(2 days, 4 hours ago)
Grand CommitteeMy Lords, I thank the noble Earl, Lord Howe, for introducing this group. I will speak in specific terms against Amendment 188 and very strongly against Amendment 200A.
Starting with Amendment 188, I declare my position as a member of the All-Party Parliamentary Group on Customer Service. I note the terrible figures from the Institute of Customer Service earlier this year—these are from people who work in all areas of public-facing customer service—which showed that 43% of those surveyed had faced some incident of customer hostility in the previous year. That figure was up nearly 20%. Some 21% of the people surveyed had also faced physical threats while they were doing customer-facing roles.
As the noble Earl said, we have a real problem with shoplifting, but we also have a problem across the board. I do not think the best way to approach this is to look specifically at retailers of tobacco, vaping and nicotine products. There is a need for government action, and I have been working with the Institute for Customer Service more broadly, as I have in the past on other legislation, to tackle this. It does not make a lot of sense to regard this as a discrete problem; it needs a much broader angle of attack.
I am very strongly against Amendment 200A, which would establish a government grant scheme to subsidise the cost of age-verification technology to reduce the financial burden on smaller retailers. I absolutely agree that the burden should not fall on smaller retailers. However, I point out that—this is based on work earlier this year by the Social Market Foundation—the big four tobacco companies make £900 million in profits annually and that their average profit margin, looking at the cost of producing and distributing tobacco products versus the price they charge to whole- salers, is 50%. There is no other product that has anything like that kind of return.
Due to being involved here, I have not had a chance to look closely at what happened in the Budget today but, so far as I have been able to discover, a fairly standard increase in tobacco duty is coming in at 6 pm today. However, the Chancellor has not, it seems, followed the recommendation of the Social Market Foundation to put a levy on tobacco products on some of those windfall profits. At the time, that was suggested for health measures, but it could indeed go into such a measure as this. It is very clear that the merchants of death should be paying for the costs associated with their products much more broadly than this. But, certainly in the context of this amendment, they should meet any burden of compliance so that it does not fall on the smaller retailers.
My Lords, I hesitate to interject at this late stage of Committee, but I just respond to the noble Baroness, Lady Fox, who had concerns that many of the organisations giving evidence previously on the retail question were from health-related charities, and I declare my own non-pecuniary interest as chairman of Cancer Research UK.
I just inject a note of caution about relying too heavily on some of the trade associations for the small retailers that she describes, given that they have some financial vested interests. The organisation that she cited, I noticed on their website, has received a sponsorship support from Japan Tobacco International. Another major retail association declares on its website that it has received funding from Philip Morris, Japan Tobacco, Imperial Tobacco and British American Tobacco. Therefore, notwithstanding the need to consult retailers directly, I think that some of these trade associations may have a conflict of interest.
(7 months, 3 weeks ago)
Lords ChamberMy Lords, this Bill has been years in gestation, and we have heard, in Committee and on Report, that it is going to be years in implementation. The Government, not unreasonably, have pointed to two principal rate limiters for that: workforce and funding. As we have just heard in the powerful speech from the noble Baroness, Lady Tyler of Enfield, her Amendment 50 is responsive to the staffing constraints and concerns, and my Amendment 59 tackles the funding question. I am grateful for her support and that of the noble Baroness, Lady Bennett of Manor Castle, and the noble Lord, Lord Scriven.
In a nutshell, as the noble Baroness says, this amendment does not seek to tell the Government, or indeed the House of Commons under its privilege, how much to spend on the NHS. All it says is that there should be a floor on the share of that total going to mental health for a time-limited period while the Act is being implemented; in other words, the Government would continue to decide the size of the NHS pie. The Government, of whichever complexion, could decide to grow or shrink it, but the slice of that pie devoted to mental health would be protected for a time-limited period, not only at the local ICB level but nationally.
We had a debate on this in some detail in Committee, so I will not repeat the arguments in favour, but I will update the House on two developments since then. First, in consultation with the Public Bill Office, this Report amendment is more tightly drawn, focusing specifically on the mental health services that are in scope of this Bill and are required for its implementation. Secondly, as the noble Baroness, Lady Tyler, has just noted, since we debated this point in Committee, new evidence has emerged, sadly, as to precisely why this amendment is needed. Previously, Ministers have argued, in good faith, that the Government are committed to protecting the mental health share anyway, whereas last Thursday, the Written Ministerial Statement disclosed that the Government now intend to shrink the share of NHS funding on mental health services in the year ahead.
The Written Ministerial Statement says:
“This is because of significant investment in other areas of healthcare”.
That is not a justification; it is a mathematical tautology. It reveals a preference entirely antithetical to what will be required over the years to get this Bill implemented.
It may be argued that it is a small percentage reduction, even though it is an important negative new precedent that has been set. However, a small percentage reduction on a large pound note number itself constitutes a large pound note number. Mental health services will be missing out on hundreds of millions of pounds more, not only in the year ahead but over the decade that it will take to implement the Bill. If that is not corrected in subsequent years, over £1 billion of funding has, in effect, been removed from mental health services and the implementation of the Bill as a consequence of that decision.
In summary, there are, sadly, real grounds for concern about whether the implementation of this Act will be properly and expeditiously resourced. If the Government want to argue that this amendment is unnecessary, because they are going to do what it says anyway, it is not clear why they would therefore object to its inclusion in the Bill. But if the Government’s argument is that they do not support the amendment because they would like the flexibility to cut mental health funding shares, then, to my mind, that really points to the necessity of the amendment.
I rise briefly, having attached my name to Amendment 59 in the name of the noble Lord, Lord Stevens, and backed by the noble Baroness, Lady Tyler, and the noble Lord, Lord Scriven. We saw in Committee multiple amendments all trying to address the resource issue. We have focused on this one because it is both an elegant solution, as the noble Lord, Lord Stevens, just outlined, and it is—emanating from the Cross Benches—a moderate solution that can and I think will attract wide support from around the House.
As the noble Lord and the noble Baroness have said, parity of esteem has never been achieved and, on the current figures, is currently going backwards, in the wrong direction. We have to focus on the fact that the waiting lists for community mental health care for adults and young people and children are twice as long as those for physical healthcare. That is the outcome of the inequality of esteem with which mental health is being treated. I note that the Rethink Mental Illness Right Treatment, Right Time report found that most people living with a severe mental illness experienced worsening mental health while waiting for treatment, with 42% requiring urgent care and 26% being hospitalised. We are aiming to shift from hospital care—in-patient care—to community care, but we are actually forcing things in the other direction because people reach such a state of crisis. I have to preface the horror of what I am about to say with a warning. The Right Treatment, Right Time report found that 25% of people whose mental health deteriorated while waiting for treatment attempted suicide, which highlights how the lack of funding for mental health care impacts on that awful statistic.
This is a step to create a framework that heads in the right direction. As noble Lord, Lord Stevens, said, how could you possibly oppose this?