Tobacco and Vapes Bill Debate
Full Debate: Read Full DebateNigel Farage
Main Page: Nigel Farage (Reform UK - Clacton)Department Debates - View all Nigel Farage's debates with the Department of Health and Social Care
(6 days, 12 hours ago)
Commons ChamberI completely agree with my hon. Friend. I trust the Minister will expand on that when she comes to wind up the debate.
As I said, public health policy must be based on evidence and not just spin or perception, so moving forward, I urge the Government to ensure that as part of their work to implement the legislation, as well as promoting vaping as a smoking cessation tool they must also undertake work to research the consequences of vaping on both the physical and mental health of the individual, its financial impact and, as was said, any regional and national inequalities that have become entrenched by vaping. When she comes back to this matter in her wind-up, will the Minister also assure me that in so doing she will work with the four home nations to ensure that that data is as thorough as possible?
If that research shows, as I have no doubt it will, that vaping is significantly damaging to the nation’s health—perhaps less so than smoking, but none the less still significantly damaging—we must act to curb it. We cannot afford to wait decades and decades for that truth to come out in the way that it took decades for big tobacco to be found out. I would be grateful if the Minister could provide some reassurance on that point.
In conclusion, I am proud to support this legislation. As has been said, there is no liberty in addiction and there is no freedom in being victim to a craving that kills. The Bill takes an unprecedented step forward to curb that damage and I urge colleagues from across the House to support it.
I must declare an interest: I am a co-founder of Action on World Health.
I have to say, I find the tone of moral superiority in the Chamber this afternoon almost unbearable. Members clearly believe they are better human beings than those outside who choose to pursue activities that Members perhaps would not pursue. It would come as a bit of a shock, I suppose, to some in this Chamber, but there are some of us who like a smoke—we do. We even go for a few pints in a pub, we have a punt on the horses and I am even tempted to have the odd doughnut—I know; that is perhaps the naughtiest of all. We want to have fun. We want to make our own minds up. This place can educate us, tell us, give us the facts, but the idea that it should make those decisions for other people shows me that the spirit of Oliver Cromwell is alive and well.
Does the hon. Gentleman agree that a responsible Government should seek to improve public health, particularly the public health of the younger generation?
It is quite possible that sugar should be banned, so yes, I agree. It is possible, but I do not think that is what the Government are here to do. The Government can educate; individuals should make up their own mind.
Some of the nonsense I have heard this afternoon has been quite extraordinary. A smokefree generation! We even had the hon. Member for Harrow East (Bob Blackman) suggesting we would be smokefree by 2030. To begin with, the idea that nobody born after 2009 could buy the tobacco products that those born before then could is just another aspect of two-tier Britain. And not a single Member—not one, despite the fact that we are discussing nicotine and tobacco products—so far has mentioned drugs. Oh, no! Let’s forget about that, because drugs are illegal already and we cannot do anything about them. I have been hearing for decades that there will be a war on drugs. Where is it getting us? Drug use is rocketing, and class A drugs in particular, with all the associated crime, are proliferating everywhere.
Here is the danger: believe it or not, an ounce of tobacco is now more expensive, if purchased legally in a shop, than an ounce of silver, so already we have a rocketing trade in illegal cigarettes and loose tobacco. If we carry on down this route, with age bands and so on, we will find ourselves in the position that Australia has stupidly put itself in by over-taxing tobacco and making it very difficult to smoke. There have been 40 fire-bombings of premises in Melbourne alone in the last two years. Do not drive tobacco into the hands of the criminals. Do not create a new black market. I totally agree with the Minister: this is not an activity that we should encourage. We are not keen for our kids to smoke, but please treat us as grown-ups. Educate us. Let us make our choices. Do not let the criminals win.
First, I should say thank you to the Minister for presenting this afternoon, and for allowing me to be on the Tobacco and Vapes Bill Committee, which was incredibly interesting. There were differing views and there was robust conversation. It is always good to listen to different views, but overall the Bill generally had cross-party support. As Conservative Members have pointed out, many Members of their party have been campaigning for this Bill for a long time.
I am a public health consultant—I trained for 10 to 15 years to be one—and the precondition for public health policy is data and evidence. Opinions are interesting—they can add great colour and character to a conversation—but data and evidence will ultimately deliver better population health outcomes. This public health Bill will stop people dying and will take away addiction to a substance—an addiction that is not a choice.
For many years, there have been public health conversations about whether we should impose measures. This conversation is not new. I wonder how many of us in the House feel strongly these days about wearing seatbelts, but we do not have to go too far back to find a time when people really objected to being told to wear a seatbelt. Tobacco is undoubtedly still the leading cause of premature death and disability in the United Kingdom, as has been mentioned by my hon. Friends. Every day, around 160 people are diagnosed with cancer caused by smoking, and smoking causes at least 16 different types of cancer.
I will talk primarily about new clause 13, proposed by my hon. Friend the Member for City of Durham (Mary Kelly Foy). The Bill will do outstanding work to enable a smokefree generation, but we also need to continue to tackle health inequalities for existing smokers. Smoking is harmful, and differences in smoking prevalence across the population translate into major differences in death rates and illness. We in this place come together from across the country and represent different constituencies. We want the best health outcomes, among many other things, for our residents. It is therefore incumbent on us to look at inequalities and where they reside, and to legislate against them where possible.
Smoking is the single largest driver of health inequalities in England. It is far more common among people with lower incomes, and I am happy to discuss with any Members why that is. The more disadvantaged someone is, the more likely they are to smoke, to suffer from smoking-related disease, and to suffer a premature death. Smoking-related health inequalities are not related solely to socioeconomic status. We represent different parts of the United Kingdom. The poorer health of people in the north of England is in part due to higher rates of smoking there. Smoking rates are also higher among people with a mental health condition, people in contact with the criminal justice system, looked-after children and LGBT people. We all have different types of people in our constituencies, and we should be mindful of those inequalities and the need to address them.
Health inequalities will be reduced through measures that have a greater effect on smokers in higher prevalence groups. In practice, that means prioritising population-level interventions that disadvantaged smokers are more sensitive to, and targeting interventions on those smokers. Having run smoking cessation services during my time as a public health consultant, I can absolutely say that it is incredibly difficult for anybody to give up smoking. We have Members who have succeeded, and who are perhaps still trying to give up. To give up smoking, a person needs to be in a place where they have the mental resilience and can put time and energy into quitting. If they are fighting all the other issues that come with the burdens of being poorer—if they are fighting for employment or trying to feed their children—it is so much harder.
My hon. Friend has proposed a road map to a smokefree country, and a report to this place every five years. I am not particularly wedded to that, but we should be laser-focused on reducing health inequalities across all populations. I therefore hope that our Government will consider having a reporting process similar to the one in new clause 13 among the changes to the national health service. In the Health and Social Care Committee this morning, we were talking about where the Office for Health Improvement and Disparities will go following the dissolution of NHS England. This is an ongoing conversation that we need to be mindful of.
We need to ensure that the ongoing importance of addressing health disparities is not lost, and I think that is front and centre of the Secretary of State’s agenda in the 10-year plan. On behalf of public health consultants and professionals, I commend the Bill to the House, and I am proud to be part of a Government and a Parliament that will bring this life-changing piece of legislation to the country.