure in the first instance. Under the unamended drafting, the Bill would allow immediate penalties regardless of the scale or context of the offence committed. This is bad practice, contrary to the societal change that is needed if this legislation is to succeed.
Through these amendments, I want to enable enforcement authorities to apply sanctions gradually starting—this is important—with education and warnings for minor or first-time breaches. These would escalate only when non-compliance persists. This is a well-established approach of enforcement that is rooted in fairness. The goal of the Bill should be not to trap small retailers or inadvertent offenders in red tape but to encourage dialogue and corrective measures to be the mantra of our enforcement agencies. This is how you get change and compliance.
The tiered approach that I have outlined through Amendment 74 will build some much-needed credibility into the enforcement clauses of the Bill in a way that keeps the law tough when needed but ensures—this is important—that it is proportionate and, above all, fair. I beg to move the amendment.
My Lords, I will speak to the four amendments in this group that are in my name—Amendments 78, 86, 88 and 89. Particularly perceptive Members of our Grand Committee will remember that, when they looked at the third Marshalled List, the Minister had signed my Amendment 89. I understood at the time that she had signed it not for the same reason that I tabled it—as we discovered at the last sitting of the Committee, the Minister did not move a whole set of government amendments. We will doubtless return to those issues later.
My amendments are all of a piece. The object is to dive into Clause 38 and remove those parts that relate to money that is received through fines for licensing offences from the hands of the Consolidated Fund to put it into the hands of the local weights and measures authorities or—as we might get to, in due course—the relevant authority, which is the trading standards enforcement authority. My proposition is a terribly simple one: we should prioritise the receipt of resources not only from fixed penalty notices but from the fines imposed for licensing offences and they should be made available to local authorities with trading standards responsible for enforcement.
The background is probably well known to Members of the Grand Committee. Trading standards is operating with substantially fewer members of staff than it did a decade ago. The Local Government Association has warned that trading standards may be unable to fulfil its statutory duties and the Association of Chief Trading Standards Officers has warned of a growing gap between its statutory duties and the available resources.
Happily, today we meet with a realisation that this has not inhibited trading standards departments across the country from taking effective action together with the leadership of the National Crime Agency, which reported 2,700 premises—barber shops, vape shops and other trading establishments—operating illegally. Where vaping is concerned, which is our interest here, these are being used as a route for the sale of illegal vapes—without paying the appropriate duty or doing so in due course—including to minors, which is of particular concern for many noble Lords. There is also the employment of staff who are not properly able to work in this country.
A wide range of these issues requires enforcement. My purpose is to try to ensure that the resources that are clearly coming into the system are devoted to trading standards. We know, or at least it is estimated, that trading standards enforcement costs over the next five years will total something like £140 million. We know that the Government have provided a grant of £10 million to support trading standards. There clearly will be an income to local authorities from the fines relating to licensing to the extent that they will be able to recover their direct costs, as well as from the fixed penalty notices. We do not have an authoritative estimate of what that sum will be. If the Minister has a clear estimate of what the sums accruing to local authorities will be, it will give an opportunity to see how much of that £140 million cost over five years is likely to be met from penalties and fines.
This issue was debated in the other place and the Government, as is their wont, resisted the idea that money should be paid to local authorities from these fines, instead of being paid into the Consolidated Fund, because, as the Government put it, they did not want to create a perceived conflict of interest such that the enforcement authorities seemed to have an interest in pursuing fines. We should think of it the other way round. We want enforcement authorities to do their job properly. With these amendments, I am testing the proposition that the Government should increase the support for trading standards officers. If they find a provision that makes the revenue from fines to local authorities too much to bear, I should be supportive of a commitment by the Government—if not at this stage, then later—to assess the gap between the revenue that results from the fines and penalty notices and the costs to local authorities and to meet that gap by Exchequer grant, once they know what the Consolidated Fund revenues from these fines may be.
In addition to that request in principle to the Government, I have been looking at the impact assessment, which says in paragraph 1401:
“A new burdens assessment will be completed to assess costs to local authorities ahead of the Bill being introduced”,
particularly in relation to the enforcement of the new powers relating to vapes. I cannot find the burdens assessment—my research may be inadequate—but what does it say are the costs that need to be met by local government? That too should be something that we assess: to what extent is local government going to receive fixed penalty notices or fines that enable it to meet those costs? We do not want to be constantly adding statutory duties to local authorities without the corresponding resources.
My Lords, I have attached my name to Amendment 81 in the name of the noble Baroness, Lady Walmsley, from whom we have not yet heard—but that is the way the order works. I declare my position as a vice-president of the Local Government Association.
