Tobacco and Vapes Bill

John Hayes Excerpts

Report stage
Wednesday 26th March 2025 Commons Chamber

[Dr Johnson]

That is certainly a significant possibility, and that is the reason for moving the amendment, as my hon. Friend will understand.

Illegal products can include smuggled and counterfeit cigarettes, vapes with nicotine levels way above the legal limits, and products containing illegal and potentially dangerous ingredients. They can be more harmful and may not include the appropriate labelling requirements and health warnings that genuine products have to carry. Regardless of whether colleagues support or oppose this Bill as a whole, I am sure we all agree that a black market is unacceptable. We have therefore put forward an amendment that would require the Government to produce annual reports on the rate of sale and availability of illegal tobacco and vaping products and their impact on public health and safety.

[Sir John Hayes (South Holland and The Deepings) (Con)]

My hon. Friend has rightly taken a fierce line on illegal tobacco sales in Lincolnshire. Does she acknowledge that those illegal tobacco sales are often linked to serious and organised crime? The shops that sell them are often linked to money laundering—and are usually foreign owned, by the way—and the damage they do is extreme. Will she join me in urging further action by Government to support trading standards and the local police, who are doing such a fine job in trying to clamp down on this industrial-scale crime?

[Dr Johnson]

As is usually the case, I find myself agreeing with my right hon. Friend, and that is of course why we have tabled the amendment: it will give us the evidence that we and the enforcement authorities require to make sure that the black market is reduced.

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[Jack Rankin]

I hesitate to break up the consensus ever so slightly, but I do disagree fundamentally with the Bill. In my view, a generational smoking ban misrepresents the proper relationship between the state and the individual, and creates two tiers of adults. Members will be heartened to know that, recognising the will of the House on Second Reading, I do not intend to plough on with that argument too far. What I have tried to do with my amendments, however, is to genuinely improve the main aim of the Bill in a way that gets people off smoking in the interests of public health, which, whether we are for or against a generational ban on smoking, is something that we should all support. That is why I am grateful to Members from across this House—on the Government Benches, the Liberal Democrat Benches and the Democratic Unionist Benches, as well as some independent Members—for supporting the measures in my name, new clauses 8, 9 and 10 and amendment 46.

The message behind those measures is simple: let us ensure less harmful vapes and nicotine products get to the adult smokers who could benefit from them so that smoking rates continue to fall. In that regard, I associate myself with some of the remarks made by the hon. Members for Falkirk (Euan Stainbank) and for City of Durham (Mary Kelly Foy).

I feel the risk of the Bill is that Ministers may inadvertently weaken the decline in smoking in Britain somewhat. As the Minister and shadow Minister both said in their opening remarks, vaping is a legitimate and desirable smoking cessation tool for adults who currently smoke.

[Sir John Hayes]

I am grateful to my hon. Friend for giving way, and I associate myself with much of what he has said already. He will understand that when plain packaging was introduced, just that kind of inadvertent effect was felt, as those who wished to counterfeit tobacco products were able to do so at will, using plain packaging that looks no different from legal tobacco packaging.

[Jack Rankin]

I thank my right hon. Friend for his remarks, and also associate myself with the same remarks from my hon. Friend the Member for Gosport (Dame Caroline Dinenage). We have to be a little careful about the inadvertent effects of what might be the goodwill of all of us in this House.

Regardless of how one sees the state’s role in this matter, we should all welcome the decrease in smoking in this country from the highs of almost 30% in the early 2000s to 11.6% today. We have to recognise that that is partly due to education, partly to do with social stigma and partly because of legislation that this House has brought forward. We should also acknowledge, however, the essential role that the free market has played, particularly with vapes and other non-tobacco products, in getting adult smokers to stop smoking.

There are still 6 million smokers in this country, and none of them will come under the umbrella of the generational ban. We therefore need to ensure that there are safer alternatives out there for them. In my view, the Bill as currently drafted risks hanging those smokers out to dry by treating vapes and nicotine products—although they are not included in the ban—in the same way as cigarettes are treated, which is a false equivalence that is not backed by the science.

Sitting on the Public Bill Committee, I realised how prevalent the view is among the public that vapes and other smoking cessation tools, such as non-combustible tobacco, are as bad as cigarettes, when in reality vapes are at least 95% safer than cigarettes, according to Public Health England and Dr Khan’s independent review—look at any smoking cessation website to find a similar message. Any smoker knows how difficult it is to go cold turkey, and less dangerous off-ramps like vapes can be a lifeline for those looking for a way out of cigarettes. In fact, in many aspects, the NHS actively promotes such tools through its swap to stop scheme, and has found that almost two thirds of people who vape alongside using a stop smoking service quit smoking.

What concerns me primarily is the blanket ban approach to marketing, particularly for vapes and nicotine products, which my new clauses 8 and 9 would address. I know that many across this House have supported the new clauses and share those concerns. Although I totally support the need to stop disposable, rainbow, candy floss-flavour vapes being aimed at children—that is absolutely unacceptable—adult smokers do need to know that there is a safer alternative to cigarettes.

On that concern, many smokers now believe vaping to be as dangerous as cigarettes. Cancer Research UK has found that 57% of adult smokers think that vaping is just as harmful, if not more harmful, than smoking cigarettes. The risk of a draconian approach to vaping, as I consider the Bill to take, will only reinforce that incorrect messaging, which is damaging to public health.

By permitting marketing in limited circumstances and under strict restrictions, as my new clauses aim to do, we can get the message to the 6 million adult smokers that there is a safer alternative out there. Indeed, the Government’s own impact assessment recognises the risk of the

“Health impacts of fewer people using vapes and nicotine products to quit smoking.”

I say respectfully to the Minister that this should set off alarm bells in Government.

That is what new clause 8 does. It simply asks the Government to have a proper consultation on the potential impacts of a marketing ban, digging deeper than the sparse bullet points currently given to it in the impact assessment. This would allow us to listen to the consumers who actively use these products and find out how these changes will impact them. In the Public Bill Committee, the consumer voice was largely absent. Restrictions on flavours and packaging and vape-free areas are already subject to consultation and this amendment would simply bring marketing in line with that.

A deeper consideration of the impact of the marketing ban would help us maintain our progress towards a smoke-free 2030 and allow the Government the opportunity to prevent the unintended consequences of the Bill. Education through marketing is one of the best tools the Government have at their disposal, so why not wield the free market to effect real social change and let vape companies do the leg work?

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[Lillian Jones]

I absolutely agree with my hon. Friend on those points.

While some argue that vapes may be less harmful than smoking tobacco products, our new generation should not be encouraged to become dependent on the addictive effects of nicotine. This Bill does exactly the right thing in giving the Secretary of State the power to ban flavoured vapes that are very obviously marketed to children and young people. Researching the flavours on offer, I found cola gummies flavour, pink lemonade flavour, strawberry chew flavour and tropic bubblegum flavour, to name just a few. Can anyone really claim that those flavours and the countless others on offer are not aimed at children? Many Members from both sides of the House would raise more than an eyebrow at that claim.

This Bill will regulate the wild west of vaping, which we have seen expand on our high streets over the last decade. It will also address the issue of poor-quality vapes, which are a safety concern, including single-use vapes, and end the scourge of these products littering our streets and communities. As someone with a background of 23 years in the NHS, I know the difference that this Bill will make; it will save lives and help to save our environment, and I will be proud to vote for it.

