Alcohol Strategy (EUC Report) Debate
Full Debate: Read Full DebateLord Hunt of Kings Heath
Main Page: Lord Hunt of Kings Heath (Labour - Life peer)Department Debates - View all Lord Hunt of Kings Heath's debates with the Department of Health and Social Care
(8 years, 10 months ago)
Grand CommitteeMy Lords, I, too, congratulate the noble Baroness on the way in which she introduced the report and on the report itself. We have had a very balanced debate. I suppose we are seeking to embrace the enjoyability of alcohol in moderation, alongside a recognition that for many people it causes misery and degradation. To get the policy right will always involve a balance, and one that we do not get right every time. For instance, looking back, the extension to 24-hour licensing was done with the best of intentions. If I recall correctly, it tried to encourage what we thought to be a responsible, continental style of drinking. I am not sure whether it has altogether been successful in that regard.
The report itself is excellent, because it has assembled a great deal of hard evidence about the scale of alcohol use and some of the problems that arise from it. I particularly took the point that not only does Europe have the highest per capita alcohol consumption in the world, but we know that the UK has high consumption itself. We also know, as the committee points out, that there are huge variations in society. The noble Baroness, Lady Murphy, may well be right about the statistics coming through on young people and the reasons for that. We should be cautious about reading too much into that at the moment.
I very much took on board the evidence given to the committee by the Chief Constable of Northamptonshire about the impact of alcohol on domestic abuse. He estimated that alcohol was a factor in a third of all domestic abuse. The Home Office official, Mr Greaves, pointed to the Crime Survey for England and Wales which estimated that in 49% of violent incidents,
“the victim believed the perpetrator to be under the influence of alcohol”.
There is also the more general issue of anti-social behaviour. My honourable friend Jessica Phillips caused a certain degree of controversy a couple of weeks ago, when she compared what happens in Broad Street in Birmingham every Friday night with the very serious incidents in Germany. She has been criticised for that but she is certainly right that Broad Street on a Friday or Saturday night is not a very pleasant place to be, the problem being that it is also where Symphony Hall and the Rep are, so it is difficult to avoid. Frankly, for many people the atmosphere and disorder that come from alcohol are frightening. I know that the Government are seeking to give greater powers and flexibility to local authorities to try to ensure that licensing is more appropriate. However, the Minister will know that local authorities are torn between, in a sense, public order and wanting young people to come and spend money in their cities. That is a conundrum and a very big problem.
We come to the issue of the European strategy. The report from the noble Baroness, Lady Prashar, says that Europe has a limited competence in health. Successive Governments have wanted to keep that competence limited. Certainly, from our point of view that was because we wanted to make sure that changes in European directives and legislation would not impact on the way we run our National Health Service. The current debate about TTIP shows some of the dynamics of concerns about how, say, that potential trade agreement between Europe and North America might impact on the way we run the NHS. I certainly support the continued limited competence in health on the part of the EU, which needs to concern itself with a lot of other issues at the moment.
However, I also take the point made by the committee that there is a case for EU action which can supplement and add value to the activities of national governance. In their response, the Government say that they agree with that. Can the Minister give me any indication that the Government really do sign up to that, so that they will support some European-wide action where that truly can add value to how we want to take forward policy on alcohol in this country?
My noble friend Lord Brooke made some very telling points about the Chancellor of the Exchequer and inconsistencies in his approach to these issues. He might have mentioned the swingeing cutbacks in public health budgets that have taken place at the same time as the decision that the Chancellor announced. I hope that the Minister will say something about taxation and consistency. As regards the strength of cider, 8% or 9% is a shocking figure. We are entitled to ask the Government to look again at the requirement for consistency. I would also like to ask the Minister about minimum pricing. The Government are keeping this under review. Of course, Governments keep everything under review. But I would like to hear a little more about the Government’s current thinking on pricing, because clearly many people think that we should use pricing as a way to reduce consumption.
I would like to come on to the issue of public health. I have been very impressed with the work of Public Health England in the last two or three years. Its work is evidence-based and the body has been forthright. I hope that the Government will continue to listen to Public Health England’s recommendations in this area. Regarding the impact of the reduction in the public health budget to local authorities, to what extent does the Minister think that Public Health England and the Government have a role in that context to chivvy local government to take seriously its responsibilities in the area of alcohol? That is one area where you can see that almost all the services of a local authority can have an impact. You can also see the tensions within a local authority because, on the one hand, encouraging more licensed premises—and encouraging more people to use them—will have a positive impact on its income and jobs; on the other hand, it has all the problems that arise from anti-social behaviour. Therefore, local authorities have a major role to play in public health responsibility. It is not good enough simply to leave it to local authorities. The Government and PHE need to be rather more proactive in encouraging local authorities to treat this seriously and as a priority.
Finally, I come back to the point raised by the noble Baroness, Lady Murphy. Recently, we saw the publication of advisory alcohol limits. I do not think that this is an easy issue. However, does the Minister think it advisable to publish limits that are so low that just about everybody will simply disregard them? I am sure that Ministers had debates with the Chief Medical Officer about this. I am not being critical but what will be the eventual outcome? Clearly, there is an element in the public health movement which wants to move to a no-alcohol position—not perhaps prohibition because we have all seen the consequences of that—and is itching to go down the route of eventually saying, “No, you should not drink alcohol at all”. I understand that and am sympathetic to the public health movement, but there is a terrible danger that if you say to young men that the limit is 14 units—that is, four or five drinks a week—it will just be laughed at and disregarded. I am not sure whether nudge policy comes to mind. However, this does not seem to me very nudgy; rather, it seems very nanny. As part of taking forward a general strategy on alcohol, perhaps the Government need to think again about the psychology of alcohol and what really would influence behaviour.