I am slightly torn because the noble Lord, Lord Lansley, has just put forward a strong case. There are indeed huge problems with the funding of trading standards. I go to a recent report in the Financial Times in which the chief executive of the Chartered Trading Standards Institute said that the underfunding of trading standards has left consumers open to rogue traders and fake goods. There is a huge problem there and, as the noble Lord said, the Government’s own impact assessment says this measure is going to increase the burden and they are already hopelessly overburdened.
However, Amendment 81 goes in a different direction, towards public health initiatives to be determined by local authorities. Either of these has a strong case. I prefer the public health case, because public health is something that I am gravely concerned about. There is a real logic to the money going from where damage is being done to public health towards dealing with damage done by illegal activity.
I talked about how much trading standards is suffering. We all know that public health in the UK is in a terribly parlous state; when we compare ourselves with other countries that we might consider similar to ourselves, we are doing much worse in public health. I suspect that the Minister will get up and say, “Yes, but in February this year we gave £200 million to public health”, but that is to go towards smoking cessation programmes —which are very relevant to the Bill—along with addiction recovery, family and school nurses, sexual health clinics, local health protection services and public health support for local NHS services, and £200 million does not sound like quite so much when I read that list out.
There is a real logic to making sure that this is not just a small drop of money going into the ocean—the Treasury—and that the money goes to where the damage has been done, to public health. Trading standards would still be better than the money going straight into the Treasury. These are simple, logical ways to make sure that we stick some plasters on to some of the crises that are affecting our communities.
I thank the noble Lord for his almost intervention on that very point. I shall try to get the tense right here. As is standard government practice, a new burdens assessment will be conducted and shared with the Local Government Association. I can assure the noble Lord, Lord Lansley, that the additional net cost to local authorities in England will be considered in line with the new burdens doctrine. In summary, I hope that, for the reasons I have given—
None the less, the impact assessment, which I quoted, says:
“A new burdens assessment will be completed … ahead of the Bill being introduced”.
The Bill has been introduced so, clearly, the impact assessment was incorrect in that respect. I also reiterate to the Minister the request for her to say that the Government will be willing to look not only at the costs —there is an estimate of those—but at what the revenues from fixed penalty notices turn out to be, in case there is a gap between the cost of enforcement and the revenue from fixed penalty notices. Even if they continued to receive money into the Consolidated Fund, would the Government be willing to consider making additional Exchequer grants beyond the £10 million to meet any such gap?
The noble Lord makes an interesting point. We will of course keep these matters under review. I will certainly look again at the impact assessment and at the point made by the noble Lord; I would be happy to write to him further, if needed, once I have had a look at all of that. On his specific point, we will keep an eye on the revenue, but, again— I am not sure that this is exactly the point that the noble Lord made; perhaps I can provide that bit of cover—in our earlier discussion, the noble Baroness, Lady Walmsley, and the noble Earl, Lord Howe, both acknowledged, as I did, that we are not seeking to get enough from fixed penalty notices to fund this. That is not our intention; in fact, we all hope that the revenue will decline as this Bill becomes increasingly successful in its impact. Let us also remember why we have this Bill: to introduce a smoke-free generation and drive down the demand for consumption. That changes the whole landscape. This is literally a generational change. So I hope that noble Lords will feel able not to press their amendments.
(3 weeks, 1 day ago)
Grand CommitteeMy Lords, Amendment 9, tabled in my name, would create an offence of selling tobacco products online. This is a probing amendment.
If the generational ban policy is to be effective, or the alternative policy of an age limit of 21, there would be a clear loophole if tobacco could be bought online, as roughly 9% of sales are at the moment, without any form of age verification. Such a policy would be unusual for the UK, as there is not currently a product that is available for sale in a bricks and mortar shop that you cannot legally purchase online. However, we would by no means be the first country in the world to introduce this measure: Brazil, Mexico, Finland, France and Greece, to name a few, have all banned the sale of tobacco products via the internet, so there are some clear international precedents.
Banning the online sale of tobacco was recommended by the Khan review in 2022 and the World Health Organization, which argued that internet sales constitute
“display at points of sale”
and
“inherently involve advertising and promotion”.
Today you can look up tobacco products on any of the major supermarket websites or shopping apps and see reviews, such as:
“Quite nice for relaxing on a summers day, beside a bubbling brook perhaps or at a test match”,
as one purchaser of Pall Mall Flow Red Superkings commented. Last time I went to a test match, smoking was prohibited.