[Sir John Hayes]

In our post-spiritual or at least post-religious age, two phenomena are evident. When God is forgotten and faith declines, people do not believe in nothing but, as G.K. Chesterton said, they believe in anything. They find new causes and crusades, and I know the advocates of this Bill believe that they are crusading in a noble cause.

The second thing that occurs is that, as demons are regarded as purely mythical entities, things that were once regarded as normal and regular become demonised. The curious paradox is that while cocaine is widely available—and, I am told, de rigueur among certain elements of the urban liberal elite—pipe smokers are now seen as heretics. Were that not so alarming, it would be the subject of a comic satire. That is the kind of world we live in: we are simultaneously becoming more prurient and more puritanical.

The amendments that stand in my name and those of other hon. and right hon. Gentlemen are designed to improve the Bill to avoid unintended consequences. The hon. Member for Worthing West (Dr Cooper) said— I think I am quoting her accurately—that we need data and evidence. What is clear from the data and evidence is that previous attempts to deal with the issue of smoking have resulted in a huge surge in illegal tobacco. Some 83% of smokers report purchasing tobacco not subject to UK tax in 2024. That number has increased hugely since that earlier legislation. Three quarters of smokers claim to buy tobacco not subject to UK tax from under-the-counter suppliers, who have become legion in constituencies such as mine and, I am sure, in small towns across the whole of the country.

Those are the unintended consequences of well-meaning crusaders who thought they were doing noble things when they passed legislation in this House. That is the data. Those are the facts.

[Dr Beccy Cooper]

Will the right hon. Member give way?

[Sir John Hayes]

I will give way. As I have cited the hon. Lady, how could I do anything other?

[Dr Beccy Cooper]

I thank the right hon. Gentleman for giving way. Is he making the argument that we should not address population health issues—population health interventions have seen a reduction in smoking and a reduction in health-related damage from smoking—because of the consequences of illegal tobacco? Those issues do need to be addressed, but is he saying that we should keep it legal and therefore not see a reduction?

[Sir John Hayes]

What I am saying to the hon. Lady is that the Government—and the previous Government should have done the same—need to take concerted and decisive action to deal with the unintended consequence of well-meaning legislation that led to a huge growth in the illegal sale of tobacco and cigarettes. Rather than introducing a rolling age of consent, which, by the way, is entirely unenforceable, they ought to target their efforts, draw on their resources and seek the almost limitless expertise that is available to Government to deal with an issue that, frankly, is going largely unrestricted.

Good work is being done by trading standards in my constituency in Lincolnshire and by local police, but they struggle, because the legislation is inadequate. I would have supported a Bill, had it come to the House— I will not digress too much, Madam Deputy Speaker, because you will not allow me to do so—that licensed the sale of tobacco. Most tobacconists and most newsagents, I suspect, would welcome that measure. I know that police would like to see that kind of measure, which is rather like what we do with alcohol. There is a precedent there, but that is not what is before us today.

On the rolling age of consent, the right hon. Member for East Antrim (Sammy Wilson), who has tabled amendment 4, is right that it cannot be enforced. I am in favour, by the way, of raising the age of consent. To be honest, I am in favour of raising the age of consent to 21 for virtually everything. That could be enforced, although it would not be straightforward. But the idea that someone will go into a tobacconist or a newsagent and say, “I am 29” and the tobacconist will say, “Actually, I think you could be 28” or in years to come, “I am 57” and the tobacconist or newsagent will say, “No, no, I think you could be 55” is nonsense. It is never going to happen. No retailer is going to do that. Either the Bill will fail—I think the law would be broken daily—or we will devote undue resources to policing something that frankly does not warrant such attention. Let us recognise that this is a preposterous proposal. As the right hon. Member for East Antrim said, by and large we should not do things in this House that are preposterous.

[Euan Stainbank]

rose—

[Sir John Hayes]

I will give way to the hon. Gentleman, who is going to tell me why we should.

[Euan Stainbank]

I was a retail and hospitality worker myself in Scotland, and we applied “Check 25” regularly. Would the simple question not be, “Were you born before or after 1 January 2009?” Is that a complex question? I would appreciate an explanation of how it is.

[Sir John Hayes]

I tell you, there are two things about this legislation—

[Madam Deputy Speaker (Ms Nusrat Ghani)]

Order. “I tell you”? Sir John Hayes, you should know better than that.

[Sir John Hayes]

I said “two”. I said that there were two things about this legislation.

[Madam Deputy Speaker]

I think it was “you”, but no matter—time is short.

[Sir John Hayes]

Well, let me rephrase it. I tell you, Madam Deputy Speaker, that there are two things about this legislation—I have got it right now—and the first is its core objective and the second is the means by which that objective is met. I am, at the moment, talking about the means by which it is met, and I will say a little more about that when I address some of the amendments in my name and those of other Members. When we pass measures in this House—when we make laws—we should concentrate on both their purpose and their effect. If we do not do that, we are not doing our job as lawmakers. My concern about the Bill is that the effect will be compromised by the means, regardless of its purpose.

I entirely endorse what was said by my hon. Friend the Member for Gosport (Dame Caroline Dinenage) about plastic filters. I think that her new clause 2 would be a helpful addition to the Bill, and I should be amazed if the Minister did not embrace and adopt it. Perhaps it could be tabled as a Government amendment, but we may vote on it later. I am sure that the Government Whips will want to whip their Members to support it, because it is environmentally right, terribly sensible and entirely deliverable. It would oblige the industry to do the right thing and create filters that are biodegradable and which, as we heard earlier, are produced in immense numbers.

I have mentioned amendment 4, in the name of the right hon. Member for East Antrim, which deals with this nonsense of the rolling age of consent. It is a straightforward amendment that proposes that the age of consent should be 21—a considerable increase on where we are now—and that retailers must observe that. The hon. Member for Falkirk (Euan Stainbank) said that the matter was already being dealt with because there was already an age of consent. Yes, there is one age of consent, but not a series of ages of consent, with the need to assess people’s age presumably by some formal means. Perhaps they will have to take their passports with them every time they go to the newsagent to buy their papers and their ounce of Golden Virginia, or whatever else.

[John Slinger]

rose—

[Sir John Hayes]

I will give way to the hon. Gentleman, who I thought asked a terribly weak question during Prime Minister’s Question Time earlier today. Let us see whether he can do better now.

[John Slinger]

It is not very pleasant of the right hon. Gentleman to say that, but I thank him for letting me intervene. Regarding the age of consent and the amendment calling for it to be raised to 21, does he not accept that the tobacco industry would merely target its immense marketing power on those who were over 21, and that that that could have a very bad effect on public health?

[Sir John Hayes]

The key thing about tobacco—as the hon. Member for Worthing West, the expert on public health who is sitting next to the hon. Gentleman, will no doubt confirm—is that people tend to acquire the habit early and, as the hon. Lady said, cannot break it. Not many people are non-smokers at 30 and become smokers at 40. The vast majority of smokers acquire the habit early in their lives. My father probably started smoking at 13. He gave up overnight when he was 75, because the price of Golden Virginia went up. I said to him, “Do you feel any better,” and he replied, “I didn’t feel ill when I smoked and I don’t feel ill now”—but that is another matter.

This issue really relates to young people and children in particular, and that brings me to vapes. I support much of what is in the Bill about them. Schools have an immense problem with vaping. Headteachers and teachers tell me that it is something that they have to be religious in scrutinising, because these things can find their way into schools so easily—in someone’s bag, for instance. Rather as with mobile phones, we must enforce a ban on vapes in schools with rigour. I think that the measures being introduced in the Bill will reinforce that, so I share the Government’s ambition in that respect.

