Five Year Forward View

Bob Blackman Excerpts

Thursday 23rd October 2014 Commons Chamber

[Mr Hunt]

Not at all—I take full responsibility for the NHS. Given the pressures created by having nearly 1 million more over-65s than we had four years ago, and the fact that the Government have had to cope with the deepest recession since the second world war, I believe that the NHS is doing remarkably well, and this document gives it a blueprint for the future that we can all welcome.

[Bob Blackman (Harrow East) (Con)]

Under this Government, the number of young people taking up smoking has fallen dramatically to some 3% and the number of people giving up smoking has increased. I welcome that very good news. We can now aspire to a smoke-free Britain over the next five years. Personally, I would like to see the tobacco companies taxed out of existence, but is it not irresponsible to base future spending plans on the basis of a tax on companies that will cease to exist?

[Mr Hunt]

That is a very good point and I agree with my hon. Friend that we should aspire to a smoke-free Britain. We are making remarkable progress. The point the report makes—this goes alongside what my hon. Friend has said—is that we need to integrate our thinking about public health with our thinking about the services the NHS delivers. The better care fund has shown how it is possible to get excellent collaboration between local authorities and the local NHS for the delivery of social care. Transformational things are happening up and down the country right now. I would like to see the same thing for public health as well.

Hospital Car Parking Charges

Bob Blackman Excerpts

Monday 1st September 2014 Commons Chamber

[Bob Blackman (Harrow East) (Con)]

It is an honour to follow my hon. Friend the Member for Harlow (Robert Halfon), who has been at the forefront of this campaign. I trust that, now that he has the ear of the Chancellor, he will use that power to persuade our right hon. Friend of what needs to be done. Earlier this year, I went to see the Chancellor with a delegation led by my hon. Friend the Member for Shrewsbury and Atcham (Daniel Kawczynski), and we put it to him that hospital parking charges should be scrapped altogether. I note that it is now estimated that the cost of doing so would be £200 million. At the time, it was £90 million.

We should look at this matter strategically and say that anyone who is going to hospital for treatment or to visit people who are suffering in hospital and who need to be there for an extended period of time should be exempt from all charges. It is difficult to introduce such a policy across the country for the simple reason that hospitals are in different locations. Some are co-located with stations, for example, and have decent public transport links. Others do not, however. We need a policy whose presumption is that anyone using the hospital car park because they are using the hospital services as I have described should be able to do so free of charge.

Such a policy could be implemented by requiring people to pay on exit. They could obtain a ticket on entry and have it stamped by a ward sister or a similarly appropriate medical person in order to exempt them from paying the charge. That would prevent commuters and others from abusing free hospital parking places.

I trust that we can look at this matter as a sensible investment. We clearly cannot expect the Department of Health to find the money itself. We expect it to provide the funding for treating people who are sick. We should look to the Treasury to provide the health service with the necessary funds to enable this initiative to take place.

[Mr Marcus Jones (Nuneaton) (Con)]

I completely agree with my hon. Friend that hospital parking charges should be scrapped. In the meantime, however, does he agree that when a hospital is at fault for delaying or cancelling an appointment, the patient should not have to pay more for their parking as a result?

[Bob Blackman]

I thank my hon. Friend for that intervention.

I was just coming on to the specifics of my area. My constituency and others now have centres of medical excellence, which means that people have to travel long distances for the treatment that they need. Many of them have to use their cars, because public transport is not an option. Over the past 18 months, I have witnessed people suffering when their appointment was delayed and they had to rush out to the car park to pay more at the pay and display machine. Such an encumbrance is unfair on people who need to receive important medical treatment, and it should without doubt be scrapped.

The guidelines should also stress strict adherence to a policy of paying on exit for the appropriate length of time spent in the car park, as opposed to using pay and display arrangements that involve people guessing how long they are going to spend in the hospital. I have witnessed at first hand people having to guess in that way and then finding that they do not need all the time they have paid for.

In my own area there is Northwick Park hospital, which is the centre at which many people from north-west London are treated, and Central Middlesex hospital, which is in the middle of an industrial estate and almost inaccessible by public transport, so anyone going there has to drive. There is no pay-on-exit facility available. In fact, the trust took away that facility and insisted that the parking area that was built for it be replaced with pay-and-display parking. It was a nonsensical decision, and I trust that the trust will review it and revise it accordingly. We also have Ealing hospital, which has a similar problem of not being anywhere near any public transport facilities. The tube lines run into the centre of London rather than radiating around the outside, so people travelling locally have to drive and use the car parking facilities.