Separately from the point about the delivery of smoking products, are these the messages that we want smokers to see about such a lethal product, given that such advertising was banned on television some 60 years ago? When retailers sell tobacco products, they are not permitted to display them, yet there are pictures of products online. This seems inconsistent. Products such as heated tobacco and cigarillos have colourful packaging, as they are not captured by plain-pack laws, which seems to be a regulatory oversight. I appreciate that the Government may be doing something about this, so perhaps the Minister can give us some details—but it feels like the online world is somewhere where rules are often bent with little repercussion, and the amendment would address that.
At the moment, online sales are not heavily exploited by underage individuals attempting to circumvent the law. However, we should be mindful of that possibility in the future. If the Government are minded to resist the amendment, I hope that the Minister will explain how age verification will be secured at the point of delivery. Someone born after 2009 can order their groceries online and include tobacco, but they could not buy it in the shop. How might this be enforced without the amendment? Does the Minister plan to go down the route that we have taken for the delivery of knives? Since 2022, a retailer has to verify the age of the purchaser before he or she sells a knife and, if that knife is delivered after an online order, it has to be checked at the point of delivery. Does the Minister have that in mind for tobacco sales? Who will be responsible for ensuring the implementation of the policy if tobacco products are available online? I look forward to her reply in due course.
My Lords, I am grateful to my noble friend Lord Moylan for introducing this group of amendments, and I agree with his proposals relating to the mechanism by which the House looks at statutory instruments. I also agree with my noble friend Lord Young of Cookham about the desirability of further constraining online sales. However, I do not want to talk at length about those; I want to talk simply about age-verification technology and the potential that it offers.
Is the Minister aware of the retailers—some 3,000 of them—which have written to Ministers to make the point, which emerged in a number of noble Lords’ speeches, about how concerned retailers are about the emphasis upon them denying access to vapes? The use of age-gating technology would substantially relieve those pressures on retailers.
We need to look at what the evidence may be about whether adult smokers who wish to quit by using vapes would be at all deterred by the age-gating technology. To that extent, what worries me is that we may conclude, either through international experience or pilot schemes in this country, that they are not deterred at all. Then suddenly we do not have access to a technology that would deal with illicit sales and proxy purchasing, which the point-of-sale restrictions will not bite upon. I worry that we should have the powers available.
I understand the point the noble Lord makes. I believe I said that it potentially risks making vapes less accessible. I know that that is not a view that he shares. I also agree that, where there is evidence, we need to be focused on it in the measures we are taking. But the position I have outlined is the case. I will reflect on the comments that he and other noble Lords have made, which I have heard very well. I understand the concerns of retailers and I am very aware of them; that is why we continue to work so closely with their trade associations to overcome difficulties. We do not want retailers to be put in a position where they cannot do the job that they want to do. We will continue in our work in that way.
With that, I hope the noble Lord will feel about to withdraw his amendment.
(4 months, 3 weeks ago)
Lords ChamberThe noble Baroness raises a practical and realistic point that many care workers speak about. She will know that we are implementing a new fair pay agreement that, for the first time ever, will reflect what people actually do. Also, for the first time, there will be a universal career structure for adult social care that supports care workers. The approach that the Government are now taking shows a line of movement that takes seriously the pay, terms and conditions of care workers. I should also add that the noble Baroness, Lady Casey, will have free range to decide how she wishes to conduct her review of social care. Perhaps the noble Baroness, Lady Watkins, will ensure that she speaks to the noble Baroness, Lady Casey, about that.
My Lords, does the Minister agree that sometimes the most effective integration of care is around the decisions and choices of the care recipient themselves? To that purpose, would she agree that the NHS should be pursuing personal health budgets that can be combined with direct payments from social care entitlements, so that recipients of care can design their care, which will sometimes include the appointment of staff who are able to meet both purposes?
I certainly agree with the noble Lord about the importance of the individual needs of the person at the centre. For too long—and part of this is a lack of integration—the needs of the person who receives, wants and needs that care and support have not been at the front. On his suggestion, I would just counsel waiting for the 10-year plan. It may not do exactly what the noble Lord says, but it will set out a way forward on how we will resolve such matters. I am sure that he will participate in further discussions about how we can get to the place that we all want.
(6 months, 3 weeks ago)
Lords ChamberMy Lords, I am very glad to follow the noble Baroness, Lady Thornton, and indeed to join her in saying how important it is that this is a further step in the process of strengthening our tobacco control regime and that we should do that on a cross-party basis. I agree with her that we should certainly put this, as I think the Front-Bench speeches did, in the context of a range of measures over a substantial period of time.
