(2 days, 4 hours ago)
Grand CommitteeMy 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.
My Lords, I agree with the noble Earl, Lord Howe, about how important it is that retailers of all kinds feel supported as we move into the transition to a smoke-free generation. Those who operate legally and who will obtain a licence to operate under the new rules will want to see the Government doing everything that they can to attack the illicit trade that undermines the profits of law-abiding businesses.
They also need protection from the wave of shoplifting, which the noble Earl, Lord Howe, talked about, which eats into their profits and sometimes puts them in physical danger. It is quite possible that progress towards gradually raising the age below which the retailers may not sell tobacco products could exacerbate this situation unless action is taken. Age verification could be seen as a problem or a solution. However, the need for age verification is already quite common and it falls upon the consumer, not the retailer. I have to verify my own age when I buy a senior railcard to use on the train, although my grey hair means that I am not challenged when I want to buy a bottle of wine. However, the fact remains that, when I have alcohol in my basket at the checkout, a member of staff is entitled to verify that I am over 18—in fact, they take one look, and they click on the terminal. They do not ask for my birth certificate, but of course they might if I looked under 18, which I do not.
However, the situation will soon change for young people only a year apart in age. Having said that, young people are already quite used to having to verify that they are over 18 when buying a drink or a packet of cigarettes or vapes. What do they do now? They use a digital age-verification tool already, and some bars issue their own card once they have verified the age of their regular customers. It therefore would not be unreasonable, and would be helpful to the retailers, if a range of age-verification mechanisms could be available to customers who would then have to show one of them in order to protect the retailers from inadvertently committing an offence. They have to show that they are over 18 now, so why not that they are 19 a year after Royal Assent or 20 the year after that?
It may be a very good idea for the Government to carry out more research on this and publish a strategy, as the noble Earl, Lord Howe, has proposed in Amendment 188. But the public are not the only ones who need guidance and information about the law well before it comes into operation; how much more important is it for retailers? We have already debated my noble friend Lady Northover’s amendment about the need for a communications strategy, so I am not sure how much Amendment 191 would add to that, but it is a useful probe.
Like the noble Baroness, Lady Bennett of Manor Castle, I do not support Amendment 200A from the noble Lord, Lord Howard of Rising. I do not see why taxpayers should foot the bill for creating age-verification mechanisms. I suspect that individual customers will obtain their own digital age-verification mechanism and that inventive companies will produce them and make them readily available. Of course, the vape manufacturers may also produce age-gated products, so perhaps it should be the tobacco industry that foots the bill because of its very large profit margins. I look forward to hearing the Minister’s views on this issue.
(3 years, 10 months ago)
Lords ChamberMy Lords, I just wanted to respond to the last set of very important questions that have arisen. It is fair to say that the Bill increases the accountability for commissioning primary care services locally, as compared with its predecessor, the 2012 Act. That is because one consequence of having GPs represented on the clinical commissioning groups was that clinical commissioning groups could not, therefore, be the commissioners of local primary care services, at least in statute. One had the paradox that the most local of all the services in the NHS was stripped out from the local commissioning bodies, the CCGs, and instead given nationally to NHS England, as a work-around to deal with the conflict of interest that GPs would otherwise have had in commissioning themselves on the CCGs.
In practice, the CCGs have been given the ability to influence those local commissioning arrangements but, to be clear, that is not the accountability mechanism set through the 2012 Act. What this Bill does is to improve the position, in that it is local integrated care boards that have that local commissioning responsibility for GP and other family health services, as compared with NHS England nationally.
My Lords, we have been reminded many times during the debates in Committee of the aims of the Bill to improve the health and well-being of the population, to improve the quality of care and to use NHS resources sustainably through integration, co-operation and collaboration. Of course, the point at which these resources are used at the coalface, known as “place” in the Bill, is in these place-based organisations. To ensure integration at this level, we are told that the ICB must create an integrated care partnership, otherwise known as a place-based integrated care board, which probably has an acronym as well. There is, however, very little detail about those, despite their crucial importance, and these amendments from the noble Lord, Lord Hunt, are an attempt to put a bit of flesh on those bones.
I put my name to Amendment 166, but I could just as easily have put it to Amendment 165. Amendment 166 says that, within the place-based partnership, there should be mandated a provider network board with duties delegated to it by the ICB. It would be under parliamentary scrutiny and have an obligation to meet in public. These networks already exist and exert considerable influence, but it is essential that they operate in this new integrated care system under a regulated constitution, with obligations to consult and financial provisions. This amendment would ensure the transparency, for which the noble Lord, Lord Lansley, called, over how well integration is operating at this very important level so that there can be proper control and accountability and scrutiny as to where the money is being spent and whether it is achieving the duties placed on all these systems by the Bill.