Smoke-free UK

Bob Blackman Excerpts

Thursday 15th October 2026 Westminster Hall

[Bob Blackman (Harrow East) (Con) [R]]

I beg to move,

That this House has considered progress towards a smokefree UK.

It is a pleasure to serve again under your chairmanship, Ms Vaz, and to open the debate. This is a vital topic, and one I am proud to have campaigned on for many years—probably more than I care to remember. I declare an interest as co-chairman of the all-party parliamentary group on smoking and health. Since I was elected, it has been tremendous to see the progress we have made on combating smoking and, indeed, increasing the health of the population generally.

Last week, new smoking prevalence data showed that, for the first time, less than 10% of the UK population smoke. We are worlds away from the 1970s, when almost half the population smoked. We certainly do not want to go back to that position. However, there is still some way to go, and this debate is an important reminder that the job is not done. Although we are making excellent progress, including with the passage of the Tobacco and Vapes Act 2026 earlier this year, we should not say that the job is done.

Smoking remains one of the leading causes of premature death and disability in the UK. It is responsible for around 80,000 deaths every year. Cancer Research UK says smoking is responsible for around 160 cancer cases every day, or 57,700 cases each year. Tobacco is a uniquely harmful product. It can kill up to two thirds of lifelong users and is responsible for at least 16 types of cancer.

The impact goes beyond health. Around one in nine working-age adults in England who smoke are out of work because of ill health or disability. That is around 700,000 people. The NHS continues to feel the pressure, with around 100 GP appointments every hour linked to smoking-related illness. In fact, the total cost of smoking to society and the economy in England alone is estimated at £44.8 billion a year.

Smoking is still a huge problem, but it is one that it is within the Government’s power to fix. Cessation services, mass media campaigns and changes to the age of sale are all tools that can be used to achieve a smoke-free country.

This Government have shown admirable ambition in bringing back the smoke-free generation policy originally proposed by my right hon. Friend the Member for Richmond and Northallerton (Rishi Sunak). I and many others worked so hard behind the scenes to get that policy on the radar—in fact, I am still waiting for his thanks for the speech I made in this Chamber before he announced the policy at party conference.

That policy is transformative when it comes to stopping young people starting the habit, saving them from a lifetime of addiction and ill health. However, it does not do much for the 4.9 million people who currently continue to smoke. The previous Government had a clear plan to end smoking, which expired in 2022, but also a national smoking prevalence target of 5% by 2030. Even with recent progress, it is unlikely that that target will be met.

Concerningly, we are seeing more young people take up smoking and particularly vaping. The Teachers’ Union Behaviour in Schools survey found that 16% of pupils vaped during class—I find that hard to believe. It found that 62% of pupils repeatedly left lessons to vape, and that 39% of teachers had encountered pupils unable to concentrate because they were distracted or affected by nicotine, although I suspect the figure is actually even higher. It also found that 32% of teachers had observed peer pressure on non-vapers to vape. Schools have an important role in educating children and young people about the risks of smoking and nicotine use, preventing use on school premises and supporting children who need help. However, schools cannot be expected to solve a wider public health and regulatory problem.

When asked if Smokefree 2030 is still the Government’s target, various Ministers have responded by saying that the Government are “going even further” by creating a smoke-free generation. With respect, the previous Government also legislated for a smoke-free generation while having a target for current smokers to quit. Cancer Research UK has already found that England is not on track to become smoke-free by 2030, and smoking rates remain much higher in more deprived communities.

The Government must go further and faster or set a new target and publish a clear road map for reaching it. Can the Minister tell us what her ambitions are for reducing smoking and whether she will look at introducing a target for reducing smoking to not just 5% but below 1% in all communities across the UK? We need an ambition for current smokers that matches the ambition for the smoke-free generation of “Stopping the start”.

Targets can be a helpful tool for focusing attention on a particular area of importance. We have seen that through the truly remarkable success in reducing smoking rates among pregnant women—something I have campaigned for a long time. The last Government just about achieved the objective, and smoking pregnancy rates are now at their lowest rate ever, at just 4.2%, down from 9.6% in 2020. That means that more than 70 babies’ lives have been saved through preventing stillbirths caused by smoking during pregnancy. We are currently in Baby Loss Awareness Week, which demonstrates the importance of this issue.

Once again, the previous Government set a clear national target, designed targeted policies, including financial incentives, and integrated them into existing pathways—and it worked. I am so pleased that this Government have committed to continue funding financial incentives for pregnant women, but I also want us to learn lessons from that success. What we have achieved with pregnant women can be a blueprint for other at-risk populations. I hope the Minister will meet the all-party parliamentary group on smoking and health, as well as Action on Smoking and Health, to discuss how this approach can be applied to other at-risk groups as a road map to a smoke-free country.

I was really pleased that £5 million in financial incentives for pregnant women have been maintained for the next three years. That investment, alongside the £153 million for local authorities through the public health grant and funding from ICBs, means that more money is being invested in cessation support than ever before. However, ICB budgets are no longer being ringfenced, which means there is a risk that services are decommissioned, as we have seen in parts of the country, or see their funding reduced in NHS settings.

