Tobacco and Vapes Bill (Third sitting)

Debate between Caroline Johnson and Trudy Harrison
Trudy Harrison Portrait Trudy Harrison
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Q Thank you both for powerfully and poignantly outlining the preventable impacts of smoking-related disease and illness on adults. I want to ask about pregnant women. In Cumbria, 12.3% of women at the point of giving birth say that they are smoking. Given the evidence-based proof, why is that still the case? I am left asking why we have we left it so long to have these conversations and bring the Bill forward.

I would like to understand the power of addiction to be able to make the point that this is a pro-choice Bill. It will give women more choice against that addiction that they are enduring at the most important point of their lives, when they are unable to make that choice for themselves.

Kate Brintworth: I absolutely agree with you. As I have said, pregnant women go to extraordinary lengths to protect themselves and their babies. They change what they eat and drink and how they behave in myriad ways to ensure that they are doing the right thing, yet it has proven very difficult to shift the figures you describe—I think nationally it is a little over 7% of women who are still smoking. That is a poignant demonstrator of just how difficult it is and how addictive nicotine is, when all women want to do is the right thing for their children. That is why all the chief nursing and midwifery officers across the four countries are united in support of the Bill, as our medical colleagues are, because we see the damage wrought across families and generations. We are 100% behind it.

Professor Sir Stephen Powis: It is important to re-emphasise the point made repeatedly by the chief medical officer for England: smoking and nicotine addiction takes away choice. When you are addicted, you do not have the choice to simply stop doing something. It is an addiction. It is a set of products that removes choice, and in removing that choice, people are killed.

Caroline Johnson Portrait Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
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Q I want to ask you about vaping, particularly among children and pregnant women. First, to Kate, are you aware of any research into which chemicals from vaping may be transported from the mother’s blood through the placenta and into the baby, and whether that has any effect, or is the research too early to be able to tell us that information? For Professor Stephen Powis, could you tell me what research NHS England is supporting into the effects of vaping on children?

Kate Brintworth: The information that we have so far suggests, as it does across all areas of healthcare, that vaping is safer than smoking. What we do not have is the long-term data that we have on smoking to give us the confidence to describe the harms clearly. That is something that we need to keep observing and understanding so that we can give people the best-quality information.

Professor Sir Stephen Powis: NHS England is not a primary funder of research but we are an evidence-based organisation, as I described earlier, particularly on the use of vaping for smoking cessation. We are very keen that the evidence base, particularly on vaping, is expanded. We would support research in terms of calling for it to be undertaken but also in terms of supporting the NHS as a delivery mechanism for the context in which that research is done.

We very much want to support further research because, as you know as a paediatrician, this is an area where the evidence base is emerging but there is more to do. It is not as complete as the evidence base for smoking. It is really important, even with the passage of this Bill, that that evidence base grows and that we in the NHS support the generation of further evidence where we can.

Taxis and Private Hire Vehicles (Safeguarding and Road Safety) Bill (First sitting)

Debate between Caroline Johnson and Trudy Harrison
Wednesday 3rd November 2021

(3 years, 1 month ago)

Public Bill Committees
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Trudy Harrison Portrait Trudy Harrison
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First, I thank my hon. Friend the Member for Darlington for the sheer amount of work and dedication he has invested in bringing this private Member’s Bill forward. I also thank right hon. and hon. Members from across the House who have expertise in this legislation and in transport going back many years. I should mention the work done by the hon. Member for Cambridge on this important passenger safety issue.

Passenger safety in taxis and private hire vehicles is a priority for this Government, which is why we are keen to support the legislation. I reiterate that the vast majority of licensed taxi and private hire vehicle drivers are fit and proper persons, who are a credit to the sector and their communities. However, we must ensure that those who are not fit and proper people to hold a licence are not able to do so. It has been set out this morning why that is so important, and the implications of getting it wrong.

Last year, the Government issued the statutory taxi and private hire vehicle standards, which outlined how licensing authorities can best safeguard many of the vulnerable citizens who use those services. One of the recommendations in those standards is the use of the national register of refusals and revocations, which is hosted by the National Anti Fraud Network. Some licensing authorities are using NR3, but not all. Clauses 2, 3 and 4 of the Bill would rectify that by mandating the use of a database that records not only refusals and revocations, but suspensions.

There has been reference to the cost of that database. We would hope that it could be in house; it should certainly be not for profit, and would be done at the minimum possible cost. It would give licensing authorities more information with which to make informed decisions on who we entrust with the responsibility of being a taxi or private hire vehicle driver. That can only be a good thing. The more information available to licensing authorities, the better their decision making will be.

The Bill rightly focuses on safeguarding and road safety issues. Refusals, revocations or suspensions relating at least partly to the safeguarding and safety criteria set out in clause 1 must be recorded on the database. The criteria are sufficiently broad to ensure that all manner of safeguarding, road safety and discrimination concerns can be highlighted to a licensing authority making its decision.

Clauses 5 and 6 also introduce duties on licensing authorities in England to report concerns about drivers licensed in other areas and to act on any concerns reported to them. The Government wholeheartedly support these provisions, which would ensure that, where authorities have concerns about a licensed driver relating to the criteria set out in the first clause, they can do something about it. As many on the Committee will no doubt know, a licensing authority can only revoke or suspend a taxi and private hire vehicle driver’s licence if it issued it. Under this duty, if a driver licensed in another area is behaving in an unsafe manner, or other concerns are raised, the authority responsible for issuing the licence must consider their suitability again.

The clauses would greatly improve not only the collaboration between our licensing authorities, but the effectiveness of their collaboration with other agencies such as the police, who may report a concern to the local licensing authority, which may then be under a duty to pass it on to the relevant licensing authority.

Caroline Johnson Portrait Dr Johnson
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I am grateful to the Government for supporting the fantastic Bill proposed by my hon. Friend the Member for Darlington. Women and girls in particular use taxis of an evening to get them home safely. They are used as a safety measure, so the work that my hon. Friend and the Minister are doing is extremely important. The Minister has talked about collaboration between different parts of England. This Bill applies only to England, because this is a devolved matter. Will she elaborate on what she is doing to ensure good collaboration between all four parts of the United Kingdom?