On new clause 12, which stands in my name, I again find it hard to believe that the Government will not accept it willingly, because it simply says that we should review how effective the legislation is. It is probably true that every Bill we debate ought to have something like this attached to it, because it is a good idea—once a Bill has been published, debated, considered and passed into law—that it should be regularly reviewed in such a way.

I understand that the movers of this Bill, its advocates and its enthusiasts believe that they are doing the right thing, and I am not unsympathetic to some of their ambitions. I do sometimes—often indeed—wish that this House was coloured by common sense as liberally as it is peppered with piety. None the less, let me be generous and say that I know that the Minister and others feel that they are doing something noble. However, it is absolutely right, when we legislate in this House, that we do so with the greatest care, with clear and desirable purposes of the kind I mentioned a moment or two ago, appropriate means and measurable effects.

[Tom Hayes (Bournemouth East) (Lab)]

Will the right hon. Member give way?

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[Sir John Hayes]

I am moving to my thrilling peroration, but I will hesitate for a moment or two.

[Tom Hayes]

I thank the right hon. Member for giving way, and I cannot express just how pleased I am that he has. Children make up one in five of our population, but routinely get ignored, so it is no wonder that playground after playground gets closed. If a child is able to make their way into a playground, they are now subject to second-hand smoke, because to date there is no law to stop that. Does he agree with me that one of the great things about this Bill is that we are going to protect children against second-hand smoke and make sure that their health is better as a result?

[Sir John Hayes]

I agree that it would be better if children were able to avoid either first-hand or second-hand smoke. We have to stop young people themselves smoking. Sadly, too many people do smoke too young. Rightly, as the hon. Gentleman says, we need to prevent their being affected by the smoking of others, so what he said is of course perfectly reasonable.

I will repeat my pre-peroration briefly. I have said that the legislation we pass should have a clear and desirable purpose, appropriate means and a measurable effect. In other words, we need to do the right things by the right means for the right reason. Laws that are unenforceable are not only undesirable; they do us as legislators no favours, for they undermine popular faith in what we do and in who we are. Much of this law is unenforceable for the reasons I have given. Parliament’s history is littered with unforeseen consequences. I foresee, and I hope others might too, that with the improvements the amendments would bring to this Bill, we can avoid some of the worst of those unforeseen consequences.

[Several hon. Members rose—]

[Tristan Osborne]

I appreciate that you want to guillotine speeches to five minutes, Madam Deputy Speaker.

It is a pleasure to speak on the Bill and, as a member of the Public Bill Committee, to see it come before the House. I welcome the contributions of Members across the House, and the quality of the scrutiny we saw in the Public Bill Committee. I also want to reflect on the years of campaigning and service undertaken by Ministers and shadow Ministers that have brought us to this place, and on the advocacy in broadcasts and on the news of people who were smokers but who say that they never should have started. I also welcome the views of young people in my constituency who, when speaking to me at schools and colleges, have told me how vapes are becoming more pernicious and more commonplace in their lives.

I will speak to Government new clause 11 and new clause 6 on age verification and the rising escalator, and I will challenge some of the points made about enforcement. I will also talk to new clause 13 on education and a road map to a smokefree generation, and to new clause 19, which sets annualised reporting on nicotine-based products. I will also challenge some of the Opposition’s misconceptions about trading standards and the regulatory landscape.

The Bill is forward thinking and responds to an issue, but it builds on previous legislation over many years and best practice in other places and other countries to regulate and reduce smoking. We know that noble crusaders on public health have in the past taken action to clean our air, clean our water, and introduce seatbelt restrictions and food standards. We know that public health measures work. Smoking is the largest preventable cause of illness and premature death in the United Kingdom, killing about 80,000 people a year. It is estimated to cost £2.4 billion to the NHS and a further £1.2 billion in costs every year, with smokers five times more likely to need social care support at home. The annual economic productivity loss adds up to £27 billion. Not only is there an ethical and social motivation behind the Bill; there is an economic one as well.

Age verification was a topic of debate in Committee. I welcome Government new clause 11 and new clause 6 on age verification. Government new clause 11 introduces digital identification, and links in with Government legislation to introduce digital ID over the next five years. This is absolutely enforceable. In many off-licences and supermarkets today, age challenge happens at bespoke counters. Individuals under the age of 18 who try to purchase vapes or tobacco-based products are challenged on their age. All the Bill will do is introduce a fixed date, which can then be assessed using any form of digital ID. It is no more onerous than what is currently happening, but it will require training and a transition period. I challenge the comments made by some opposing the measure that it is somehow unenforceable. We already enforce age restrictions on the sales of products—it already happens.

[Sir John Hayes]

The hon. Gentleman will have read my new clause 12, which asks for a review. It would be really good to look at whether the measure can work in the way he says. I hope he might support my new clause just on that basis. Let us take it at face value: if it works, it works; if it doesn’t, it doesn’t.

[Tristan Osborne]

I thank the right hon. Gentleman for his contribution. I want to take him back to his speech, when he said that he would consider an increase in age to 21 or 25. My concern is that that would introduce a two-tier adult status. If we increase the age from 18 to 21 overnight, there will be adults who previously could smoke who will then be banned from smoking for three years. I do not accept the premise that we should have two-tier adults, which is why I believe in a staged increase in smoking cessation.

On new clause 13, I support the Government’s ambition to reduce smoking and I want to make it absolutely clear that this measure is part of a global standard to reduce smoking around the world. The Bill is pioneering and I urge Members to support it.

Accessibility of Radiotherapy

John Hayes Excerpts

Tuesday 4th February 2025 Westminster Hall

[Tim Farron]

I am extraordinarily fond of the hon. Gentleman’s constituency, which he represents well. He makes an important point about travel times. In some parts of my constituency, people need to take a ferry to get from one place to another, but it is not quite as common as in his constituency.

At the heart of the radical, lifesaving transformation that we need through the cancer plan must be the elevation of the unsung hero, the Cinderella of our cancer services: radiotherapy. Lord Darzi found that 30% of patients are waiting more than 31 days for radical radiotherapy. As the incidence of cancer grows, the urgent need for quicker and more efficient treatments such as radiotherapy is only increasing.

As things stand, the replacement and updating of linear accelerators is left to the 52 separate cancer units in England—52 separate procurement operations, 52 different finance officers trying to balance the books and 52 different heads of service all trying to meet increasing demand, often without the time and space to look beyond the horizon. It is time, then, to centralise the commissioning of the technology to ensure a constant focus on updating and expanding radiotherapy. That would immediately start saving lives everywhere.

Radiotherapy UK estimates that simply replacing all the out-of-date LINACs could free up 87,000 additional appointments every single year. Modern radiotherapy is quicker and more accurate than other treatment. It is also by far the cheapest, costing between £3,000 and £7,000 per patient—several times less expensive than equivalent cancer treatments. The Government’s £70 million commitment to radiotherapy services was welcome, but in reality, as the Minister says, that money would cover the cost of only 26 LINAC machines, fewer than half the number that are currently operating beyond their sell-by date. Erratic one-off rounds of funding do not address the need for a sustainable rolling programme of machine replacement to enable planning, support procurement and improve access for patients. Even the new machines are often old technology. What a terrible waste.