The Labour manifesto pledged to introduce opt-out cessation support in all in-patient settings. Can the Minister clarify what progress has been made on that manifesto pledge in this Parliament? Is the funding going to the NHS enough to deliver on that pledge? Has her Department been monitoring potential reductions in services due to ICB reductions? Will she ensure that cessation funds within the public health grant continue to be protected by ringfence?

Of course, there are broader activities, beyond cessation support, that reduce smoking rates. Mass media campaigns are one important part of the puzzle, and it would be good to hear how much is being spent on them. I would also like to hear from the Minister what plans she has to communicate the smoke-free generation to the public via a media campaign. Those are clear ways of reaching all sorts of people.

The good news is that we can be ambitious. We have at our fingertips a source of funding that is as yet untapped: a levy on the tobacco manufacturers, which would raise an estimated £5 billion over five years. The model that the APPG put forward would not allow that to be passed on to consumers. It is something of a unicorn policy, in that it raises revenue and is hugely popular with the public. Around 76% of adults in England support a levy, and the proposal enjoys majority support from voters from all political parties, with only 7% opposed.

The Prime Minister has indicated that he wants to review business rates to raise revenue from businesses that

“do not make a positive contribution to…communities.”

If that is the case, big tobacco should be first in line. It is right that those responsible for the huge costs of smoking to our society, our NHS and our population’s health are the ones picking up the bill, not the taxpayer. I hope the Minister will seriously consider this proposal and suggest it to the Chancellor for his Budget in a couple of weeks’ time.

We must all be careful to call out the continuing interference by the tobacco industry in today’s world, particularly in politics. British American Tobacco sponsored Reform’s party conference, where its “inconvenience store” was plastered with a series of “shocking” mock health warnings. Reform’s party leadership have made it very clear that they support big tobacco being able to continue to sell lethal products to the next generation of children. They are completely out of touch with the public, but also with their own voters, who overwhelmingly support ending the devastating harms of tobacco in this country.

To be clear, there has always been a strong level of cross-party support on issues such as tobacco control and reducing smoking rates, as the Leader of the Opposition’s conference speech showed, and that should continue, both for health and due to the economic costs. It is disappointing that some parties in particular reject that and are all too willing to listen when money gets thrown around.

We have to remember that at the heart of this issue there are still 4.9 million smokers. They are our friends, family and colleagues, and many are absolutely desperate to quit but stuck in a steady cycle of addiction. Our all-party group was recently delighted to host a roundtable with the APPG on poverty and inequality to discuss the links between smoking and deprivation. My friend and co-chair, the hon. Member for City of Durham (Mary Kelly Foy), will share some of the discussion in her speech, but I want to reflect on how impactful it was to hear from those with lived experience. We heard from an ex-smoker, a mother, that her addiction to tobacco was so strong that she would buy cigarettes before buying food for her children. Tobacco came before everything. That cannot be acceptable in today’s society. We also heard from Dr Liam Loftus, who is delivering smoking-cessation support at Cambridge city food bank. He is not waiting for smokers to find him but going to where they are already seeking support and being proactive.

A road map—a clear plan—could help us to learn from pockets of best practice and to scale up interventions that truly turn the dial on smoking rates in this country. I look forward to hearing the contributions from colleagues and, indeed, from the Front Benchers, and I trust that we can continue to work towards eliminating smoking in this country.

--- Later in debate ---

[Bob Blackman]

It is pleasure to follow the Minister, and I thank her for her comments. I also thank colleagues from across the House for their contributions to this vital debate.

I want to say a couple of things in response to what the Minister and colleagues have said. We have to be cautious about our position on vaping. We do not yet know the long-term impacts on health of vaping, but the first evidence is coming through that vaping does harm lungs. The delivery mechanism of the vape is key. We should be very cautious about that process. I agree with the principle that vaping is a means for smokers to give up, but people who do not smoke should not start vaping. That message has to go to young people in particular, who I think are really harmed by vaping.

Both of my parents died of cancer caused by smoking back in 1979. The advice that they were given as young people was that smoking was healthy. We have to remember that we have a duty to our next generation to ensure that they do not go down the route of believing that vaping is healthy. I agree completely that what we have done in the Tobacco and Vapes Act is give as many hooks as possible for the Public Health Minister to bring in measures.

Licensing is complex, and it is going to take some time to introduce it, but that does not mean that we should not move forward on advertising and other measures. We can decouple those as we go.

These debates have always been led from the Back Benches. We have forced Governments of all persuasions to make changes, and the Minister will know that we are a formidable force who will continue to hold her to account.

[Valerie Vaz (in the Chair)]

I thank Members: we got everyone in, and we did not have to suspend for the vote.

Question put and agreed to.

Resolved,

That this House has considered progress towards a smokefree UK.

Oral Answers to Questions

Bob Blackman Excerpts

Tuesday 14th April 2026 Commons Chamber

[Dr Ahmed]

I am grateful to my hon. Friend for making these points about haemophilia care. We are committed to implementing all recommendations of the review, and good progress has been made, including on non-plasma-derived treatments and the revision of the national service provision. NHS England and the Department of Health and Social Care will continue to provide updates on the Government response. I am happy to meet my hon. Friend to discuss this.

