(3 weeks, 6 days ago)
Commons ChamberI can not only imagine it, but I recently experienced a similar situation. There I was in Barkingside Sainsbury’s one evening, only weeks ago, buying a bottle of wine to have with dinner and, to my surprise, I was asked for my ID. I am afraid it is just a burden that those of us with youthful vim and vigour in our early 40s have to bear, and it is a price I am willing to pay—for good moisturiser. However, there is a serious point. Along with many others that I am sure we will encounter during the passage of the Bill, this is one of the cynical arguments being deployed by the mendacious smoking lobby, which would have us believe that, decades hence, there will be people who are at the margins—one aged 41 and one aged 40, for example—being asked for ID on the sale of cigarettes. The point is that the Bill will create a smokefree generation. Young people growing up in our country today will not be smokers, because we will have stopped the start. We will do everything we can to support adults who are currently smoking, because the vast majority want to break the habit but struggle to do so.
If only proof of age was still asked of me.
The Secretary of State knows that I support the Bill and will vote for it this evening, but he will know that rural pubs are increasingly marginal in their operations. He has referred to further powers, post consultation, that may stop smoking outside in particular places once the Bill is on the statute book. Will he put the minds of rural MPs, from across the House, at rest by saying that he does not envisage at any point, either now or post-Royal Assent, the inclusion of a ban on smoking outside rural pubs? That would be a further nail in their business model at a time when we need them.
I was going to address that point later in my speech, but let me address it now. It is not often that a Government comment on leaks or welcome the events following a leak; I do not want to encourage future leaks, either. However, it is well known and a matter of accurate reporting, in this case, that we were considering an extension of the ban on outdoor smoking to include outdoor hospitality, including pubs, as the hon. Gentleman mentioned. Because of that leak, representations were heard from Members from across the House, including the hon. Gentleman, my hon. Friend the Member for Great Grimsby and Cleethorpes (Melanie Onn) and others. We took those representations very seriously because we know the hospitality industry has been through a torrid time, and not just in rural communities. I accept that rural pubs face a big challenge, but even high street pubs in towns and cities are struggling.
Our approach to public health always has to weigh up the upside benefits to public health against the downside consequences elsewhere. It is not in the national interest to see our high streets further suffer, so I reassure the hon. Member for North Dorset (Simon Hoare) and the hospitality industry—although I think it feels reassured on this already—that we will not be consulting on extending the powers to outdoor hospitality spaces. I hope that reassures people, as we embark on consultation on the measures that I am outlining today, that the Government listen, engage and consult seriously. Consultation is genuine with this Government.
I welcome this Bill, and I think the country should welcome it and salute the Government for effectively taking on the Bill—they have polished and finessed some elements—that was introduced by my right hon. Friend the Member for Louth and Horncastle (Victoria Atkins) under the previous Government. The gracious remarks of the Secretary of State in his opening speech will have resonated on the Conservative Benches and been appreciated.
A lot has happened in our country’s relationship with tobacco. I am pretty certain that had we known in the past what we know now about the harms of tobacco for so many thousands of our citizens, both societally and in terms of health, Queen Elizabeth would have probably said to the merchant adventurers, “Thank you very much for bringing it over, but please take it back.” It would not have taken root, but it has done. We have moved through a time when medics were paid by the industry to tell us of the beneficial effects of tobacco—for example, the idea that menthol was good for clearing people’s lungs. As we know, the medical profession has very much changed its tune. Rather like the hon. Member for Bury St Edmunds and Stowmarket (Peter Prinsley), my late father-in-law was an ENT surgeon, and I well remember talking to him about the devastating impacts that he saw on people’s health and the cost that such terrible and avoidable conditions can have, both to the economy and to the health service.
As I mentioned to the Secretary of State, I am no longer asked for proof of ID when I go into shops to buy anything. However, I can well remember that as a young schoolboy —this just goes to show how this country’s relationship with tobacco has changed—the headmaster at my local primary school seemed to be addicted to Piccadilly cigarettes. I do not know whether they are still made, but it was my job every morning—I obviously had a trustworthy face—to trot up Wyndham Crescent, go round the corner into Severn Road, go into Tony’s, the newsagent, and pick up either 20 or 40. I knew it was going to be a bad day if my headmaster needed two packets of 20. It is amazing that a nine-year-old schoolboy could be given cigarettes, but so trusting was Tony, the newsagent, that we did not have to pay. We did that on Fridays, and there was always 10p left over, which would allow me to have a comic, two packets of crisps or a bag of Chewits. When I say this to my children, who are either in or approaching their teenage years, they look at me with glee but also as though I am talking about a different age, which of course I am. What on earth can we buy for 10p these days?
