(4 days, 7 hours ago)
Lords ChamberMy Lords, I am glad to follow the noble Lord and to speak to my Amendment 206. I might say to him that, to me, it seems clear that what my noble friend Lord Young of Cookham and other noble Lords intend in Amendment 202 is to complement what is in the Bill rather than to in any sense contradict it. The intention was entirely to look at how, in addition to the measures in the Bill, we can move to a smoke-free country, rather than simply relying upon the assumption that in the fullness of time—as my noble friend said, in a matter of decades—the smoke-free generation will take over and give us a smoke-free country. It is a very long way ahead that we will arrive at that point.
The noble Lords on both Front Benches—my noble friend and the Minister—and I have all been involved in many of the measures that have got us, over the years, to a reputation of having among the strongest tobacco control policies anywhere in the world. I hope that is something we can collectively work to sustain.
On the point about reviews, and at the risk of lauding the Minister again, I welcome that she has brought forward her amendment. I know my noble friend says it is only a little more than is required in any case, but it is not necessarily required in statute, which is rather important. I note the presence of my noble friend Lord Norton of Louth, who was kind enough to sign Amendment 206, and the noble Baroness, Lady Fox of Buckley, did likewise. In part, we were setting out to establish exactly in each statute that there should be the necessary review process. As my noble friend Lord Young of Cookham said, Amendment 206 has some granularity about what this review actually requires.
I draw attention to what is in Amendment 206. In a sense, I am asking the Minister to say that, in addition to the fact of a review, there will be substance that contributes to the review and is reflected into it in due course. First, there should be independent and substantial research into the harms associated with vape, in particular, and nicotine products. In Committee, we discussed this a number of times and were all less than convinced that we knew what the long-term health impacts would be of substantial vape use. We have some evidence over up to 10 years, but that will certainly not be sufficient for the longer term. We need to have much more and better evidence. I hope the review will not just be about the process of the operation of the Act but will look to where the underlying issues at the heart of the Bill are moving over time.
Likewise, that is why we have included in proposed new subsection (5), to be inserted by Amendment 206, that we should look specifically at the extent to which the operation of the Act reduces
“rates of smoking”
and
“reduced use of vaping products amongst children”,
and whether the operations of the Act lead
“to a reduction in the use of vaping products for the purposes of smoking cessation”.
From the point of view of Action on Smoking and Health, one of the central issues that we need to examine is whether we can be certain we are continuing to secure the benefits of vaping products but not leading more young people, or others, into using vaping products rather than using no smoking products at all—which would be the better solution. We also want to look at what the economic impacts of the Bill might be and have, on a number of occasions, discussed small and micro-businesses.
While it is not my intention to press Amendment 206 to a vote, I hope that some of the granularity within it will be reflected in the review the Minister has vouchsafed to us under Amendment 205, and that she might at the Dispatch Box make it clear that, in due course, they will all form part of the review.
My Lords, it is a pleasure to follow the noble Lord, Lord Lansley, who deserves much personal credit for his work on these issues. The noble Lord, Lord Forbes of Newcastle, and I are on the same side on these issues. I will speak in support of Amendment 202, because it would be a good thing to require the Government to publish five-yearly reports, setting out a clear road map towards a smoke-free country.
While the smoke-free generation policy will rightly protect future generations from the harms of tobacco, it does not in itself sufficiently address the needs of the 5.3 million people who still currently smoke. If we are serious about creating a smoke-free country then we cannot afford to overlook them. Smoking remains responsible for around 74,000 deaths each year and a national strategy would ensure a focus on getting smokers the support they need to live healthier lives, free from the harms of tobacco. The UK’s tobacco control policies have, over many years, delivered a remarkable decline in smoking rates, representing a major public health success story, but further progress is not inevitable without sustained action.
This can be shown by the example of Germany, where smoking rates have remained at around 30% since 2017. Key differences are the absence in Germany of a comprehensive national strategy and Germany having weaker restrictions on tobacco. Without a clear plan, progress can stall. Crucially, this amendment includes targets and specific interventions for groups and areas with a persistently high prevalence of smoking. This matters because smoking rates remain deeply unequal. In the most deprived areas of the country, one in five people, 21% or so, smoke, compared with just 6.2% in the least deprived areas. Around half of the gap in healthy life expectancy between these groups can be attributed to smoking. Supporting people in these communities to quit would make a significant contribution towards the Government’s stated ambition to reduce health inequalities and make our country more productive, as well as happier. We need to do more to reach groups where smoking prevalence remains stubbornly high, such as people with serious mental illnesses, those living in social housing and those in routine manual occupations.
The Bill will help to ensure that nobody starts smoking, but it must be the first step in a wider national road map to ensure that everyone is supported to kick the habit, which is what most smokers seek. The publication of a road map would complement the Government’s own Amendment 205, which sets out how the implementation of the Bill will be reviewed. A clear plan would articulate what the Government aim to achieve in future and by when. It could also encompass further measures, long called for by the APPG on Smoking and Health, including action on so-called cigarette filters, the publication of industry sales data and warnings on individual cigarettes.
Amendment 202 urges the Government to be bold, set a new target and back it with a credible long-term plan. The APPG examined evidence last year and recommended a national target of 2 million fewer smokers by the end of this Parliament, alongside a clear ambition to make smoking obsolete within the next 20 years. These goals are achievable. I urge the Minister to seize this opportunity by indicating that there will be a road map of the kind that we seek very soon.