I wish to touch on a specific case that I came across recently: Mr Francis Bacon, a registered disabled driver suffered a serious puncture while driving to a hospital appointment. He was unable to move his car, which some good samaritans pushed on to the pavement while he went to get help to change his tyre. He got his tyre changed by some good people who came and helped him and put him on his way. Sadly, a parking operative from Ealing council had come along and put a penalty notice sticker on the car, because Mr Bacon had had the temerity to park on the pavement. He could not move his car—his car was disabled, and he was disabled—yet he still got a parking ticket. Despite protestations from everyone concerned, Ealing council refused to cancel the ticket, which is typical of the wrong attitude of both local government and hospital trusts themselves. We need them to work in harmony to promote parking arrangements that suit and protect everyone. I trust that we can use this opportunity to encourage the Chancellor to provide extra funds so that we can do away with car parking charges once and for all.

NHS Investigations (Jimmy Savile)

Bob Blackman Excerpts

Thursday 26th June 2014 Commons Chamber

[Mr Hunt]

We are having an overarching independent inquiry—that is what Kate Lampard is doing—but on whether we need to have further inquiries, we need to wait until we get the response, which we are hoping for this autumn, because at the moment, we have published individual reports, but we have not drawn any wider lessons for the NHS system-wide. One of the things that I hope will be a consequence of today is that if there are any victims who were abused at the RVI, they will use today as some encouragement to come forward. I have given instructions and I am absolutely clear as Health Secretary that I want every single one of the concerns of anyone who comes forward to be investigated thoroughly—as thoroughly as all the ones that are tragically coming to light today.

[Bob Blackman (Harrow East) (Con)]

It is astonishing that this catalogue of abuse was allowed to happen and that no action was taken at the time. I commend my right hon. Friend for his statement, both for the way he has delivered it and for the content, but can he elucidate for the House what specific changes he foresees in legislation, although legislation has moved forward, and any specific changes to procedures that now need to be taken as a result of the publication today?

[Mr Hunt]

I hope my hon. Friend will forgive me if I do not try to predict Kate Lampard’s recommendations before she makes them, but I think the obvious question to ask is whether we have the procedures in place that ensure that someone like Savile would not be given the keys to an institution in the way that he was. I do not believe that would happen today. My understanding of the way that NHS organisations work is that it would be impossible for someone to be given the freedom of a trust in the way that he was at Broadmoor, but I do not want to take that as a fact. I want Kate Lampard to look at that, so that we can be absolutely sure that it would not happen. I think the other obvious area for her to consider is the functioning of the disclosure and barring scheme, and to make sure that it really is set up in a way that would make it more likely for us to catch someone like Savile. Again, I think it is likely that he would be caught by the DBS, but I would like Kate Lampard to look at that and give me her views.

Oral Answers to Questions

Bob Blackman Excerpts

Tuesday 1st April 2014 Commons Chamber

[Jane Ellison]

The hon. Lady is right to say that pharmacists have a great role to play, and she has given a good example of their helping people to manage long-term conditions and helping people with their medication. NHS England’s community pharmacy call to action has stimulated the debate about where community pharmacies should sit. We see them as a vital part of front-line services, and I am glad that the NHS is looking at their role in the round, because it is a really important one.

[Bob Blackman (Harrow East) (Con)]

What representations has my hon. Friend received in relation to the sale of e-cigarettes in community pharmacies, given that they form part of the smoking cessation process?

--- Later in debate ---

[Mr Jeremy Hunt]

The review the hon. Gentleman refers to is a consultation by NHS England to ensure that we commission specialist services better. There has been a 23% increase in the number of cancer sufferers getting treatment under this Government. We want to improve on that record even more, which means having sensible discussions on how to improve specialised commissioning, and that is what is going on.

[Bob Blackman (Harrow East) (Con)]

T6. In 2010 the Chancellor specifically set aside funding for the rebuilding of the Royal National Orthopaedic hospital in my constituency. The site has planning permission. Will my hon. Friend update the House on progress so that we see work on the ground before 2015?

[The Parliamentary Under-Secretary of State for Health (Jane Ellison)]

My hon. Friend will be interested to know that the NHS Trust Development Authority is reviewing the trust’s business case and is working with the trust to ensure that its plans are affordable. I know that my right hon. Friend the Secretary of State has visited the hospital and is a great champion of it. I will ask the TDA to keep my hon. Friend fully up to speed.

Cancer Priorities

Bob Blackman Excerpts

Thursday 13th February 2014 Commons Chamber

[Bob Blackman (Harrow East) (Con)]

It is a pleasure to follow my hon. Friend the Member for Salisbury (John Glen). On behalf of the Backbench Business Committee, I thank my hon. Friend the Member for Basildon and Billericay (Mr Baron) not only for securing this important debate, but for agreeing to host it on such a difficult day—the last day of term before we break up for the recess.