As I said in my intervention on the Secretary of State, I welcome the Bill. I was grateful to him and to the Under-Secretary of State for Health and Social Care, the hon. Member for Gorton and Denton (Andrew Gwynne), for a brief conversation we had today about the Government’s intention not to include within the scope of this Bill—or, indeed, in any future consultation—a prohibition on smoking outside a hospitality venue. I entirely take the Secretary of State’s point that it is not just the rural hospitality sector that would be affected, but a number of publicans in my constituency have said to me that it really would be the death knell for their business if smokers were not allowed to have a cigarette and a pint outside the pub, in the designated smoking area. Their businesses are very marginal, as the Minister knows and as the Secretary of State recognises, so I am grateful to them for that.
The licences that the Bill envisages will be useful for providing a record of who is doing what, where, for the benefit of officialdom in its many guises, but I urge the Government—and local government, if this gets passported down to it—not to see those licences as a cash cow. They should not be a profit centre, and the requirements to secure a licence should not be onerous. The constraints of the Bill are clear. Hon. Members have asked why, if smoking is so bad, we do not just stop sales completely. The Government are not going down that route, so those who are going about a legal business should not be made to feel like criminals or societal pariahs for selling what is still a legal product to those who are legally entitled to purchase it.
I disagree almost fundamentally with the assessment of vaping from the hon. Member for Newcastle upon Tyne East and Wallsend (Mary Glindon). I have three kids at our local high school, and too many of their cohort have got entrapped into vaping, brought in by the colours, the flavours, the smells, the packaging and the novelty factor. I understand entirely the intention for vaping to be a passport away from tobacco, but for too many, it seems to be an entry to smoking, and then moves them on to tobacco. That is entirely not what was envisaged, so I support fundamentally the robust approach that the Bill takes to the vaping sector.
I would be interested to hear the Minister’s response to the concerns raised about smuggling. One can make something illegal, prohibit it or narrow access to it, but that does not necessarily, in the first instance, choke off market demand, and people will seek it. There will clearly have to be some robust empowering of His Majesty’s Revenue and Customs agents and others to ensure that we do not see a burgeoning black market in tobacco products.
On the hon. Member for Newcastle upon Tyne East and Wallsend’s point, I remember hearing a presentation from British American Tobacco, and a point that resonated with me was that there are legal vapes, the ingredients of which we know and are listed, and then there is a huge black market for vapes, principally from China, and nobody knows what the hell is in them. I think an awful lot of parents think that those vapes are just producing steam, and have no idea about their dangerous chemical composition. I think too many teachers and headteachers also thought that, and the learning curve has been steep.
I have an interesting thought on the supply and demand issue, and the challenges it will pose from a control perspective. The hon. Gentleman paints a nice image of a day gone by when one of the kids could be sent down to the shop to pick up something for an adult, and I ask Members to consider what kind of world and country we want to live in. Do we want to live in a country where we could send one of the kids down to the shop to pick up something for us, or do we want to live in a country where we are forced to police each other’s behaviour in parks? We should think very carefully about the Government’s remit.
The hon. Gentleman takes me neatly to my closing point. If I understand him correctly, he is making an argument about civil liberties and freedoms. One does not have to be a libertarian to cherish freedom and liberty, as I hope we all do in this House. Libertarianism is the extreme form. It is the difference between liberty regulated and controlled—parametered, if one will—and liberty laissez-faire. It strikes me as rather incongruous for a libertarian to wish to become a lawmaker, because most laws are there to control, prohibit and regulate. It seems masochistic: “I am a free market libertarian, yet I have decided to put myself in the shackles of lawmaking in order to restrict the liberties that I cherish.” The hon. Gentleman makes a serious point, but we have to deal with society as it is, rather than as we might like it to be. Things have changed.
The ultra-libertarian would ask why we force people to wear seatbelts, as people should be free to hurl themselves through their windscreen at speed. Why do we have speed limits? The libertarian would say that we should be absolutely free to drive at whatever speed, irrespective of the conditions. I remember, back at university, hearing an eccentric American—that can sometimes be a tautology—questioning, from the extreme wing of libertarianism, the merits or otherwise of ages of sexual consent.
I suggest that all we do, and our inspiration for doing it, is benign and kindly. Too often, it is interpreted as being paternalistic and patronising, but I like what the Secretary of State said about this approach to lawmaking being in the proud one nation tradition of the Conservative party, because Tories like order, not disorder.
Here is a man who adores order nearly as much as he adores Margaret Thatcher.
One of my reasons for getting involved in politics is that I believe in a free society, and I believe that people should make choices about their own life. I do not believe that the state should govern how people live their life, but that does not mean I am an extreme libertarian. It just means that I believe in freedom with responsibility.
As my hon. Friend has said, attitudes to tobacco have evolved over the years. People have naturally decided not to smoke and, speaking as a Conservative, surely it is better to educate and let people make their own choices than to impose decisions on them.
