(10 years, 9 months ago)
Commons ChamberI rise as chair of the all-party parliamentary group on smoking and health. I congratulate my hon. Friend the Member for Harrow East (Bob Blackman), a fellow officer of the all-party group, on securing this important debate, which is an important opportunity for the House to continue to put pressure on the Government to move on this issue. I am a co-sponsor of the debate. It should come as no surprise that the APPG strongly supports effective action to reduce the harm that is caused by tobacco. I welcome the contributions from the hon. Member for Stockton North (Alex Cunningham), my hon. Friend the Member for Harrow, East and the hon. Member for Barnsley Central (Dan Jarvis), all of whom set out compellingly the piles of evidence that show the effectiveness of standardised packaging as a further aid to tobacco control and reduction of the harm that tobacco does. That surely has to be a key goal of public health policy in this country.
Reducing the number of people dying from preventable disease and of people living with chronic disease has to be a key part of what this debate is all about. How do we address that? By tackling risk factors—in this case, the risky behaviour of taking up smoking in the first place. A variety of interventions can make a difference. In this country over the past few years, parliamentary action and parliamentary pressure have persuaded Governments to do something. I congratulate the right hon. Member for Rother Valley (Mr Barron) on his initiative when he was Chair of the Health Select Committee to enable the Labour Government to bring in via a free vote the ban on smoking in enclosed public places.
No Government have a particularly good record of leadership in this area. Most Governments tend to have to be led by this place. That is why we are having this debate today, and I hope the Government will take their lead from this House and the other place, because both Houses have a cross-party unity of purpose in addressing these issues. We have seen that progress over the years.
Over the past 15 years the combination of measures has made a difference. Smoking prevalence has fallen among adults by a quarter and among children by as much as half. More clearly remains to be done, as the debate so far has demonstrated. Smoking is still a major cause of preventable disease and death. It far outweighs the next six major causes. When it comes to public health and to children and young people, we have a special duty, over and above that which we owe to all our fellow citizens. That duty is clear: we should act. Above all, standardised packaging is about protecting children and young people, as has been said in this debate.
Big tobacco must attract children. Why? Because its product kills 100,000 of its customers every year in this country, and it needs to replace those dead customers. The evidence is clear. Smoking is a childhood addiction, not an adult choice. We need to understand that. Some 40% of smokers are addicted by the age of 16, and two thirds are addicted by the age of 18. Two hundred thousand children take up smoking every year and about 530 of them do so in my borough, the London borough of Sutton. Very few people start smoking over the age of 20, as we have heard.
The focus on the recruitment of children has been admitted by big tobacco. The tobacco industry knows how sensitive children and young people are to brands of all sorts. Removing the brightly coloured packaging has been shown to make a difference. It has made those products less attractive to children.
The right hon. Gentleman rightly emphasises addiction, but have we not heard, even in this debate, that this is addiction marketed as freedom?
Absolutely, and that is the most pernicious part of it. It is addiction posing as freedom of choice, whereas once they are addicted, people have lost their freedom of choice, and it is very hard to step back from that.
(12 years, 1 month ago)
Commons ChamberWhen the national advisory council of the Thalidomide Trust recently met Government representatives, no funding undertakings were available on the replacement of the health support grant for sufferers. When can we expect a meaningful commitment in that regard, and is the Department liaising with its devolved counterparts?
Yes, we are liaising with the devolved Administrations. Yes, we had a productive meeting with the trust and the council, which confirmed that they will shortly submit to us the second-year evaluation of the pilot programme. I undertook to look at that carefully and enter into further discussions with a view to reaching a conclusion and making further announcements this autumn.
(13 years, 1 month ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
As I said to my hon. Friend the Member for St Ives (Andrew George), 77% of adult social care is already in the private sector, and as we said in “A vision for adult social care”, we want a more vibrant, diverse market which includes voluntary sector providers. We want to examine the role of regulation, to ensure that it assists with the management of that market and, fundamentally, to ensure that it protects the rights and best interests of those who use these services.
Will the Minister assure me that consultation with the devolved authorities will take account of the different mix of landlords and lenders there? On a wider issue, will he assure the House that the undertakings he has given in respect of older residents will apply, at least equally, to much younger residents who are receiving bespoke care packages for conditions such as acquired brain injuries, often on a different contractual basis and outside the normal Southern Cross business model? Will such people be fully taken care of?
I am grateful to the hon. Gentleman for his question, which allows me to deal with an earlier question on the same subject. The answer is absolutely yes. The continuity of care will be not just for the benefit of older residents of care homes, but for the benefit of any individual who relies on the services provided by the company.
(13 years, 2 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I am afraid that I am not going to agree with the hon. Gentleman today that we should call for anyone’s head. I want the heads of that organisation to be relentless in pursuing the questions that hon. Members have asked today and which I have asked since this came to light about why failures occurred—not just the CQC’s acknowledged failure but failures by others in allowing this to go on for the time it did. I am not calling for resignations, but I am calling for action and resolution. Learning should take place, and there should be change as a result of that learning.
The Minister has rightly addressed the issue of whistleblowers. Will he assure us that there will be protection for whistleblowers in future, whether they are relatives or staff, so that they have the confidence to act? In relation to staffing issues, are any of the inquiries making any assessment of whether there is a correlation between shift lengths and pay rates and the poor care in some of those institutions?
Again, those are all matters that need to be properly considered and weighed up in the reviews and that the Department will want to make sure is part of the overall report. When that work concludes, we will report to the House and make sure that the information is available to all hon. Members so that they can assess it and make their own judgments. It is certainly the Government’s intention to strengthen the protections on whistleblowing. We are consulting on how that might be given effect, and I urge the hon. Gentleman to contribute to the consultation.