(8 months, 1 week ago)
Commons ChamberFirst, I want to put on record my thanks to the public health Minister the right hon. Member for South Northamptonshire (Dame Andrea Leadsom) and the chief medical officer Sir Chris Whitty, who spent time answering my questions and those of some of my colleagues. It was a very collegiate exercise and I am grateful to the right hon. Lady. It would be good to see more of that.
The Government proposals on vapes are an absolute no-brainer and are consistent with Liberal Democrat party policy that was adopted at our conference last year, including the ban on single-use vapes on environmental grounds. Parents and teachers in St Albans are particularly concerned about the insidious marketing of vapes to young people: the colours, flavours and packaging are designed to appeal to children. Earlier in the debate the shadow Secretary of State, the hon. Member for Ilford North (Wes Streeting) talked about children gathering in toilets, desperate to use their vapes. I am aware, unfortunately, of one example in my constituency where children have gathered in toilets not just to use the vapes but to take them apart to use as containers for smuggling in more dangerous substances, thereby using the vapes as a new gateway drug. I therefore entirely support the Government’s proposals on the regulation of vapes.
The question of a so-called smoking ban on those aged 15 and younger, stopping them being sold cigarettes, is not so straightforward, however. For Liberal Democrats there will be a free vote on this Bill; there are some good liberal arguments to be made both for and against it. I will be supporting the measures in the Bill, but some of my colleagues have remaining liberal and practical concerns. For example, in 30 years’ time how does somebody prove they are 46 and not 45 without a driver’s licence or a passport? How can we prevent abuse at retailers, too? I hope the Government will be providing more reassurances to colleagues on these issues.
Does the hon. Member accept that that difficulty puts the onus on the retailer, who is meant to distinguish between a 45-year-old and a 46-year-old, and if they do not do that or they do so incorrectly, they could find themselves faced with a fine? Is that fair?
Colleagues across the House have genuine concerns about that point. I know from engagements in my constituency that a number of retailers already suffer attacks when challenging people wishing to buy other age-related products, so I hope the Government will offer reassurances about what they intend to do to tackle that.
As I have said, I will be supporting the measures in this Bill, but coming to that decision was a bit of a journey for me. My first reaction on hearing of the Bill before it was published was indignation, because the measures are just a drop in the ocean in terms of what is needed to tackle cancer. One in two of us will get cancer at some point, yet the Government have missed their targets to provide fast cancer treatment every year since 2015 and have dropped their 10-year cancer plan. What we need is research in rare cancers, outdated cancer scanners updated, cancer nurses and efforts to tackle waiting times. It would perhaps have been better if the measures in this Bill had been a single clause in a much broader Bill. To be honest, I am frustrated that so much energy is going into this Bill, which could be described as low-hanging fruit, rather than into producing a much more ambitious plan to tackle cancer more broadly. We need to see more ambition in this area.
My second reaction was the raising of my liberal hackles. Liberals are not libertarians; we do not object to all bans. Liberals support bans as a last resort, but not as a first lever. The situation here is frustrating, however: it is a bit rich that the Government are bringing this Bill forward when they have simultaneously been slashing public health budgets, including for smoking cessation programmes, since 2015. Even with the new money the Government have put into smoking cessation programmes, the funds still fall far short of 2015 levels. We also know that smoking rates among young people have dropped very quickly; they are now down to 1% and continue to drop.
Liberals do sometimes back bans when a particular product or practice causes excessive harm, and that is why I have decided to back this ban. Fundamentally, I asked myself a simple question: is this going to help reduce the overwhelming harm caused by the significantly dangerous and addictive practice of smoking? The answer is yes, it is. We know that smoking is dangerous and highly addictive. We know that smoking is the UK’s biggest preventable killer, causing around one in four cancer deaths, including 64,000 in England alone. We know that 75,000 GP appointments each month are taken up by smoking-related illness. We know that smoking costs the economy £17 billion a year through smoking-related lost earnings, unemployment and early death. We know that it comes at enormous cost to our NHS, and we know that smoking rates in pregnancy vary hugely, with as many as 20% of pregnant women smoking in some parts of the country, increasing the chance of stillbirth by almost 50%. That is an incredibly stark health inequality.
Some people have suggested it could be contradictory for a liberal to support a ban on tobacco for 15-year-olds and younger while wanting to legalise cannabis, but let me say to them that they are wrong. It is entirely consistent for a liberal to want to make harmful products illegal—harmful products such as nicotine in cigarettes, skunk and products with high THC levels that can cause psychosis—while simultaneously wanting to have a legal regulated market for less harmful products such as vapes for nicotine and cannabis products with low and regulated THC levels.
In conclusion, do I think this measure is the first or best thing that the Government should be doing to tackle cancer? No. Do I think this measure is particularly ambitious? No. But do I think it is a useful step that will help us to tackle the dangerous health impacts of smoking addiction, to improve population health and to take pressure off the NHS? Personally, I do.
(1 year, 6 months ago)
Commons ChamberI congratulate the hon. Member for Bath (Wera Hobhouse) on securing this debate and on the email that she sent me, inviting me to participate in it. She may well regret that invitation, because I want to raise a few issues that need to be considered in relation to this subject.
