Winter Preparedness

Neil Hudson Excerpts

Wednesday 18th December 2024 Commons Chamber

[Karin Smyth]

My hon. Friend makes an excellent point. We need to get back to normal and we need to recognise that there are different things happening to the system at different times of the year, much of which is predictable. We need to ensure that the system is strong enough to be able to cope with those differences.

[Dr Neil Hudson (Epping Forest) (Con)]

As we come into the height of winter, will the Minister join me in thanking all the amazing people on the frontline who are diagnosing, treating and caring for people right across the country? With multiple infectious disease challenges, the impact of cold and extreme weather, and the risk of falls and accidents, will the Government please now rethink their policies on winter fuel cuts and national insurance rises, which will exacerbate the situation and compromise the delivery of primary healthcare, social care and hospice care?

Under-age Vaping

Neil Hudson Excerpts

Wednesday 12th July 2023 Commons Chamber

[Mary Glindon (North Tyneside) (Lab)]

It is a pleasure to follow the right hon. Member for Romsey and Southampton North (Caroline Nokes), who made such a common-sense and honest contribution. I think everyone appreciated it.

Colleagues may know that I am a strong advocate for vaping as a way for adults to quit smoking. I am also a vice-chair of the all-party parliamentary group for vaping, so I have a lot of experience of speaking directly with the industry. Much of what I say today comes from what the industry itself is feeling and how it sees the problem of children vaping.

I have seen so many friends, and my late husband, make the switch from being heavy smokers to using—I stress this point—safe vaping products. Every minute, someone is admitted to hospital due to smoking. Someone dies from a smoking-related death every eight minutes. Pertinent to this debate remains the fact that, while not risk-free, vaping is 95% safer than smoking. More than 6.6 million adult smokers in this country have not been able to quit smoking or make the change to vaping. However, I would never advocate that someone who did not smoke or had never tried to smoke take up vaping. That is not the way forward. Vaping must be a way to quit smoking.

Like my colleagues, I support the motion. It is unequivocal that under-18s should not use or have any access to vape products. However, despite the Government’s announcement to tackle youth vaping, it remains a major concern. Far more needs to be done to address it, and as we have heard, the trend is at epidemic levels. There is nothing more heartbreaking than walking up the street or being on public transport and seeing very young people at a bus stop or gathered on the street with a vape in their hand. It saddens me, it really does.

Measures are needed specifically to target rogue manufacturers and retailers. Ultimately, no vape should appeal to a minor. Trading standards really needs the resources and the power to enforce the law. A lot of what I am saying is also what the industry is telling me it supports, whether it is the vaping industry or even tobacco firms. I know many people really do not want to hear anything from tobacco firms, but in relation to vaping we should listen to some of the things the industry itself is suggesting.

One of the most effective measures to limit youth access to vapes is surely enforcing strict age verification across all retail channels, including online platforms. Retailers are required by law to operate age verification systems to prevent the sale of vape products to anyone under 18, but some retailers, we know, do not enforce those regulations effectively. Online retailers must also have a stringent age verification process in place to prevent under-18s accessing vape products. We know that retailers can get No ID No Sale! and Challenge 25 resources. They should make use of those resources if it helps them to challenge under-age sales.

The advertising and promotion of vape products is tightly regulated in the UK. However, some irresponsible online and social media marketing can and inevitably does still reach young people, with the results we are now seeing. The Government must strengthen online and social media regulation. No e-cigarettes and e-liquids, including product, packaging and marketing communications, should ever appeal to a child. We could do something about imagery, flavour names and anything else that relates to the world of children and young people, such as comic icons, cartoon characters or sweets. That must be clamped down on. At a minimum, all e-cigarette packaging could be inspected as part of the Medicines and Healthcare products Regulatory Agency’s notification process before a product can be placed on the market. Law enforcement mechanisms should also be reinforced, with fines and penalties reflecting the seriousness of the offence. This could be achieved by aligning fines with those relating to tobacco products. His Majesty’s Revenue and Customs has recently been given the ability to issue on-the-spot fines of up to £10,000. That should be extended to trading standards.

The UK Vaping Industry Association supports all those measures. Recently, John Dunne, the director general of the UKVIA, appeared before the Health and Social Care Committee. He stressed that the Government should take “extreme action” to discourage anyone from selling to children. He reinforced the call for fines of £10,000 per instance, a licensing scheme for vape retailers, robust age verification, and greater powers to check packaging and product designs for potentially child-appealing designs.

[Dr Neil Hudson (Penrith and The Border) (Con)]

I am very grateful to the hon. Lady for giving way. My apologies, Mr Deputy Speaker, for arriving midway through the debate. I was speaking at the all-party parliamentary group on suicide and self-harm prevention.

The hon. Lady is making an impassioned speech. On limiting access to young people, when adults go to the counter to buy tobacco products they are behind black and grey metal cabinets. They are not brightly coloured and so on. Would that not be a starting point? We could get vaping products hidden behind those black and metallic cupboards, so they are not, as my right hon. Friend the Member for Romsey and Southampton North (Caroline Nokes) said, all glossy and appealing at the checkout? Would that not be a starting point?

[Mary Glindon]

I do think it would. I also think vaping products are currently an attraction for shopkeepers to get people into their shops, especially young people—a bit like when alcopops were put on the front shelf. It is brilliant idea and one I hope the Minister will hear. I wish I had thought of it.

John Dunne also urged the Government to look at the new Irish laws, whereby retailers convicted of selling to children can be jailed. Should we go that far?

Since entering the UK in 2021, disposable vapes have come to dominate the market, with 70% of disposable vape sales generated by new users. Children are attracted by their branding, bright colours and sweet flavours. The latest figures from the Office for Health Improvement and Disparities show that in England youth vaping has doubled, from 4% to 8.6%. According to the latest figures highlighted by the Chartered Trading Standards Institute, more than 138 million disposable vapes are sold every year, and more than one in three products is potentially non-compliant, which means that more than 45 million non-compliant products are being sold each year. Figures have also revealed that in the last six months of 2022, 1.4 tonnes of illegal vapes were seized in, I am ashamed to say, the north-east of England alone. Trading standards officers across the country are doing their best to combat this tidal wave of non-compliant vapes. In March 2002, the tobacco company JTI UK commissioned tests on a variety of popular disposable vapes in the UK, and discovered that 25 out of 28 products were not legally compliant as they all exceeded the e-liquid volume and nicotine strength limits mandated by law.