[Bob Blackman (Harrow East) (Con)]

It is welcome news that NHS England has reduced the faecal immunochemical test threshold from 120 micrograms to 80 micrograms, bringing England into line with Scotland and Wales. We now need investment in endoscopy and other related treatments to ensure that people suffering from bowel cancer are spotted early and given the ultimate chance of survival. Could Ministers look at further investment here to increase survival rates?

[Wes Streeting]

Yes; as part of our national cancer plan, we absolutely want to see survival rates improve in the way the hon. Gentleman describes. I welcome the new Minister working on this—the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson)—to her place, and thank my hon. Friend the Member for West Lancashire (Ashley Dalton) for all her leadership in this area, too.

Oral Answers to Questions

Bob Blackman Excerpts

Tuesday 17th June 2025 Commons Chamber

[The Minister for Care (Stephen Kinnock)]

I am sorry to hear about the issues that my hon. Friend’s constituents are experiencing. I understand that he has raised the issue with the North East and North Cumbria ICB, which is investigating his concerns. I would be happy to be kept informed, and if he is not happy with the outcome of that investigation, he should certainly come back to me. This Government are committed to supporting community pharmacies after a decade of underfunding and neglect. We recently agreed a record uplift to £3.1 billion for 2025-26.

[Bob Blackman (Harrow East) (Con)]

The Secretary of State may well be aware of the greater awareness among young people of nicotine pouches. That seems to be a gap in the Tobacco and Vapes Bill currently going through Parliament. Will he commit to look at this issue to ensure that it is covered and that we bar this alongside other forms of tobacco and nicotine?

[Wes Streeting]

As the hon. Gentleman knows through bitter experience, that rotten industry always finds a way, and we have to keep on top of it and tackle the scourge of nicotine addiction. He knows about this issue better than most, he having campaigned so assiduously on it, and he is right to raise it, so let us look at what we can do to strengthen the Bill, if we can, as it goes through Parliament.

Oral Answers to Questions

Bob Blackman Excerpts

Tuesday 6th May 2025 Commons Chamber

[Stephen Kinnock]

My hon. Friend will know that we have hired 1,500 more GPs, which will help with access. We have also renegotiated the contract, so there will be online booking systems in every practice in the country, and we have changed the contract to incentivise continuity of care in order to bring back the family doctor. There is a suite of reforms coupled with investment, which I hope will deliver for my hon. Friend’s constituents.

[Bob Blackman (Harrow East) (Con)]

T4. One of the great frustrations for medical professionals and patients alike is when patients have appointments but do not turn up. What action will the Secretary of State take to ensure that the system penalises people who miss appointments, so that patients can get the treatment they need when they need it?

[Wes Streeting]

We are absolutely convinced that better use of digital tools will enable us to reduce the number of missed appointments significantly and factor in the likelihood of no-shows, so that we can reduce waste and eliminate inefficiency. I understand the case for penalties that the hon. Gentleman is making, but that is not a route we want to go down until we have made those improvements and judged how effective they have been.

NHS Pensions

Bob Blackman Excerpts

Tuesday 1st April 2025 Commons Chamber

[Karin Smyth]

My hon. Friend makes an excellent point on our commitment to staff to be clear on their terms and conditions, and our commitment to honouring that reward. That is why we acted promptly when we came into office. We have issued statements and provided answers to parliamentary questions to make sure that people are clear about the system and that we are transparent.

[Bob Blackman (Harrow East) (Con)]

It takes rather a long time to train a doctor—up to six years—so it is a good job that the previous Government had the opportunity to train more doctors. Will the Minister look at one aspect of concern, which is that if doctors start reducing their overtime hours because of fiscal aspects, it will hamper the opportunity to get more patients treated and to shorten the length of waiting lists?

[Karin Smyth]

As I said in response to the right hon. Member for South West Wiltshire (Dr Murrison), we understand that, and we will continue to work with all staff in the NHS to make sure that we deliver on our commitment to reduce waiting lists, which were left at a shocking level by the previous Government.

Hughes Report: First Anniversary

Bob Blackman Excerpts

Thursday 27th March 2025 Westminster Hall

[Bob Blackman (Harrow East) (Con)]

Sodium valproate is currently the third most prescribed epilepsy treatment for many women, and it is very effective in combating epilepsy. What they do not tell people, of course, is the damage that can be caused if someone is pregnant. The damaging effects have affected thousands of women over the years.

The alarm bells about the damage sodium valproate could do to the unborn child were going off in 1973. Indeed, there was a legal claim between 2004 and 2010 that sought compensation for those affected; sadly, it was dropped when legal aid was denied. When I was elected in 2010, I took up the cudgels, as it were, on behalf of the poor women suffering from this problem.

