Tobacco Products (Standardised Packaging)

Gerry Sutcliffe Excerpts

Thursday 3rd April 2014 Commons Chamber

[Jane Ellison]

The report is not about plain packaging but standardised packaging, which is quite different. Sir Cyril’s report helpfully pulls apart the differences and makes them clear for the reader. The issue that my hon. Friend raises is addressed in the report, and it was given a lot of consideration in the 2012 consultation. I can pay testament to the fact that that was an exhaustive and very thorough consultation, because I have spent much of the past few days, as has my right hon. Friend the Secretary of State, reviewing the evidence and submissions to it. These points have therefore been put on the record, but there will be a final opportunity in the forthcoming consultation to make them again, and they will be considered.

[Mr Gerry Sutcliffe (Bradford South) (Lab)]

I am a non-smoker and I do not want to see young people smoking, but I have concerns about standardised packaging, for two reasons. One is illicit trade, and I will give evidence on that and perhaps meet the Minister and her colleagues about that illicit trade and its impact on our constituencies. Also, I represent a number of print workers. There is an issue about jobs and the effects on the packaging industry. I hope she will take that into consideration.

[Jane Ellison]

The hon. Gentleman mentions illicit trade. As I have said a number of times, it is addressed in the report, but there will be other opportunities to discuss that. I also draw the House’s attention to the fact that stopping illicit tobacco coming into the country is the job of Her Majesty’s Revenue and Customs. It has had great success in that regard over recent years. With regard to the hon. Gentleman’s point about jobs, we will publish a full impact assessment alongside draft regulations at the same time as the final consultation. Jobs will be one of the issues in that impact assessment.

Heart Surgery (Leeds)

Gerry Sutcliffe Excerpts

Monday 15th April 2013 Commons Chamber

[Mr Hunt]

I completely agree with my hon. Friend. I want this to be resolved as quickly as possible. We have to operate within legal due process, but the sooner we can resolve the uncertainty, the better.

[Mr Gerry Sutcliffe (Bradford South) (Lab)]

I know the Secretary of State likes dancing, but his fancy footsteps today are doing him no favours. The position in Leeds is that the public have lost confidence after what has taken place. Sir Roger Boyle has condemned the hospital and the Secretary of State has not condemned him for the comments he has made. Can he do that now?

[Mr Hunt]

Let me be clear: I do not want anyone in the NHS who has concerns about mortality to sit on those concerns, so if Sir Roger had concerns, he was right to raise them with Professor Sir Bruce Keogh. Sir Roger also made comments that suggested that he might have prejudged the outcome of Safe and Sustainable, so I think it is right that he does not take any further role in that, and we will be getting independent advice on whether Safe and Sustainable made the right recommendations, which I shall consider before making any decision. I have to say to the hon. Gentleman that there is no fancy footwork. I am absolutely clear that if anyone, anywhere in the NHS, has concerns about safety and if the view of the NHS medical director is that we need to investigate those concerns and, in the meantime, suspend surgery at that institution, I will support the NHS medical director. That is the right thing to do and I think the hon. Gentleman would do exactly the same if he were in my shoes.

Immigrants (NHS Treatment)

Gerry Sutcliffe Excerpts

Monday 25th March 2013 Commons Chamber

[Mr Hunt]

My hon. Friend asks a very important question. We have to recognise the pressure on GPs and must be careful not to increase the bureaucratic burden on them. The long-term answer is to have proper digital patient records. If the first thing that people are asked for when they enter any part of the NHS is an NHS number that allows the person they are seeing to look at their medical history, which could be a trigger to identify someone who should be paying for their NHS care. We are seeing whether there is a non-bureaucratic way of achieving that in the short term, while we put that technological system in place.

[Mr Gerry Sutcliffe (Bradford South) (Lab)]

The Secretary of State and the Conservative party should remember that the coalition has been in power for nearly three years and nothing has happened on this issue. There are two things that he could do. He could withdraw the circular today and he could consider introducing an entitlement card that people could carry with them.

[Mr Hunt]

I congratulate the hon. Gentleman on his chutzpah in criticising the Government for not doing anything in two and a half years, when his Government did nothing in 13 years.

Cigarette Packaging

Gerry Sutcliffe Excerpts

Tuesday 17th April 2012 Commons Chamber

[Mr Gerry Sutcliffe (Bradford South) (Lab)]

I understand the argument that my hon. Friend is putting forward, and we all understand the horrors of tobacco. He is talking about the hard core of 21% who continue to smoke. Is the problem not going to be that, given the levels of duty and taxation, as well as plain packaging, people are going to be forced into the black market? A number of people in my constituency deal in illicit tobacco and in buying cigarettes at a very low price. How can we get this right?