Although the figures are stark, I do not advocate banning disposable vapes, but regulation must be tightened. For some people on low incomes, disposable vapes are an affordable way to kick the smoking habit. We do not want to send a message that vaping is bad, because we want some of those 6.6 million people to stop smoking by switching to vaping. Despite the Government announcing measures to tackle youth vaping, it is still a major problem and much more needs to be done to combat it. The Government must ensure that regulations are effective in targeting rogue vape producers and retailers, and not the elements of the vaping industry that are trying to sell responsibly to adults. We have to make sure that vaping remains accessible by adults who are trying to stop smoking.

The industry has produced a set of proposals on amending the Tobacco and Related Products Regulations 2016 to ensure that all nicotine and non-nicotine e-liquids are regulated in the same way, and that all e-cigarettes and e-liquids, including their product packaging and marketing communications, do not appeal to minors, by prohibiting the imagery we have heard about today. To complement that, all e-cigarette packaging should be inspected as part of the MHRA notification process before products can be put on the market. Law enforcement mechanisms should be reinforced with the fines and penalties that have been suggested, including the £10,000 fine, and the power to impose penalties should be extended to trading standards. That would be a practical way for them to help tackle this problem. We all know that trading standards need more resources than the Government have promised, given the sheer scale and scope of their work and the specific problem of youth vaping.

The Government have a clear opportunity to address youth vaping with its recent consultation. Clear steps must be taken to ensure that only safe and responsible vapes are available on the market, and that sufficient enforcement measures are in place to ensure that children are not targeted. It is the job of Government, the industry and enforcement agencies to work together to create a regulatory framework that acknowledges the important role vapes play in providing support for adult smokers to quit and prevents their appealing and being accessible to under-18s. The time for action is now. The Minister and the rest of the Government must heed today’s debate.

--- Later in debate ---

[Peter Gibson (Darlington) (Con)]

I welcome this debate on a hugely important issue that gives rise to related concerns. Recent research shows that 24% of children have used a vape and 11% of secondary school pupils would describe themselves as regular vape users. The data that has been disclosed in today’s article in The Northern Echo reveals that nearly 100,000 children in the north-east have tried vaping. Those figures should be of great concern to all of us.

First, I commend my hon. Friend the Member for Sleaford and North Hykeham (Dr Johnson) for the amazing work she has done on this issue. She is my longest friend in politics and I wholeheartedly support her ten-minute rule Bill to prohibit the sale of disposable e-cigarettes. She is right in seeking to end the problems caused by these products. If they were simply used to wean smokers off cigarettes, they would be doing their job, but we know from the debate that they are doing far more harm than that. One key point that she has raised is that although vaping manufacturers often insist that their products are intended for adults only, they design their products with descriptions, colourings and flavourings that, as we have heard, appeal to a far more impressionable audience.

One of my biggest concerns is that we simply do not know the long-term effects of vaping, as e-cigarettes are very new. Let us not forget that there once was a time when cigarettes were considered safe. We know that e-cigarettes or vapes contain carcinogens, cytotoxins and genotoxins. A recent freedom of information request found that vaping-related hospital admissions almost doubled last year, with 32 of those cases involving children. The simple fact is that we do not know how bad the problem is.

I know that children’s vaping is a serious concern in my constituency, where parents are increasingly worried that children are being targeted by brands, with social pressures resulting in more children becoming addicted. At the beginning of this year, Darlington Borough Council began a crackdown on the trade of illegal tobacco and vape products. It began under the previous Conservative administration in Darlington and I hope that its work will continue under the new Labour and Liberal Democrat administration. As a result of that crackdown, a huge amount of counterfeit tobacco and fake vape products were seized, and numerous premises have either been closed down or are under further investigation. Sadly, this is like a case of whack-a-mole: one trader is stopped and another two replace them. Whether we are talking about underage sales or child exploitation, using vapes as a reward, or using children as couriers, we should be acutely aware of the risk to young people in our community from those who would engage in such criminal activity. There is a concern that criminals have now latched on to this market of illicit products to undercut legitimate goods, with a network of organised criminals operating in the background to feed the vaping issue.

I wish to highlight to the House the issue raised by my right hon. Friend the Member for Romsey and Southampton North (Caroline Nokes) about the location of vaping products in Southampton. In conversation with me, my hon. Friend the Member for Bosworth (Dr Evans) highlighted concerns raised in his community about the siting of vapes in a supermarket. He launched a campaign in his constituency to have those relocated. He tells me that it was well met by the supermarket, so there is perhaps a lesson for us all to raise that issue in our respective local community supermarkets.

Local trading standards teams, such as those in Darlington, rely on local information and intelligence to tackle the issue of purchases of illegal and fake products. I urge everybody to encourage those in their communities to report such issues to trading standards departments.

We must stop children from vaping. My hon. Friend the Member for Sleaford and North Hykeham’s proposal to ban disposable electronic cigarettes is excellent, and I hope that her Bill is successful.

[Dr Hudson]

My hon. Friend is making a powerful speech articulating the risks of vapes in terms of the public health of our young people and the environmental concerns with their disposal, but we are also seeing increasing issues with animals. When I was out walking my young dog, Poppy, the other day, she went into the undergrowth and came out with a bright pink, melon-flavoured disposable vape. She was just about to crunch it and swallow it, when I took it out of her mouth. I shudder to think what would have happened if she had crunched and swallowed it, because it was a foreign body, containing a battery and toxic compounds. Does my hon. Friend agree with me that we just do not know the risks to people, the environment and animals?