I speak as someone who has a personal, family experience of cancer and I speak on behalf of my constituents. As I have said in the House before, both my parents died of cancer, as did three of my immediate family—uncles and aunts. They died many years ago, when the treatments now available were not available. Had they been, there is no doubt that they would have survived far longer. The good news is that progress has been made over many years in cancer treatment.

Most of this debate focuses on health matters, but I want to flag up an issue that can also affect people who suffer from cancer. A constituent came to see me. He had worked all his life, for 40 years, in a particular industry, doing quite heavy work. He was suddenly diagnosed with life-threatening cancer. He went to the jobcentre to get benefit while he received treatment. He was denied any benefit, for the simple reason that his doctor’s letter stated that his treatment was likely to last six months. He was therefore disqualified from receiving benefits. He was down to his last few hundred pounds to sustain his family. Fortunately, I was able to intervene and it was found that his treatment would last a minimum of six months, and more likely a year or longer, so he would be out of work for that period. Unfortunately, in many respects the way benefits are dealt with is not helpful to cancer sufferers. I do not expect the Minister to respond to that point today, but it is something we should flag up for Ministers in the Department for Work and Pensions.

I also speak from another perspective. When I was a local councillor, St Luke’s hospice in north-west London was founded in my ward. It has gone from strength to strength. It started out as an outreach service for people suffering from life-threatening diseases or who were at the end of their life; it helped them at home. It has now moved to its own headquarters, which is also a headquarters for Macmillan nurses. It treats many thousands of cancer sufferers across north-west London in an excellent way. St Mark’s hospital, which is world-renowned in the treatment of bowel-related diseases, particularly cancer, is also in my constituency.

As some Members may know, over the past year, I have been under the care of St Mark’s hospital following medical treatment, and I have personally witnessed the terrible distress that individuals go through when they are told that unfortunately they are suffering from some form of cancer. It is not until you see those people and see the terrible effect not only on them, but on their relatives and friends, that it really comes home to you what a terrible thing this disease is and how important it is that we continue to treat people in an appropriate and sympathetic manner. However, the good news is that just because someone has been diagnosed with cancer, that does not mean it is the end. There is treatment available and the capability of a full recovery, but often people do not realise that until they are thus affected.

Of course, as we all live longer and live healthier lives, there is a greater risk of suffering from cancer. As my hon. Friend the Member for Basildon and Billericay said, within six years, one in every two people will be diagnosed with some form of cancer. That means that every family in the country will experience the terrible problem of having a relative diagnosed with cancer and the impact that that has on the whole family. We need to understand that this will not go away but get worse as a potential problem.

I congratulate the Government on the introduction of the cancer drugs fund, which categorises money and makes it available for treatment of cancer-related diseases. The sad fact is, however, that it is time-limited; it will end in 2016. Concerns are being raised—they are raised very strongly in the report by the all-party group—about what will replace it and what the impact will be on funding for treatment of the various diseases.

There is another big challenge in relation to the clinical treatment of cancers: quality of life issues versus the age of the patient and their ability to recover from the treatment—whether the treatment will actually kill the patient is a concern. More importantly, such issues are balanced against the cost of the treatment to be provided. If a patient is going to have their life prolonged by a week, the clinician can be asked whether it is worth the huge amount of money that may be invested in doing so. However, if they will be given another five years, there is no question about what should be provided. Then the challenge is what to do in between those time frames. That is a direct challenge to our clinicians and to all those making decisions about funding the cost of treatment and the provision that we make for it.

During this debate, we have talked about early diagnosis. There is no question but that if people are diagnosed early, their treatment is less severe and the chances of recovery are far greater. Women, in particular, have had strong advice over many years to check themselves for breast cancer. Smears have been available, as have other forms of treatment and checks. Men often do not want to talk about the fact that they may be suffering from early signs of cancer. They do not go to doctors early enough. They do not consider themselves to need treatment, and of course, by the end, it may be too late for that treatment to take place.

A system of screening across the country for the most common forms of cancer needs to be available for every single patient on the NHS. However, there must be a word of warning—after screening, the patient may be shown not to be suffering from a form of cancer at the moment, but that does not mean that they will not suffer from it next week, next month or thereafter. The risk is that people may feel that they are safe as a result of screening, but they are not. Therefore, screening must take place regularly so that people can understand that early treatment can get them into a good position.

There is also the aspect of specialist treatment that must be available. There are a number of rare cancer diseases where the cost of treatment is quite high but the number of cases is relatively few. We should therefore ensure that the people who suffer from those rare forms of cancer have a good chance of recovery through proper treatment, proper drugs, and proper specialist care.

