(2 weeks, 3 days ago)
Commons ChamberI join colleagues in congratulating the hon. Member for Wimbledon (Mr Kohler) on securing this important debate.
Bolton hospice had been facing a funding gap of £1.2 million, which could have meant cutting as many as a third of its beds. We should remind ourselves what each bed and every penny lost actually means: in many cases, the real-life impact of these numbers is the prolonged suffering of the most unimaginable kind for the individual, and the heart-rending experience of having to witness it for family and friends. Let us not forget that 300,000 people depend on hospices every year.
Bolton hospice, in part following a fantastic campaign from The Bolton News and the huge generosity of the people of Bolton, was able to cut its deficit to £400,000—still a large amount. I did my level best to contribute to that campaign by traipsing up Mount Kilimanjaro. Frankly, hospices are so important to so many people that they should not have to rely on the kindness of strangers. That is why I was pleased to learn just before Christmas that Bolton hospice is in line to receive a slice of the once-in-a-generation £100 million national funding boost announced by the Health Secretary. Such investment pays for itself in many ways, by supporting the Government’s plan to shift more care into the community and keep people who need not be there out of hospital, and, importantly, by ensuring that people can die in a place of their choice with the care that they need. However, more funding will inevitably be required as we cope with an ageing population with increasingly complex care needs. Given the pressures on public finances and the cost of living crisis, we must look for creative and innovative solutions.
With that in mind, I want to raise the work of my constituents Corin and Tricia Dalby, who, through tireless campaigning, have secured the support of 30 hospices, 36,000 petition signatures and more than 100 parliamentarians in raising the profile of hospices’ financial pressures, with a petition presented to No. 10 Downing Street last month. Corin and Tricia’s petition calls Government to redirect the first £100 million of fines levied by the Financial Conduct Authority on banks and other financial services firms to the hospice sector. Since April 2012, the money collected from FCA fines has gone to the Treasury, and can then go to charitable donations. We need to think carefully about how to ensure hospices are put on the sustainable funding platform they so desperately need, but I urge my colleagues, including the Minister, to carefully consider this proposal.
Finally, it would be remiss of me not to mention the private Member’s Bill of my hon. Friend the Member for Spen Valley (Kim Leadbeater) on assisted dying. Palliative care provides the relief so urgently needed for hundreds of thousands of people around the country and their families, and we absolutely must make sure it is the best it can possibly be.
(2 months ago)
Commons ChamberI would like to place on the record my support for the Bill, which the Government are right to describe as the biggest public health intervention in a generation. As someone who grew up around the NHS, with my first job being at Bolton hospital, I have seen at first hand the huge cost of smoking and vaping in my constituency. In Bolton, smoking claims around 380 lives a year. Across the UK, that number is 80,000, and tobacco-related illnesses put tremendous pressure on the NHS, with smoking responsible for one in four cancer deaths. Indeed, every single minute someone is put in hospital because of smoking. The appointments, the scans, the treatment—it all adds up. Smoking costs the taxpayer over £3 billion each year in healthcare bills.
The tide of public opinion has turned irrevocably. Eight in 10 Greater Manchester adults support ending smoking, according to the Make Smoking History campaign. I suspect that many have had family or friends impacted by smoking-related harms. Five years ago, the previous Government announced their ambition for England to be smokefree by 2030. Despite a stark warning from the Khan review in 2022 that
“without further action, England will miss the smokefree 2030 target by at least 7 years”,
I find it regrettable that the Conservatives did not get round to these literal life-and-death reforms before it was too late to legislate before the general election.
I am delighted that just a few months in we are already delivering on our manifesto pledges. A generational ban on purchasing tobacco for anyone born after 1 January 2009, new regulations for the extension of smokefree areas to include our schools and hospitals, and new restrictions on oral tobacco products such as snus are hugely welcome in our fight against smoking-related illnesses.
The Bill is hugely important, and I will focus the remainder of my remarks on vaping in particular. As my hon. Friend the Member for Bolton North East (Kirith Entwistle) noted, Bolton is regrettably one of the two vaping capitals of the UK, with over 20 vape shops registered per 100,000 people according to reporting in the Bolton News. Vaping can be a genuine aid for those seeking to wean themselves off smoking, but while it is clear that vapes, in combination with behavioural support, can support quitting, the health advice is unambiguous: children and adults who have never smoked should never vape.
What disturbs me is that vaping products are obviously marketed at children. Indeed, a number of vape stores in Horwich and Westhoughton in my constituency are not only garish eyesores but directly associate vapes with sweets and toys in their shop fronts. I have no doubt that many of my colleagues in the Chamber will be familiar with similar stores in their own constituencies. It is clear that bubble gum and candy floss flavours are not aimed at those adults genuinely trying to wean themselves off tobacco. This is not harmless; youth vaping has more than doubled in the past five years, while Bolton council has been told that children as young as 13 are unable to go an hour at school without vaping. Just last Friday, I visited St Catherine’s primary school in Horwich and was shocked to hear children no older than 11 directly raise their concerns around vaping with me. St Joseph’s high school in Horwich, which I had the pleasure of meeting last week here in Parliament, has had to install vape sensors, while the headmaster Tony McCabe has said he has already seen a rise in young people acquiring vapes from the black market. I hope the Minister will consider how to tackle the already expanding black market for these products. That is why I especially welcome the measures in the Bill to provide the Secretary of State with powers to regulate vaping products, including their content, flavour, packaging and product requirements.
The hon. Gentleman is absolutely right about illegal tobacco and other substances. It is really important that we bear down on that illicit trade. Illegal tobacco not only deprives the Exchequer of funds but means that all kinds of other nefarious activities can take place in the shops that sell it. Also, the illegal cigarettes sold do not extinguish. A few years ago in my constituency there was a house fire with fatalities as a direct result of illegal cigarettes.
I thank the right hon. Member for his contribution. I will take assurance from the Minister on that when he winds up.
I place on record my enthusiasm for the separate ban on single-use vapes from June 2025, which the hon. Member for Newbury (Mr Dillon) mentioned. As other Members have noted, not only are they particularly cheap and therefore accessible to young adults, but they are an inefficient use of critical resources, difficult to recycle and frequently littered around the countryside.
By introducing these world-leading reforms, we can create a smokefree generation and break the cycle of addiction and disadvantage. I am proud that it is a Labour Government who are delivering this legislation.