In my years of campaigning on this matter, I have found that radiotherapy lacks funding and prominence. Britain therefore lags behind our neighbours, so people tragically die when they do not need to—all because of a lack of leadership and drive from the centre. On more than one occasion, I have almost seen the penny drop on the faces of Ministers of all parties when it comes to our failure on radiotherapy, but every time so far, I have seen that zeal founder on the rocks of bureaucratic sluggishness, indifference and resistance to change within the NHS. If they show the leadership that we desperately need, the Minister and the Secretary of State will have the enthusiastic and active support of the all-party parliamentary group on radiotherapy, and of the army of outstanding clinicians who are out there saving lives.

Professor Mike Richards is a name that many people remember. He was the cancer tsar in the early noughties, under the previous Labour Government; he did great work and his achievements were tangible. If the Government will forgive me for using shorthand, we basically need a Mike Richards for radiotherapy, and we need them, like, yesterday. Failing that, tomorrow morning would just about do. Every day we delay, my constituents—as well as yours, Sir John, and those of the Minister and of all Members present—are dying unnecessarily.

We need new technology as we plan treatments, too. Last May, £15.5 million was announced for AI technology that would save clinicians time and reduce radiotherapy waiting lists. However, we have heard from cancer units around the country that this funding may be withdrawn or diverted, which would be a hammer blow to trusts in the face of the ongoing workforce crisis. Will the Minister take the chance today to reassure our cancer units and confirm that this funding will go, as promised, to radiotherapy departments in full? I hope the Minister will also act swiftly to tackle the perversities of the tariff payments for radiotherapy, which effectively punish trusts for treating cancer patients in the most effective and modern ways.

I ask the Minister to guarantee that radiotherapy will be at the centre of the NHS 10-year cancer plan, and that that plan will be led by people empowered and determined to deliver it. The technology is vital, but the people matter just as much. Our specialist and highly skilled radiotherapy workforce numbers only 6,400 people, yet the survey conducted by Radiotherapy UK shows that one in five cancer doctors may leave the profession in the next five years. We have a 15% shortage in clinical oncologists—set to rise to 21% by the end of this Parliament—and 30% of oncologist training posts were vacant last year. On top of that, 50% of clinical technologists are over 50 years old, and 84% of heads of cancer services reported that they were concerned that workforce shortages affected the quality of patient care.

I ask the Minister to agree that the 10-year cancer plan will include a renewed investment in workforce and infrastructure. A 10-year vision already exists, by the way—drawn up by the experts, via Radiotherapy UK. I simply urge the Minister to consider their findings and borrow the proposals detailed by leading oncologists and cancer experts.

I have asked for two separate meetings today. The first is on the need for a satellite radiotherapy unit at Kendal; the second is a first meeting for the Minister with the all-party parliamentary group on radiotherapy, to look at the national picture. I hope he will grant me both.

The radiotherapy lobby is tiny: 6,400 dedicated professionals within our health service; a compact but awesome group of charities and volunteers; a handful of companies building the technology, many of which are based in the United Kingdom; England’s captain fantastic, Bryan Robson; and a small band of MPs of all parties, seeking to be a voice not just for the radiotherapy sector, but for the thousands and thousands of people living with cancer in our country, who deserve the best treatment that we can give them. For the last generation or more, the UK has let those people down, and so often with tragic consequences. Yet radiotherapy is a cost-effective, easily deliverable technology that will save lives in every community in this country.

We are way behind where we need to be, yet it would be so easy, with the right leadership from Ministers, to catch up with and go beyond our neighbours. Cancer no longer needs to be seen as a death sentence; it is a disease that can be treated and cured, but we cannot do that if our systems and practices prevent us from deploying the best treatments available. Please save lives, Minister, and become our radiotherapy champion.

[Sir John Hayes (in the Chair)]

This is a short debate. I intend to call the first Front-Bench speaker at 5.08 pm.

--- Later in debate ---

[Clive Jones]

The Minister’s diary will be a little busy, but I am sure it can cope. I ask him to meet me and representatives of the Royal College of Radiologists to discuss the Government’s plan for workforce reform.

[Sir John Hayes (in the Chair)]

I am delighted to be able to call the Front-Bench spokesmen early, although that does not necessarily mean that they have to go on at immense length. I call the Liberal Democrat spokesman.

--- Later in debate ---

[Helen Morgan]

Well, my hon. Friend did go on at great length. He has secured a really important debate for World Cancer Day; it is an honour to speak in it for the Liberal Democrats. He outlined the issues comprehensively; I am not sure that I could improve on what he said. I welcome the Government’s announcement earlier today on the national cancer strategy and I highlight the excellent work of my hon. Friend the Member for Wokingham (Clive Jones), who campaigned for it.

Cancer services in general have declined to an unacceptable level, as I think everyone would agree. I hope that the Government stick to their word on addressing that issue and ensuring that everybody can access the care they need, when they need it and—as my hon. Friend the Member for Westmorland and Lonsdale (Tim Farron) pointed out so eloquently—where they need it.

In the UK, over 100,000 cancer patients receive radiotherapy treatment each year from a specialist workforce of 6,400 professionals. Cancer is one of the most difficult diseases—it is difficult for individuals and it is difficult for their families—and yet the number of patients who have waited over four months to receive cancer treatment has more than doubled since 2020.

Like so many areas of NHS care, the time people have to wait and the quality of care that they receive depends hugely on where they happen to live. That has to change; I hope that the Government will make that one of their urgent missions. People’s chances of surviving should not depend on their postcode.

NHS data shows that the west midlands had over 150,000 radiotherapy attendances in 2022, which is the most recent available data. That is the highest of all regions, yet hospitals such as Shrewsbury and Telford hospital in my constituency have had some of the worst waiting times. In September 2024, at the Shropshire, Telford and Wrekin trust, only just over half of patients requiring radiotherapy met the 62-day treatment standard. The target for treatment is 85%.

It is important to acknowledge that the situation at Shrewsbury and Telford hospital trust is improving—I welcome that—and that it was impacted by the staff shortages that many hon. Members have outlined today. But it is not just about numbers and statistics; it is about the impact on people’s lives. I think my hon. Friend the Member for Wokingham has pointed out the importance of scans, and some of my constituents who are undergoing cancer treatment have waited a long time for scans and say that sometimes they have not had the result of a scan until their next treatment was due. That is due to staffing shortages.

Waiting times are important, but so too are distances, particularly when somebody is poorly and finding it difficult to travel a long way. People in Shropshire are served in Shrewsbury, so I am glad to say that the distance issue is perhaps not as acute as it might be in other rural areas in the country, but the public transport issue remains so. Many people rely on friends and family to drive them to appointments, as there is no other reliable way of getting there and a taxi is simply too expensive for them to consider. For that reason, some will not be accessing the care that they need. Across the country, 3.4 million people live further away than the target of 45 minutes from a radiotherapy centre, so it is important that we address those radiotherapy deserts and ensure that people can access the care that they need.

In addition to the outdated, sparse machines and low morale, we found that 65% of staff felt that they did not have enough machine capacity and 93% felt that workforce numbers were too low. Therefore, in addition to the long distances involved, we must put an end to the problem of people being unable to be treated not just because they live a long way from the equipment, but because the equipment, when it is available, is outdated or because there is nobody to staff it properly and interpret what needs to be done.