I want to highlight in particular the work being done at University College hospital on blood cancers. One of the problems is that, while treatment kills many cancer cells, it leaves behind small numbers that are very difficult to detect and that at some future stage may spring back into action and infect the whole body via the blood. University College hospital depends on donations from members of the public for the equipment it uses. In my view, there should be far greater investment from the NHS in that research, which enables experts to make diagnoses and produce the detailed treatment needed by those suffering from blood cancer in particular.

Another issue is the drug companies that produce the drugs that treat cancers, be they common or rare. It is clear that the cost of research is enormous, that the failure rate of the drugs is difficult to determine and that there is a challenge—this is particularly true of rare cancers—with regard to the number of patients who can be treated. Will the Minister consider an open-book policy for the drug companies whereby they would say, “We’ve spent this much money on research and this is how much it has cost us to develop these drugs, so this is how much we need to recover from treatment using these drugs”? At the moment, there seems to be a battle between the drug companies, the National Institute for Health and Care Excellence and the NHS with regard to the cost of treatment. It is clear that that needs to be addressed.

It would be remiss of me, during a debate on cancer, not to say that individuals also have a responsibility. If we can educate young people to have a better diet and not to start smoking in the first place, and if we can educate people who do smoke to give up, we have a chance of reducing the risks of contracting cancer. I congratulate my hon. Friend the Minister, who has been a Health Minister for only a short period, on the major change earlier this week to the Government’s policy on smoking in cars when children are present and on the issue of standardised packaging of tobacco products. She has made a huge impact.

We have not completed the job yet and we look forward to the regulations being introduced, but now we have another challenge, which is the treatment of cancers through the use of various drugs that assist people who suffer from those terrible diseases. It is a new challenge and a new opportunity, and I am sure that the Minister will take it up with gusto and zeal and that she will achieve the same degree of success as she has in relation to smoking.

Children and Families Bill

Bob Blackman Excerpts

Monday 10th February 2014 Commons Chamber

[Bob Blackman (Harrow East) (Con)]

I speak as the secretary of the all-party group on smoking and health. There is only a brief time available, but the facts and figures have been presented to the House. The fact is that the younger people start to smoke, the more damage they do to their health and the shorter their lives as a result. The key point is that most young people start smoking because of their parents, siblings, friends or the media marketing of big tobacco. We need to take away the capability of big tobacco to market to young people, and I support wholeheartedly the measures on standardised packaging. Those opposing measures to stop parents smoking in cars carrying children should understand that a car contains 11 times more tobacco and nicotine than a smoky pub. Even more importantly, if a parent is driving a car with all four windows open, the level of pollution is treble the amount recommended by the US Environmental Protection Agency or the World Health Organisation. That is extremely damaging to children’s health, and I support the Lords amendment.

Health Care (London)

Bob Blackman Excerpts

Wednesday 8th January 2014 Westminster Hall

[Mary Macleod]

The London air ambulance service is an amazing organisation, so I would not change its structure. It rightly gets some funding from the NHS, but it also derives funding from many other sources, and it is important that we support that. The service does an incredible job, so if the hon. Gentleman knows anyone who can give it a spare helicopter, it would really appreciate that.

My local CCG is chaired by Dr Nicola Burbidge. It started early, it has been absolutely focused on patients and it has been very responsive to any issues I have raised with it.

On reconfiguration, I was recently thankful when, after a lot of campaigning by my hon. Friend the Member for Chelsea and Fulham (Greg Hands) and others, the Secretary of State announced that the A and E at Charing Cross hospital would not be closed, thus helping residents in my part of London. Saving lives and improving patient care is paramount.

[Bob Blackman (Harrow East) (Con)]

I apologise for not being here for the opening speech. Does my hon. Friend agree that one challenge now facing London is the increasing complexity of diseases and the treatments that are required, which means that additional money and expertise are needed? Such diseases often cannot be dealt with at a local level; they must be dealt with nationally. Although we have supported those suffering from cancer and other diseases, much more complex diseases remain to be resolved.

[Mary Macleod]

My hon. Friend makes a good point. I hope the Minister will respond to the issue of how we take up such challenges in London and get the necessary funding.

I shall list some issues on which I would like more improvement. We heard how difficult it is to get appointments at general practices—we call up and know that the answer is going to be no before we say anything. There are also issues with getting to see a specialist as quickly as possible. We want an effective complaints process in hospitals, changing the culture to allow people, whether staff or patients, to complain. There is an issue with how patients are moved around London, and the hon. Member for Westminster North made an important point about having to use public transport to get home. Mental health and community public health are other important issues.

