Children and Families Bill Debate
Full Debate: Read Full DebateLord Stoddart of Swindon
Main Page: Lord Stoddart of Swindon (Independent Labour - Life peer)Department Debates - View all Lord Stoddart of Swindon's debates with the Department of Health and Social Care
(10 years, 10 months ago)
Lords ChamberMy Lords, I shall speak also to my Amendments 61 and 57BB. I very much welcome Her Majesty’s Government’s change of heart as far as standardised packaging is concerned, and I certainly welcome the appointment of Sir Cyril Chantler to review the evidence. Sir Cyril is known to many of your Lordships and has made a significant contribution to the NHS. We can have complete confidence in his work.
My two amendments are designed to press the noble Earl on the comments he made in his final remarks and to encourage him to give the House an absolute assurance that should Sir Cyril Chantler conclude that the evidence is clear that standardised packaging is effective in reducing the risk of harm to children, the Government will speedily move to lay the regulations specified in his Amendment 57B. The noble Earl will know that at the moment line 3 of his amendment merely says,
“The Secretary of State may make regulations”.
I would have preferred to see the word “must”. To an extent, the noble Earl has already explained why it is to be “may”, but are there any circumstances where, on the assumption that Sir Cyril has concluded positively, the Government would not proceed to legislate?
Amendment 57BB concerns the proposal that it be an offence for any person who drives a vehicle to fail to prevent smoking in the vehicle where a child or children are present. I do this on the basis that the past 15 years have seen an impressive reduction in the amount of smoking in this country. Indeed, since the previous Government’s 1998 Smoking Kills action plan, smoking rates among children, who are, of course, the focus of this Bill, have fallen by more than half following a period of little progress lasting 20 years. I have little doubt that the ban on advertising was pivotal, but the fall was also due to a series of other concerned measures which included an increase in the age of sale, picture warnings on packs and an above-inflation increase in tobacco duty to reduce affordability.
I believe that we should continue the momentum and protect future generations from the dangers of smoking. That is why I welcome the Government’s agreement to legislate on standardised packages and the proposals that the Minister has outlined today in relation to proxy purchasing and the restriction of the sale of e-cigarettes to under 18 year-olds. However, the Government could do more by accepting my amendments and support the principle of a ban on the use of cigarettes when children are present in cars.
Children’s lungs are smaller and they have faster breathing rates, which makes them particularly vulnerable to second-hand smoke, especially within the close confines of a car. Members of the public are protected by smoke-free legislation when in public transport and work vehicles. However, large numbers of children remain exposed to high concentrations of second-hand smoke when confined in family cars. Indeed, around one child in five reports being regularly exposed to second-hand smoke in cars, with catastrophic health consequences. Figures released by the British Lung Foundation show that around 185,000 children between the ages of 11 and 15 in England are exposed to potentially toxic concentrations of second-hand smoke in their family car every day or on most days.
We know that children exposed to second-hand smoke have a raised risk of lower respiratory infections, wheeze, asthma, middle ear infections and meningitis. Every year, exposure to second-hand smoke leads to an estimated 165,000 additional cases of these conditions among children. Many of those cases are serious, leading to an estimated 8,500 hospital admissions.
I was very surprised by research identified by the British Lung Foundation, which shows that a single cigarette smoked in a moving car with the window half open exposes a child in the centre of the back seat to around two-thirds as much second-hand smoke as in an average smoke-filled pub of days gone by. Levels increase to 11 times those of a smoky pub when the cigarette is smoked in a stationary car with the windows closed.
Some noble Lords will argue—as I heard the FOREST spokesman arguing this morning—that a car is a private space and that we should not legislate for what happens in such a space. However, there are more important principles than that, one of which is the need for child protection. Unlike most adults, children lack the freedom to decide when and how to travel, and they lack the authority most adults have to ask people not to smoke in their company. In those circumstances it is right for Parliament to step in to protect children.
I know that the Government argue that the most effective way to reduce smoking in cars carrying children is not through legislation. In his letter to us the noble Earl talked of two successful campaigns aimed at encouraging people to change their behaviour, and said that the evaluations are encouraging. From what I see—and they do not appear to be very robust evaluations—I am not aware that the scientific evidence of behavioural change has been published. Can he give an assurance that the evaluations spanned several months and not just immediately after the campaign? Can he also confirm that they took into account what was reported by children and not just adults? There is sometimes a discrepancy between what adults say they do and their behaviour as reported by children. Can he also confirm that the research includes actual measurement of behavioural change? I do not believe that marketing measures such as website visits effectively demonstrate behaviour change. Can the noble Earl also say why, if the Government are so keen on evaluation, Ministers forced NICE to abandon a project to give public health guidance for commissioners and providers on the development and implementation of policies on smoke-free homes, private cars and other vehicles?