[Peter Gibson]

As an expert on animals, my hon. Friend will be acutely aware of the risks to animals of ingesting a battery. We know there are concerns about the disposal of vaping products. He leads me to recall the campaign led by my hon. Friend the Member for Stoke-on-Trent Central (Jo Gideon) on button batteries; this debate highlights similar issues.

I believe that the time has come for us to consider licensing the retail sale of tobacco products as a means of tackling those traders engaged in the sale of illegal, fake and contraband tobacco and nicotine products. We know such sales fuel organised crime gangs, so licensing is another way of cutting off that money supply.

Finally, I ask the Government to consider a cross-departmental strategy, across the Department of Health and Social Care, the Home Office, Ministry of Justice and the Department for Education, and working with local authorities, to ensure that we have the right legislation in place to tackle these challenges, including the correct disposal and recycling of all the paraphernalia.

Smokefree 2030 Target

Neil Hudson Excerpts

Tuesday 20th June 2023 Westminster Hall

[Dr Neil Hudson (Penrith and The Border) (Con)]

I congratulate my hon. Friend and the hon. Member for City of Durham (Mary Kelly Foy) on securing this debate. Although I acknowledge that vaping has a role in helping adults to quit tobacco smoking, youth vaping has unintended consequences, as my hon. Friend is starting to elaborate. We have seen a surge in such vaping, and there are huge health and environmental concerns. As he said, the products are targeted at young people, with colourful packaging and flavouring. The Government have taken some strong steps. Does my hon. Friend agree that we need to go faster to stop this unintended public-health ticking time bomb?

[Bob Blackman]

I thank my hon. Friend for that intervention. It reminds me that 11 years ago I led a debate in this place on introducing standardised packaging for tobacco products. At the time, both the Government and the Opposition said they had no plans to support such a measure. Of course, we now have standardised packaging of tobacco products. I hope we can get standardised packaging of vaping products as well.

The Government recently issued a call for evidence on the best approaches for tackling youth vaping. I look forward to seeing the response. First and foremost, the Government should make disposable vapes, which are the worst things for the economy, much less affordable, by adding a £5 excise tax. That would also make the distribution of those products subject to much more stringent controls, making it easier to prevent illicit and underage sales. It would in particular ban the issuing of free samples to young people.

Will the Minister tell us when the Government’s response to the call for evidence on youth vaping will be published, and whether it will include specific enhanced regulation to address loopholes in the law? I welcome the Minister’s commitment to adapting the tobacco trace and trace system, to strengthen enforcement and to target the illicit market. I particularly welcome the Minister’s commitment to exploring how to share information with local partners about who is registered on the track and trace system, which is critical.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

It is a pleasure to serve under your chairmanship, Mr Sharma. I thank my hon. Friend the Member for Harrow East (Bob Blackman) and the hon. Member for City of Durham (Mary Kelly Foy) for securing this hugely important debate, and I thank other hon. Members for some excellent speeches. I was haunted by the image, conjured up by the hon. Member for Birmingham, Erdington (Mrs Hamilton), of people with COPD being wheeled outside to have one more gasp—I think we have all seen things like that. It has also been a pleasure to have contributions from all four parts of the UK. I shall try to respond to as many of the questions as possible.

In 2019, the Government produced a Green Paper on preventive health, in which we introduced our ambition for England to become smoke free by 2030. The ambition aims to shift the focus from treating ill health to preventing it in the first place. That means three things: first, discouraging children and adults from starting; secondly, helping smokers to quit; and thirdly, moving smokers to less harmful alternatives, such as vapes.

That is exactly what we have been doing over the last decade, and we have made significant progress. In recent years, the Government have introduced a range of legislation. We have introduced a UK-wide system of track and trace for cigarettes and hand-rolling tobacco to deter illicit sales, and from May 2024 that will cover all tobacco products, including shisha and cigars. We have continued to invest in stop smoking services, to help smokers get the right support for them. We continue to support the NHS, and last year alone provided £35 million to the NHS long-term plan commitments on smoking. Of course, we have also doubled duty on cigarettes and introduced a minimum excise tax on the cheapest cigarettes. Between them, those measures have helped to ensure that adult smoking prevalence in England is at its lowest level on record, 13%, and that youth smoking rates are the lowest on record—in 2021, 3.3% of 15-year-olds were regular smokers.

If we are to achieve our 5% ambition by 2030, however, we must move faster and be bolder. That is why on 11 April I introduced a package of new measures to help make more progress. To help smokers quit and move towards less harmful alternatives, we announced funding for a new national “swap to stop” scheme, which is the first of its kind in the world at a national level, to encourage 1 million smokers to swap cigarettes for vapes. We have begun to set up pathfinders, where local authorities can apply for starter kits, and the first shipments of vapes should begin going out later this summer. Local authorities across the country have expressed an interest, and we are also working with social landlords, homelessness charities, jobcentres, food banks and all the other groups that can help smokers to quit.

Despite its effectiveness as a tool to quit smoking, we must be aware of the risks that vaping poses to children and non-smokers, as various Members have pointed out. Over the past couple of years, we have seen an alarming rise in children vaping, and that is why we are taking action. We recently held a call for evidence to look at all the opportunities to reduce the number of children using vape products. It closed on 6 June and we are analysing the responses. We will publish our response within 12 weeks.

To stop children buying vapes, we need to get businesses to comply with our regulations and abide by the standards we have set. Of course, there are retailers out there selling vapes to children. That is why we recently created a new enforcement unit, which has three priorities: to tackle products imported and traded illicitly, to remove illegal products from the market that do not comply with our regulations, and to stop under-age sales to children. The unit will help remove illegal products from shelves, stop them coming through our borders and stop the sale of vapes to children.

[Dr Hudson]

I thank the Minister for articulating some of the risks around disposable vapes. I want to raise the risks they pose to animals. Just the other day, I was out walking my young dog Poppy and she came out of the undergrowth with a bright pink, melon-flavoured disposable vape in her mouth. I was able to get it out of her mouth, but, as a vet, I shudder to think what would have happened if she had chewed, crunched or swallowed it. Does my hon. Friend agree that we need more public awareness of the risks of vapes to health, the environment and even animals?