My final comment is about dementia, which is a growing concern in London, as it is across the country. About 30% of patients who go into the West Middlesex hospital have dementia. They do not go there because of dementia, but they have it. There is a lot to be done, and the West Middlesex hospital has just opened a new dementia ward. There needs to be a greater focus on dementia, given our ageing population nationally, and the size of the population in London. We must ensure that we work together to support those who really need and deserve care and support in London. That will improve the NHS for us all.

Tobacco Packaging

Bob Blackman Excerpts

Thursday 28th November 2013 Commons Chamber

[Jane Ellison]

We have had a consultation and now we are having a short review of the emerging evidence base. I think that that is sensible. We want to make good policy that is robust, and this is the right way to do it.

[Bob Blackman (Harrow East) (Con)]

I congratulate the Minister on listening to the arguments and acting far more quickly than any Opposition Member did in 13 years. Will she assure us that the House will have the opportunity to vote in favour of standardised packaging so that we can demonstrate our cross-party support for this much-needed health measure?

[Jane Ellison]

At present, we are strongly minded to introduce regulations under the affirmative procedure.

Tobacco Packaging

Bob Blackman Excerpts

Thursday 7th November 2013 Commons Chamber

[Bob Blackman (Harrow East) (Con)]

I beg to move,

That this House has considered standardised packaging of tobacco products.

I welcome our first opportunity to debate this matter in the Chamber since the Government made their decision in the summer, and I thank the Backbench Business Committee for allowing it to take place.

The Department of Health held an extended consultation on standardised packaging of tobacco products, but it was greatly disappointing to people across the House that the Government decided not to proceed with standardisation. In September we had a very full Westminster Hall when we debated this subject. It was the first day back after our summer recess, so I suspected that we would not get a full audience, but in the end 21 Members spoke, meaning that a strict time limit had to be imposed on speeches. It was a wide-ranging debate that allowed everyone to put their point of view, and I hope that we can do the same thing in this Chamber this afternoon.

Since that Westminster Hall debate, we have had a new Minister, the Under-Secretary of State for Health, my hon. Friend the Member for Battersea (Jane Ellison), whom I welcome to her place. She has an opportunity to set out the Government’s position on standardised packaging of tobacco products, and I hope that she will indicate some movement in favour of standardisation. When this matter was raised in Health questions recently, it was debated at length, with many Members wishing to get in. By way of context, there is also an upcoming House of Lords debate on the Children and Families Bill, which I hope will result in the Bill being amended to outlaw the smoking of tobacco products by people travelling in cars with young children.

Obviously, we do not wish to divide the House today, but I say to the Government that unless we get some movement before Christmas, we will seek another debate, with a Division, so that the will of the House can be expressed.

[Jake Berry (Rossendale and Darwen) (Con)]

How does my hon. Friend think that the banning of smoking by people travelling in cars with children would be enforced?

[Bob Blackman]

I do not wish to be diverted from our subject, which is the standardisation of tobacco packaging. I will leave it to the other place to determine that matter, but no doubt if it has the wisdom to implement that rule, it will come back here for further debate.

[Alok Sharma (Reading West) (Con)]

I share my hon. Friend’s concerns about smoking, and I agree that we should do everything possible to get people to stop smoking and to stop young people in particular taking it up, but does he agree that policy has to be evidence-based, that we should wait and see what emerges elsewhere across the globe and that, in view of that, we should continue to educate people, particularly young people, not to take it up in the first place?

[Bob Blackman]

I will come to that point—particularly in respect of young people—later.

I am personally committed to stopping people smoking in the first place and to helping them give up. Both my parents died of cancer. My mother died at 47 of lung and throat cancer, and I still remember what she went through. It was the direct result of a long-standing tobacco habit.

[Chris Bryant (Rhondda) (Lab)]

It would also be great to cut the amount of each cigarette smoked. Would the hon. Gentleman like to take up the suggestion of not just changing the packaging of the box, but printing something on the cigarette itself to encourage people to stop smoking before they get to the end?

[Bob Blackman]

That sounds like a good idea. We are not talking about that today, but it could be included in the evidence.

We have an opportunity to debate these issues. As my hon. Friend the Member for Reading West (Alok Sharma) said, we must take an evidence-based approach. The widespread consultation that the Department of Health conducted over the summer found a welter of evidence supporting the standardisation of packaging and its impact on the numbers of people taking up or giving up smoking. I am secretary of the all-party group on smoking and health and I regard tobacco control as a very high priority for any Government, and an issue that cuts across party lines and creates different views. I welcome the fact that members of the APPG from all parties are here to debate the issue.

[Lorely Burt (Solihull) (LD)]

I entirely agree that any standardised packaging to which we agree should be evidence-based. We have looked at the results from Australia after nine months. The anecdotal evidence so far suggests that although people have switched to cheaper brands, the volume of cigarettes being sold has not altered. What does the hon. Gentleman make of that?