I was part of the health team—with my noble friend Lord Howe and, indeed, the noble Baroness, Lady Northover—back in 2010, when in the coalition Government we took the measures to which the noble Baroness, Lady Thornton, just referred and implemented those regulations. My noble friend Lord Howe was quite right to stress the importance of understanding how such powers are to be used, and in the passage of this legislation I hope we will understand very well and, if necessary, challenge the powers that are to be given and how they are going to be used, all the while, I hope, as my noble friend Lord Howe was doing, supporting the principles and trying to ensure that they are carried through with effective enforcement and a lack of unintended consequences.
We had supported the 2006 ban on smoking in public places from the Front Bench, but gave, as I think the Labour Party did at the time, a free vote on that measure, which helped, I think, to ensure that it was pursued without some of the complex exemptions which the Government were considering. I think that led us to the conclusion that, where some of these public health measures are concerned, as Horatio Nelson said, the boldest measures are the safest, and we were bold in 2010. As the noble Baroness, Lady Thornton, said, that boldness was very rapidly proved successful, so I think we may once again be bold. We set out, after 2010, with the ban on vending machine sales, the display ban and the consultation, which I initiated, on standardised packaging that was completed in 2015. All of this was very much focused on trying to ensure that we did not have a constant re-creation of a cohort of young people who went on to spend much of their lives trying and failing to quit smoking. The reduction of the initiation of smoking is a central part of this.
It is a less attractive habit to quote oneself, but back in March 2012, as Secretary of State, I said:
“My objective is to achieve smoke-free communities”.
That was over 13 years ago now. It was pretty controversial at the time, but I think it is now much less controversial and much more of a widely shared objective. The question was always how to achieve it, and I reinforce the credit to Prime Minister Sunak and my friend the then Secretary of State Sajid Javid for asking Dr Javed Khan, in his review back in 2022, to propose that bold step of an incremental rise in the age bar on cigarette sales. I very much support that, because it was not clear how we were going to achieve it and I think this now shows us the path to achieving it.
I support the Bill. I want to look at it constructively to ensure that it delivers what we are aiming for, including such practical measures as securing that trading standards officers have the powers and resources needed to secure compliance. Many noble Lords will talk about why we need to achieve this. From my point of view, it is not just that so many smokers suffer so much from their addiction to cigarette smoking; it is how it contributes so dramatically in society to the inequalities between parts of the country. We have to reduce those.
I have one point on vaping: I hope we will also look to take an evidence-led approach, think about what the long-term consequences may be and give ourselves the powers to respond to that over time rather than necessarily making all the judgments that we need to make now. I hope we will look at how we can make the enforcement procedures more effective as well. With all those thoughts yet to come, I very much support the Bill.
(9 months, 3 weeks ago)
Lords ChamberFurther to that important point, will the Government guide ICBs to commission additional services from pharmacies? They have often not been commissioned with a sustainable funding model. Dispensing is not enough. They can provide important preventive services and minor illness services. However, they need the commissioning revenue to enable them to sustain their position.
That point is understood, which is why I thought it important to bring to your Lordships’ House the announcement in the media release from my ministerial colleague Stephen Kinnock. As I mentioned in answer to an earlier question, integrated care boards have a role to play. They should—in fact, they are required to—have regard to the pharmaceutical needs assessment conducted every three years by local authorities. That ought to identify where there are gaps and allow consideration of how to fill any such gaps.
(10 months, 1 week ago)
Lords ChamberAs the House knows, my noble friend is a great campaigner on this issue. I can certainly assure her that the review will include exploring the needs of the 4.7 million unpaid carers who effectively hold the adult social care system together. On the point about the care workforce, we are already improving career pathways by expanding the national career structure, including new role categories. The suggestions my noble friend makes about a seamless service are quite right. We are a long way from that, but I hope we will be able to get to it, and the workforce will be key in that.
My Lords, may I tell the Minister that the Statement is not an accurate representation of what happened in 2009-10? More importantly, it is now over 13 years since Andrew Dilnot produced his report, and there have been many promises to implement it that have not been kept. There should be no further delay. The Minister should acknowledge that if there is further delay in implementing a social care cap on costs, many thousands more people will face the catastrophic loss of their life savings and earnings as a consequence of meeting those costs. Until we implement the cap on social care costs, we will not know whether it will deliver a market in providing insurance against long-term care costs, which in itself would make a significant contribution towards meeting some of the costs of social care in the future.
I understand the wish of many, myself included, for more urgent action. However, the reality is that acting in haste will not solve the problem, not least because of the depth of the difficulties we are looking at. The noble Lord is right that many promises have been made—a number by his own Government—but not fulfilled regarding what should happen on the cap. I reiterate the point I made earlier: while I appreciate that there are Members of your Lordships’ House who believe that Dilnot is the answer, it deals with just one aspect, and that is not what we need. As my noble friend just said, we need a comprehensive look at creating a more joined-up service that will work around people, rather than focusing on institutions or one particular problem.
