Tobacco Control Plan

Jim Shannon Excerpts

Tuesday 16th November 2021 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Member for Harrow East (Bob Blackman) on securing this important debate. He and I share many interests in common in this House, and this is one of them. I welcome the new Public Health Minister to her role. It is vital that smoking should be at the top of the Government’s list of priorities. Although Northern Ireland and the devolved nations are responsible for our own public health policies, the Government in Westminster retain responsibility for important UK-wide policies. Ensuring that the Minister understands the importance of urgent action on smoking is therefore vital for ensuring that we make the progress we need to make in Northern Ireland.

Last year, a review of Northern Ireland’s progress in the 10-year tobacco control survey, published in 2012, was released. Although we met our target in ensuring a minimum of 5% of the smoking population accesses smoking cessation services annually, that was the only target from the 2012 strategy that had been achieved, which is disappointing. Quite clearly, we are not hitting our targets at a population level. Results from Northern Ireland’s health survey show there has been no significant change in smoking rates from 2018-19, with 17% of the adult population still smoking—the highest rates in the UK. This is extremely disappointing and, as my party’s health spokesperson, I am concerned about what is happening.

Of most concern, however, is that we are failing the most disadvantaged smokers. The target was to reduce smoking rates among manual workers from 31% to 20% by 2020. We are far from this, with rates among manual workers still at a very stubborn 27%. Similarly, rates of smoking in pregnancy have barely declined over the years, despite that having been a priority in the strategy, as the hon. Member for Harrow East mentioned. We had hoped to reduce levels from 15% in 2010 to 9% by 2020. However, the proportion of pregnant women who smoke at the time of delivery is still a very disappointing 14%. We all know that that puts women and their babies at risk of serious and avoidable harm. We are, however, doing better with children and young people—another priority area. Smoking rates among 11 to 16-year-olds have been halved to 4% since 2010. We had set a target of 3%, which was missed. We are not there yet, but that is one area of improvement.

Although smoking rates have declined among children and young people, analysis by Cancer Research UK estimates that 10 children under 16 take up smoking every day across Northern Ireland. If that does not worry you, Mr Bone, it should. Children who live with smokers are almost three times more likely to take up smoking than children from non-smoking households, which creates a generational cycle of inequality, with smoking locked into disadvantaged communities. It is clear to me, in the statistics that are put forward, that disadvantaged communities are one of the areas that the Government and the strategy need to address.

A third of smokers in Northern Ireland still report smoking inside their home, which demonstrates that there is much further to go in creating smoke-free communities and protecting children and others in the household, but progress is being made. I trust that hon. Members saw the recent announcement that, not before time, Northern Ireland will join the other UK nations in banning smoking in cars carrying children. That overdue but welcome measure will help to protect our young people and prevent the creation of a new generation of smokers.

Smoking is a significant challenge in Northern Ireland, particularly in our most disadvantaged communities, which have faced so much adversity in the last 18 months. Those problems are not specific to Northern Ireland, however, as smoking and the inequality that it causes are challenges for the whole UK. Our job is not over yet. Northern Ireland and the whole UK have much further to go on smoking, and there is no time to lose.

I trust that the Minister agrees with all hon. Members and will be even more steadfast in her conviction by the end of the debate. The recent Budget and spending review was an opportunity to go much further in achieving the smoke-free society that we need. Regrettably, that was not realised. Tax increases are one of the most effective interventions that we have to reduce smoking rates and uptake, although that may not be all hon. Members’ opinion. Vitally, they are also the only intervention proven to reduce inequality.

I am convinced, like the hon. Member for Harrow East, that increasing the cost of tobacco products through taxes drives down smoking rates, increases tax revenues and reduces the cost to public finances and society. I hope that the Minister will give us some reassurance. It is an intervention that we should make the most of. The Chancellor’s announcement that the duty escalator rate on all tobacco products would increase by 2% above inflation, and by 6% above inflation on hand-rolling tobacco was welcome, but we could and should have gone further.

There is still a major gap in excise tax rates between factory made cigarettes and hand-rolling tobacco, which makes the latter more affordable and encourages smokers to trade down to it rather than quitting. That disparity has made hand-rolling tobacco increasingly popular over the years, which should have been addressed by the Chancellor. It is not the Minister’s responsibility, but I am keen to hear her thoughts on it and what discussions she may have had with the Chancellor. In 1998, fewer than one in five smokers mainly rolled their own cigarettes, but that number is about one in three in Northern Ireland today. I would welcome that issue being addressed through tax revenue. Tobacco taxes are a reserved issue, so I hope that the new tobacco control plan will commit to maintaining high duty rates on tobacco products, as the last one did. I also hope that the Chancellor will seize future opportunities to increase duty rates for tobacco products.

I have repeatedly raised the issue of licensing for tobacco retailers in this House and I will do so again. In Northern Ireland, since 6 April 2016, retailers have been obliged to register with the tobacco register of Northern Ireland; the final deadline for doing so was 1 July 2016. That built on a similar scheme already in place in Scotland, and a scheme is due for implementation in Wales. Since 2018, we have implemented a track-and-trace scheme that requires every retailer to have an economic operator identifier code registered to their business and a facility identifier code for each store or premises that stores tobacco.

Since leaving the EU, the UK has established and launched its own system, with Northern Ireland operating in the UK and EU systems. That makes it easy for all nations in the UK, including England, to not just implement a retail register scheme, but go further and implement a comprehensive retail licensing scheme. Retail licensing is the obvious back-up to the tracking and tracing of cigarettes and would help to tackle the illicit trade that gives smokers access to cheap tobacco.

In Northern Ireland, there has been a serious issue with paramilitaries using illegal tobacco as one of their revenue streams. Those who sell it have no compunction about selling it to children too. The illegal trade makes it not just less likely that smokers will quit, but more likely that children will start. That double whammy greatly concerns me. The Police Service of Northern Ireland is aware of that and is taking steps to address the issue.

I urged the Minister’s predecessors to ensure that their officials were in contact with the devolved nations on retail licensing and I do so again. Will the Minister ensure that her colleagues at Her Majesty’s Revenue and Customs talk to their equivalents in Northern Ireland, Scotland and Wales about their experiences with tobacco retail licensing and the lessons that they have learned regionally from the experiences of the devolved nations?

I am conscious that other hon. Members want to speak. England remains an outlier on this important measure that could help to tackle illicit trade and protect children from tobacco. My absolute priority is stopping children’s access to tobacco. We can and should address those issues collectively, bringing knowledge from the nations that we represent—the four regions of the great United Kingdom of Great Britain and Northern Ireland. If we do so, I am confident that we can and will deliver policy that helps not only us but the constituents that we serve. That is our duty.