My hon. Friend the Member for Westmorland and Lonsdale has said all this before, so I will draw my remarks to a conclusion. The Liberal Democrats would boost cancer survival rates by introducing a guarantee that 100% of patients would start treatment within 62 days of their urgent referral. We need to replace the ageing radiotherapy machines and increase the number of machines, so that no one has to travel too far for treatment. We need to recruit nurses, cancer nurses and the specialist staff required to staff the radiotherapy machines. We would also like to see a cancer survival Bill, requiring the Government to co-ordinate and ensure funding for research into those cancers with the lowest survival rates. I hope the Minister will be making cancer a top priority for the new Government and push to reinstate the UK as a global leader in cancer research and, most importantly, in cancer outcomes.

I welcome the commitment already made to invest £70 million in replacing ancient machines and delivering new ones, but I hope the Minister will consider where that investment is distributed so that we can address the urgent problem of treatment deserts. I hope that he will also consider that this is a spend-to-save issue—radiotherapy treatment is both effective and cost-effective, and a worthwhile investment for the NHS to consider from a financial perspective.

I also want the Minister to commit to introducing a 10-year workforce plan for radiotherapy as part of the national cancer strategy to which the Government are already committed, to ensure that people get the care they need, when they need it, with the appropriately qualified professionals necessary to deliver it.

Finally, we must address the problem of building space. Many of our hospitals, as we all know, are crumbling. Care must be delivered in an appropriate setting, as my hon. Friend the Member for Wokingham has outlined on a number of occasions. In conclusion, we welcome the Government’s steps so far, but I would like to push them to go further.

[Sir John Hayes (in the Chair)]

Thank you, Helen; as you predicted, your speech was pointed and not too long. I now call the shadow Minister.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

It is a great pleasure to serve under your chairmanship this afternoon, Sir John.

As we discuss the future of radiotherapy services, it is essential that we acknowledge the vital role our radiographers, medical physicists and oncologists play, along with all the nursing staff and others, in the delivery of care.

The professionals are the backbone of any successful radiotherapy service, and without them progress is impossible. However, it is clear that Governments have faced significant challenges in both staffing and infrastructure. I will take this opportunity to scrutinise the current state of radiotherapy services and the plans to address those concerns. The demand for radiotherapy has increased substantially in recent years, driven primarily by one factor: our ageing population, and the fact that as we grow older our chances of being diagnosed with cancer increase significantly. However, radiotherapy is and remains one of the most cost-effective treatments available within the NHS. Previous Governments recognised that fact, and between 2016 and 2021 they invested £162 million to enable the replacement or upgrade of approximately 100 radiotherapy machines.

Since April 2022, the responsibility for investing in new machines has sat with local integrated care boards in England, supported by the 2021spending review, which set aside money for the purpose. As hon. Members have said, to keep up with increasing demand and the need for cutting-edge care, there must be significant sustained investment in radiotherapy services. Radiotherapy is one of the most technologically advanced areas of healthcare, so it is incumbent on us to keep up with the latest scientific developments.

It is welcome that the Government have announced £70 million for new radiotherapy machines, but Radiotherapy UK has said that that is not enough and has suggested that the Government invest five times that amount to upgrade out-of-date machines. I would appreciate clarification on that point. The Government have consistently stated in written answers that funding for new radiotherapy machines will be allocated by ICBs using criteria set by NHS England, but how will they monitor the upgrading of the machines across ICB areas to ensure that that takes place and to prevent the postcode lottery that Members have described? Furthermore, NHS England has confirmed that it will give high-performing local systems greater freedom around capital spending. Will such freedoms include capital retention, which can be used to invest in new radiotherapy equipment?

One of the most pressing issues is the need for a comprehensive long-term strategic plan for radiotherapy from the Government. The absence of such a plan hinders the ability to think strategically about the future of cancer care and to make the necessary investment to meet growing demand. I am glad that today, World Cancer Day, the Government have committed to produce a new cancer plan. We are told that it will include details about how outcomes for cancer patients, including waiting times, will be improved. Will the Minister indicate whether it will provide specifics on the roll-out of radiotherapy machines in the short, medium and long term?

In response to a written question last month, the Minister clarified:

“NHS England does not hold any data on the effectiveness of radiotherapy machines relative to the number of doses that they deliver.”

Hon. Members have said that newer machines will be able to deliver more doses more quickly. I would be interested to know whether the Department has any plans to collect such data.

Of course, any strategic plan should focus not just on the machines, but on the people who operate them—the radiotherapy workforce. What steps are the Government taking to improve the recruitment and retention of the radiotherapy workforce?

In a written question, the hon. Member for Westmorland and Lonsdale asked the Government whether they had consulted or planned to consult with clinical experts, the radiotherapy industry, patients or charities about how best to allocate the funds announced in the Budget for the new radiotherapy machines. The Minister responded by saying:

“The Department has no plans to consult on this matter”,

and reiterated that the funding would be allocated using NHS England criteria. The Minister today announced the plan to produce a cancer strategy. Will that include radiotherapy? Will he commit to working with Radiotherapy UK and providers to improve access to radiotherapy treatment where it is currently lacking?

The hon. Member for Westmorland and Lonsdale (Tim Farron) made a very compelling case about long journeys. He spoke about a service in his constituency, and there are others that are similarly affected. We know that earlier treatment affects survival rates. I asked the Minister a question in the main Chamber earlier about the 62-day target, and I did not hear him answer. Will he confirm that he intends to stick to the Health Secretary’s previous commitment to reaching the 62-day target by the end of this Parliament?

In addition to Government investment, the private sector plays a role in ensuring the future success of radiotherapy services. The NHS has signed a significant partnership agreement with the independent sector to increase capacity for diagnostic and elective procedures, which will help to reduce waiting times, but it is not clear whether that agreement includes treatment equipment such as radiotherapy machines. Will the Minister confirm whether the Government will work with the independent sector to upgrade equipment such as radiotherapy machines? A partnership that includes capital investment in radiotherapy equipment could ease the burden on the NHS and speed up access to treatment for patients.

I know the Minister is hugely motivated to do all he can to improve cancer care, as we all are. This debate should have helped to give him a steer on how that can be achieved.

[Sir John Hayes (in the Chair)]

I ask the Minister to leave a few moments for Mr Farron to say a final word of wind-up, and Mr Farron, in turn, to leave me a few moments to put the question.

Terminally Ill Adults (End of Life) Bill (Money)

John Hayes Excerpts

Money resolution
Wednesday 22nd January 2025 Commons Chamber

[Kim Leadbeater (Spen Valley) (Lab)]

On 29 November last year, in a debate widely described as showing Parliament at its best, this House sent the Terminally Ill Adults (End of Life) Bill into Committee for scrutiny by a majority of 55. It was the clear will of this place that the Bill should be allowed to proceed, in the knowledge that Members will have further opportunities on Report and beyond to decide whether it should be enacted. For that process to continue, the resolution before us today must pass.

Those who oppose the Bill on principle—something they are absolutely entitled to do—are seeking to suggest that there is something extraordinary or improper about this process, and on that they are simply wrong. This is a standard procedure that comes before this House all the time. Without it, there can be no Bill—that, I humbly suggest, is sadly what some people intend. This is not a blank cheque, as some Members have suggested. The right time to discuss the detail of what expenditure may be required is when we know the final shape of the Bill. At that point, if Members are concerned about the expenditure required, or indeed anything else, they can of course vote as they wish.