[Mr Robinson]

I am grateful to my hon. Friend for bringing up that point. It was the staggering figures about the illicit tobacco trade in Coventry that first prompted me to consider that there could be adverse, unintended consequences to the measure that I am proposing with the good intention of reducing smoking.

Let me give the House the figures for the illicit trade in Coventry. My constituency is one of the three that make up the city of Coventry. In 2011, an Empty Pack survey was carried out. Its evidence was pretty reliable; I do not think that it has been seriously disputed. I am pleased to see the Minister nodding in agreement. It found that the illicit trade had increased from 14.5% of total sales to 30.3%, meaning that one in three cigarettes were being sold on the illicit market. That is well above the national average. The figure for the west midlands was only 17.2%, and the national average was 15%. Those are both high figures, but the problem is clearly approaching epidemic proportions in Coventry. I therefore remain concerned that we should do everything we can to prevent the problem from spreading further and that we should do so through the introduction of plain packaging.

When we consider all the covert measures that have been tried out by the Government, with the industry reluctantly co-operating, we realise that the present system cannot be very effective if the figures are as high as they are. If the figure is already 30%, it is hard to see how our countermeasures are being effective against the illicit trade in tobacco. We therefore have to take another approach.

That idea led me to read about what is happening in the north of England. There is a strong argument by the industry that the problems that have been mentioned could indeed happen. There is a plausible presumption that they might. In the north, people have realised that the present measures are ineffective, and they have set up the north of England tackling illicit tobacco for better health programme. It has brought together key agencies such as Her Majesty’s Revenue and Customs, the UK Border Agency, the police, local authority trading standards departments and the NHS to take part in a comprehensive action plan covering all those areas of government. It illustrates linked-up government working together at local and regional level. At the conclusion of this debate, I shall be writing to Coventry city council to recommend that it initiates and co-ordinates such an attack on what is clearly a big problem in Coventry and the west midlands.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Health (Anne Milton)]

I congratulate the hon. Member for Coventry North West (Mr Robinson) on securing this debate on a topic so vital to the health of the nation. The number of Members who have stayed here late to listen and, indeed, to contribute to this debate is a testament to that.

As the hon. Gentleman rightly pointed out, smoking kills more than 100,000 people in the UK every year. Fully half of all long-term smokers will die prematurely from a smoking-related disease. Smoking, of course, harms those around smokers, too. The Royal College of Physicians estimates that about 2 million children currently live in a household where they are regularly exposed to cigarette smoke. The cost of this level of ill health is huge. In England, about one in 20 of all hospital admissions among adults aged 35 and over is down to smoking. Of course, it is not just a question of the financial cost; there is a human, and often tragic, cost as well.

Although smoking rates have declined over past decades, in recent years the fall has lost momentum. Most smokers take up the habit before they turn 18. This year, in England alone, 330,000 children under the age of 16 will try smoking for the first time. Reducing the uptake of smoking by children and young people remains one of the key public health goals. We want to prevent those young people from turning into adult smokers. Most smokers say that they want to stop. Quitting can be difficult, but smokers who kick the habit for good can quickly reduce their risk of contracting smoking-related diseases and lead longer, healthier lives, irrespective of their age.

Our approach to reducing tobacco use is comprehensive and evidence-based, and much has already been achieved, including—as the hon. Member for Coventry North West pointed out—many cross-party initiatives. We have introduced a comprehensive ban on advertising, and picture warnings on packs; we have raised the age for the sale of tobacco to 18; we have ended the sale of tobacco from vending machines; from April the open display of tobacco products in supermarkets has been banned; tobacco taxes were increased significantly again in this year’s Budget; and, of course, there is a ban on smoking in public places. I pay tribute to the right hon. Member for Rother Valley (Mr Barron) for his role in the introduction of that ban when he was Chairman of the Select Committee on Health.

It is recognised that the UK has the best “stop smoking” services in the world, and I feel proud when I go abroad and am congratulated on all that we have achieved. However, we clearly need to do more. Given the existence of all the measures to which I have referred, it is surprising that about 20% of people still smoke.

[Mr Sutcliffe]

I congratulate the Minister on the work that she is doing. However, as she is aware, a small number of people will continue to smoke because of the illicit trade. What does the Minister think we can do to stop that trade?

