Smoke-free UK

Gregory Stafford Excerpts

Thursday 15th October 2026 Westminster Hall

[Gregory Stafford (Farnham and Bordon) (Con)]

It is a pleasure to serve under your chairmanship, Ms Vaz. I congratulate my hon. Friend the Member for Harrow East (Bob Blackman) and the hon. Member for City of Durham (Mary Kelly Foy) on securing this debate. I thank my hon. Friend for his tireless campaigning on this issue over many years.

Smoking remains the single largest preventable cause of cancer, and the prize for tackling it is enormous: fewer deaths, shorter waiting lists and a healthier country. We on the Opposition Benches will support action that works and will hold the Government to account on the delivery of it. As has been mentioned, common ground has been found on this subject throughout the House. I am glad to put on record my party’s appreciation and my thanks to the Government for carrying a Conservative Bill over the line when what was for most of us a rather unexpected general election interrupted progress.

Let me start with that record. The ambition for England to be smoke-free by 2030 was set under a Conservative Government in 2019. The Khan review, commissioned by a Conservative Health Secretary, called for investment in a Smokefree 2030 programme, a rising age of sale, vaping as a substitute for smoking, and stop smoking support at the heart of the NHS. In 2023, we committed an extra £70 million a year to local stop smoking services, more than doubling annual spend to £138 million. Swap to Stop gave almost one in five smokers in England a vape starter kit alongside behavioural support. We put stop smoking advisers in maternity units and introduced incentives for pregnant smokers to stop, and smoking at time of delivery is now at an all-time low. We also began targeted lung cancer screening.

Before the election, as I said, we published the Tobacco and Vapes Bill. I served on the Bill Committee alongside the hon. Members for Falkirk (Euan Stainbank) and for City of Durham, so we remember the cross-party consensus that there was for most of that Bill. The outcome was that anyone born on or after 1 January 2009 will never be legally allowed to buy tobacco. We are proud of that and want it to work, but a law on the statute book does not cut smoking rates by itself. What happens next is what counts, and I want to raise five points with the Minister.

The first is about the target. The Office for National Statistics tells us that 9.8% of adults, or about 4.9 million people, smoked in 2025. That was down from 10.6% the year before. Of course that is welcome, but smoke-free, in definition, means below 5%. On this trajectory, unfortunately, the 2030 target will be missed. I do not say that to point-score, but candour matters. Canada has set a target of under 5% by 2035, and Belgium and the Netherlands a target of under 5% by 2040, with interim targets and goals for young people. If the Government accept the Office for National Statistics figures and that the 2030 target will be missed, they should say so, set a new date and publish an outline plan. Cancer Research UK and ASH both want a new road map and tobacco control plan. Will the Minister commit to one, and when?

Secondly, on support to quit, ASH has warned that hospitals stop smoking services are being squeezed as ICB budgets are reduced. The Government promised opt-out cessation support in routine hospital care. So where is it? The national cancer plan lists implementing the Act as a key action and promises to fund stop smoking services, but it says very little on the delivery. A target without a funded service is an aspiration, not a policy.

That support must also reach the people who need it most. In the Tobacco and Vapes Bill Committee, I noted that manual and routine workers are 2.6 times more likely to smoke than managers. ASH now points to social housing, the economically inactive, people with no qualifications and those with poor mental health. How will the Government ensure that these gains are shared?

Thirdly, on enforcement and proportionality, Ministers are bringing in a ban on free samples from 29 October; a marketing and sponsorship ban from June of next year; wider standardised packaging, flavour and design rules; licensing; planning permission requirements for vape shops; and extended smoke-free places. All of that regulation lands on trading standards and councils. In the Bill Committee, my hon. Friend the Member for Sleaford and North Hykeham (Dr Johnson) asked trading standards witnesses whether they would have the resources. I warned that online and cross-border sales are the hardest to police. A rule that is not enforced is not really a rule. So what extra resources will trading standards receive, and when?

Rules must also be proportionate. The Government have taken wide powers to extend smoke-free places. The amendment my hon. Friend tabled to the Bill to limit them to places with a provable significant risk to public health was unfortunately rejected. In Committee, I asked the then Minister for a firm commitment on outdoor hospitality; unfortunately, essentially saying that it might not be the right time is not a decent response. Pubs and restaurants are under all sorts of pressures. Will the Minister therefore confirm that they are not in scope in terms of their outside seating?

Fourthly, on vaping, we have always backed vaping as a route out of smoking for adults, as the hon. Member for Newcastle upon Tyne East and Wallsend (Mary Glindon) said. In Committee, I said that what worries me most for our children is vapes. However, the Government can hold both positions at once, and the disposable vape ban, in force since June last year, was a step towards that. ASH suggests that disposable use has fallen significantly, which is encouraging. Yet, Ministers have said little about what they have found from that.

As the Government review planning rules and business rates for vape shops, protecting children must be foremost. For example, on flavours, I urge the Minister to look hard at restricting the names that appeal to children—we talked about unicorn milk and the like endlessly in Committee—before removing options that help adults quit. I would also ask the Minister to revisit the case made by my hon. Friend the Member for South Northamptonshire (Sarah Bool) for exempting mental health settings from the vape vending machines ban.

Finally, on lung health, respiratory disease is the third most common cause of death in the UK, yet there is no modern service framework for it. My hon. Friend the Member for Sleaford and North Hykeham tabled an amendment to the Health Bill requiring one within 18 months. Unfortunately, Government Ministers rejected it. Asthma + Lung UK has called for exactly that kind of mission for lung health. The Government have also committed to a full roll-out of lung cancer screening by 2030—a programme that the Conservative party started. Is it on track and is it funded?

I want to close by paying tribute to a constituent, Yolanda, a volunteer for Cancer Research UK in my community, who has given her time to raise awareness of these issues. She lost her husband, and I put on record my condolences and my thanks. It is people like her working across our constituencies who remind us why the delivery of this is so important and why it matters.

Will the Minister publish a new target and plan? Will she fund hospital stop smoking services and deliver opt-out support? Will she resource trading standards, rule out the hospitality element, report on the disposal vapes ban and reconsider a framework for respiratory disease? We all want this Act to succeed and I will support her in any way I can to deliver it.