[Bob Blackman]

The issue for us is that we want to remove the last aspects of advertising that are available to the tobacco industry. At the moment, there is still an attractive promotional aspect of tobacco, which is the packaging. We want all tobacco packs to be uniform, including the colour of the pack, and to allow the promotion of strong anti-smoking and pro-health messages. Evidence is emerging from Australia, but other parts of the globe are going ahead with standardisation of packaging, including Ireland.

[Dr Sarah Wollaston (Totnes) (Con)]

My hon. Friend is making a powerful point. Does he agree that use of the term “standard packaging” or “plain packaging” is a misnomer? We should be calling it “stark-staring truth packaging”. What it means is that we are handing someone a packet with a picture of gangrene. It is actually a crystal ball, and it counteracts the very powerful subliminal messages and the last legal form of tobacco marketing in this country.

[Bob Blackman]

The fact is that smoking is a lethal addiction. We know that. It is the one product in service in the world where, if used in the way it is intended, will lead directly to poor health and possibly death. Across England, 80,000 people a year die from smoking-related diseases. There are more premature deaths from smoking than from obesity, alcohol, illegal drug use and AIDS put together. It is the biggest single killer. In the long run, if we can get a fall of just one percentage point in smoking prevalence rates, we could save 1,800 lives per year. Who would not wish to save 1,800 lives per year? There cannot be an effective public health policy unless tobacco control is at its heart.

[Mrs Madeleine Moon (Bridgend) (Lab)]

Every one of us in the House will remember how, in our youth, cigarettes were marketed as fashionable, trendy and stylish. With 200,000 children starting smoking every year in Britain, and 11,000 in Wales, is it not right that we send a very clear message that smoking is not trendy or stylish; it is a killer?

[Bob Blackman]

The hon. Lady comes on to a particular issue. The vast majority of smokers begin smoking in childhood. Two thirds of current smokers began under the age of 18 and we know that 200,000 young people under the age of 15 begin to smoke every year. When you add in the people that begin to smoke between 15 and 18, it becomes 300,000 smokers per year. Once someone is hooked, it is very difficult to give up. Most people say that after the direct sale of cigarettes to minors was made unlawful, many young people still continued to start smoking. Cancer Research stated in 2011 that more than 200,000 young people under the age of 16 had started to smoke. We must make sure that we reduce that number quite drastically.

[Rehman Chishti (Gillingham and Rainham) (Con)]

My hon. Friend talks about the accessibility of cigarettes for people who take up smoking. Gillingham has the largest amount of illegal cigarettes smoked in the country, which has an effect on health, the economy and crime. Does he agree that more needs to be done nationally to ensure that we stop these illegal cigarettes coming in to our country?

[Bob Blackman]

I agree completely. That demonstrates the failure of the tobacco industry to stop the illicit trade, even under the current advertising arrangements for packaging.

[Ian Paisley (North Antrim) (DUP)]

The hon. Gentleman will know that more than 1,000 people in my constituency are directly employed by the tobacco industry, which creates huge employment opportunities for my constituents. Why will he not just be honest and say that we should ban smoking altogether and make it illegal? That is the direction of travel he is taking. We are hearing all this nonsense about different colours, subliminal messages and messages written on cigarettes; let us cut the nonsense. Why will he not be honest with the House and say that he wants to ban smoking altogether?

[Bob Blackman]

I am not one of those who wants to ban particular substances. If someone wants to put a cigarette in their mouth, set light to it and attempt to kill themselves, that is their choice. They have the freedom to do so. All I say is, “Don’t breathe that smoke over me, don’t breathe it over children, don’t inflict it on others.”

[Alok Sharma]

rose—

[Mr David Nuttall (Bury North) (Con)]

rose—

[Bob Blackman]

I have taken several interventions, and I know that Mr Deputy Speaker wants me to make progress.

Once young people start smoking, they are likely to continue for the rest of their lives. Smoking causes much more damage to young lungs, which increases the likelihood of young people dying from smoking-related diseases. The tobacco industry is desperate to retain its market share, and to recruit new smokers every year. After all, older smokers either quit or die, and younger people also die from smoking-related diseases. Most of the new smokers will be children. In my constituency, about 550 children start smoking every year. That is a scandal, and I want to see that figure radically reduced.

To make the control policy more effective, we must prevent children from starting to smoke in the first place. We must adopt policies that make it more difficult for the tobacco industry to target and recruit new smokers. Once again, however, if young people choose to start smoking, that is their right. In trying to find the policies to achieve that result, we could do worse than look at the commercial strategies adopted by the tobacco industry itself. Over many years, the industry has designed its advertising and marketing to promote an image of smoking that is most likely to appeal to young people.

