(3 weeks, 1 day ago)
Commons ChamberI was a smoker for 15 years, I have vaped for 12 years and I have three children under 12, who I hope will follow neither habit. I support the ambition to create a smokefree society. The harm to individuals is clear, as smoking causes 80,000 deaths per year, and the cost to the country is just as clear, with smoking costing the economy nearly £22 billion a year.
However, I have concerns about the ability of retailers to enforce the age escalator proposals. Will the Minister look at increasing the age at which people can buy tobacco by a year every year, rather than linking it to when a child is born? That would mean that people of the same age would have the same right, rather than two people being 37, for example, and one not being able to purchase tobacco because of exactly when they were born during the year.
My biggest concern about the Bill is the inclusion of vapes, alongside tobacco. Vaping is the fastest growing smoking-cessation method, and evidence has found that it is twice as effective as other tools used to stop smoking. I took part in the statutory instrument debate on 13 November and I support the ban on disposable vapes that that regulation enacted. The regulation will reduce the number of children vaping, the amount of dangerous fake vapes and the impact on the environment.
However, the Bill could go too far on vaping. The all-party parliamentary group on responsible vaping has provided a useful briefing. I believe the House will pass the Bill’s Second Reading later today, so I ask hon. Members to look at the briefing before we get to Committee. Part 5, clause 92 of the Bill has the ability to undo the Government’s ambition of a smokefree country, by potentially banning flavours under a future statutory instrument. A study of more than 20,000 vapers showed that those who start with flavoured vapes or move from tobacco to flavoured vapes are more likely to quit smoking.
That was my experience too. I first purchased a refillable vape in France, which came with a tobacco flavour and a cherry flavour. I went back to the gîte with my friends where we were on holiday. I knew what tobacco tasted like—I had my cigarettes in my pocket—so I tried the cherry flavour and enjoyed it so much that I never opened the tobacco-flavoured vape pot. I took the cigarettes I had in my pocket back home to England. They were on my bedside table for six months, after which I screwed the packet up and threw it away. I have not had a cigarette since.
I honestly feel that the provisions in the Bill for Ministers to be able to ban flavours for adults goes too far. For the record, I vape something called blueberry sour raspberry. It is not aimed at children—I buy it from a specialist vape shop where customers have to be over 18. I have the bottle in my pocket and it has no bright colours or fancy graphics on it. That is my preference as an adult to vape and it stops me wanting to pick up a cigarette again. If the Bill passes its Second Reading this evening, clause 92 should require that vape flavours are regulated with a balance between the impact on adults who would otherwise be smoking and the potential for youth uptake. Hon. Members should remember that disposable vapes have already been banned by the statutory instrument passed a couple of weeks ago.
Finally, before Ministers use the affirmative resolution procedure on any of the Bill’s parts or clauses, I urge them to undertake a comprehensive, evidence-based approach to vaping regulations. I will not vote against the Bill at this stage, but I hope the Government are open to practical amendments in Committee that support the ambition to have a smokefree generation without penalising those who already rely on vapes to lead a healthier lifestyle.
We have three remaining contributions from Back-Bench Members. This is fair notice for colleagues who have contributed to the debate to make their way to the Chamber for wind ups. I call Kirith Entwistle.
(4 weeks, 1 day ago)
Commons ChamberI am grateful to my hon. Friend for the question and pay tribute to the work being done by Guy’s and St Thomas’. He is right to raise cyber-security. That is why the capital investment announced by the Chancellor is welcome and necessary, and joint working across Government, including with security colleagues and my right hon. Friend the Secretary of State for Science, Innovation and Technology, is vital to keep patients’ data and information safe and to keep critical systems running.
When the Secretary of State reviews GP funding, will he also consider the burden that sits on GP practices when they have to hold the lease for their surgeries and what role integrated care boards could have in holding that risk, which is stopping the recruitment of GPs to join practices as partners?
NHS England currently accepts ICBs holding leases only as a last resort or by exception due to the significant capital required. While we know that is not the most effective use of ICB resources, it is an important safeguard. We are committed to fixing the front door of the NHS by supporting GPs and ICBs through, for example, the £100 million of capital funding announced at the Budget for GP estate upgrades.
(1 month ago)
Commons ChamberI assure the hon. Gentleman that since we were elected, the Government have already taken action to secure extra investment in the health and social care system, and we are committed to building a thriving health and social care system for the rest of the 21st century.
A rural pharmacy—one of the few remaining in my constituency—derives 90% of its turnover from providing NHS services. Will the Minister consider giving pharmacists for whom NHS services account for such a large proportion of their work an exemption from the NICs rises? What assessment have the Government made of the impact on the continuing delivery of programmes such as Pharmacy First if pharmacists have to shut their doors?
The hon. Gentleman makes an excellent point about pharmacies. We absolutely understand their importance, both in urban constituencies such as mine and in rural areas. I remember from when I became an MP in 2015 the changes that the previous Government made to the pharmacy contract, and I am aware of the precarious situation that pharmacists have been in. We will continue to talk to them as part of the normal process, but we understand how important they are to building a neighbourhood service and to the future of the NHS.
(2 months ago)
Commons ChamberThank you for calling me in this important debate, Madam Deputy Speaker.
In west Berkshire last year, we experienced a 31% increase in four-week waits for GP appointments compared to 2022, indicating that more patients are struggling to access medical care. That is compounded by us having the lowest pharmacy provision in the country, with 7,200 patients per pharmacy compared to the national average of 4,600.
Last week, I met constituents to hear about their experiences of healthcare services. One shared their frustration at seeing a GP only to be told that their issue fell under the remit of a pharmacist. Then the pharmacist told them that it fell under the remit of the GP. That is, unfortunately, not a unique experience, with 24.2% of people reporting a poor experience with GPs. That is why services such as Healthwatch West Berkshire are so important.
The current governance model for partner GP surgeries also needs to be addressed to help maintain their very existence, in particular by de-risking leases in strategically important estates. I hope the Government will look at the general practice premises policy review of 2019 and implement its findings to ensure that leases are assigned to NHS bodies. That will help with the retention of more GPs, which will in turn improve health outcomes for patients.
The public were sick and tired of our failing NHS. That is why, in July this year, they prescribed the Conservatives with a much-needed period of opposition— hopefully a repeat prescription. I hope we can now start a treatment plan to get our NHS back to full health.