[Neil O’Brien]

That is a fascinating point, and my hon. Friend is absolutely right that we need to be aware of the environmental and wider impacts of disposable vapes as we consider our next steps.

At the end of May, the Prime Minister announced several further measures to address youth vaping, including closing the loophole that allowed industry to give out free samples, increasing education and supporting dedicated school police liaison officers to keep illegal vapes out of schools. The measures support our wider approach to tackling youth vaping—not only preventing supply, but reducing demand. We also need to take action against businesses that break the rules and protect businesses that abide by them.

As well as non-compliant vapes, the illicit trade in tobacco undermines our work to protect public health. To answer the question from the hon. Member for Arfon (Hywel Williams), His Majesty’s Revenue and Customs will produce a new strategy to tackle illicit tobacco later this year. The strategy will outline joint efforts to catch and punish those involved in the illegal market and will build on the work we are already doing—my hon. Friend the Member for Harrow East alluded to it—to use the registration system as a way to improve enforcement.

Another big priority is to help pregnant women quit smoking. The rate of smoking in pregnancy remains stubbornly high; increasing the number of women who have a smoke-free pregnancy is crucial. To help expectant mothers, we have set up a financial incentive scheme, married with behavioural support. We aim to ensure that every pregnant mother who smokes across England gets help to quit. That work is based on a successful scheme in Greater Manchester, which has seen one of the biggest drops in smoking in pregnancy anywhere in the country.

To help more smokers quit, we need to be more innovative in how we connect with them, with the right type of support and messaging at the right time. To address the question asked by the hon. Member for Blaydon (Liz Twist), we are going further on mental health and are ensuring that everyone who is in mental health treatment is signposted to stop smoking services, because there is a link between the two.

Another potential opportunity that hon. Members have raised is our plan to provide pack inserts in smoked tobacco packets, with positive messages and information to help more smokers quit. We intend to launch a UK-wide consultation shortly and are engaging with devolved Administrations on the matter. To answer the question raised by the hon. Member for Strangford (Jim Shannon), we are absolutely having those conversations.

We are committed to doing all we can to prevent people from starting smoking, to give smokers the support they need to quit, and to tackle the damage from the illicit market. I talked about some of the measures that I recently announced, but we will have more to say in the major conditions strategy in the not-too-distant future. I thank my hon. Friend the Member for Harrow East and the hon. Member for City of Durham for securing this hugely important debate, and I look forward to making further progress towards our ambition for a smoke-free England and a smoke-free UK by 2030.

Mental Health Treatment and Support

Neil Hudson Excerpts

Wednesday 7th June 2023 Commons Chamber

[Dr Neil Hudson (Penrith and The Border) (Con)]

I very much welcome the opportunity to speak in this debate on a crucial issue. We have heard already about the importance of parity of esteem between physical and mental health, something I have been speaking about since my maiden speech. I am passionate that we achieve that parity.

I welcome the Government’s announcements over many months, the actions and contributions of Ministers and the £3 billion a year increase in funding. The £10 million in the Budget for suicide prevention was especially welcome, as was the £150 million for mental health facilities. I particularly welcome the £3 million for the mental health crisis centre at the Carleton Clinic in Carlisle.

As we have already heard across the House, prevention is important in mental health. We have heard a lot about young people, and we know that, sadly, suicide is the biggest killer of people under 35. I pay tribute again to 3 Dads Walking; I have been privileged and humbled to work with the three dads, Andy, Mike and Tim, who tragically lost their precious daughters Sophie, Beth and Emily to suicide. They have been able to channel their personal tragedy into trying to help people and raise awareness about suicide prevention. We are working hard to get age-appropriate suicide prevention into the school curriculum. The Prime Minister and the Education Secretary have met us and we are making significant progress on that.

I think this is an area that really unites us in humanity across the House. I very much respect the shadow Minister and her clinical expertise in this area, and it is crucial that we talk about prevention. I am grateful to the 41 hon. Members who signed my early-day motion on suicide prevention in the school curriculum and increasing mental health first aid provision.

My hon. Friend the Member for Watford (Dean Russell) has been a passionate champion for mental health first aid training. I have had mental health first aid training during my career in higher education. I have also had ASIST, or applied suicide intervention skills training, and I can tell hon. Members that it is very important. It does not make someone a consultant in mental health, but it helps them to have those discussions and be able to signpost people to the help they need.

I have put that training into practice with people I have worked with, and a great sense of relief has welled up in some of these people, who have said, “Oh my goodness, Neil, you understand.” I could then have discussions with them about seeking the support that they need. I passionately advocate that the Government work to increase mental health first aid training in educational settings and in the workplace. The more people we have on the frontline who can signpost people who need help, the better.

I also want to talk about rural mental health. Two or three weeks ago, our Environment, Food and Rural Affairs Committee published a report on rural mental health. I pay tribute to those who provide so much support to people out in rural communities, including charities such as the Royal Agricultural Benevolent Institution, You Are Not Alone, the Farming Community Network, Farmerados and, more broadly, the Samaritans, Vetlife, Mind, PAPYRUS and Every Life Matters. Rural mental health is a critical issue.

The EFRA Committee has made strong recommendations to the Government. I was pleased to attend the NFU reception yesterday, which had rural mental health at its heart. Our inquiry covered some of the issues around stigma that we have talked about in this debate. People are reluctant to put their hand up and say that they are struggling, including farmers and vets—as a vet, my profession is sadly over-represented in mental health issues and incidents of suicide. It is important that the stigma is broken down and mechanisms put in place so that people can seek out support.

In rural communities there are also acute stress events such as animal disease outbreaks. I witnessed the trauma from foot and mouth disease in 2001, and those ripples still affect rural communities today. The mental health trauma on people when avian influenza comes and their animals or birds are culled out is significant.

