Smokefree 2030 Target

Bob Blackman Excerpts

Tuesday 20th June 2023 Westminster Hall

[Bob Blackman (Harrow East) (Con)]

I beg to move,

That this House has considered the Smokefree 2030 target.

It is a pleasure to serve under your chairmanship once again, Mr Evans, and thank you for stepping in to ensure that the debate can take place. We will be considering the 17 April statement to the House on achieving a smokefree England by 2030, cutting smoking and stopping kids vaping.

The debate is co-sponsored by me, in my capacity as chairman of the all-party parliamentary group on smoking and health, and by my friend, the hon. Member for City of Durham (Mary Kelly Foy), who is a vice-chair of the group. The APPG wants to ensure that Parliament has the chance to debate the announcement made by the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O’Brien), and to consider whether those measures are sufficient to end smoking by 2030 and level up the health and wellbeing of some of the most deprived communities in the country.

At the outset, I commend my hon. Friend the Under-Secretary for announcing the first tobacco control measures since the Government set out their Smokefree 2030 ambition way back in 2019. Since 2021, the APPG has been calling for greater funding to help smokers to swap and to stop, and to provide incentives to help pregnant smokers to quit. We are extremely pleased to see that those measures have been taken forward.

However, while the measures recently introduced by the Government to achieve a Smokefree 2030 are welcome, they are insufficiently ambitious, as they provide only a quarter of the funding called for by the Government’s own independent review last year. Meanwhile, big tobacco continues to make extreme profits selling highly addictive, lethal products that kill if they are used correctly.

The idea of a levy on the industry is popular and feasible, and is supported by voters of all political persuasions, as well as the majority of tobacco retailers. The manufacturers clearly have the money and high profits, so they should be made to pay to end the epidemic. This is more than just a health crisis because delivering a Smokefree 2030 is integral to delivering economic growth, which is a mantra for the Government and for Opposition parties.

Analysis conducted by Landman Economics on behalf of ASH—Action on Smoking and Health—found that, in addition to causing around 75,000 premature deaths a year in the UK, in 2022 smoking cost the economy a staggering £173 billion, including lost productivity and premature death.

Let me break those figures down. The cost to the public finances was £21 billion, which is nearly double the tobacco tax revenues of £11 billion. The cost to the NHS was £2.2 billion, and to social care £1.3 billion. Those figures are substantial, but they pale into insignificance beside the £5 billion of social security payments and the £11.8 billion of lost income tax and national insurance—people who are sick from smoking are unable to work. That is public money, and it will continue literally to go up in smoke for years to come unless we take urgent and bold action.

I welcome the measures announced by the Minister in April, but I recognise that they still fall well short of the recommendations in Dr Javed Khan’s independent review. Of the four “must do” measures recommended by Dr Khan, only one—promoting vaping for adult smokers—has been fully adopted by the Government. The recommendation to improve prevention in the NHS has been partially implemented via the new NHS long-term plan with respect to tobacco treatment services, but those have been constrained by a lack of funding.

Dr Khan’s top two recommendations, which are increased investment in tobacco control and increasing the age of sale, have not been adopted, which has left tobacco control efforts desperately underfunded and put the Smokefree 2030 ambition in critical jeopardy. While I commend the Government’s ambition and commitment to make smoking obsolete by 2030, to date that ambition has not been matched by funding. Dr Khan’s independent review made it clear that a Smokefree 2030 cannot be delivered on the cheap. Speaking recently on improved public sector productivity, the Chancellor stated that

“we count the number of hospital treatments but not the value of preventative care, even though that saves lives and reduces cost.”

I could not agree more.

Public health interventions, such as smoking cessation, cost three to four times less than NHS treatment for each additional year of good health achieved in the population, yet this is where the largest budget cuts have fallen to date, with the public health grant falling by a quarter in real terms since 2015 and funding for tobacco control falling by almost half. Local authorities have done their best to continue delivering vital tobacco control activity despite these funding cuts, but there is much more that we can do. If the Government are serious about the Smokefree 2030 ambition, they cannot keep asking local government to do more with less. More funding must be made available to deliver it.

Last year, Dr Javed Khan called on the Government to urgently invest an additional £125 million per year in a comprehensive Smokefree 2030 programme. One of his options for raising that money was a “polluter pays” levy on tobacco manufacturers, based on the principle that those responsible for the problem should be required to fix it. The principle has been accepted on numerous occasions: the landfill levy; the tax on sugar in soft drinks; requiring developers to pay for the costs of remediating building safety defects; and, most recently, a statutory gambling levy. The “polluter pays” model would enable the Government to limit the ability of manufacturers to profit from smokers while protecting Government excise tax revenues. That will prevent big tobacco gaming the system as it currently does with corporation tax.

