3 Tristan Osborne debates involving the Department of Health and Social Care

Tobacco and Vapes Bill

Tristan Osborne Excerpts
2nd reading
Tuesday 26th November 2024

(3 weeks, 1 day ago)

Commons Chamber
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Tristan Osborne Portrait Tristan Osborne (Chatham and Aylesford) (Lab)
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Like previous speakers, I have not been challenged on my age, even though I use moisturiser; perhaps it is my receding hairline. I thank the hon. Member for North Dorset (Simon Hoare) for his eloquent speech about the Conservative party’s one nation tradition and his support for the Bill. It is absolutely the case that this legislation comes on the back of decades of other Bills and Acts that have acknowledged the challenges around smoking in our society. He eloquently articulates that evolution in our body politic.

I celebrate the fact that the Bill follows other landmark Acts of Parliament under the previous Labour Government, one of which had an impact on me when I worked in the retail industry. The ban on smoking in workplaces made a fundamental change to many people’s lives and overnight improved the life chances of many millions of our citizens. As has been said by Members across the Chamber, there is a consensus that smoking remains one of the leading causes of death, claiming 80,000 lives annually and costing the NHS billions of pounds, with some estimates putting it at between £3 billion and £5 billion.

Andrew Rosindell Portrait Andrew Rosindell
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On that basis, would the hon. Gentleman also ban alcohol? Would he ban all types of unhealthy foods, or chocolate—where does it end?

Tristan Osborne Portrait Tristan Osborne
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We have age restrictions on alcohol sales and the Bill proposes doing the same. Similarly, for other substances in society, we look in a proportionate way at their health consequences; for instance, we class particular categories of drugs as A, B and C. All those things need to be taken as individual elements. Certainly, we will look at other proposals, but on this particular element, smoking and tobacco have been widely acknowledged as a public concern over many decades.

The vaping industry has seen some positive outcomes, with people transferring from cigarettes to vaping, as my hon. Friend the Member for Newcastle upon Tyne East and Wallsend (Mary Glindon) pointed out. Indeed, that use for those products has been acknowledged by the NHS. As a former teacher, however, I have also seen the consequences for young people and that has been acknowledged by many parents in the Chamber. I have unfortunately seen in the classroom, through confiscation and the illicit behaviours of some young people, that blue razz lemonade, watermelon bubble gum and strawberry raspberry cherry ice are all flavours of vapes. They are being marketed at young people, whether directly or indirectly, because we know, as does the tobacco industry, that young people are where the use of tobacco-based products starts.

I have seen at first hand the consequences of the proliferation of vaping in schools and its ubiquitous presence across my area in Chatham and Aylesford. I agree that the Bill’s removal of disposable, single-use vapes, which are currently so easily accessible and cynically marketed, is a sensible move and should reverse the recent trend of young people who have never smoked turning to vapes as an initial access point. It should also stop vapes being seen as a gateway to other types of drugs. Sadly, I have to report that cannabis-based products and other illicit products are gaining ground among disposable vape products.

At the same time, millions of single-use electrical devices blight our local landscapes. Many disposable vapes are deposited on roadsides and in parks, and while it is not specifically part of the content of the Bill, the reality is that vapes have environmental consequences.

The branding of some flavours has been a key driver of youth take-up. To prevent under-age appeal, flavours should be adult-focused and restricted to such flavours as tobacco, menthol and a handful of responsibly branded fruit flavours. I note that some in the industry are already promoting that agenda.

The age restrictions are sensible, and I think that the rising age escalator will be enforceable. Indeed, many supermarkets already have an age limit well above that which is legally required and challenge at the point of disposal.

Vikki Slade Portrait Vikki Slade (Mid Dorset and North Poole) (LD)
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Does the hon. Gentleman agree that the upper-age escalator could prove difficult later on, particularly in respect of the ability of those who sell tobacco? At the moment, if a young person sells alcohol, they have to get a supervisor who is older to allow it. When the people selling alcohol are in their thirties, but were born after 2009, and everyone else in the shop is in their thirties, who will be allowed to sell the tobacco? Does he have any thoughts on that?

Tristan Osborne Portrait Tristan Osborne
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The licensing regime will be looked at in detail, but the reality is that, when I am buying alcohol in a supermarket, I might be challenged on my age by someone at the counter who is over the age of 16. I think I am correct in saying that I would then have to prove my age at point of sale. I am happy to be corrected if I am wrong on that.

Enforcement is very welcome. As a former council portfolio holder for licensing, it was always very difficult to respond to emails from residents seeking redress around the sale of vaping products. Some products were being sold over the counter in unlicensed premises, so enforcement was very difficult. Other products were being marketed using very aggressive advertising. I welcome the licensing element of the Bill and look forward to hearing more details. Councils, I believe, are ready to take on the mantle of licensing. They license many other types of premises, and I suspect that this latest measure will just be an addition to the existing regime. The measure will challenge bad faith actors and illicit products. I have been asking questions about a digital tax on vaping products to see whether we can treat this sector in a similar way to other tobacco-based products.