Our inquiry has made recommendations and, as we have heard from those on the Opposition Benches, we need cross-Government working on the problem, with the Department for Environment, Food and Rural Affairs working with the Department of Health and Social Care, the Department for Education and the Department for Transport to mitigate issues such rural isolation, connectivity, broadband and transport. It is so important.

This is an area that unites us in humanity across the House. I firmly believe that debates such as this can really help the Government to develop their policies and support people’s mental health.

--- Later in debate ---

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

Thank you, Madam Deputy Speaker.

What a shame it is that the Opposition have chosen to play politics with mental health, as we heard from my right hon. Friend the Member for Chelmsford (Vicky Ford) and my hon. Friends the Members for Watford (Dean Russell), for Runnymede and Weybridge (Dr Spencer) and for Penrith and The Border (Dr Hudson), because these are important issues. All countries are facing challenges with rising cases of mental ill health and capacity issues, but we have made progress in the last 10 years. It was in 2016 that David Cameron first talked about changing the stigma on mental health and, as my right hon. Friend the Member for Chelmsford put it so well, we want more people to come forward. The problem in the past was that people did not come forward, instead waiting until they became so acutely unwell that it was more difficult to support them.

[Dr Hudson]

A recurrent theme in today’s debate, on both sides of the House, has been the importance of prevention and breaking down stigma. Does my hon. Friend agree that the message should go out from Members on both sides of the House that it is okay not to be okay, that people should reach out and that more people in all walks of life should be first aid-trained to help when people do reach out?

[Maria Caulfield]

My hon. Friend is absolutely correct. As my hon. Friend the Member for Bosworth (Dr Evans) said, we had an event with the NFU yesterday, and that is exactly the point we wanted to make. It was my right hon. Friend the Member for Maidenhead (Mrs May) who set about changing the status of mental health, putting it on a level playing field with physical health, not just in the services we provide but in funding and staffing, with parity of esteem across the board.

Let us look at some of the progress that has been made over the last 10 years. The shadow Minister, the hon. Member for Tooting (Dr Allin-Khan), said in her opening remarks that she is bored of this figure, but it is true that £2.3 billion of additional funding is being put into frontline mental health services, supporting another 2 million people to access NHS-funded mental health services.

We are already doing much of what shadow Ministers have set out this afternoon. We are already recruiting 27,000 additional staff into mental health services, with 20,000 of them already in place. My right hon. Friend the Member for Chelmsford highlighted the difference that is making in her local area. We are removing dormitory accommodation across the country through a £400 million capital programme, and 29 schemes have already gone through—that is 500 beds that are no longer in dormitory-style accommodation.

My hon. Friend the Member for Runnymede and Weybridge highlighted the difference that funding is making in his constituency. We are moving to a system of community crisis support and early intervention so that people do not get to a point where they need to be admitted. Our £190 million of capital funding is being used to build community crisis facilities up and down the country. We are investing in mental health ambulances: 20 are already in place, 40 will be in place by the end of the year, and 47 will be in place next year. The shadow Minister laughs about this, but when somebody is going into crisis, it is more appropriate that a mental health specialist team visits them in a mental health ambulance than an ordinary paramedic, who will inevitably take them to A&E.

Suicide is the leading cause of death in new mums, which is completely unacceptable. That is why we are investing in perinatal mental health services in every part of England—these services saw 31,500 women last year.

As we remove the stigma, it is important that we have the services to deal with the rising number of people who come forward and ask for help, as we want them to do. We have introduced three targets, the first of which is on access to talking therapies, where 75% of people should begin treatment within six weeks. Currently, 90% of people are doing so and we are meeting that target. When children and young people are referred for eating disorders, the target is that 95% should be seen within one week. We are currently at 77%, whereas last year’s figure was 61%, so despite the rising numbers we are seeing more children with eating disorders—

Vaping: Under-18s

Neil Hudson Excerpts

Tuesday 2nd May 2023 Westminster Hall

[Dr Neil Hudson (Penrith and The Border) (Con)]

I beg to move,

That this House has considered vaping among under-18s.

It is a privilege to serve under your chairmanship, Mr Sharma, and it is great to welcome many colleagues from across the House to this important debate. I completely recognise that vaping has a vital role to play in supporting adults to give up tobacco smoking. However, vaping is a public good only if it is helping people to end addictions that they already have, not creating new ones, especially in our vulnerable young folk.

It is not an exaggeration to say that we are seeing an epidemic among our young people, which can be attributed to an increasingly popular and powerful market for disposable vapes. Action on Smoking and Health—ASH —said in its survey of 11 to 17-year-olds in Great Britain that 15.8% of 11 to 17-year-olds had tried vaping in 2022, up from 11.2% in 2021. It also said that in 2022, 7% of 11 to 17-year-olds were current users of vapes, up from 3.3% in 2021.

[Mark Pawsey (Rugby) (Con)]

It is currently illegal for young people under 18 to purchase vapes. Does my hon. Friend agree that we have a problem implementing the existing regulations, rather than anything else?

[Dr Hudson]

I completely agree, and I want to stress that key point: it is illegal to sell vapes to under-18s. I will be asking the Minister about that. I know that the Government are moving on it, and we need to address it going forward.

Similarly, an NHS survey in 2021 said that 9% of 11 to 15-year-olds, and 18% of 15-year-olds, had used vapes. Those are alarming statistics. ASH England also noted that the most frequently used e-cigarettes among young people are disposable vapes, with an astonishing increase from 7.7% in 2021 to 52% in 2022. Although this is not the main focus of my speech, I will point out that, quite aside from the health concerns associated with such a marked rise in the sale and consumption of disposable vapes, they are a major environmental concern, with over 1 million of them thrown away every week. It is estimated that the lithium used in those batteries equates to about 10 tonnes of lithium per year, which is equivalent to the lithium used in approximately 1,200 electric vehicle batteries.

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

My hon. Friend will be aware of my ten-minute rule Bill to ban disposable vapes for exactly the reasons he has described: the effects on children’s health particularly, and on the environment. Does he agree that the Government should support the Bill?