The noble Earl will argue that this is best done through education. I understand that argument and I certainly accept that education programmes can achieve much. However, my contention is that we are now close to—
I have listened to the noble Lord very carefully and I cannot understand—perhaps he can explain it to me—why on earth he has joined the question of plain packaging with smoking in cars. They are two completely different issues. Is it expected that those of us who are concerned with both amendments now have to speak in one debate rather than two, on two particularly difficult and important matters?
My Lords, a number of amendments have been grouped together. Some deal with standardised packaging, others with the issue of smoking in cars. My answer to the noble Lord is that we will deal with both issues in one debate. The House always has to trade off having separate debates on individual amendments or pulling them together. I, for one, think it is better that we have a wider debate; but of course the noble Lord is entitled to speak on both issues. I hope that he will do so because he always has interesting insights—although I do not always agree with him on this particular one.
In finishing, I want to come back—and anticipating the noble Earl’s response—to the issues around awareness campaigns. As I said, of course they can achieve much, but sometimes legislation also needs to be brought into the picture.
My Lords, I wish to add a word on the amendment about smoking in cars when children are present. I do not wish to say anything about standardised packaging because I thoroughly support the amendment on that. However, so far as smoking is concerned, the support for the relevant amendment is focused on smoking in motor cars. However, that is not what the amendment says. It refers to “a private vehicle”. Motor cars are a very common—perhaps the most common—species of private vehicle, but there are all sorts of other private vehicles that one must take into account as well. The word “drives”, commonly used in relation to motor vehicles, comes from the driving of carriages and ponies and traps. Suppose that somebody has a pony and trap, and has a child in the trap, why on earth should he or she not smoke? If this amendment were confined simply to motor cars, I would have no objection to it at all; indeed, I think that I would support it. However, in relation to all private vehicles, it simply goes too far. I do not believe that was intended and I think the wording should be modified accordingly.
My Lords, I think the score is about 10 or 11 to one in favour of the amendments. I will be the second noble Lord to speak against both amendments. I shall take a little while to do so.
If we consider this in terms of the time given to the “fors” and the “againsts”, as I have already said, it is about 11 to one, and it is going to be about 11 to two. I intend to make the points that I intended to make before this debate started.
First, I declare my interest. I am an associate member of the Lords and Commons Pipe and Cigar Smokers’ Club. I am an associate member because I do not smoke, but I believe that users of a legal product should be allowed to enjoy it without continuous harassment by government and an army of lobbyists such as ASH, which is subsidised, and the BMA. Smokers, unfortunately, are treated as social lepers, although let us not forget that they contribute some £10.5 billion per annum to the Treasury. If they are such lepers, perhaps we should not accept their money.
In my view, the amendment of the noble Earl, Lord Howe, is perhaps one of the most extreme Henry VIII pieces of legislation that I have ever seen, and I am sorry to see that it is in his name. I want to take the House back in history to 4 February 2009. Let us hear what the noble Earl said then, when we were discussing the ban on tobacco displays:
“The Bill’s proposals to outlaw point-of-sale displays of tobacco products are unjustified and repressive. The evidence to back them up is flimsy, and the data has been hyped. In 2002, when tobacco advertising was banned, the Government said that they had no plans to interfere with the right of retailers to display a perfectly legal product in shops. We must be absolutely sure of our ground before removing that right”.—[Official Report, 4/2/09; col. 749.]
I believe that the noble Earl was right then and is wrong today because he is going further than the previous Government dared to do. Not only have we banned the display of cigarette packets and what have you but now plain packaging will be banned as well, and that seems quite an absurdity.
The new clause proposed in Amendment 57B is so detailed as to be almost incomprehensible. The Government are now proposing to intervene in the nooks and crannies of design and, indeed, even in the fabric of cigarette and other tobacco packets. There are 19 ways in which the Government are going to intervene and tell the tobacco manufacturers how they can display their products. That, I believe, is going much too far. In passing, I suppose that I ought to note that the display legislation is not yet fully operative—small retailers will not be banned from displaying these products until 2015. So here we are, before the ban even comes into force, going even further than the previous Government did, which at the time the noble Earl, Lord Howe, opposed.
We have heard a lot in the past few days about cutting regulation but the Government are also increasing regulation, of which this amendment is the nastiest example. I do not have time to go into the complete detail, although I should go through the whole amendment but I will not.