Tobacco and Vapes Bill (Second sitting) Debate

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Department: Department of Health and Social Care

Tobacco and Vapes Bill (Second sitting)

Taiwo Owatemi Excerpts
Sadik Al-Hassan Portrait Sadik Al-Hassan
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Q We have spoken a bit about the gradual change and about that preventing uptake, but how does the gradual change in the age of sale affect the impact on tobacco and vaping behaviour, compared with increasing the age of sale in one go? That is based on comments we have heard about the difficulty in asking people’s ages at 34 or 35—I think most people have no problem knowing I am old enough for most things nowadays.

Professor Linda Bauld: That is an interesting question. My colleagues at UCL did a study that looked at what happened when they raised the age of sale from 16 to 18. I have to be honest with you: at the time, the tobacco control research community would not have pointed to that as the most ambitious measure that you could do; we did not think that changing the age by just two years would make an impact. But, from the data, it actually created 1.3 million more people who could not be sold cigarettes. We also know that, at the same time, due to the action on illicit tobacco, which is really important, the amount of illicit tobacco consumed fell by about 25%. So it is about those two things in partnership: tackling illicit, which of course is really important, and changing the age of sale.

The promise of the smoke-free generation is more ambitious, however. Rather than just raising the age of sale by a few years, we are gradually changing it over time. That protects future generations, because we do not have the big jump to being suddenly ineligible to be sold cigarettes. To go back to the evidence in the annexe to the legislation, which shows the modelling done by my colleagues for the Department of Health and Social Care, it looks pretty robust. I think that this will have a big impact over time. I hope that is helpful.

Taiwo Owatemi Portrait The Lord Commissioner of His Majesty’s Treasury (Taiwo Owatemi)
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Q We have spoken briefly about this. Are you concerned that introducing a generational ban on cigarettes might cause other forms of tobacco use to increase among younger generations?

Professor Linda Bauld: That is interesting. I think a similar question was asked earlier. I do not think that history bears that out. Often, a concern is that if we take action on one product, we displace youth use to other products. With action that we have taken on smoking over the years, we have not seen a dramatic increase in, for example, youth alcohol use or use of other legal products. There are still major issues with young people consuming alcohol but, actually, the number of young people drinking at harmful levels has reduced in recent years, at the same time as tobacco measures have been introduced over time.

I do not think that we will see a big displacement to other substances by introducing this set of measures, but we need to keep our eye on getting that balance right. In terms of the other products that we are concerned young people might use—obviously, there are illegal drugs, which we have separate legislation on, and we need to keep an eye on alcohol control for young people—all those things need to happen together. But I have not seen any evidence to suggest that taking this kind of action will cause some other public health issue that we need to be overly concerned about.

None Portrait The Chair
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I call Jim Dickson.

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Andrew Gwynne Portrait Andrew Gwynne
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Q What do you see as the main differences between the current notification scheme and the scheme that the Bill creates powers to establish?

Dr Laura Squire: I think somebody talked earlier about the package; the Bill is more than the notification scheme, and I think the whole thing works together to make a much safer environment. I was particularly pleased to see that there is a requirement to carry out studies and a requirement to carry out testing. We are sometimes asked about testing. Testing at the point of registration is one thing, but you need to know that the product remains compliant.

Obviously, there must be consultation about exactly what will go into the regulations, but I would expect that there would be an awful lot more linked to the other requirements of the Bill, and that will make it tighter. I think that would be an improvement, because at the moment the Bill is very light-touch.

Taiwo Owatemi Portrait Taiwo Owatemi
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Q What effect do you think the Bill will have on the number of vaping products that the MHRA will have to approve through its licensing route?

Dr Laura Squire: For a medicines licence?

Taiwo Owatemi Portrait Taiwo Owatemi
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Q Yes, for medicine licensing.

Dr Laura Squire: That is a difficult one. We had one product that was given a medicines licence in 2015, but it has never been marketed. We continue to try to encourage people to come forward to get medicines licences. However, the reality is that there is such a huge discrepancy between what you can do with a consumer product if you are a manufacturer, in order to get it out there and get it on the market, and what you would have to do to get a licence for it as a medicine—and that is quite right.

What this scheme does is to make it more demanding to be a manufacturer of a consumer product and put more requirement on it. To a certain extent, that reduces the differential between the two, which is welcome. We really continue to encourage people to come forward and talk to us about licensing products. One of the things that will be interesting is the impact this will have on the narrative out there—which was talked about by the previous witness—that vapes are safe. This will perhaps change that narrative and make people realise. All I can say is that we stand ready for more applications for medical licences. We put out some detailed guidance in 2022 to try to encourage manufacturers to do this, and we actually have one coming through the pipeline at the moment. So it will be interesting to see but hard to predict.

Taiwo Owatemi Portrait Taiwo Owatemi
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Q May I ask one more question? What is the MHRA’s capacity to handle the increased workload that the new legislation will require?

Dr Laura Squire: With the current notification scheme, we have the resource that we need to do that. As the registration scheme becomes more detailed and demanding, and as there is more in it, I would expect that to require more resource. That is something that we need to continue talking to the Department of Health about as it develops the policy, and we will do that.

Also, as part of that, the impact on us will depend on not only what is in the regulation but who does it. I know that there are conversations about where it is best done, and there are registrations for other consumer products that already exist, so there are conversations happening with the Office of Product Safety and Standards. It is important to learn from those sorts of schemes that are already happening. Where that goes is a policy decision for the Department of Health and Social Care, and we will continue to work with it. I think it would also involve being clear about what resources we might need if we carry on and need more. At the moment, we have what we need to do what we need to do under the current law.

Sadik Al-Hassan Portrait Sadik Al-Hassan
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Q When we give a new medicine to somebody, we give them advice and explain what it is and what it is safe to do with it. When people get vapes, do they get the right level of information and advice about what that product actually is and about the risks?

Dr Laura Squire: They would do if it was a licensed product.

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None Portrait The Chair
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Last, but certainly not least, I call Taiwo Owatemi.

Taiwo Owatemi Portrait Taiwo Owatemi
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Q Following up on Alex’s question, what engagement has there been with the Irish Government in regard to the differences between what is happening in Ireland and Northern Ireland? Do you think that will lead to changes in Ireland, in terms of moving in a positive direction?

Andrew Gwynne: That is an interesting question. First, there has been really close engagement between the UK Government and the devolved nations. We have the full support of Mike Nesbitt, the Northern Ireland Health Minister, who has helped shape the Bill, as have his officials. The UK Government and the Northern Ireland Executive are in close dialogue with colleagues in the Republic of Ireland to ensure that we discuss at length and in detail the cross-border issues. We will continue to engage with the Republic of Ireland to ensure that the Bill works. Only time will tell whether the Republic of Ireland will decide to follow suit, but the Bill will be a game changer and other countries will want to follow the United Kingdom’s lead.

None Portrait The Chair
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In the short time we have left I cannot allow any more questions.

Ordered, That further consideration be now adjourned. —(Taiwo Owatemi.)