[Dr Hudson]

I very much agree with my hon. Friend. I thank her for intervening and I welcome her medical expertise in this debate.

I have touched on some of the environmental concerns, and there are also concerns about fires related to disposable vapes. However, at the heart of my speech is the impact that such a frightening level of vape use is having on our young people, even as young as primary age. I urge our policymakers not to underestimate it. There are increasing reports suggesting that the use of vapes has negative effects on heart and lung health, and may be associated with tooth and gum disease. Other issues reported include coughs, shortness of breath and headaches. Nicotine, which these products often contain, is highly addictive with potentially harmful effects on the adolescent brain, which is still developing.

[Gareth Johnson (Dartford) (Con)]

Enforcement is absolutely vital in this industry, but does my hon. Friend agree that there is a danger of demonising vaping for adult smokers? Vaping is 95% risk free, according to ASH, which he has mentioned, the British Heart Foundation, the British Lung Foundation, Public Health England and so on. It is therefore a vital part of a smoker’s ability to come off tobacco use. It quite literally saves lives, and therefore should be promoted to smokers.

[Dr Hudson]

I totally agree. As I said, the use of vaping to help adults get away from tobacco smoking has significant health benefits, but today we are talking about stamping out its use by people who are not trying to give up smoking. We are trying to protect our young people, but I totally concur with my hon. Friend.

[Caroline Ansell (Eastbourne) (Con)]

My hon. Friend is being very generous in taking interventions. I concur with his last point, but does he agree that one of the issues that we face is advertising? Vapes are stacked up like sweeties in all sorts of outlets, which presents them as rather benign and makes them attractive to younger users.

[Dr Hudson]

I totally concur. My hon. Friend has read my mind: I am about to talk about the advertising, the colourful labelling, the fruit flavours and so on, which draw in young people.

I have asked a number of parliamentary questions about vaping, and the recurrent theme in the Government’s answers is that they acknowledge that vapes are not risk free, and that nicotine is highly addictive and can be harmful. Some studies suggest that vaping among young people can be a gateway to risky behaviour such as drinking and tobacco smoking, which would be a perverse thing to happen. Vaping is supposed to get adults off smoking, but if it is leading young people into smoking, that is not a good thing.

[Ruth Jones (Newport West) (Lab)]

The hon. Gentleman is making a powerful speech about the detriment to health of vaping for under-18s. He mentioned a study, but does he agree that there is not sufficient research on under-18s, so we do not know exactly how safe or unsafe these products are?

[Dr Hudson]

I agree. That is exactly right: there is a paucity of data. I will ask the Government and the Department of Health and Social Care to create the datasets so that we can make evidence-based decisions.

Concerningly, ASH Scotland suggests that children with mental health issues including mood disorders and eating disorders, who are among the most vulnerable people in society, are potentially more likely to use vapes. That is a real concern. I am passionate about mental health, especially among our young people, and I urge the Government to continue to protect the most vulnerable. That has been the hallmark of this compassionate Conservative Government.

Anecdotally, we hear much about the impact of these products. We hear reports of children’s sleep patterns being disrupted. They set their alarms for 2 o’clock or 3 o’clock in the morning so that they can vape in the middle of the night to avoid withdrawal symptoms the next day. At school, there have been reports of students leaving lessons and even walking out of examinations because they simply cannot last without the use of a vape. If vaping is having a detrimental impact on our young children’s life chances, this is a matter not merely of health but of social and educational development. One teacher in my constituency noted that the issue is so widespread that vapes are being illicitly traded in the school playground.

I want to touch on the marketing of vapes to under-18s, as colleagues have done. A particular issue with the vaping market is the flagrant targeting of under-18s as potential consumers through trendy advertising on social media. Products are promoted with bright colours and inviting fruit flavours—sweet flavours such as mango, bubblegum and cherry ice.

[Andrew Lewer (Northampton South) (Con)]

The Office for Health Improvement and Disparities annual review of vaping reveals that 39% of ex-smokers use fruit-flavoured vapes, against 17% who use tobacco. There absolutely are issues with marketing, advertising and presentation to young people, but does my hon. Friend agree that an overly simplistic blanket ban of flavours might have the serious unintended consequence of preventing some potential vapers from vaping, meaning that they would carry on smoking and thus massively increasing their chances of an early death?

[Dr Hudson]

Again, this is about the differentiation between adult use of vaping products and young people’s use of vaping products.

[Rachael Maskell (York Central) (Lab/Co-op)]

I am grateful to the hon. Member for making such an excellent speech. Does he agree that recruiting a new generation of addicts is the business model that the industry has forever driven, no matter whether the product kills or harms? The industry itself needs to be tackled on the issue.

[Dr Hudson]

I agree with the hon. Member. The industry needs to take a close look at itself, but it is also the case that a lot of the vapes that are ending up with children are coming through illicit means. We need to have a targeted approach to look at how best we can prevent our young people from accessing those products.

[Dr Caroline Johnson]

My hon. Friend made a very good point about advertising. We need to get across the nuanced message that vaping may be beneficial to people who want to quit smoking—although I would argue that it could become an alternative addiction rather than a stop-smoking aid—but we must also prevent children from using vapes. In the past, nuanced advertising for formula milk stated that breast milk was better at the beginning but that formula milk was a reasonable alternative for six month olds. Could a form of words be used in vaping adverts to make it clear that the products should be for people who smoke, not for those who do not?

--- Later in debate ---

[Dr Hudson]

I agree with my hon. Friend that if we can get more nuance into the advertising and labelling of vapes, that would help articulate to people the benefits of using them for the legitimate purpose of getting off tobacco smoking. It could also serve as a stern warning that young people should not take the products, because of their significant health risks. As ASH notes, 57% of e-cigarette use among 11 to 17-year-olds involves fruit flavours. Clearly and deliberately, the marketing of fruit-flavoured and trendy products is driving demand among our young people. We need to be very careful.