Despite paying little corporation tax, the big four tobacco companies make around 50% net operating profits in the UK—far higher than the average of 10% for UK manufacturers overall. Imperial Brands is the most profitable, with 40% market share in the UK and over 70% net operating profits in 2021. Why should an industry whose products diminish the health of users be allowed to make such excessive profits? A levy could raise £700 million a year while capping the profits on sales to ensure that the costs are not passed on to smokers. Some £700 million from tobacco manufacturers would more than cover the £125-million additional funding that Dr Khan estimated was needed for tobacco control, with money left over for other prevention and public health measures.

[Mr Virendra Sharma in the Chair]

Amendments to the Health and Care Act 2022 calling for a consultation on such a levy were tabled by the hon. Member for City of Durham, who is co-sponsor of this debate, and were accepted in the House of Lords last year. Health Ministers were sympathetic, but the Treasury opposed the measure, so it was voted down by the Government, despite overwhelming public support for a levy. Some 75% of the British public think that tobacco manufacturers should be made to pay. My first question to the Minister is: can he tell me, if the Government will not commit to a levy on tobacco manufacturers, how, when and where will they find the additional funding needed to deliver the Smokefree 2030 ambition? Since 2020, public health Ministers have committed to publishing a new tobacco control plan, initially by July 2021 and then by the end of 2022—we are still waiting. The previous tobacco control plan expired last year, leaving us without a strategy or any targets for reducing smoking rates among the most disadvantaged groups.

In the absence of national leadership, local authorities are stepping up to the plate. For example, the London Tobacco Alliance, which I am proud to support, launched last year. It is leading the charge to make the capital smoke-free by 2030. I am sure the Minister will join me in commending the alliance and other regional partnerships across the country that are committed to tackling smoking in their communities. In place of a tobacco control plan, the Minister has said that tackling smoking will be “central” to the major conditions strategy. However, the recent call for evidence for that strategy was not reassuring, and certainly did not place smoking front and centre. My second question is: if the Minister will not commit to a new tobacco control plan—I wish he would—can he at least reaffirm that smoking will be central to the major conditions strategy and that further tobacco control measures will be included in the major conditions strategy when it is finally published? I assure the Minister that he has the full support of the APPG in his efforts to tackle youth vaping, and recent announcements by both the Minister and the Prime Minister are warmly welcomed.

My views on youth vaping were summed up expertly by the chief medical officer:

“If you smoke, vaping is much safer; if you don’t smoke, don’t vape; marketing vapes to children is utterly unacceptable.”

The APPG is deeply concerned about recent figures published by ASH showing that there has been a significant rise in youth experimentation with nicotine e-cigarettes, driven by cheap, colourful disposable vapes and child-friendly marketing.

[Dr Neil Hudson (Penrith and The Border) (Con)]

I congratulate my hon. Friend and the hon. Member for City of Durham (Mary Kelly Foy) on securing this debate. Although I acknowledge that vaping has a role in helping adults to quit tobacco smoking, youth vaping has unintended consequences, as my hon. Friend is starting to elaborate. We have seen a surge in such vaping, and there are huge health and environmental concerns. As he said, the products are targeted at young people, with colourful packaging and flavouring. The Government have taken some strong steps. Does my hon. Friend agree that we need to go faster to stop this unintended public-health ticking time bomb?

[Bob Blackman]

I thank my hon. Friend for that intervention. It reminds me that 11 years ago I led a debate in this place on introducing standardised packaging for tobacco products. At the time, both the Government and the Opposition said they had no plans to support such a measure. Of course, we now have standardised packaging of tobacco products. I hope we can get standardised packaging of vaping products as well.

The Government recently issued a call for evidence on the best approaches for tackling youth vaping. I look forward to seeing the response. First and foremost, the Government should make disposable vapes, which are the worst things for the economy, much less affordable, by adding a £5 excise tax. That would also make the distribution of those products subject to much more stringent controls, making it easier to prevent illicit and underage sales. It would in particular ban the issuing of free samples to young people.

Will the Minister tell us when the Government’s response to the call for evidence on youth vaping will be published, and whether it will include specific enhanced regulation to address loopholes in the law? I welcome the Minister’s commitment to adapting the tobacco trace and trace system, to strengthen enforcement and to target the illicit market. I particularly welcome the Minister’s commitment to exploring how to share information with local partners about who is registered on the track and trace system, which is critical.

[Gareth Johnson (Dartford) (Con)]

Does my hon. Friend agree that there is a critical role for trading standards in enforcing measures against illegal vapes, counterfeit tobacco and underage sales? We could greatly secure the environment for the consumer by trading standards enforcing the laws.

[Bob Blackman]

My hon. Friend must have read the next part of my speech. At present, trading standards officers have one arm tied behind their back in the fight against illicit tobacco, due to a lack of options for identifying and cracking down on retailers who repeatedly flout tobacco regulation. We know that retailers who sell illicit tobacco products are much more likely to sell tobacco to children, undermining tobacco-control regulations. They also seek to hook children on the addictive product that kills more than half of long-term users, by giving or selling them vapes in the first place.