One of my constituents, Karen Buck, who is in the Public Gallery, is a mother of four children, all of whom have been affected as a result of her taking sodium valproate during pregnancy. Her daughter Bridget was born with severe brain damage, spina bifida and a condition directly linked to this drug that has also affected others. Sadly, Bridget’s case is one of many similar cases across the country. Karen has dedicated her life to serving Bridget and looking after her, but she should never have been prescribed this drug in the first place.

On 13 November 2024, Karen and other campaigners took a petition with over 1,000 signatures to Downing Street. I ask the Minister to follow up on that petition, because so far the petitioners have not received an answer and they deserve an answer at least. They have asked for compensation, and for the removal of this drug from the market. They have campaigned for years for a redress scheme and I am proud to support them. That campaign is not just about financial restitution; it is all about accountability. I understand that the drug companies—in particular Sanofi, which pushed this drug —are withdrawing the high-strength drug in September, but the rest of the drugs will continue to be available. This process is all about ensuring that the campaigners get the support and assistance they need.

The previous Government listened to the recommendations of the Cumberlege review, appointed Dr Hughes as the Patient Safety Commissioner in 2022 and asked her to produce a report. She produced that report and then, before the election in July, Ministers wrote to ask her what needed to be done, highlighting the need for primary legislation to provide compensation for those who have suffered. We need that primary legislation, so that victims can get the compensation they are due. All this campaigning has clearly had an effect, but we need the Government to step up because progress has stalled.

I remain committed to helping and assisting victims, to ensure that they get the justice and support they deserve.

--- Later in debate ---

[Ashley Dalton]

I assure the right hon. Member that we are working at pace on this. It is a complicated matter, and we are taking note of previous similar situations. I assure him and the rest of the House that we will be updating the Patient Safety Commissioner at the earliest opportunity. I appreciate that it is frustrating that I cannot give an exact date or timescale in this debate, but we are working to make sure that we get this right.

[Bob Blackman]

The Minister is absolutely right in saying that patient safety must be at the forefront. However, we know that 40% of babies whose mothers took these drugs have developmental problems and one in nine have severe handicaps following birth, yet the drugs are still being prescribed to pregnant women. Will the Minister have a look at what can be done to make sure that pregnant women who suffer from epilepsy can at least be advised about the position and then decide whether they want to take the risk or not?

[Ashley Dalton]

I am encouraged that the number of women still being prescribed sodium valproate has reduced significantly following the Medicines and Healthcare products Regulatory Agency’s introduction of the valproate pregnancy prevention programme. In April 2018, 27,441 women aged under 55 were prescribed valproate in England, but in March 2024, that number had come down to just under 16,000—a reduction of 42%. Nobody should stop taking valproate without advice from their healthcare professional. Beyond lowering prescription rates, I am also grateful to see Dr Rebecca Bromley, who is in the Public Gallery, heading up the foetal exposure to medicines service pilot study. The study is running for 18 months and was commissioned by NHS England. It is a multidisciplinary clinical service that is providing expert assessment, diagnosis and advice to individuals harmed following exposure to sodium valproate. We recognise those concerns.

Patients know what support they need. The Government are determined to make sure that patients feel, and are, truly heard, and to give them more choice and control over their healthcare. The Patient Safety Commissioner rightly sought views from those affected about the issues they are facing with service provision and what support they feel would be most valuable. Hearing from patients is at the heart of our consideration of the Hughes report, which is why Baroness Merron held a roundtable in December with groups representing patients impacted by sodium valproate and pelvic mesh. I know she remains extremely grateful to all attendees for sharing their stories and those of the patients that they represent.

I am aware of the time, and there are many issues that I have been unable to cover in the short time available. However, I commit to writing to all hon. Members who have raised specific concerns. Words cannot express how sorry we are to the women who have suffered from severe and life-changing complications from both sodium valproate and pelvic mesh. We are actively considering this issue, and I wish there were more I could say at this time. I have heard the calls for swiftness, clarity and boldness in the commissioner’s recommendations, and I shall bring that forward at the earliest opportunity. I am sure that this is not the last time this important topic will be discussed, and I know that colleagues will continue to hold our feet to the fire until this gets done.

Tobacco and Vapes Bill

Bob Blackman Excerpts

Report stage & 3rd reading
Wednesday 26th March 2025 Commons Chamber

[Mary Glindon (Newcastle upon Tyne East and Wallsend) (Lab)]

As chair of the all-party parliamentary group for responsible vaping, I have followed the progress of the Bill closely. I will speak to new clauses 4, 6, 7 and 15, as well to amendments 36, 37 and 88, all of which stand in my name. I congratulate the Minister on her appointment and on stepping up so wonderfully to help move the Bill forward today.

Youth vaping is an enormous public health challenge that forms one of the Government’s central messages in the Bill. All of us in this place will have heard concerns from teachers and parents about the prevalence of youth vaping, and the challenges that schools face in tackling it. The Bill sets out to reduce the appeal of vaping to children, but a delicate and calculated approach must be taken when addressing youth vaping. In addressing one problem, it is incumbent on us all as legislators to not give rise to another—in this case, deterring tobacco smokers from making the switch.

