(1 week, 2 days ago)
Commons Chamber
Dr Danny Chambers (Winchester) (LD)
I also welcome the hon. Member for Washington and Gateshead South (Mrs Hodgson) to her position as Minister for Public Health. I had the privilege to serve on the Bill Committee, as other hon. Members did—indeed, I see some familiar faces in the Chamber. One of the things that struck me most was when the chief medical officer gave his evidence: he said that the Bill was not only the most significant piece of public health legislation in 30 years, but probably the single of piece of legislation that will most help to address inequality. Inequality is multifactorial, but one of the main factors in the difference in life expectancy between certain wealthier areas and certain more deprived areas is the rate of smoking. This Bill will have a huge impact, especially on the communities for which we are really trying to improve life expectancy.
I am very pleased that the Government accepted so many amendments in the Lords. Some of the amendments that the Liberal Democrats are really keen on are regarding fixed penalty notices and require all the money from those fines to go to local public health initiatives, as directed by local authorities. We know that public health is so important, yet funding for such organisations is usually extremely limited, given the pressures on local authorities. Without the Lords amendments on fixed penalty notices, the money would go straight back to the Exchequer. We fundamentally believe that if we are serious about making a meaningful difference to people’s lives, that money must be used in local smoking-cessation initiatives.
As the mental health spokesperson for the Liberal Democrats, I am acutely aware of the benefits of the Lords amendments that support those with long-term mental health conditions, who have higher rates of smoking than the general public. We know that going cold turkey is simply unrealistic and can even be dangerous. The exemption on vape vending machines in secure mental health hospitals ensures that people are supported professionally in quitting in a sustainable and maintained way that will not further damage their mental health.
I welcome the Lords amendments on regulating filters, which have cross-party support. Not only are filters an environmental issue, but they provide a false perception of safety to smokers. Ensuring that there is awareness of the lack of protection that these filters provide and of smoking as a whole is imperative if we are to ensure that people can make informed decisions about their health and wellbeing.
I am very pleased to support this Bill as it goes through Parliament; it is momentous and significant. We really appreciate the Government’s accepting the Liberal Democrat Lords amendments, which will slightly improve how the Bill will be delivered. We are very pleased that this will be a strong and impactful Bill. We hope that it will deliver meaningful change on public health for generations to come and that we will have a smokefree generation growing up.
(2 months ago)
Commons Chamber
Dr Danny Chambers (Winchester) (LD)
It is an honour to speak in this debate and to follow such passionate speeches, including that of the hon. Member for East Kilbride and Strathaven (Joani Reid). I congratulate the hon. Member for Bury St Edmunds and Stowmarket (Peter Prinsley) not only on such an eloquent introduction to this debate, but on such an interesting history of the persecution of Jews in Britain for the best part of 1,000 years. That was very informative and provided a much-needed context for our discussion.
Many Members spoke about the individuals, charities and organisations working tirelessly to ensure that the nation and schoolchildren in particular are educated about the Holocaust and will not forget it. As the average age of Holocaust survivors is 87, it is very prescient that the Holocaust Memorial Day theme is “Bridging Generations”. The Holocaust Memorial Day Trust plays a vital role in ensuring that remembrance is not limited to those whose families were murdered in the Holocaust, but includes those who, having been mercilessly killed by the Nazis, were left with no one to speak their names. The legacy of victims with no surviving family or relatives must be safeguarded through education, remembrance and memorial.
If the words “never again” are to mean anything, they must represent a shared commitment to challenge hatred wherever it appears. Sadly, this year’s Holocaust Memorial Day comes against a backdrop of rising antisemitism. Jewish people in the UK are facing unacceptable and rising levels of hatred and violence—and I know from speaking to my constituents in Winchester just how isolating and frightening that can be. No one should feel anxious or scared when going to their place of worship and no one should be denied the freedom to express their religious beliefs. It ought to be a national shame that we need security measures outside places of worship, but with the murder of two members of the Jewish community just last year outside their synagogue, those measures are, unfortunately, necessary.
For so many British Jews, Holocaust Memorial Day is deeply personal. It is a day of grief, of remembrance and of resilience. Primo Levi wrote:
“The story of the death camps should be understood by everyone as a sinister alarm-signal.”
While hatred and division persist, that alarm signal must be in our minds today, and must remain in our minds for generations to come. On my way to the Chamber today, I walked past the very moving exhibition in Parliament of the replicas of the shoes of people who were killed in those death camps. Some of those shoes are of little children. That is a stark and haunting reminder of what the Holocaust required. The Holocaust depended on the systematic dehumanisation of its victims, casting human beings as non-human to justify the unjustifiable. To murder millions, the Nazi state had to treat even little children not as children with names, families and futures, but as something less than human.
In this Chamber and in our communities, schools and neighbourhoods, let us all stand with Jewish communities, because antisemitism has no place in our country or abroad. We must do all we can to ensure that Jewish people can practise their faith freely, live openly and participate fully in our society without fear. We remain today, and will always remain, committed to creating a society that never stops learning from the lessons of history.
(10 months, 1 week ago)
Commons Chamber
Dr Chambers
I absolutely welcome that fantastic initiative.
I visited two dental practices in Winchester, and both told me exactly the same thing: they want to do more NHS work, and they want to be there for their communities, but because of the current NHS dental contract they simply cannot make it financially viable. They are effectively subsidising their NHS patients with income from private work. The British Dental Association estimates that private dentistry in England cross-subsidises NHS care to the tune of £332 million a year, which is due to rise to £425 million if NHS practices are not offered any help with the tens of thousands in additional staff costs brought in by the increase in national insurance. With the NHS work they do perform, they do not have time for the education—the proactive, holistic healthcare— that they want to do. Instead, they have to get people through in a quick turnaround. I say this clearly: dentists are not the problem. They are doing their best within a contract that is outdated and damaging.
I also want to speak to something that is often overlooked in this conversation: oral health is not just about teeth. I know that my dentist colleagues, as in veterinary practice, routinely identify serious conditions such as oral cancers and squamous cell carcinomas during routine dental checks. Those cancers are often aggressive but spotted early, they can be treated. We also know that infections in the mouth can lead to things such as endocarditis, which is not a trivial condition, and there is good evidence that periodontitis can contribute to the onset of dementia. How many cancers are we missing? How many heart problems are we not avoiding by not having routine dental checks?
I will sum up now as I know that we are pushed for time. The Liberal Democrats will continue to fight tooth and nail for an NHS that includes dentistry. I managed to avoid making any jokes about equine dentistry, and Members will be glad to hear that straight from the horse’s mouth. We do not want NHS dentistry to be an afterthought; it has to be a core part of a truly universal, holistic health service. Everyone deserves access to routine dental care. Many Members have said that they live in areas that are dental deserts, where NHS dentists are rarer than hen’s teeth. It is clear that we have cross-party consensus. Let us get the dental contract reformed and let us make this Parliament the last one during which anyone has to extract their own teeth.