[Anne Milton]

I shall say something about the illicit trade shortly, because it is an important issue. However, it should not be confused with the separate issue of plain packaging, which is also important and on which we are to consult.

In March last year, we published “Healthy lives, healthy people: a tobacco control plan for England”, which described how our programme of tobacco control would be delivered over the next five years within the framework of the new public health system. The tobacco control plan included a commitment to consult on options to reduce the promotional impact of tobacco packaging, including standardised packaging. There is strong, consistent evidence that the advertising and promotion of tobacco can influence young people in particular, from the first puff to full addiction.

I am pleased to say that yesterday we published a UK-wide consultation document, with the agreement of the devolved Administrations. The consultation will consider what measures could be taken to restrict or prohibit the use of logos, colours, brand images or promotional information on packaging other than brand and product names displayed in a standard colour and font style. At this stage, we have an open mind about the introduction of standardised packaging of tobacco products. We hope that the consultation will help us to establish whether there is evidence that it would have an additional public health benefit, over and above the existing tobacco control initiatives.

NHS Reform

Gerry Sutcliffe Excerpts

Monday 4th April 2011 Commons Chamber

[Mr Lansley]

I am grateful to my hon. Friend. In Burnley and other places—I think not least of Maidstone—decisions were made in the past, under a Labour Government, that clearly did not meet the tests that we now apply, which are about public engagement, the support of the local authority, engagement with general practices leading commissioning, the clinical case and the responsiveness to patient choice. Those tests will be met in future. As we go through the painful process of examining how they are applied to the situations that we have inherited, on occasion we can say things to help colleagues, but sometimes we cannot.

[Mr Gerry Sutcliffe (Bradford South) (Lab)]

It is not only the Health Secretary who cares about the NHS. Most people in the House support the NHS in their constituencies and the work that it carries out, but the mistakes that the Secretary of State has made—I hope he will admit that he has made mistakes by not listening—mean that there will already be costs to the health service because of the Bill. Will he publish an impact assessment of the costs to the health service so far of his failed policies?

[Mr Lansley]

I am afraid the hon. Gentleman is wrong on a number of counts. First, we have listened and we will continue to listen. Secondly, of course there are costs in reducing the number of managers in the NHS, but it is absolutely essential that we reverse the decade of declining productivity in the NHS that took place as the number of managers went up by 78%. How can that be the right way forward? Under Labour, we had more managers and less productivity.

National Blood Service

Gerry Sutcliffe Excerpts

Tuesday 15th March 2011 Westminster Hall

[Jim Dobbin]

Everything should be up for review at the present time. I am quite sure that the National Blood Service is considering that matter as part of its review.

Donors give their services absolutely free to the national health service. The Department of Health funds the production of all the organisation’s services within its factories, processing centres and laboratories. The system has a record of sound financial control, of which the NHS should be proud. I was in the service when cleaning services were compulsorily tendered out to the private sector. If my memory is correct, that resulted in a reduction in the quality of service. We saw wards cleaned less frequently and an increase in hospital infections such as clostridium difficile, E. coli 0157 and methicillin-resistant Staphylococcus aureus. We have all seen the publicity that such infections have received. Privatisation would introduce an element of cost cutting in order to increase profit. Shortcuts, reduced training and a reduction in quality are all strong possibilities.

The public who donate their services for free will be discouraged from taking part if the profit motive is introduced. The demand for blood from those who have serious health conditions will not diminish, but the supply of donors is in danger of being reduced.

[Mr Gerry Sutcliffe (Bradford South) (Lab)]

I congratulate my hon. Friend on securing this debate. As I understand it, the National Blood Service is allowed to use the blue flashing light to transport blood to the most serious cases. Is it not the case that if the service were privatised, the private sector companies would transport the blood but would not be able to use the blue-light service because it is restricted at the moment?

[Jim Dobbin]

If that were the case, it would make it much more dangerous for those patients who were waiting to receive that blood or organ. I would not like to see that happening.

The National Blood Service has created a strategy for each of its departments as it strives to improve its service and, looking at the review in great detail, in my view, it is succeeding. It is aware of the current economic situation and the constraints that it is working within over the next few years. It is planning more developments in future years. The question that has to be asked is why sell off something that is working so well. I understand that scientific staff have been angry about these moves. They have blasted the Government plan and demand changes to the Health and Social Care Bill, which will let private companies cash in on lucrative Government contracts.