My hon. Friend makes an important point, and I readily accept that it has a huge intellectual underpinning, but we have had public health campaigns for years on the dangers of smoking tobacco. In some instances, it has worked. We have also used taxation and the pricing mechanism. My late father told my mother that he would give up when cigarettes reached 10 shillings a packet. He eventually gave up when smoking was banned in public buildings and the like. The question that remains is: do we allow unfettered freedom if it harms only the individual who is exercising it, and step in when the exercise of that unfettered freedom has negative impacts on society?
The Secretary of State and others have dilated, perfectly correctly, on the impact on demand and supply in the national health service. A disproportionate amount of resource goes to dealing with smoking-related diseases, illnesses and conditions. We can do something about that. We know full well the negative impact of passive smoking on other people’s health, so the impact of the exercise of that liberty is not limited to the individual. I suggest respectfully that my hon. Friend the Member for Romford (Andrew Rosindell) would have a stronger point if it was limited to the individual. Then we could say, “Provide the information and let the individual take the decision.” However, that decision impacts many other people. It affects the productivity of the nation and the national health service, and the health of family and society.
I suggest to my hon. Friend that it is an entirely Conservative instinct to say, when all the levers have been pulled and buttons pushed—when there has been public information, education and some forms of prohibition—“It has worked up to a point, but not enough and not at the right speed. We will have to do something else.” I accept that not everybody who describes themselves as a Conservative, as my hon. Friend and I both do, will make the same analysis and arrive at the same position as me. I voted for the Bill in its last iteration, and I will vote for it again today, because I think it is the next lever that we need to pull and the next button that we have to push.
Does the hon. Gentleman agree that we have an NHS and a Government who are expected to provide and pay for treatment when people are ill, so there is a duty and an onus on the Government to try to keep people healthy, and to provide information about well-known dangers to people’s health? This is not about having a nanny state, but about nudging people to make the right choices, because it costs money to treat people, and we want to save money as well.
The hon. Gentleman makes a valid point. One can nudge, prod, push and exhort as much as one can, but the Bill is probably the final stepping stone in quite a long line of stepping stones to try to wean people off their dependency on tobacco.
The House has been generous with its time, as have you with your patience, Madam Deputy Speaker. In closing, I echo and endorse the point made by the Secretary of State and other contributors from the Government Benches: people who have an addiction are not free. They are trapped by their addiction, and that affects many areas of their life. If someone is terribly well off, they can afford the addiction to tobacco, and it will make not a jot or tittle of difference to the household budget or income, or to their standard of life—
I will not, I am afraid, because I want to conclude. The disproportionate hammer blow is felt by families who would describe themselves as poor, on low or fixed incomes. When the choice between feeding the addiction and feeding the children comes into play, then feeding the addiction seems to have the trump hand. The Government are right to have picked up the ball and taken the Bill forward. It is an entirely Conservative measure. This is not a restriction of liberty in the abstract. The Bill is about public health. It is about taking the data, extrapolating the facts and recognising the harms, and, as responsible legislators, responding to that to make a difference to all our communities up and down the country.
(2 months, 1 week ago)
Commons ChamberI pay tribute to my hon. Friend for her work in this area and for setting out eloquently her own personal experiences. Of course this Government will do more to raise awareness and enable more women to access breast screening services.
A significant impediment to improving adult social care is the split of budget and responsibility and policy between the Secretary of State’s Department and the Ministry of Housing, Communities and Local Government. Will he and colleagues work to remove that hurdle, to have better outcomes more cost-effectively delivered to improve the lives of all our constituents?
The hon. Gentleman is right to raise that risk. I assure him and the House that I and the Deputy Prime Minister, herself a former care worker, are working in lockstep to align strategy, policy and delivery.
(5 months ago)
Commons ChamberI thank my hon. Friend for that question and welcome him to his place. This issue is personal for me, and I am sure it is for many others across this House. A number of potential new disease-modifying drugs for Alzheimer’s are in the pipeline, including lecanemab and donanemab. We are committed to ensuring that clinically effective and cost-effective medicines reach patients in a timely and safe way. The National Institute for Health and Care Excellence is appraising lecanemab and donanemab to determine whether they will be made available in the NHS.
Nearly 10 children a month die from brain tumours, and I know that the public health Minister takes this issue seriously. He was familiar with the work of the Brain Tumour Charity’s HeadSmart campaign. Will he agree to meet me and my fierce campaigner constituent Sacha Langton-Gilks, who lost her son to a brain tumour, to discuss how NHS England could be persuaded to do more to inform and educate parents to identify the symptoms, so that collectively we can reduce the number of deaths?
I am grateful to the hon. Gentleman for that question. He knows that I met his constituents when I was a shadow public health Minister, and I can confirm that I am more than happy to meet him and his constituents now that I have dropped the “shadow”.