We still have more than 6 million smokers to reach, and vaping is 95% safer than smoking, according to King’s College hospital and the former body Public Health England, and it is the most successful tool to help smokers to quit. According to data from Action on Smoking and Health, 3 million adult vapers are ex-smokers. There are hard yards that we still have to take to reach smokers, and I fear that the Bill, at present, is losing sight of what the evidence base says about the relative harms.

Vape flavours can play a significant role in passporting adults towards a less harmful alternative. I was pleased to see in the response to a written question I tabled that the Government recognise that flavours are a consideration for adult smokers seeking to quit. The previous Public Health Minister, the hon. Member for Gorton and Denton (Andrew Gwynne), said that

“it is important we strike the balance between restricting vape flavours to reduce their appeal to young people, whilst ensuring vapes remain available for adult smokers as a smoking cessation tool.”

A study led by the University of Bristol last year found that flavour restrictions could discourage adults from using e-cigarettes to help them quit smoking. Amendment 37, which stands in my name, seeks to strike a balance between banning flavour descriptors, which would remove flavours that deliberately appeal to children such as gummy bear and bubble gum, and allowing adults to use their smoking cessation product of choice.

Sticking on product requirements, amendment 36 would empower Ministers to regulate the design and interoperability of products in order to prohibit the sale of very high-puff count vaping devices. These products are typically cheaper per puff, contain significantly more vape liquid and plastic content than other devices, and have a specific youth appeal. In January, the Department for Environment, Food and Rural Affairs released new guidance outlining what can be considered a reusable product, aiming to prevent the retail of vapes with superficial charging and refilling features. I believe that this should be put on a statutory footing to ensure its consistent and effective application. The Bill should be amended to clearly stipulate “one device, one tank” to prevent irresponsible actors from flooding the UK with these products following the disposable ban.

New clauses 6 and 7, which stand in my name, would introduce a requirement for retailers in England and Wales to include age verification at the point of use. While the Bill seeks to tackle youth appeal, a fundamental issue is left unaddressed. Once a vaping product leaves a shop, there is no barrier to its being used by children, but technology against this already exists. I met with IKE Tech LLC, a company that has developed low-cost, Bluetooth-enabled chips that pair with a mobile app for secure identity verification. Its technology also includes geofencing, which can disable devices in certain areas, such as schools. The new clauses would harness the potential that innovation has to offer to address youth vaping accessibility head-on.

Turning to advertising, new clause 15 would create a limited and tightly defined exemption from the new advertising restrictions for in-store promotional materials in specialist vape shops, provided that these are not externally visible and that they meet any conditions around health warnings set by Ministers. I am fearful of a situation where specialist tobacconists are given exemptions to the restrictions set out under clauses 114 to 118 but specialist vape shops are not. These vape stores provide adult smokers with important advice and product consultations in their journey away from tobacco, and I have seen that in action.

Nicotine pouches are currently only regulated through the General Product Safety Regulations 2005, meaning that there is comparatively little regulation around these products, particularly regarding nicotine strength. Nicotine pouches with strengths ranging from 70 mg to 150 mg are easily obtainable. There is a pressing need to limit the strength of nicotine to lower levels. New clause 4, which stands in my name, would ban the manufacture and sale of pouches with more than 20 mg per pouch. This would eliminate the dangerous high-strength products while maintaining a threshold that minimises adverse consequences arising from the restriction, such as smoking and illicit pouches.

Before making any regulations under part 5 of the Bill, amendment 88 would require the Secretary of State to consult

“any persons or bodies as appear to him or her representative of the interests concerned”,

instead of what is stipulated in the more limited current wording. The Bill provides Ministers with broad powers to make further regulations. It is vital that these powers are exercised in consultation with all relevant stakeholders, including public health experts, enforcement bodies, cessation specialists, retailers and industry.

As chair of the APPG for responsible vaping, I hope that Ministers will be willing to engage in the coming months as regulations are brought forward. People who do not smoke should not vape. But for those who do use tobacco, I believe that we have a duty to ensure that legislation effectively harnesses the power of vapes as a smoking cessation tool.

[Bob Blackman (Harrow East) (Con)]

It is a pleasure to follow the hon. Member for Newcastle upon Tyne East and Wallsend (Mary Glindon), and I congratulate her on her work on vaping and combating illegal sales. I declare my interest as the co-chair of the all-party parliamentary group for action on smoking and health for nine and a half years. I have seen the work that the Conservative Government did to combat smoking, which led to a dramatic drop, but we are not where we need to be. I commend the Minister and the Government on bringing forward the Bill, and on absorbing almost all the amendments that my colleagues and I proposed in the Bill Committee for the previous Bill to strengthen it and make it much more likely that we can achieve a smokefree England by 2030.

As has been said, the Bill will make us a world leader in tobacco control. We have always been at the forefront, but it consolidates regulation and limits the reach of the tobacco industry. We should be clear that tobacco is a uniquely lethal product that, when used as intended, kills two thirds of long-term users. Above all else, it is highly addictive and hard to quit once people are addicted. Most smokers will say that they wish that they did not smoke and had never started, and that they have had their agency removed by their addiction. By passing this legislation, we are giving choice back to young people in the future, who will avoid ever falling into that trap and the addiction that it brings.