Aside from the nicotine, there are questions over whether the flavourings and chemicals inhaled also impact on the health risks to people who vape. For instance, in 2019 The American Journal of Physiology: Lung Cellular and Molecular Physiology reported that the flavouring chemical cinnamaldehyde was associated with decreased mucociliary clearance in the respiratory tract due to dysregulation of mitochondrial function. That presents a compelling case to treat this issue as an urgent priority and, as the hon. Member for Newport West (Ruth Jones) has said, to gather much-needed data in the area. We can then demonstrate the reality of what dangers our young people are potentially being exposed to in the long term.

As one teacher in my constituency has noted, the prevailing view seems to be that the use of such products is completely harmless. As the evidence I have mentioned suggests, however, that is very much not the case, as has also been acknowledged by health experts and, indeed, the Government.

Worse still, the potential impacts assume that the products are being sold in accordance with Government regulations. However, we have seen an increase in illicit and non-compliant trade of e-cigarettes. Checks on imports of these products find that regulations are regularly flouted, including higher numbers of puffs per vape and higher nicotine levels than those permitted. That also demonstrates that any Government action needs to remember online trading as well, not just physical sales in shops.

The Government are tackling the problem. I welcome the recent announcements by the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O’Brien), but I believe that the emerging reality of the dangerous effects that vaping may be having on our young people presents a compelling case for Government to act and move forward on the issue. His intervention on the subject last month was a welcome and major step, and a clear signal that this Government recognise the severity of the issue.

To successfully tackle a failure in any market, a holistic approach focused on both supply and demand needs to be examined. I am, therefore, heartened that that is exactly the line of travel that the Government are taking in their call for evidence on vaping plans. They are focusing not just on illegal sales, which is vital, but on what is driving up demand among our young people, such as the influence of advertising and social media. I strongly encourage those who are watching this debate, and people at large, to take part in that call for evidence, so that we can collate more data. I am thinking in particular of those who are seeing the impact at first hand, such as those involved in schools.

As I have raised with the Ministry of Justice, it is imperative that unscrupulous sellers of vapes to under-18s should feel the full force of the law if they break it. I therefore welcome the Government’s announcement of £3 million for an illicit vapes enforcement taskforce to tackle those who are illegally selling vapes to our young people, but also to look out for products that should not be on our shelves. It is an important reminder that laws are effective only if there is the determination and resources to enforce them.

To summarise, although vaping has an important part to play in supporting adults to quit tobacco smoking for good, it must not come at the cost of creating new addictions and health issues in our young people. I am very pleased that the Government recognise the severity of this issue and are acting with compassion by acting for those most vulnerable to serious harm. It must be a priority for our health policy, and in fulfilling our commitment to young people we must tackle this real threat to them and to gather information on the potential long-term effects of these products.

[Mark Pawsey]

I know that my hon. Friend is nearing the end of his remarks. Everybody in the Chamber acknowledges that the problem he has identified is that these products are getting into the hands of young people. He has already praised the work that the Government are doing, but what more should they be doing to prevent these products from getting into the hands of the wrong people?

[Dr Hudson]

I look forward to hearing from the Minister what he and the Government are going to do. Calling for evidence and having a taskforce is a good starting point, but I think that is just a staging post. We need to do more by tackling the advertising and making sure that the labelling is sufficient. The health warnings on cigarette packets are quite alarming now, and tobacco products are kept behind closed cabinets in outlets. We need to be moving in that direction, so that vapes are not like sweeties on shelves for our young kids. That is the real issue: they are appealing, colourful and fruit-flavoured products, and people think, “Do you know what? I’d like to have a try of this.” That is where people are slipping into this problem.

I fear that our young people face a public health ticking timebomb, and we as a Parliament and as a society must address it as a priority. I welcome colleagues’ interventions today, and I look forward to hearing more from the Minister about what steps the Government are going to take to tackle this very important issue.

Covid-19 Update

Neil Hudson Excerpts

Thursday 17th December 2020 Commons Chamber

[Matt Hancock]

I am glad to say that we are making significant progress on tackling this issue. When the hon. Gentleman says it is a licensing concern, that should not be read to imply that it is some bureaucratic rule; it is about ensuring that things are done safely. If the vaccine is not delivered safely to the site, it is not an effective vaccine. Therefore, we are taking it carefully to be able to vaccinate in care homes. There has been some vaccination in care homes across the UK, so it can be done, and I hope we can make good progress soon.

[Dr Neil Hudson (Penrith and The Border) (Con) [V]]

I thank my right hon. Friend for the reassurance he gave me last week about the vaccine roll-out to rural communities. Will he join me in paying tribute to everyone in Cumbria and the wider UK who is involved in the delivery of the covid vaccination programme, and does he agree that the best way we can build a positive 2021 is for people to actively take up their invitation to have this vital vaccine when it comes, and to get their life-saving jab as soon as it is offered?

[Matt Hancock]

I could not agree more with my hon. Friend. He knows about these things, and he is exactly right that the best thing everyone can do, when the NHS calls, is to take up that vaccine and get it done. It will protect them and their community and help to protect the whole country and get us all out of these restrictions at which we choke.

Covid-19 Vaccine Roll-out

Neil Hudson Excerpts

Tuesday 8th December 2020 Commons Chamber

[Matt Hancock]

We looked at that very closely, as did the JCVI, and because of the risk of dying of covid, it is absolutely right that age takes priority. The prioritisation of health and social care staff is also high because they look after those who are most at risk of dying. Once we are through those clinical priorities, then of course, we will be looking to prioritise other workers, including those the hon. Lady mentions.

[Dr Neil Hudson (Penrith and The Border) (Con) [V]]

I congratulate and thank my right hon. Friend, his Department, the NHS, the scientists, the clinicians and everyone involved in the development and roll-out of this covid vaccine technology. Will he provide assurance that logistics are in place to ensure that those in remote rural areas, such as those in Cumbria, will be able to access the vaccination programme without any delay, given that they are some distance from major hospitals?