[Sir John Hayes (South Holland and The Deepings) (Con)]

The hon. Lady says that the right time to discuss the capacity of the judiciary and health service to deliver the Bill is presumably once it has completed its Committee stage, but should the Committee that considers the Bill have the impact assessment that allows it to scrutinise it line by line, mindful of the implications that it might have on our health service and our judiciary?

--- Later in debate ---

[Sir John Hayes (South Holland and The Deepings) (Con)]

The hon. Member for Spen Valley (Kim Leadbeater) is right that this is not unprecedented; in fact, it is the normal procedure for a money resolution relating to a private Member’s Bill to be debated ahead of Report. That is not true of Government Bills, as you know, Madam Deputy Speaker. However, it is really important that we examine the detail of what we are presented with today, which is an open-ended commitment. The wording makes it absolutely clear that

“any expenditure incurred under or by virtue of the Act by the Secretary of State, and…any increase attributable to the Act in the sums payable under or by virtue of any other Act”,

money is so provided. The hon. Lady says that this is not a blank cheque, but it cannot get much more blank than that. Essentially, any moneys associated with the Bill—if it becomes an Act—will be provided.

Pertinent to this vote, we have to ask the question: where will that money come from? Presumably it can come only from existing resource, and one assumes palliative care; it will not come from A&E, surgical treatments or GPs, so it will presumably come from that source. One does not know, of course, but it is perfectly reasonable to ask that question.

[Dr Simon Opher (Stroud) (Lab)]

Will the right hon. Member give way?

[Sir John Hayes]

I will in a second.

On the judicial point, I simply say to the hon. Lady that the establishment of a judicial competence to deal with this system will be resource-hungry. To offer her a parallel example, when I took the Investigatory Powers Act 2016 through the House, we established what was then described as a double lock—it became a triple lock—which required a whole new judicial function to make it happen. It may well be that the same applies in this case, with immense cost and immense pressure on an already overstretched judiciary.

Therefore, in considering those precise matters—not the ethics of the Bill, which are an entirely different consideration, and highly questionable—it is absolutely right and pertinent to ask what this will cost, when, and how it will be delivered. Those questions have not been answered. I scanned the hon. Lady’s speech on Second Reading, and it contained no mention of scale or cost. That is why I am immensely sceptical about what we have before us. While I accept that the money resolution is not unprecedented, it is certainly not desirable.

Welfare of Doctors

John Hayes Excerpts

Tuesday 21st January 2025 Westminster Hall

[Peter Prinsley]

I was not aware that the practitioner health service was not available in Northern Ireland; I certainly agree that it ought to be.

The practitioner health service was designed to be used by only 0.5% of GPs, but in fact it is accessed by 10 times that number. Ensuring that such services are fully funded will be important. There is alcohol and drug abuse, loneliness, depression, insomnia, anxiety and, sadly, suicide—including two of those who I graduated with from Sheffield, both in their very first year of medicine; and two doctors, a psychiatrist and a neurosurgeon, from my own road in Norwich. One of my own trainees was rescued at the last minute from a very serious attempt. All doctors know of this problem, but few speak of it.

Last week, I informed the House of my former student who described the terrible flashbacks and post-traumatic stress disorder of the young clinical intensive therapy unit staff who witnessed 40 or 50 covid admissions die at a hospital in Yorkshire, and the complete lack of support they received. Many are reluctant to seek help and do not know where to turn. Itinerant junior doctors not registered with GPs are known to self-medicate. We simply cannot leave them on their own.

In conclusion, I will respectfully make some suggestions, which have little or no cost implications. In making them, I am thinking especially of our resident doctors. They include to provide identified mentors, not simply people called educational supervisors; simplified contracts, transferable across trusts and between hospitals; clear, early information for doctors about what they will be paid and their rotas, timetables and holidays; hot food at night, and places to rest and sleep; to cover exam fees and make examinations fair and achievable; and to provide parking at the hospital and, crucially, a GP for every doctor and simple access to mental health support.

Medicine is a brilliant career—satisfying, interesting and rewarding. Let us look after the doctors who look after us.

[Sir John Hayes (in the Chair)]

May I ask the Minister to finish a little before 4.30 pm so that I can put the Question?

Hospice Funding

John Hayes Excerpts

Thursday 19th December 2024 Commons Chamber

[Karin Smyth]

My hon. Friend is absolutely right to highlight that need. As I said earlier, end of life care and its stability as part of the wider system, which is a commissioning role for ICBs, was not addressed by the last Government over 14 years. As part of our 10-year plan, that will be important to do.

[Sir John Hayes (South Holland and The Deepings) (Con)]

We can all agree that hospices, such as St Barnabas in Lincolnshire, do vital and valued work. I hope we can also all agree that every Government—Labour and Tory—have increased national health spending, for that is simply a matter of fact. I ask the Minister to show a little wisdom in contrition in acknowledging that the national insurance increase that was imposed on charities and hospices has done immense damage. We welcome the funding today—of course we do—but she needs to be straightforward: was she, or any of the Health team, consulted before the Budget about the impact of the NI increase on hospices, health charities, pharmacies and so on? May I advise her to put down the folder and tell us what she really thinks?

[Karin Smyth]

I have scribbled my own note—the right hon. Gentleman says that he “agrees”— but the issue is that his Government did nothing over 14 years to support or make a change. That is why the announcement we are making is so important. I reiterate my earlier point, which I will repeat every time I am at the Dispatch Box: the Conservatives have not read the Darzi report; if they do not agree with the diagnosis, they cannot agree with the solution. That is their fundamental problem.

Puberty-suppressing Hormones

John Hayes Excerpts

Wednesday 11th December 2024 Commons Chamber

[Wes Streeting]

My hon. Friend demonstrates powerfully why waits of the length that she describes in that case are simply unacceptable and unjustifiable. She also details the real pain that is being experienced by young people who are not being seen by the NHS, and not receiving the care and support they need. That is why I am determined to improve waiting times and quality of care. It is also why those of us in positions of influence or power, or those who have access to the microphone or the pulpit, need to think very carefully about the way that we talk about this group of children and young people, and trans people more generally. It is why headline writers and editors in our media have a responsibility to think carefully about how they exercise their freedoms in the media responsibly—freedoms I strongly support—and create a culture where we are not adding to the harms of that group of children and young people. That is for the exact reasons that my hon. Friend describes with that utterly heartbreaking case.

[Sir John Hayes (South Holland and The Deepings) (Con)]

I associate myself with the remarks of my hon. Friend the Member for Beaconsfield (Joy Morrissey) about both the tone and content of the Secretary of State’s remarks. I first raised my concerns about the Tavistock clinic back in 2019, when a number of professionals resigned because they were so concerned about what was happening with regard to prescribing. He will know that anyone who raised those issues—I think of Kathleen Stock, for example—has been treated very poorly, and with spite, by some of the militant activists in that field. Although I entirely recognise the tone that the Secretary of State adopts—he is a thoughtful and sensitive man—I must ask him this. He has been clear that the prescribing practice was inappropriate, that people were not given time to give their full and informed consent, and that it was an unacceptable safety risk. Who oversaw that? When were those decisions made? Who made them, and how will they be held to account? Many young lives have been severely damaged.