A great deal of information about this has come into the public domain, particularly after confidential industry documents were made public following the US tobacco master settlement with the industry in 1998. I shall give the House an example. An internal R. J. Reynolds document from 1981 states:

“Smoking is frequently used in situations when people are trying to make friends, to look more mature, to look more attractive, to look ‘cooler’, and to feel more comfortable around others. These aspects of social interaction are especially prevalent among younger adult smokers”.

I could not have put it better myself. The fact is that the industry markets itself in that way.

Successive Governments have made it more difficult for the industry to reach its target teenage market. Conventional tobacco advertising is banned, and I welcome that. I also welcome the banning of retail displays in large shops. They will soon be outlawed in smaller shops as well. Stopping smoking in enclosed spaces has significantly reduced the exposure of young people to smoking.

[Mr Nuttall]

My hon. Friend said that he had no objection to people taking up smoking. Does he not feel that, in a free society, we would cross a dangerous line if we were to prevent manufacturers from differentiating their brand from the others?

--- Later in debate ---

[Bob Blackman]

No, I do not. It is quite right that we should take action to prevent manufacturers from making their products more attractive to children and young people.

We are left with one large loophole, through which the tobacco industry is still furiously blowing smoke. The packs themselves can be used to market and advertise, to create brand identities, and to help to present an image of smoking that might indeed seem “cool” to an insecure teenager.

[Jake Berry]

My hon. Friend is generous in giving way and is making an excellent opening speech. On the covering up of cigarettes in large and small retailers—something I support—at what point does he think that packets will be on display as advertisements for the tobacco companies if they are covered up at the point of sale? Will it just be at the point when the cigarettes are in someone’s hand—after they have already been bought?

[Bob Blackman]

My hon. Friend brings me to the next aspect of the issue. The cigarettes will be behind closed doors, as it were, and the only time when smokers will display their tobacco branding will be when they take out their pack to smoke, which is welcome.

[Jake Berry]

People have already bought them.

[Bob Blackman]

Indeed, but that is the only advertising that the tobacco industry can currently have.

The trade magazine World Tobacco advises:

“If your brand can no longer shout from billboards, let alone from the cinema screen or the pages of a glossy magazine…it can at least court smokers…from wherever it is placed by those already wedded to it.”

That is the industry speaking. Philip Morris International, in its company response to the consultation on standardised packaging, said that as

“an integral part of the product…packaging is an important means of differentiating brands and in that sense is a means of communicating to consumers about what brands are on sale and in particular the good will associated with our trademarks, indicating brand value and quality. Placing trademarks on packaged goods is, thus, at the heart of commercial expression.”

[Alok Sharma]

Will my hon. Friend give way?

[Bob Blackman]

Just one more time.

[Alok Sharma]

I thank my hon. Friend, who is making a very passionate speech. I know he feels very strongly about this subject. At the end of the day, however, we have noted the importance of policy being evidence-based. I do not hold a candle for the manufacturers of cigarettes, but I understand that KPMG published a report in October showing that the emerging evidence from Australia was that the introduction of standardised packaging has seen an increase in the levels of illicit tobacco and no reduction in consumption. Would my hon. Friend like to comment on that?

[Bob Blackman]

I will comment on it in a few moments. I shall skip over the last few sections of my speech, as I know that Mr Deputy Speaker wishes me to conclude.

The research done by Stirling university’s public health research consortium shows that standardised packaging is less attractive to potential consumers. That is good news because it means that if we have standardised packaging, smoking will be less attractive to young people and children. The reviewers looked at 17 further studies, so there is no lack of evidence. There is plenty of evidence, and the evidence in favour of standardised packaging is very strong.

[Pete Wishart (Perth and North Perthshire) (SNP)]

rose—

[Bob Blackman]

I will not give way because I am under time constraints.

The industry’s position is quite clear: it wishes to protect the intellectual property rights of its product, and it thinks that that trumps the requirements of public health. I say that public health is much more important than the rights and wrongs of the tobacco industry. Tobacco firms have spent heavily, tried to lobby Members and the Department of Health and sought to prevent progress on this issue. They have put the different aspects of the argument, but I am sure that colleagues will allude to the fact that there are ways of stopping the illicit trade and ensuring that security is maintained on the product. We can prevent the illicit trade from growing.

Let me touch on what is happening in Australia. The evidence has been very positive. One study showed that, compared with smokers who were still using branded packs when the research was carried out, standardised pack smokers were 66% more likely to think their cigarettes were poorer quality than a year ago; 70% more likely to say they found them less satisfying; and 81% more likely to have thought about quitting at least once a day every week since the ban was introduced.