In Northern Ireland, the local government elections have recently finished. For the past four or five weeks, I have been knocking on people’s doors and speaking to them about local government issues. Only one person mentioned net zero to me, and she objected to the stance I took against some of the lunatic decisions made by my local council in putting wind farms on some of the most beautiful upland areas of East Antrim, where they are visible from all around. One of the most iconic landmarks in the area, Slemish mountain—it is where St Patrick is supposed to have sat, surveying that part of North Antrim and then going out to evangelise—is now blighted by what can only be described as mechanical triffids, which have blotted the landscape. They are not good for the environment: at one wind farm, 3 metres of peat was taken off the mountain to put into roads and the foundations, disturbing the wildlife and habitat, providing mincing machines for birds in the future, and destroying the environment, probably releasing tonnes of carbon in the process.
That was the only person who mentioned net zero: most people were concerned about zero rate increases, zero tolerance of antisocial behaviour and zero tolerance of people being allowed to dump rubbish across the area.
I knock on a lot of doors all the time—not just at local elections—and although not many people mention net zero in that language, they do mention their energy bills. I wager that the right hon. Gentleman did hear from people who talked about their energy bills. Does he agree that urgent climate action is a good thing not only to protect the planet, but to make people’s homes warmer and to reduce their energy bills?
Ironically, the huge windmills that we see generating renewable electricity, because of the method by which they are pegged, get the most costly rate. For example, if the last unit of electricity has been produced by gas bought at premium prices on the spot market, that is the price that the wind energy companies get for the electricity that they produce. Wind energy does not reduce people’s energy bills, because that method inflates the profits of the companies that do not have to pay for the expensive fuel but can charge as if they were using it.
In answer to the hon. Lady’s point, of course there are other ways and actions. One does not have to believe that net zero should be a target by 2050, or whatever the year happens to be, to see that it makes sense not to waste energy in people’s houses. It makes sense to build houses that are energy-efficient. No one is disputing that. The issue I am raising is that local authorities are pressed for money. I listen to all the issues raised about local authorities in debates in the House, and time and again I hear about social care provision and its inadequacy, education provision, policing, and special needs education. Given the range of concerns in the House, the question is whether local government’s priority should be seeking more grants to achieve net zero—to provide more facilities and projects that aim towards that—or the more pressing and immediate needs that people experience day to day.
The right hon. Gentleman will know that we tend to have a crisis every winter, but increasingly we have a summer crisis in our NHS and care sector, because of the health impact of heatwaves, particularly on older people. Does he not accept that rather than there being a trade-off between investing in the environment and taking climate action and somehow investing in people’s social wellbeing, the good initiatives are those that seek to address both, which is precisely what we can do if we take the right actions?
I do not want to get into the argument, because I know that you, Mr Deputy Speaker, would probably ask me to stop, but I do not agree with the association that the hon. Lady makes. I do not believe that we have any more extreme weather today than we had in the past. Of course we have had heatwaves and cold spells before, and that tends to have an impact on some people’s health, but there is no evidence that spending money on local authority projects that blight the environment will save massive amounts in healthcare.
Secondly, on the impact on individuals, let us just look at some recent Government initiatives. For example, to help local authorities that say they cannot meet their recycling targets, we now have a levy on companies and food producers that will cost £4 billion, according to the British Retail Consortium. It will add £148 a year to people’s food bills to give money to local authorities—it is really a tax on the consumer—to help them achieve their recycling targets. Is that likely to have an impact on people’s health? When we have a cost of living crisis, is that likely to be a reasonable use of resources? That is the kind of expenditure that we are getting to facilitate some of the green policies.
(3 years ago)
Commons ChamberThe point that I am trying to make is that the Government are framing the introduction of these specific restrictions in terms of whether or not there is extra transmissibility from the new variant. My concern is that they are not talking about whether we need these restrictions, and perhaps others in the future, because of the pressures on the NHS in its broadest sense.
The hon. Lady is making an important and relevant point. Would she not accept, however, that these restrictions place a burden on businesses, on people’s individual freedom and on the operation of the education system, all to deal with a problem that is not going to go away as long as we have patients going to accident and emergency because their GPs are not seeing them, and as long as we have patients taking up beds in hospitals because they are not going into care? This will not be solved simply by introducing more regulations that put the burden on private industry because of the failures of the health service.
I disagree with some of those points. As a liberal, I believe fundamentally in giving people the most personal freedom they can have up to the point at which it interferes with the personal freedom of others. We hear a lot in this House about personal freedom, particularly from those on the Conservative Benches, but there is very little discussion about our broader responsibilities to others. That is the challenge that we as legislators have in this House: it is about getting the balance right. I do not think this is about putting restrictions on businesses because of the failures of our health service. GPs in particular are struggling with their workloads and with the abuse resulting from campaigns against them that are being led by national newspapers. If we had a stronger workforce to deal with these issues, and if the NHS had not been run into the ground, we would have more frontline health workers to deal with these problems right now. However, I am mindful of the Deputy Speaker’s entreaty to stick to the regulations, to which I now want to return.
As I said at the start, we will support these regulations. I agree with other Members that it is vital we have full scrutiny of any decision to repeal, extend or renew the regulations in any shape or form in the coming weeks. I implore the Government to take action and consider these restrictions in the light not only of this new variant but of the overall pressures across our NHS, whether on GPs, ambulance services or elsewhere.