Retailers are required to have an economic operator ID before they can trade in tobacco, under the current tobacco tracking and tracing regulations. Through adaptation of that system, local enforcement will easily be able to identify retailers who are breaking the law, and hold them accountable. That is the approach that I recommend in my ten-minute rule Bill, which would introduce a retail licensing system, similar to the one that exists for alcohol. Retail licensing for tobacco was recommended in Dr Khan’s independent review.

The Minister will be pleased to know that that approach has the support of the public and retailers. Survey evidence from ASH, published last autumn, found that more than eight in 10 small tobacco retailers support the introduction of a tobacco licence, backed by mandatory age verification. Will the Minister commit to publishing further detail on his plans to strengthen the track and trace system, before Second Reading of my ten-minute rule Bill on retail licensing in November?

It is undeniable that big tobacco and those representing its interests never cease in their attempts to undermine public policy, not just on tobacco but on vaping. Only last weekend, The Observer revealed that lobbyists connected to big tobacco were funding Facebook campaigns opposing new vaping regulations. Regulations, I think we can all agree, are desperately needed to protect children. It was exceptionally well timed, therefore, that yesterday the Department of Health and Social Care published guidance for all parts of Government on our legal obligations to protect public policy from the commercial and vested interests of the industry—guidance that I very warmly welcome. The Department of Health and Social Care, as custodian of the World Health Organisation framework convention on tobacco control, has been staunch in its support for that treaty and has upheld our legal obligation to strictly limit any engagement with the industry solely to that required for effective regulation of the industry. Will the Minister put it on the record that Government—the Executive, legislature and judiciary—are required to limit interactions not just with tobacco manufacturers but with any organisations or individuals with affiliations to the tobacco industry, including lobbyists or industry trade bodies, such as the UK Vaping Industry Association, which lists big tobacco among its members?

Mr Sharma, it is good to see you in the Chair; thank you for stepping in. When the Government initially announced their Smokefree 2030 ambition, it was described as “extremely challenging”. Four years on, not only has the challenge increased but the need for action has become more urgent. Cancer Research UK estimates that we will miss achieving the ambition by nine years; it will be even longer for the most disadvantaged in society. I am sure that the Minister agrees that that is not acceptable, so I wish to remind him of comments that he made in his previous role as a Minister for levelling up. He said that

“ultimately on public health and on prevention, we need to think extremely radically and really floor it, because otherwise the NHS will just be under humongous pressure for the rest of our lifetimes because of an ageing population.”

The proposals brought forward to date have been radical, but are not yet sufficient. There is nothing on key measures recommended by the APPG and by Dr Khan in last year’s review, which included reinstating funding that was cut for behaviour change campaigns, raising the age of sale, retail licensing, and tougher regulations for tobacco as well as vaping. I hope that when the Minister replies to this debate, he can assure the Chamber that the major conditions strategy will be published this year and will contain further measures—and funding—sufficiently radical to achieve our ambition for a smoke-free future, not just in England but throughout the United Kingdom. I look forward to hearing the contributions of other colleagues on this important matter, and thank you, Mr Sharma, for allowing this important debate to take place today.

[Several hon. Members rose—]

--- Later in debate ---

[Bob Blackman]

I thank the Minister for his reply to the debate; the co-sponsor of the debate, the hon. Member for City of Durham (Mary Kelly Foy), for her contribution; the Labour Front-Bench spokesman, the hon. Member for Denton and Reddish (Andrew Gwynne), for his support from across the Chamber; and our SNP colleague, the hon. Member for Linlithgow and East Falkirk (Martyn Day), for his contribution. That we have had contributions from Northern Ireland, Wales, Scotland and England demonstrates the strong cross-party and cross-country support for making the United Kingdom smoke free. It is reassuring to hear people support the campaign with such enthusiasm.

I urge the Minister to consider carefully the questions and points that were put during the debate as we look forward to the action that is required to prevent people from starting to smoke and to encourage those who do smoke to quit. At the end of the day, this is about preventing avoidable deaths, and without that action, we will, unfortunately, see far too many people become ill and die prematurely.

While I have the floor, I will remind colleagues that on 19 July the all-party group will be hosting a reception to mark the fourth anniversary of the Government’s Smokefree 2030 ambition. We hope to hear from both the Minister and the Opposition spokesman, and I invite other colleagues to contribute to the session. I hope that we will be able to celebrate some new announcements from the Government, and that we will move forward to a smoke-free England in 2030 jointly and severally.

Finally, I thank you, Mr Sharma, and Mr Evans earlier, for stepping into the Chair. When we were all sitting here before the start, we were wondering whether the debate would take place at all, and had you not stepped in, it would have been very difficult to continue. I commend the motion to the House.

Question put and agreed to.

Resolved,

That this House has considered the Smokefree 2030 target.