Smoke-free England

Maggie Throup Excerpts

Tuesday 29th March 2022 Westminster Hall

[The Parliamentary Under-Secretary of State for Health and Social Care (Maggie Throup)]

First, I thank my hon. Friend the Member for Broxbourne (Sir Charles Walker) for calling this important debate. I am grateful to him for his contribution and I am grateful to other Members who share the Government’s ambition for Britain to be smoke-free by 2030. My hon. Friend is correct when he says that that means 5% of people smoking, but it would still be a great achievement to get from where we are now to just 5%. The UK is a world-leader on tobacco control and we now have one of the lowest smoking rates in the world. According to my records, only 13.5% of people in the UK smoke, but that percentage is still too high. As he stated so passionately, the Government know there is still so much more to do.

We know that there are still around 6 million smokers in England and that smoking remains the single biggest cause of preventable mortality; two out of three long-term smokers will die from smoking. We also know that smoking is one of the largest drivers of health disparities and that the burden of tobacco harms is not shared equally. Smoking rates are far higher in poorer areas of the country, as my hon. Friend said, and among lower socioeconomic groups. We can see smoking rates of 23% in more deprived areas, compared with rates of 8% in wealthier ones. In addition, one in 10 pregnant women still smoke, increasing the risk of health problems for their babies. Smoking prevalence among people with long-term mental health conditions is also far too high, at over 25%.

My hon. Friend the Member for Windsor (Adam Afriyie) raised the issue of smoking during pregnancy. The decline there has not fallen in line with other groups, so we know that more needs to be done. We continue to explore options to support smoking cessation in pregnant women; those options will be set out in our tobacco control plan and they are also part of our NHS long-term plan. We know that it is not just the woman who needs support; it is her partner as well. We must continue to help those groups in all the ways we can.

What are we doing? In 2019 the Government set the bold ambition for England to be smoke-free by 2030. To support that, we have been building on the successes of our current tobacco control plan, and later this year we will publish a new plan with an even sharper focus on tackling health disparities. The new plan will set out a comprehensive package of new policy proposals and regulatory change. To help push those ambitions forward, the Government have commissioned an independent review of our tobacco control policies, led by Javed Khan, the former CEO of Barnado’s. The review will assess the most impactful interventions to help us achieve our goal of being smoke-free by 2030. I know that Javed Khan has some really ambitious ideas that I am sure my hon. Friend the Member for Broxbourne will welcome.

More needs to be done to prevent young people from taking up smoking and to protect our future generations from its devastating harms. More also needs to be done to support current smokers to quit, especially in deprived communities and among the priority groups. Smoking, and the grip it has on our society, must become a thing of the past. I am confident that the Khan review will give us the focus and political support to do so. I encourage all hon. Members to contribute to the review so that we can hear as wide a range of views as possible. We are open to bold new ideas about how to reach our smoke-free ambitions. Hon. Members have talked about the role of reduced-risk products. The Government are supportive of smokers using less harmful nicotine delivery systems to quit or switch away from the most harmful form—combustible tobacco.

[Mary Glindon]

This week is the beginning of VApril, which is a campaign run by the industry to support smokers who are looking to quit. Would the Minister support efforts to encourage adult smokers to quit by speaking with local authority stop smoking services, this month in particular, and highlight the role of e-cigarettes in reducing harm?

[Maggie Throup]

The hon. Lady—I will call her my hon. Friend—speaks passionately about vaping, and we have had those conversations before. We know and acknowledge that reduced-risk products are not risk-free, but vaping is a way to help people stop smoking and it has been proven to be effective. We must continue to ensure that the products do not appeal to young people and non-smokers—that is really important. However, we need to get the message out that vaping is an effective way to stop smoking. Balanced and proportionate regulation is required as we shift to different products. We have an innovative and varied nicotine market in the UK, as has been mentioned; vapes are by far the most popular alternative source of nicotine, but there are also patches, gums and, more recently, nicotine pouches.

We want to see more smokers using vapes to quit, which I know is in line with the wishes of the hon. Member for North Tyneside (Mary Glindon). She mentioned earlier the possibility of vaping and e-cigarettes being available on prescription, and the Secretary of State has spoken of his desire to see those products routinely prescribed by the NHS. That is something that we need to move forward with. My hon. Friend the Member for Windsor raised the important issue of the perception of vaping and how it has changed. That is something I will take away and consider.

[Ben Bradley (Mansfield) (Con)]

The Minister talks about the range of alternative products, such as vapes, “heat not burn” and other things that already exist, and about the statistics on people’s perceptions of the health impacts of those products. We know that those products are less harmful, so does she agree with what my hon. Friend the Member for Windsor (Adam Afriyie) said about the importance of getting that information our to people—even if it is as simple as a slip of paper in a cigarette packet? I like to think that a Conservative Government, rather than seeking to ban things, could empower people to make that choice through information. We could certainly do more to get that information out there.

[Maggie Throup]

My hon. Friend is quite right. It is important that we communicate the other ways people can stop smoking and, as the hon. Member for North Tyneside said, do so in such a powerful way. As Members of Parliament, we all have a role in getting those messages out, and I am sure that everybody in this room will be doing their bit in VApril to get that message through to the public. It is about messaging and about people understanding the impact smoking has, not just on their lives but on other people’s lives as well.

I am also aware of the desire to bring snus to the UK market to give smokers further choice of less harmful alternatives. Considering the range of alternative nicotine products that can be accessed by smokers, the Government are not currently minded to introduce a new tobacco product to the UK market. Current alternative products such as nicotine pouches deliver nicotine in an identical way to snus but do not contain any tobacco. We will continue to consider the evidence around snus and we welcome additional non-tobacco reduced-risk products to the UK market.

I thank my hon. Friend the Member for Broxbourne again for calling this important debate and for hon. Members’ interesting contributions to the discussion. We have packed a lot into 30 minutes. I hope to be able to tell the House more in the coming months about the specific policies that will deliver our ambitious agenda for a smoke-free England. The end is in sight through a sustained and multi-pronged approach. I hope we can look forward to a future for our children without the death and misery that is caused by smoking.

Question put and agreed to.