Tobacco and Vapes Bill

Sajid Javid Excerpts

2nd reading
Tuesday 16th April 2024 Commons Chamber

[Sir Sajid Javid (Bromsgrove) (Con)]

When I was appointed Health Secretary in 2021, we were still in the midst of the pandemic. That challenging time taught us so much about the strength and resilience of our nation, but it also cast an uncomfortable light on truths that we have too often chosen to ignore. In the past, this country has been at the cutting edge of preventive healthcare, but while we have talked a good game on that issue in recent decades, in truth, we have not always delivered.

I would argue that we still face a public health emergency in this country—one that consumes 40% of the NHS budget, ensures that regional inequalities persist, and limits the life chances and opportunities of individuals right across our country. This public health emergency has many causes, and at the top of the list must be smoking, especially of cigarettes. That is why I commissioned Javed Khan to lead an independent review of smoking. I am immensely grateful to him for his excellent work and I am proud that he has led us to this legislation. The title of his report, “Making smoking obsolete”, is the right mission for us to deliver on, especially given this Government’s commitment in 2019 to a smoke-free Britain.

One of the most important problems Javed Khan identifies is the dual impact of tobacco and nicotine. First, it is incredibly damaging to the health of individuals. As we have heard from so many right hon. and hon. Members, no amount of tobacco is safe. Secondly, it is corrosive of personal liberty and agency. Smoking remains the biggest single cause of preventable illness and death in this country, causing, as we have heard, some 80,000 deaths a year. Smokers are 36% more likely to be admitted to hospital and to need social care 10 years before non-smokers. It causes one in four cancer-related deaths. Behind each of these statistics is an individual life, a family and a community impacted by poorer health. It is therefore only right that we take robust action to protect future generations from these harmful products.

As Javed Khan rightly highlighted in his report, the public are often led to believe that smoking is a personal choice, whereas the reality is that nicotine is a highly addictive drug that corrodes personal agency. Four in five smokers start before the age of 20 and remain addicted for the rest of their lives. As we have heard, many people want to give up smoking, and we have heard some personal stories in the House about just how hard that has been, and how many people, sadly, do not succeed. Many struggle to break free from addiction, and the average number of attempts of those who eventually do successfully quit is 30.

I know that some hon. Members have publicly expressed their reservations about the proposal before us, and we have heard that in this debate, but can we honestly say that this drug enhances personal liberty and freedom? It is a nonsense argument. Anyone who makes that argument is choosing to stand up for big tobacco against the interests of their constituents, and to erode people’s personal liberty and remove their freedom to choose by giving them access to a drug. This drug diminishes economic freedom, and it diminishes the wealth of individuals and of our country. Its overall impact across the country is to reduce opportunity and to drive social challenges. Indeed, if cigarettes were first manufactured today, they would obviously never get through consumer product safety testing.

Given that we are where we are and given what we know, it is of course right to protect future generations from this drug and this addiction. Freedom from pain, disease and inequality is one of the greatest freedoms there is, and whether it is tackling burning injustices, levelling up or even the big society, these missions are more than compatible with the legislation before the House. This is a world-leading proposal backed by clinical evidence and supported by a strong moral cause. As surveys have shown again and again—and, again, just recently—it is strongly supported by the general public of all ages. It is the right approach to public health, it is the right approach for our country and it is more than worthy of the support of this whole House.