[Matt Hancock]

Yes, my hon. Friend rightly raises an important point. Vaccination is happening in Cumbria today, which I am really pleased about. Cumbria is, of course, one of the most rural parts of the UK, so when we get to the primary care and the community roll-out, we will make sure that we can get the delivery as close to communities as possible. That is much harder with the Pfizer vaccine because of the minus 70° requirements. The AstraZeneca vaccine is much easier from that point of view, but of course, we do not have that clinically signed off yet.

Covid-19

Neil Hudson Excerpts

Tuesday 12th May 2020 Commons Chamber

[Dr Neil Hudson (Penrith and The Border) (Con) [V]]

The covid-19 pandemic has affected all our lives in so many ways. First, I offer my condolences and prayers to all those who have lost loved ones during this crisis. I pay tribute to all those on the frontline in our NHS and the care sector who have been working tirelessly to look after people and to keep us safe. I also thank the key workers who have kept society going, be that in looking after children, supporting our food supply lines or working in our vital public services.

I thank all those who have come together in Cumbria to support our local communities: our local resilience forums, local volunteer groups, emergency groups, churches and the like. It has been so heartening how people have rolled up their sleeves and are looking out for their neighbour and providing much needed help and support, especially to the vulnerable at this time.

I very much welcome the unprecedented support measures that the Government have put in place during this crisis, which have provided the lifeline and bridge to allow jobs and businesses to be there on the other side. I also thank the Government for listening to feedback from me and other colleagues and adapting the support schemes so that more people can be included.

In my constituency of Penrith and The Border, key changes that have helped our tourism sector include the expansion of business grants to bed and breakfasts. I am also so grateful to the Department for Environment, Food and Rural Affairs for responding to our calls for a dairy hardship fund. I hope that the Government can further and widen the support to include directors of companies who have paid themselves a salary through dividends, to expand the flexibility of the furlough scheme —I very much welcome the Chancellor’s announcements today—and to widen the business grants and rates relief strategies. That will really help vital businesses such as vets and dentists.

As a vet, I pay tribute to the profession of which I am a proud member. Vets, nurses and their allied staff have stepped up in this crisis to provide necessary care for our animals and support for our food supply chains. In addition, the veterinary sector has transferred much needed medical equipment, such as ventilators, into the NHS, and veterinary staff have stepped up in large numbers to volunteer in the NHS and in their communities.

As we are now looking ahead to the transition phase, it is important that support is in place and is targeted at businesses that may be slower to recover, such as those in the tourism and hospitality sectors, which are so important for Cumbria. [Inaudible].

The covid pandemic has thrown into sharp relief the importance of food production and security, and the critical areas of health and social care. Newton Rigg College in Penrith has over 1,000 learners and 130 staff, and provides education in vital areas such as agriculture, land-based studies, and health and social care. The college is now the subject of a local provision needs analysis by the Further Education Commissioner’s office, creating uncertainty over its future. It is critical that the Government work with local stakeholders to try to secure a viable and sustainable future for this important institution. Now more than ever, we must look after colleges such as Newton Rigg, that play such a big role in supporting our vital farming industry and providing important career options for our local communities. Covid-19 can and will be overcome, but we must make sure that our communities, businesses and institutions are supported to be there for the long term.

Medicines and Medical Devices Bill

Neil Hudson Excerpts

2nd reading & 2nd reading: House of Commons & Money resolution & Money resolution: House of Commons & Programme motion & Programme motion: House of Commons & Ways and Means resolution & Ways and Means resolution: House of Commons
Monday 2nd March 2020 Commons Chamber

[Jo Churchill]

As the right hon. Gentleman knows, I am always happy to have a discussion to see whether any accommodation can be made. As far as veterinary medicines go, I should say that, unlike with human medicines, we pay attention to the environmental impact as they go through.

[Dr Neil Hudson (Penrith and The Border) (Con)]

I should declare an interest as a veterinary surgeon. I want to bang the drum for part 2 of the Bill and the importance of the way in which it addresses veterinary medicines. The Bill will go some way towards providing assurances to the UK veterinary profession that there will be continuity in its ability to prescribe for and treat a group of patients that have not been discussed much tonight: animal patients in our country.

[Jo Churchill]

I am happy to give my hon. Friend the assurance that there will be that continuity. That is precisely the aim of the Bill.

The shadow Secretary of State asked me to comment on reports that he had read in the papers today about health security. The UK is open to exploring co-operation between the EU and other specific narrowly defined areas when it is in the interests of both sides—and on matters of health security, it would be foolish not to.

Several Members discussed clinical trials, with a particular eye to the rare diseases cohort, which is obviously, by its nature, small. It is only sensible to ensure that we have the ability to collaborate across Europe to determine that we have the best environment for the development of drugs. I would caution people to breathe before we go forward. We are committed to ensuring that we remain the best place for those on rare disease trials.

The Medicines and Healthcare Products Regulatory Agency has taken steps to ensure that there is absolutely no disruption to clinical trials and that they can continue seamlessly. It is important that we are tempered in tone to ensure that people’s clinical trials carry on. We want a world-leading regulatory system for clinical trials that allows us to collaborate effectively—not only across Europe, but globally. We have one of the best life sciences industries in the world, for which effective collaboration is important.

Now that we have left the European Union, it is important to make it clear that UK sponsors will still be able to run multi-state trials across the world. We want a regulatory system that maintains and enhances the attractiveness of the UK as a site for global co-operation in research.

I move on. We will extend prescribing rights to physician associates through other means. We are discussing the extension of physician associates’ rights for prescribing in the context of the increase in clinical professionals who will be working in the health service. The broader ability of the Bill to ensure prescribing rights will be carried through only in collaboration with the appropriate regulatory oversight, whether from the General Medical Council or the Health & Care Professions Council, depending on whether allied health professionals or physician associates are involved.

The hon. Member for St Helens South and Whiston (Ms Rimmer) asked whether clinical trials data would include those forced to participate. I assure her that clinical data used to support regulatory activity in the UK needs to comply with international good clinical practice standards, including ethical considerations such as the critical principle of informed consent. That means that the appalling cases to which she alluded could not be involved in clinical trials.