Tobacco and Vapes Bill

Robin Swann Excerpts

2nd reading
Tuesday 26th November 2024 Commons Chamber

[Wes Streeting]

I am grateful to my hon. Friend for that intervention, not least because of the expertise that he brings to the House as a clinician. We are well served by his expertise in debates on the health of the nation.

Opposite me sit many opponents of the Bill and of the Government’s prevention agenda. I acknowledge that their opposition is based on genuine, sincere beliefs about the limits of government and the size of the state, but I appeal to them by saying that the Bill is in the national interest and, ironically, in their ideological interest.

[Robin Swann (South Antrim) (UUP)]

I thank the Secretary of State for making a number of times the point that this is a truly national Bill that applies across the United Kingdom. I thank him for including Northern Ireland, Scotland and Wales in the measures. When we in this place consider measures to promote health, we should do so equally for the entirety of the United Kingdom.

[Wes Streeting]

That is a very helpful intervention because it gives me the opportunity to say thank you to my counterparts in Wales, Scotland and Northern Ireland. This is a genuinely four-nations Bill, and through it, we have an opportunity to create a smokefree generation in every corner of our country.

I say to people who have an ideological objection to the Bill that if they believe in lower taxes, as they say they do, and in maintaining a national health service, as they say they do, they cannot duck this simple equation: an ageing population plus a sicker society equals more spending on the NHS, paid through higher taxes. The Bill is just one measure, but it will make a significant difference to the health of our society, and to the balance of that equation.

The question that opponents of the Bill must answer is this: if they want our health and care services to continue having to spend £3 billion every year on the symptoms of smoking, are they willing to accept that that means higher taxes or higher healthcare charges for their constituents? Are they happy for their constituents to shoulder the welfare bill for smokers falling out of the workforce? Those are the consequences of what we are voting on today. Higher taxes and higher welfare are not the Labour way.

There are arguments about liberty from those who oppose based on libertarian belief. They say that the state should not deny individuals the choice to smoke if they want to, but three quarters of smokers want to stop and wish they had never started. It takes a smoker an average of 30 attempts to quit before they manage it. By definition, an addict is not free; there is no choice, no liberty and no freedom in addiction. Nor is choice afforded to anyone inhaling second-hand smoke. Tobacco is not only highly addictive but uniquely harmful. Yes, some smokers can quit, but most who want to cannot. Those who have help to quit are three times more likely to succeed. That is why the Government are, as I said, investing £70 million in smoking cessation services—an investment that will pay for itself several times over—but prevention is better than cure, and that is why we are taking action, through the Bill, to stop the start.

In conclusion, this Bill marks the start of a decade in which we will shift the focus of healthcare from treatment to prevention; take serious action on not just smoking, but obesity; reform the NHS, so that it catches problems earlier and gives patients the tools that they need to stay out of hospital; harness the revolution taking place in life sciences; and fundamentally transform the NHS, so that it predicts illness and prevents it from ever taking hold. That is the future available to us, and it is the future we must realise if we are going to put our welfare system, health service and public finances on a sustainable footing. It starts with this Bill. Smokers are more likely to need NHS services, be admitted to hospital, drop out of the workforce and on to welfare, and need social care years earlier than if they did not smoke. By taking the measures set out in the Bill, we are putting the UK on the road to becoming smokefree, building a healthier, wealthier nation with a health service fit for the future and leading the world as we do so. I commend this Bill to the House.

--- Later in debate ---

[Dr Beccy Cooper (Worthing West) (Lab)]

It is a privilege to take part in this debate and to hear the broad consensus across the House on this excellent Bill. We have come a long way since the 2004 White Paper proposed a smoking ban in almost all public places in England and Wales. Smoking on public transport and in workplaces now feels inconceivable thanks to decades of work by campaigners and public health professionals and bold action from Government.

As a public health consultant, I pay special tribute to my public health colleagues who have worked so tirelessly in this area, from the seminal 1956 research undertaken by Sir Richard Doll and team that first established the link between smoking and lung cancer—something we take for granted today—through to the smoking cessation advisers who work daily to help people combat this destructive addiction.

Mark Twain is reported to have said:

“Giving up smoking is the easiest thing in the world…I’ve done it thousands of times.”

In my career to date I have been fortunate enough to undertake smoking cessation training and I can testify to the incredible amount of hard work and determination that both the quitter and the adviser put in to overcome the nicotine receptors that demand to be fed. This is an addiction, not a choice.