I have tabled a number of new clauses. I think that the Minister is unlikely to accept them, but I commend them to her for further consideration. New clause 17 calls on the Government to consult on the introduction of a “polluter pays” levy on the profits of the big tobacco industry. The all-party group has championed this campaign for many years. It is supported by the Khan review, which was set up by the former Member for Bromsgrove to enable a position to be reached. Almost all its recommendations are absorbed by the Bill, as they were by the previous Bill, but some are outstanding. The “polluter pays” levy is one of them. It is supported by charities, health organisations, academics and think-tanks.

Tobacco consumption costs our society greatly. The latest data from Action on Smoking and Health estimates that smoking costs society in England alone £43.7 billion a year—far more than the £6.8 billion that is raised through tobacco taxes. That includes £27.6 billion in lost economic productivity. We heard from the Chancellor and the Secretary of State for Work and Pensions about reducing the cost of the welfare state. If we can stop people smoking, they will not become unhealthy and unable to work. They will be able to get back into the workforce and pay taxes rather than be in receipt of welfare. This is an opportunity to reduce the impact on the benefit system and improve productivity right across the UK.

[Jim Dickson (Dartford) (Lab)]

I commend the hon. Gentleman on his excellent speech so far and his work over many years to reduce smoking prevalence in this country. Does he agree that the tobacco companies still make a huge margin on the tobacco that is sold, and therefore could easily afford the “polluter pays” levy that he proposes?

[Bob Blackman]

I welcome that intervention from the vice-chair of the all-party group. As we have said, smoking is not a free choice; it is an addiction peddled by an aggressive industry. I will come to some of the things that the hon. Gentleman has said.

NHS England Update

Bob Blackman Excerpts

Thursday 13th March 2025 Commons Chamber

[Wes Streeting]

We absolutely need to reduce the cost of agency staff in the NHS. That costs the taxpayer billions, and that money could be better spent on ensuring that we have the right staff in the right place, on better terms and conditions, and with permanent contracts. Where we do need flexibility, we should drive it through the NHS bank. We are determined to reform the way that works and deliver better staffing, better outcomes for patients and better value for taxpayers.

[Bob Blackman (Harrow East) (Con)]

I welcome any measures to reduce the bureaucratic overload in the NHS, so I congratulate the Secretary of State on coming forward with his bold plan. We must also take a sledgehammer to the business case process, which frustrates the delivery of services and new buildings for the NHS. Will he consider bringing NHS-owned land into use for new care facilities and step-down hospitals, for example, so that we can free up hospital beds and get people into the care they need at a much lower cost?

[Wes Streeting]

The hon. Member is absolutely right: the estate is vast, it is underutilised, and we need to sweat our assets more effectively. We also need to reform bureaucratic processes. There are lots of reasons why we need to have tough controls on things such as spending, procurement and value for money, to ensure that there is appropriate and effective use of public money. But businesses do not operate in this way; they are able to counter fraud, waste and poor value for money, and they do it much faster. That is what the NHS needs to do. Across the public sector, we need to use our estate far more effectively to deliver better value and better services for the public.

Hospice Funding

Bob Blackman Excerpts

Thursday 19th December 2024 Commons Chamber

[Karin Smyth]

Yes, stability and understanding longer-term planning is important for this sector as well as for many others. Certainly, we want to make sure that we work with the sector and the wider NHS, so that we deliver our longer-term 10-year plan, but get to that process in the next few years.

[Bob Blackman (Harrow East) (Con)]

Merry Christmas, Mr Speaker.

St Luke’s Hospice in my constituency covers the whole of Brent and Harrow. I helped to form it back in the 1980s. The staff tell me that the biggest problem they face is that, every time there is an increase in nurses or doctors’ pay, it is never passed on to them, so they have to find the money from charitable giving. The Minister’s announcement of extra money is of course welcome, but she has failed to answer the question: will it cover the national insurance increase, or not?

Tobacco and Vapes Bill

Bob Blackman Excerpts

2nd reading
Tuesday 26th November 2024 Commons Chamber

[Bob Blackman (Harrow East) (Con)]

May I declare my interest as a former chair, for nine years, of the all-party parliamentary group on smoking and health? In this new Parliament, I co-chair the same group with the hon. Member for City of Durham (Mary Kelly Foy).

I am passionate about preventing young people from starting to smoke and encouraging people who do smoke to give up because of my personal experience. The Secretary of State related his personal experience, and I think it is right that I should relate mine. Both of my parents died from smoking-related cancer. My late mother was only 47 when she died. She was a very heavy smoker all her life. I was then left as a 23-year-old with three younger sisters to bring up as a family. I do not want any family in this country to go through what our family went through. So this, for me, is personal as well as political.

I listened to the Secretary of State when he talked about the speech that the former Prime Minister made at the Conservative party conference. If he examines the Westminster Hall speech that I made some two months earlier, he will see that it was almost the same—word for word. I have not called my right hon. Friend out for his plagiarism before.