[Simon Wright (Norwich South) (LD)]

rose—

[Pete Wishart]

rose—

[Bob Blackman]

I will not give way, because Mr Deputy Speaker wants us to make progress.

[Mr Deputy Speaker (Mr Lindsay Hoyle)]

Order. Everyone wants to get in, but we are running out of time. I need to remind the House that the opening speech was to be 15 minutes, but we are well over that already.

[Bob Blackman]

Now that we have the evidence, I ask the Government to listen to the debate. We will hear a response from the Minister, and I trust that by the end of this debate, the view of the House will be overwhelming and the Government will seek to introduce regulation on standardised packaging as fast as possible. We will not seek to divide the House today—this is a general debate—but if the Government do not come forward with regulations before Christmas, we will seek another debate on a motion that allows the House to divide and express its clear will.

[Several hon. Members]

rose—

--- Later in debate ---

[Bob Blackman]

This being the first time I have spoken when you have been in the Chair, Madam Deputy Speaker, I congratulate you on your election to high office.

We have heard today from 11 Back Benchers, as well as the two Front Benchers, and hon. Members have put their arguments strongly. Clearly, I am wholly in favour of standardised packaging for tobacco products, and the quicker it is done the better. Three arguments have been advanced against its rapid introduction. The first concerns the illicit trade. In reality, the illicit trade continues now, but the evidence is that through the security marking of packaging and cigarettes themselves, and with greater vigilance from our customs and excise people, the illicit trade can be stamped on hard. The tobacco industry, which is against standardised packaging, uses the illicit trade as an excuse.

Secondly, we have heard that the big tobacco companies would use the money they currently spend on packaging to cut the cost of tobacco. My answer is to increase the tax. We must ensure that tobacco is expensive so that people are discouraged from purchasing it. Thirdly, the key argument from those who oppose the measure seems to be, “Let’s delay and prevaricate. Let’s wait and see what happens. Let’s wait for everyone else to decide, and then take action ourselves.” As we have said, 300,000 under-18s start smoking every year, so the longer we delay, the greater the number of people taking up smoking and dying prematurely.

[Barbara Keeley]

I imagine that the hon. Gentleman was as disappointed as me to hear the Minister’s response. There is a tendency among Health Ministers to say that everything is at arm’s length. Like me, I hope that he rejects the Minister’s claim that responsibility lies with Public Health England, local government and Members themselves. The action we need is action that only the Government can take. Does he support that view?

--- Later in debate ---

[Bob Blackman]

I thank the hon. Lady for her intervention, but the Minister did give some clear assurances about the review of evidence and research that will take place.

We cannot afford to delay this health measure. It would stop young people being attracted to smoking. The evidence overwhelmingly shows that big tobacco targets young people to get them smoking, and we must not allow it to continue prevaricating and preventing progress on this agenda. I urge my hon. Friend the Minister to go back to her office this afternoon and look at the evidence, including the 17 studies, and make it clear to her health officials that we want to do this now, not to wait. If the Government refuse to act and the other place refuses to amend the Children and Families Bill, we will introduce another debate on which we can divide the House and demonstrate that the overwhelming will of hon. Members is for the immediate introduction of standardised packaging of tobacco products.

Question put and agreed to.

Resolved,

That this House has considered standardised packaging of tobacco products.

Changes to Health Services in London

Bob Blackman Excerpts

Wednesday 30th October 2013 Commons Chamber

[Mr Hunt]

Thank you, Mr Speaker. I will. The hon. Gentleman does no credit to himself or his party with such hyperbole. Let me remind him that the leaders of the clinical commissioning groups, including the ones in his area, which are there to look after his constituents, have said that

“delivering the Shaping a Healthier Future recommendations in full will save many lives each year and significantly improve patients’ care and experience of the NHS.”

That is what the doctors are saying, which is what I want to follow.

[Bob Blackman (Harrow East) (Con)]

At the Central Middlesex hospital, we have well qualified doctors and nurses waiting for patients to arrive but, at the same time, we have long queues at Northwick Park hospital. That makes no sense. Will my right hon. Friend assure me that any reduced resources at Central Middlesex hospital will be transferred in full to Northwick Park so that patients can be seen far more quickly and in a far better manner?

[Mr Hunt]

I assure my hon. Friend that the resources taken out of some acute services will be used to give better, safer and more high-quality services to his constituents. Northwick Park is one of the best examples of that. Stroke services in the north-west London area were centralised in Charing Cross and Northwick Park. As a result of those changes, which were introduced by the right hon. Member for Leigh (Andy Burnham), stroke mortality rates in London have halved. That is a very good example of why it makes sense to centralise certain more specialist and complex services if we are to get the best results for patients.