So it is better by far not to start this destructive habit in the first place. Currently, every day about 350 young adults still start smoking and about 160 people are diagnosed with cancer caused by smoking. Smoking is still the leading cause of premature death and disability in the UK, and is responsible for half the difference in healthy life expectancy between rich and poor. Other Members have talked about the appalling health inequalities in this country and how the Bill will really contribute to reducing them.

So it is right that this Bill will phase out the sale of tobacco and create a smokefree generation. Already ever fewer people smoke, and this legislation will increase the rate of decline. By increasing the age of sale by one year every year we can expect smoking rates among 14 to 30-year-olds to reach zero by 2050. As a mum of two young sons, I greatly welcome that.

I welcome, too, the increased powers to tackle vaping in the Government’s Bill. Vaping can be an effective aid for adult smokers to quit, but much tougher measures are needed to regulate products designed to appeal to young people. As ASH puts it:

“Vaping is an adult quitting aid, not a children’s toy.”

The chief medical officer further underlines this by stating:

“If you smoke, vaping is much safer; if you don’t smoke, don’t vape; marketing vapes to children is utterly unacceptable.”

This Bill will give the Government far greater control over the marketing and design of vapes and the flexibility to adjust regulations in the future if the market or evidence changes.

[Robin Swann]

Does the hon. Member agree that that is also why it is important that we control vending machine sales?

--- Later in debate ---

[Robin Swann (South Antrim) (UUP)]

I noticed from the opening comments that the Opposition have a free vote on the legislation, as do the Lib Dems. I assure the Minister that the Ulster Unionist party group in this House is 100% behind the Bill, which means: I am.

I sincerely hope it is second time lucky for the Bill. Prior to getting elected to this House, I was the Minister of Health in Northern Ireland in the re-established Assembly when it came back in February 2024. The Bill was then going through this House. Despite hugely challenging pressures, there was a much appreciated latitude from the public health Minister, Andrea Leadsom, who worked with the devolved Administrations to ensure that the Bill had a four-nations approach. I thank the Government for continuing that approach. As the hon. Member for Aberdeenshire North and Moray East (Seamus Logan) described happening in Scotland, a legislative consent motion went through the Northern Ireland Assembly. More importantly, it received the full support of the four parties in the Northern Ireland Executive.

It was only right and proper that the profound public health benefits be extended to Northern Ireland. Like Scotland, Northern Ireland was included in the UK-wide consultation exercise, which closed in December 2023. There was particularly strong support for the measures from the people back home. The consultation received a proportionately higher response rate from the Northern Ireland population than the UK-wide population. While 62.5% of UK respondents were in favour of an ambitious smokefree generation proposal, the Northern Ireland figure stood at 79%. That was by far the greatest support from among the UK regions. Support was also much higher in Northern Ireland for a range of other proposals, such as restricting vape flavourings and displays.

Some of the flavours that attract children have been mentioned. There is also a move towards flavours, labels and names that appeal to older age groups. We now have “Brain Freeze” and “Killer Kustard.” The producers are moving on from young people who are already addicted to early teens, and are making sure that their addictions embed. It is important that this Bill addresses that.

While I am glad of the support that many of the measures have received across Northern Ireland, we need to remain mindful of the fact that if passed, the Bill will be a literal lifesaver for decades to come. Tobacco use is a leading cause of health inequalities in Northern Ireland. It is a tragedy, but an avoidable one, that the lung cancer incidence rate in the most deprived areas of Northern Ireland is about two and a half times the rate in the least deprived areas. A recent health inequalities report from the Department of Health in Northern Ireland showed that the gap between the healthy life expectancy of women in the most deprived areas and those of women in the least deprived stood at 14.2 years—not months, but years. That differential will be dealt with by this Bill and others like it. Moreover, smoking rates in the most deprived areas are typically almost three times higher than the rate in the least deprived. I therefore fully support any and all efforts to dissuade people, especially young people, from taking up the habit in the first place.

This Bill goes even further than the one that fell before the last general election. I will be honest and admit that at the time, I was hugely frustrated that the previous Bill was not given the time to succeed, and I feared that a once-in-a-generation chance to do something transformative might have been missed. Looking at the Bill now, however, I am pleased to see that, rather than potential being lost, it has the potential to be even more impactful, given all its enhancements. Mike Nesbitt, my successor as Minister of Health and the leader of my party, has been able to use the little extra time to consider the licensing provisions carefully. While Northern Ireland’s tobacco retailers register is a helpful enforcement tool, it has limitations, and a new licensing regime would be another significant step forward for my constituents.

I acknowledge that, like its predecessor, this Bill is complicated by our somewhat messy post-Brexit arrangements, but I take reassurance from this Government and the last Government on that, because surely they cannot both be wrong.