This House has a very long history of tobacco control. Those measures have been introduced mainly from the Back Benches. I know that the Government will proclaim that a Labour Government brought in the ban on smoking indoors, but it should be remembered that it was a senior Labour Back Bencher—a former Member of this House—who said that unless the Government introduced the measure, he would table a cross-party amendment to the Health Bill and it would be carried by a heavy majority. He did not need to do that, and I welcomed the provision.

I am delighted that this Bill builds on the Bill that was presented in the previous Parliament. I was proud to speak in that debate and to sit on the Bill Committee as we tried to improve the Bill. The then Minister, Andrea Leadsom, took away many of our amendments and said that she did not yet have the authority to agree them, but was willing to review them in the round. Clearly, we did not get to the point of doing that. It is important to remember that from 2011 to 2023, the number of people smoking dropped from 20% of the population to 11.9%, which is a big fall. The previous Government should be commended for that. Indeed, the last Government made it illegal in 2012 to display tobacco products at the point of sale. I remember that I led a debate in Westminster Hall in September 2013 calling for the standardisation of tobacco products to be made mandatory. Both the Conservative and Labour Front Benches opposed the position. Two years later, it was passed by this House. That shows how the Back Benches lead and Governments often follow.

At the same time, children were protected from harmful second-hand smoke by a law that made it illegal to smoke in a vehicle containing anyone under 18. That is difficult to enforce, and I remember many colleagues saying, “If you can’t enforce it, it won’t happen,” but most colleagues will remember sitting in a car where their parents were smoking and suffering that second-hand smoke. We won that argument. It was once again a Back Bencher—the senior Back Bencher Alex Cunningham—who brought that forward, and we were proud to support it.

We won the argument on the smokefree generation. The then Health Secretary, my right hon. Friend the Member for Godalming and Ash (Jeremy Hunt), built the cross-party consensus then, and we reached the consensus on raising the age of sale for tobacco by one year every year. In the vote on Second Reading of the last Tobacco and Vapes Bill, it was rightly backed by a huge majority across the House.

I welcome the new measures, which include the amendments tabled to the original Bill. It takes into account most, if not all, the amendments we proposed last time in Committee. The Government have not yet met the standards set by the last Government, though, in addressing smoking among the 5.6 million smokers in England. The last Government committed £15 million in funding for mass media campaigns, £30 million for enforcement and £70 million for local stop smoking services. I note that the Secretary of State mentioned the £70 million for smoking cessation services, but not the other items. When the Minister responds, will he commit to the same level of support for the “swap to stop” scheme to support adult smokers to switch to vapes and a national financial incentive programme, particularly aimed at pregnant women who want to stop smoking?

Today, the Government confirmed funding for stop smoking services and enforcement. That is welcome, but only if the funding is sustained for the next five years in line with the commitments made by the previous Government. I am also concerned that while the enforcement duties in the Bill are greater than before, that has not been matched by additional funding. Will the Minister confirm that a full assessment of the cost of enforcement will be undertaken as a matter of urgency and that the funding will be reviewed following that and the passage of the Bill?

Between 2022-23 and 2023-24, we saw the biggest single drop in maternal smoking rates since records began, from 8.8% to 7.3%—an 18% decline in the number of women smoking during pregnancy. The fall was a credit to the services established under the last Government to support women to quit. Keeping up that level of progress will not be easy, but by maintaining the world-leading national financial incentive scheme, that rate of decline can be maintained, giving children the gift of a smokefree start in life. However, the funding for the scheme is due to come to an end in March next year. Will the Minister confirm whether the Government will extend the scheme and ensure that every baby gets the best possible start in life—something I know his predecessor would have strongly supported?

Most of the Bill comes from the Khan review. One item is not in the Bill that certainly should be. The difficult fiscal environment that the Government find themselves in means that discussions on funding can lead to tense shoulders on the Government Benches. However, I bring good news: there is a way to raise revenue, by passing the costs directly on to tobacco companies—those responsible for the blight on our population’s health and wealth. Will the Minister agree to come to the APPG and address the matter, so that we can talk about the implementation of a “polluter pays” tobacco levy on the profits of big tobacco, which would address issues with market prices and limit the profitability of the industry? That can all be done without impacting the cost of tobacco to the consumer or, indeed, on the wholesale market.

As co-chair of the all-party group, I congratulate the Government on adopting so many of the amendments that we tabled in the last Parliament, including on the introduction of a licensing scheme. I am pleased that the Bill indicates that that scheme will be more robust that the current scheme for alcohol, meaning that it can be used to improve public health, which I am sure we all agree with. At the Committee stage of the previous Bill, I also tabled an amendment to require age verification for everyone who purchases tobacco. That would aid enforcement and simplify the process for shop workers, who would not have to guess whether customers were over the legal age of sale or explain to some why they were being asked for proof of age. The requirement to ask for proof of age has been strengthened but not mandated, so in Committee will the Minister consider introducing mandatory age verification?