[Wes Streeting]

As the report into the failures of the Tavistock clinic shows, a whole range of individuals and organisations did not discharge their duty of care appropriately to an extremely vulnerable group of children and young people. I pay tribute to the whistleblowers of the Tavistock and Portman who laid their careers on the line. They were subjected to the worst kinds of attempts to silence whistleblowers, and in some cases to bully them out of the organisation or vilify them. That was not only a disgraceful way to treat good colleagues who were raising legitimate concerns in the right way, but ironically—I have no doubt that many of the people behaving in that way did so with the best of intentions towards that vulnerable group of children and young people—they set back the national conversation about that group of children and young people and undermined confidence in gender identity services. That cannot be a good thing.

I also pay tribute to those journalists who were willing to report on this issue. I pay particular tribute to Hannah Barnes, whose “Newsnight” investigation took some of these issues to a wider audience, and whose journalism on broadcast media and in print showed how we can expose failure, and expose the risks to a wide range of children, young people and adults, in a thoughtful, evidence-based way.

Finally, the right hon. Gentleman talked about the treatment of other people who have raised concerns in a wide range of contexts in this debate. He mentions Kathleen Stock, and there are others, too. I do not think that has been helpful; in fact, I think it has been actively harmful to having the kind of national conversation we should have more broadly about gender identity and how some women fear their sex-based rights are at risk. If we were able to navigate those issues in a much more thoughtful, considered way, listening to different perspectives and experiences, I feel confident that, despite all the challenges, as a society we could find a way through that not everyone loves, but everyone can live with. We have done that before on same-sex marriage, on sexual orientation and religious freedoms, for example. It is possible, if we are willing to listen, to engage in good faith and to not shout down people raising heartfelt concerns. Perhaps if we engaged in the conversation in a much better way, we would find a better way through as a country.

Tobacco and Vapes Bill

John Hayes Excerpts

2nd reading
Tuesday 26th November 2024 Commons Chamber

[Phil Brickell (Bolton West) (Lab)]

I would like to place on the record my support for the Bill, which the Government are right to describe as the biggest public health intervention in a generation. As someone who grew up around the NHS, with my first job being at Bolton hospital, I have seen at first hand the huge cost of smoking and vaping in my constituency. In Bolton, smoking claims around 380 lives a year. Across the UK, that number is 80,000, and tobacco-related illnesses put tremendous pressure on the NHS, with smoking responsible for one in four cancer deaths. Indeed, every single minute someone is put in hospital because of smoking. The appointments, the scans, the treatment—it all adds up. Smoking costs the taxpayer over £3 billion each year in healthcare bills.

The tide of public opinion has turned irrevocably. Eight in 10 Greater Manchester adults support ending smoking, according to the Make Smoking History campaign. I suspect that many have had family or friends impacted by smoking-related harms. Five years ago, the previous Government announced their ambition for England to be smokefree by 2030. Despite a stark warning from the Khan review in 2022 that

“without further action, England will miss the smokefree 2030 target by at least 7 years”,

I find it regrettable that the Conservatives did not get round to these literal life-and-death reforms before it was too late to legislate before the general election.

I am delighted that just a few months in we are already delivering on our manifesto pledges. A generational ban on purchasing tobacco for anyone born after 1 January 2009, new regulations for the extension of smokefree areas to include our schools and hospitals, and new restrictions on oral tobacco products such as snus are hugely welcome in our fight against smoking-related illnesses.

The Bill is hugely important, and I will focus the remainder of my remarks on vaping in particular. As my hon. Friend the Member for Bolton North East (Kirith Entwistle) noted, Bolton is regrettably one of the two vaping capitals of the UK, with over 20 vape shops registered per 100,000 people according to reporting in the Bolton News. Vaping can be a genuine aid for those seeking to wean themselves off smoking, but while it is clear that vapes, in combination with behavioural support, can support quitting, the health advice is unambiguous: children and adults who have never smoked should never vape.

What disturbs me is that vaping products are obviously marketed at children. Indeed, a number of vape stores in Horwich and Westhoughton in my constituency are not only garish eyesores but directly associate vapes with sweets and toys in their shop fronts. I have no doubt that many of my colleagues in the Chamber will be familiar with similar stores in their own constituencies. It is clear that bubble gum and candy floss flavours are not aimed at those adults genuinely trying to wean themselves off tobacco. This is not harmless; youth vaping has more than doubled in the past five years, while Bolton council has been told that children as young as 13 are unable to go an hour at school without vaping. Just last Friday, I visited St Catherine’s primary school in Horwich and was shocked to hear children no older than 11 directly raise their concerns around vaping with me. St Joseph’s high school in Horwich, which I had the pleasure of meeting last week here in Parliament, has had to install vape sensors, while the headmaster Tony McCabe has said he has already seen a rise in young people acquiring vapes from the black market. I hope the Minister will consider how to tackle the already expanding black market for these products. That is why I especially welcome the measures in the Bill to provide the Secretary of State with powers to regulate vaping products, including their content, flavour, packaging and product requirements.

[Sir John Hayes (South Holland and The Deepings) (Con)]

The hon. Gentleman is absolutely right about illegal tobacco and other substances. It is really important that we bear down on that illicit trade. Illegal tobacco not only deprives the Exchequer of funds but means that all kinds of other nefarious activities can take place in the shops that sell it. Also, the illegal cigarettes sold do not extinguish. A few years ago in my constituency there was a house fire with fatalities as a direct result of illegal cigarettes.

[Phil Brickell]

I thank the right hon. Member for his contribution. I will take assurance from the Minister on that when he winds up.

I place on record my enthusiasm for the separate ban on single-use vapes from June 2025, which the hon. Member for Newbury (Mr Dillon) mentioned. As other Members have noted, not only are they particularly cheap and therefore accessible to young adults, but they are an inefficient use of critical resources, difficult to recycle and frequently littered around the countryside.

By introducing these world-leading reforms, we can create a smokefree generation and break the cycle of addiction and disadvantage. I am proud that it is a Labour Government who are delivering this legislation.

--- Later in debate ---

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

Prevention is better than cure. As we have heard, smoking is a cause of many premature deaths and much serious ill health. That was why the previous Government introduced legislation to tackle it and restrict access to tobacco purchases for those born after 1 January 2009. This Bill builds on many measures in the previous one.

As we have heard, this is a Bill of two parts: tobacco and vapes. Those two parts have been received differently, a bit like Marmite and chocolate spread—part controversial, part pretty universally liked. The section on smoking and tobacco has proved to be a bit like Marmite—some people have liked it. My hon. Friend the Member for Harrow East (Bob Blackman) spoke eloquently of his passion for stop-smoking measures, his successful campaigning, and the previous Government’s success in reducing rates of smoking. My hon. Friend the Member for North Dorset (Simon Hoare) spoke eloquently about the balance between libertarianism and choice, and the need for order, societal norms and the protection of others in society. The hon. Member for City of Durham (Mary Kelly Foy) spoke about the dangers of smoking and the difficulties and challenges for people trying to quit.

On the other hand, other Members expressed concern about the Bill. The hon. Member for Lewes (James MacCleary) talked about how the Secretary of State might use powers relating to outside places where people may smoke. The hon. Member for Newbury (Mr Dillon) shared his concerns about how measures on the age of sale will work in practice. Those will indeed be clunky measures for shopkeepers to try to enforce, and will have an effect on the cohort of individuals who are just either side of the threshold, who will require ID throughout their lives. The hon. and learned Member for North Antrim (Jim Allister) spoke about how that measure will work in Northern Ireland, and although he received some assurances from the Minister, I am not sure that they were completely effective.