(11 months, 4 weeks ago)
Lords ChamberI will certainly ensure that officials take up the suggestion of the noble Baroness to explore possibilities.
My Lords, one of the reasons why people are envious of the NHS is because we are able to do things through the NHS which are not necessarily able to be supported in other countries by private medical insurance, and we have the benefit here of some of the finest clinicians in the world. That is something I am sure the Minister will want to focus on when she meets Professor Jeelani. There will doubtless be very specific ways in which he and his team might be helped, but could she bear in mind the fundamental principle that only about one in three million babies is in this condition and they have no hope other than to be treated by his excellent team? That is a responsibility, regardless of residence and those definitions, that we probably take on board through the NHS.
I understand the point that the noble Lord makes and am sympathetic to it. He will also understand the need to ensure not only that we have the expertise here and use it correctly, but that the payment is in place so that the areas of excellence can also meet the requirements of other demands on them, including the reduction of waiting lists. He knows that it is a very delicate balance and that is why it is right that this is a trust-based approach, but I will certainly bear that in mind when I meet the professor.
(11 months, 4 weeks ago)
Lords ChamberI thank my noble friend for her confidence, and I will do my best. Decisions on screening, including the age ranges at which they operate, are made by the UK National Screening Committee. They have an upper and a lower age limit, which are based on evidence and kept under review. Current evidence does not support making changes to these ages. For breast screening, for example, self-referral is available for those over the age of 71 and for bowel screening it is available for those over 75. I confirm to her that this is all evidence-based, and we always keep an eye on the continuing evidence.
My Lords, I declare an interest in that I am a happy statistic of having survived more than five years after cancer treatment. But I know that I am not alone and that many others of the near 2 million cancer survivors have chronic conditions resulting either from cancer or from its treatment. Will the cancer strategy recognise and offer support to the many cancer survivors who have continuing chronic conditions resulting from their cancer?
I am glad that the noble Lord is, as he describes himself, a happy statistic. We are all grateful for that. I certainly share the view that there are a number of ongoing chronic conditions and impacts on other aspects, such as people’s mental health. The cancer strategy needs to look at this in its development, and I am grateful to him for highlighting it.
(1 year, 1 month ago)
Lords ChamberI am sorry to hear of the circumstance that the noble Baroness raises. I agree with her about the pressure on GPs who, of course, are working harder than ever. We know, not just through the Darzi report but through much evidence, that discharge into the community has to take place at the right time and with the right support, and that is not the case at present. I will certainly take up the specific thing the noble Baroness asks for and look into it in far greater detail, because this is clearly a practice, as she described, that is not supporting patients or GPs but working against them.
A wholly different report could have been written based on the underpinning evidence. To that extent, the report may call itself independent but it was not objective. If the Minister subscribes to some of the hyperbolic criticisms of the 2012 Act, can she then explain how the NHS in Labour-run Wales—where the 2012 Act had no effect whatever—performed worse on almost every measure of performance? She said that output was what matters. Can she therefore confirm that productivity in the NHS rose after 2010, relative to the preceding period, up until the pandemic? Can she actually agree that it is outcomes that matter most? Will she say that the Government will maintain the progress that needs to be made in making the NHS accountable to the NHS outcomes framework that we established a decade ago?
Finally, to revert to what my noble friend and the noble Lord, Lord Scriven, rightly asked about, in the last decade the 10-year plan has been something that the NHS owned. There was the five-year forward view in 2014 and the 10-year plan in 2019, and now in 2024 the NHS should own the refresh of the 10-year plan, but I do not think that is going to be the case. Can the Minister explain why the Government are taking that earned autonomy away from the NHS?
I do not recognise the description of taking autonomy away; I appreciate that that is the noble Lord’s opinion. The National Health Service is so key to not just our health and well-being but the economic health of this country. In my opinion, it is something of a backbone of the country. It is right that the Government have made this an absolute priority and have commissioned a very honest report—I hear his criticisms of the report; they are not ones that I share—and that the Government are held accountable. That does not mean taking away autonomy from the NHS. I accept the noble Lord’s point that it is outcomes that matter, and perhaps I should have put that better because by output I mean things not just being done but actually being effective. I thank him for that point.
On frameworks and meeting obligations, one of the points made not just in the Darzi report but elsewhere is on how many of the standards are not being met. We will return to a number of the standards to ensure that people can feel that they know what they are going to get and within what timeframe, and that that will be absolutely possible. We are interested only in what works. We are not interested in scoring points; we are interested in improving the health and well-being of the nation, and I hope noble Lords will want to join with that.