I welcome the ban on vape sponsorship and advertising, which was, once again, discussed in the previous Bill Committee. The promotion of vaping products for anything other than smoking cessation does not support public health goals. However, I am pleased that the Bill ensures that public health organisations can still promote vapes as a quit-smoking aid. Can the Minister confirm that the Advertising Standards Agency will work with public health organisations to ensure that that works in practice, so that smokers are still informed about the benefit of switching and, more importantly, of giving up tobacco altogether?

The Bill includes new powers to extend and designate smokefree places as vape-free. It is a shame that a consultation on where those powers should apply was curtailed before the Bill ever reached Parliament, because we need an open debate on that subject, and it would be better led by evidence rather than by decisions made behind closed doors at the Department. Will the Minister consider that aspect and see whether we can have a proper consultation so that all members of the public can participate?

The Bill consolidates many existing powers around tobacco control and brings them into one place, and I welcome that proposal. It will, I hope, ensure that legislation is future-proofed against any loopholes or escape clauses. We know how hard big tobacco works to get around the legislation we pass in this place. An issue that I do not believe is covered by the Bill—although I stand to be corrected—is that of chewing tobacco. Paan, for example, is often mixed with tobacco and sold with different products in different outlets, and it is sold loose, so it is difficult to monitor. Often, existing laws on oral tobacco are not enforced properly, so the populations who use those products, who tend to come from the Indian subcontinent, do not realise the risks that they are running. We know that mouth and throat cancers are particularly prevalent among people from the Indian subcontinent. We must combat that by ensuring that such products are properly regulated. Will the Minister consider regulating all forms of tobacco and ensuring that trading standards and others have the resources to enforce the regulations properly?

I congratulate the House on the continued consensus on reducing smoking, and take this moment to mark the significance of the Bill’s return to Parliament. I am very proud that it was a Conservative Government who first introduced the policy. No other consumer product kills up to two thirds of its long-term users; it is uniquely lethal and requires a regulatory approach. Government intervention is justified against this addiction, which steals the health and wealth of our population. To those who say that this is a matter of freedom of choice, I say that there is freedom of choice only in taking the first cigarette, after which people are addicted for life and either have to try to quit—some try up to 30 times, as we have said—or face shortened lives and horrible deaths.

We in this country have been a world leader in tobacco control, standing up to big tobacco’s repeated efforts to block our progress. The creation of a smokefree generation would have been absolutely unthinkable a few years ago, but it is so close—we can see it coming now—and it will be a credit to this Parliament and the previous one. I remember the Minister saying that it would be a Labour Government who created a smokefree England by 2030. Let us hope that we can do it faster than that.

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[Andrew Gwynne]

I think the hon. Gentleman has just talked himself into a job. He is absolutely right that the best people to advocate for stopping smoking are former smokers.

We will still encourage adult smokers to switch to vaping through Swap to Stop in England, and I am delighted that localities have asked for over half a million starter kits so far. On advertising regulations, of course the consultation will take place after Royal Assent, but I hope that I can assure the hon. Member for Harrow East that we will take away his point about ensuring that the NHS can still advertise Swap to Stop under those regulations. On a tobacco industry levy, fiscal matters are for the Treasury, but I am sure that his views and those of others have been communicated to Treasury Ministers.

The hon. Member for Lewes mentioned the rise of the black market. This is a line that has been parroted by the tobacco industry for years, so we need to spell out the facts. Whenever Governments of any guise have introduced targeted tobacco control measures, the black market actually has not prospered. Consumption of illegal tobacco has gone from 15 billion cigarettes nearly 25 years ago to just one 10th of that amount last year, and when the last Labour Government raised the age of sale from 16 to 18, the number of illicit cigarettes fell by a quarter. However, this requires better enforcement, and we will use every second of the generously long buffer period to support businesses in preparing for and implementing the changes, including through information campaigns. We are providing £10 million to trading standards to increase their capacity and capabilities next year, and there is £100 million for Border Force and His Majesty’s Revenue and Customs over the next five years to tackle illicit and under-age sales. The Bill also allows trading standards to issue on-the-spot fines of £200, and to reinvest the proceeds of those fines, and indeed the licensing regime, back into further enforcement.

[Bob Blackman]

Will the Minister consider ensuring that the fines are raised by at least inflation each year? Fines could be increased on a scale, to make sure that they keep progress with changes.

[Andrew Gwynne]

We have already doubled the fine proposed in the previous Government’s Bill, which is a step. I listened very carefully to the hon. Gentleman’s argument, and he might wish to pursue it in Committee, should he be fortunate enough to be a Committee member. I look forward to the debates we might have.

A number of questions about the licensing regime were posed by the shadow Secretary of State, as well as by the hon. Member for North Shropshire (Helen Morgan), the hon. Member for North Dorset (Simon Hoare) and others. I reassure the House that across the sector, there is broad consensus among retailers about a licensing scheme; more than four fifths of them have expressed their support. Unlike alcohol, there is no licensing requirement for tobacco. A lot of people outside this House would find that hard to understand. They assume that convenience stores, supermarkets and other places that sell alcohol are licensed in a similar way to sell tobacco products, but that is not the case. We will bring in a licensing scheme, because we know that will have a huge public health impact, as other licensing regimes do.