Although I confess that I do not like Marmite, it is a free vote this evening for Conservative Members, and I will support the Bill. The Secretary of State said in opening that 350 young people will start smoking today, most of whom will regret it, so why was 1 January 2009 chosen? I appreciate that that was the date in the previous Bill, but why did he choose it for his Bill too?

Let me move on to the area of chocolate spread—the part of the Bill on vaping. I think it was universally welcomed, and was supported by the hon. Members for Newcastle upon Tyne East and Wallsend (Mary Glindon) and for North Shropshire (Helen Morgan) among others. It includes measures to tackle vaping among children, on which I have personally campaigned. As others have said, the chief medical officer has been clear that for someone who smokes, vaping may be better, but if they do not smoke, they should not vape. As a Member of Parliament and a children’s doctor, I have been increasingly concerned about the sharp increase in children addicted to vaping and, more recently, to other nicotine products such as pouches. Schoolteachers have reported that children are unable to concentrate, or even complete a whole lesson, without visiting the bathroom to vape.

[Sir John Hayes]

I very rarely disagree with my hon. Friend. She is of course right about vaping, the effect that it has on children and the difficulty that schools have in managing it, as headteachers will no doubt have told Members across the House, but can she really go into the Division Lobby to support the Bill with this nonsense about age? The idea that someone aged 30 could smoke and someone aged 29 could not, and the idea that that could be policed or managed in any practical way, is just nonsensical. It was daft when the last Government introduced it, and it is daft now this Government have done so.

[Dr Johnson]

The challenge is that if we were to ban it altogether, we could risk criminalising people who were already addicted to tobacco products—adults who had made that choice. That is the reason why both present and past Governments put forward a measure to increase the age gradually, but I understand the points that have been made about the difficulties for shopkeepers and others in enforcing it over time.

I return to vaping. Doctors report a growing body of evidence suggesting that children may be having difficulty in school and suffering health problems as a result of vaping. A report from Healthwatch said that 31% of the more than 4,000 under-18s it surveyed were regularly vaping. Nicotine is a powerfully addictive product. Young people are particularly susceptible to it, so it is very important that we protect children from vaping and other nicotine products. After all, vaping is an adult activity; it is apparently designed to help smokers quit. While the industry may argue that the flavours and colours are enjoyed by adults—and they may well be—I struggle to understand why adults would want a vape flavoured like a unicorn milkshake, whatever a unicorn’s milk tastes like. The Healthwatch survey showed that fruit flavours are very popular with children, and the same has been repeated by various teaching unions, the British Medical Association, of which I am a member, Cancer Research UK and even a Government report from last year. I also do not see why an adult stop-smoking device needs to be disguised in the form of a highlighter pen, which could perhaps be hidden in a child’s pencil case, or created in the shape of a children’s cartoon character. Enticing and luring children into a lifetime of unwanted and potentially harmful addiction is immoral.

The Secretary of State is taking powers to regulate the flavours, colours and packaging of vapes, but how will he ensure that he stays one step ahead of an industry whose income depends on a new generation of addicts? He has taken quite extensive powers, which I know is of concern to some hon. and right hon. Members, but how and when does he intend to use them? What support will be given to children who are already addicted to vaping to help them quit?

Finally, while this is a free vote issue, I am pleased on a personal level to see some of the proposals that I put forward on the last Bill being incorporated into this one, particularly on the sponsorship and advertising of vending machines. Whatever our views on this Bill, it is a bold piece of legislation of good intention. It aims to improve the health of our nation and of our children in particular and to reduce smoking and prevent nicotine addiction in the young. It is not clear whether it will work, but we have to hope, for the health of all of us and our children, that it does.

Points of Order

John Hayes Excerpts

Thursday 12th September 2024 Commons Chamber

[Madam Deputy Speaker (Judith Cummins)]

I remind all hon. Members that good temper and moderation are the characteristics of a good debate.

[Sir John Hayes (South Holland and The Deepings) (Con)]

On a point of order, Madam Deputy Speaker. You will recall that I have raised in the House the use of crossbows by criminals. These are lethal weapons. The previous Government added to the list of weapons that are banned, and the current Government are implementing those measures. Have you had any notice of a statement being brought to the House by Ministers to respond to the increasingly pressing cries from those who want to see crossbows added to that list of banned weapons?

[Madam Deputy Speaker]

I thank Sir John for his point of order. It is not a matter for the Chair, but I can clarify that we have not had notice of a statement.

Bill Presented

Terrorism (Protection of Premises) Bill

Presentation and First Reading (Standing Order No. 57)

Secretary Yvette Cooper, supported by the Prime Minister, Pat McFadden, Secretary Ian Murray, Secretary Jo Stevens, Lucy Powell and Dan Jarvis, presented a Bill to require persons with control of certain premises or events to take steps to reduce the vulnerability of the premises or event to, and the risk of physical harm to individuals arising from, acts of terrorism; to confer related functions on the Security Industry Authority; to limit the disclosure of information about licensed premises that is likely to be useful to a person committing or preparing an act of terrorism; and for connected purposes.

Bill read the First time; to be read a Second time Monday 7 October, and to be printed (Bill 9) with explanatory notes (Bill 9-EN).

Tobacco and Vapes Bill

John Hayes Excerpts

2nd reading
Tuesday 16th April 2024 Commons Chamber

[Victoria Atkins]

That is a brave submission from the hon. Lady, given the debate in the Chamber yesterday. I certainly will not take lectures from Labour on this legislation. We are bringing it forward because we have looked carefully at the evidence. What is more, we have tempered it so that existing adult smokers will not be affected. If the message from the Labour party is that it wants to ban smoking for adults completely, it should make that argument. We have tempered this carefully to ensure that it only deals with future generations.

[Sir John Hayes (South Holland and The Deepings) (Con)]

I commend my right hon. Friend for her approach to young people smoking, her determination to deal with illegal tobacco and her crackdown on vaping, which is a menace to young people as these things are sold like an item of confectionery. Will she accept that in doing all those things, she needs to be open minded about how the Bill can be improved? The idea of a rolling age of consent, with the consequence that someone of 35 will be able to buy tobacco but someone of 34 will not and so on, is at best a curiosity and at worst an absurdity.

[Victoria Atkins]

I am extremely grateful to my right hon. Friend and close Lincolnshire neighbour. He knows that on any piece of legislation I will always want to listen to and do business with colleagues. The principle behind this legislation is that these emerging generations will never take up smoking. That is the point.

NHS Dentistry: Recovery and Reform

John Hayes Excerpts

Wednesday 7th February 2024 Commons Chamber

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. The Secretary of State was giving an answer to a question. We do not need all this shouting. People might not agree with the answer, but you have to listen to the answer.

[Sir John Hayes (South Holland and The Deepings) (Con)]

In congratulating my right hon. Friend—my personal friend—on this welcome, excellent statement, may I ask her to forgive the ferocity with which my right hon. Friend the Member for Gainsborough (Sir Edward Leigh) and I made the case for NHS dentistry when we met her recently? In that spirit, will she ensure that some of these new dentists come to rural Lincolnshire, where we desperately need good dental care? She has today irrigated the dental desert.

[Victoria Atkins]

I give my very sincere thanks to my right hon. Friend. The House can imagine the advocacy I have received from both him and my right hon. Friend the Member for Gainsborough (Sir Edward Leigh). On reaching rural and coastal areas, as a proud Lincolnshire MP myself I wanted to bring about a set of plans that will address those underserved areas. I am delighted that the plan meets with my right hon. Friend’s approval.