Health Promotion Bill [HL]

Baroness Merron Excerpts

2nd reading
Friday 2nd December 2022 Lords Chamber

[Baroness Merron (Lab)]

My Lords, it is a pleasure to follow the noble Lord, Lord Storey, particularly his closing remark. I also congratulate the noble Lord, Lord Addington, on bringing the Bill before the House today. I believe it seeks what many in the Chamber have said repeatedly—not just today but on many occasions—from a whole range of experiences, and always with the same focus: having a co-ordinated approach to improving our health as individuals, as communities and across the nation.

The noble Lord, Lord Lansley, talked about the need for a cross-cutting priority across government. We have heard about that many times, and it is right to remind us again today that it is what is needed. I know that is what the noble Lord, Lord Addington, is seeking to achieve. Similarly, the noble Lord, Lord Crisp, talked about the need to create good health and environments, and I am sure we are all aligned on that.

I was interested to read in the Library briefing, for which I was most grateful, that when the body we are discussing and referring to in the Bill was initially announced by the Government in March 2021, it was due to be called the office for health promotion. I know that the noble Lord, Lord Addington, is suggesting that we should return to that. I realise that this is before the Minister’s time, but it might be of assistance to your Lordships’ House if he could give us any information today as to why it migrated to a different title.

The noble Earl, Lord Devon, the noble Lord, Lord Hayward, and other noble Lords spoke about the report of the House of Lords National Plan for Sport and Recreation Committee, which was a very welcome contribution. However, it is one thing to make that contribution and another to see action; I think that has been emphasised today. That committee called for the development of a long-term, cross-government national plan for sport, health and well-being, and this debate has been calling for exactly that. The committee also heard evidence that cross-departmental co-ordination is not working, delivery is fragmented and access to funding is complicated and overbureaucratic. Could the Minister indicate what will be taken from the report that has already been done and how progress will be made in all those areas?

There seems to have been a backward move over the past number of years, not least as we see plans being scrapped or pulled back. I refer in particular to targets on obesity, which are not being met; the promotion of less healthy foods, which is now to be allowed to continue for longer than originally anticipated; the Government being seven years behind their target of a smoke-free 2030; and, as we have heard many times, the fact that we still await—I assume it is no longer going to appear—the health disparities White Paper. In all these areas, we need to see more action, but we are seeing a backward trend. Perhaps the Minister could give us some heart in this respect.

We also know that there have been considerable cuts in the public health budget, smoking cessation services having been particularly hit. There are at least two figures circulating about the size of the smoking cessation cut, but none of them is less than one-third. Why have there been cuts in the public health budget and why have they particularly hit smoking cessation services? Can he also confirm his understanding of the amount being cut and what we can look forward to in the future?

A number of noble Lords referred to the World Cup inspiring us at present and bringing us together as a nation. That is true, and we also very much saw that with the Lionesses. While the Minister should take seriously the urgings from noble Lords who have spoken today to give sport the attention it deserves, it is crucial, as many have said, that we broaden this to thinking and talking about recreation and, in particular, physical activity. The noble Baroness, Lady Randerson, made particular reference to women and girls, who may be less inclined to be involved in organised sport but nevertheless need to be supported, encouraged and enabled to take part in physical activity.

I pay tribute to the noble Lord, Lord Addington, for his tireless campaigning and look forward to the Minister’s response.