I welcome the Bill because it will put us back on the front foot as a world leader in tobacco harm reduction, and help us lead the way in improving standards in cigarette alternatives. If we get this right, which I believe we will with this Bill, we can maintain a healthy balance, with vape usage targeted at the adult market and used as a means to reduce addiction to other nicotine-based products. The Bill balances the liberty of individuals to make choices with the responsibility of the state to uphold the public health of the most vulnerable and our young people, and I urge colleagues to support it.

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Andrew Gwynne Portrait Andrew Gwynne
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We have already doubled the fine proposed in the previous Government’s Bill, which is a step. I listened very carefully to the hon. Gentleman’s argument, and he might wish to pursue it in Committee, should he be fortunate enough to be a Committee member. I look forward to the debates we might have.

A number of questions about the licensing regime were posed by the shadow Secretary of State, as well as by the hon. Member for North Shropshire (Helen Morgan), the hon. Member for North Dorset (Simon Hoare) and others. I reassure the House that across the sector, there is broad consensus among retailers about a licensing scheme; more than four fifths of them have expressed their support. Unlike alcohol, there is no licensing requirement for tobacco. A lot of people outside this House would find that hard to understand. They assume that convenience stores, supermarkets and other places that sell alcohol are licensed in a similar way to sell tobacco products, but that is not the case. We will bring in a licensing scheme, because we know that will have a huge public health impact, as other licensing regimes do.

Tristan Osborne Portrait Tristan Osborne
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When I was on a council, I had a portfolio managing licensing. Councils already manage significant licensing functions, so it would be very convenient to simply add this function to those. That would not necessarily be a significant bureaucratic hurdle, as has been said.

Andrew Gwynne Portrait Andrew Gwynne
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Local government will take the lead on this matter, and we will consult widely on how we bring forward the licensing regime, and on how we implement it through secondary legislation, following that consultation. An impact assessment will be prepared before the secondary legislation is introduced, but I want to work with local government across England—I am sure that ministerial counterparts in other parts of the United Kingdom seeking to bring in a licensing regime will do the same—to ensure that we get this right for local government. That includes ensuring that the cost of running a licensing regime is met by the regime itself.

Oral Answers to Questions

Tristan Osborne Excerpts
Tuesday 19th November 2024

(4 weeks, 1 day ago)

Commons Chamber
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Stephen Kinnock Portrait Stephen Kinnock
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Absolutely. As my right hon. Friend the Secretary of State has said, we have already met with the British Dental Association, and no issues are off the table. We absolutely need to look at orthodontists in the round as part of the contract negotiations, and we will certainly report back on that in due course.

Tristan Osborne Portrait Tristan Osborne (Chatham and Aylesford) (Lab)
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9. What plans he has to reform NHS health and social care services.

Kevin Bonavia Portrait Kevin Bonavia (Stevenage) (Lab)
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22. What plans he has to reform NHS health and social care services.

Lindsay Hoyle Portrait Mr Speaker
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I think you already have, but there we are.

Tristan Osborne Portrait Tristan Osborne
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I wish my right hon. Friend would go on. Irresponsible promises were made by the Opposition about capital investment in hospitals and elective surgeries across the country, including in the three Medway constituencies. Will my right hon. Friend meet me and my hon. Friends the Members for Rochester and Strood (Lauren Edwards) and for Gillingham and Rainham (Naushabah Khan) to discuss the much-needed NHS investment in our area?

Mental Health Support

Tristan Osborne Excerpts
Thursday 10th October 2024

(2 months, 1 week ago)

Westminster Hall
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Tristan Osborne Portrait Tristan Osborne (Chatham and Aylesford) (Lab)
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It is a pleasure to serve under your chairmanship, Mr Dowd. I thank the many Members from across the Chamber for their contributions, and I particularly thank my hon. Friend the Member for Hastings and Rye (Helena Dollimore), who spoke about one of her constituents, Phoebe. This year’s World Mental Health Day theme is about the link between safe and healthy workplaces and safeguarding mental wellbeing, while unhealthy environments marked by stigma and harassment can harm it. Poor mental health not only affects individuals and their families but leads to reduced performance, absenteeism and high turnover rates. I therefore welcome the global campaign to challenge absenteeism and the impact of mental health. Across the world, 12 billion days are lost annually to these issues, costing the global economy $1 trillion.

In my area, NHS Digital data and the House of Commons Library show that mental health provision is not sufficient. We see an increasing reliance on primary care services and an inability of secondary care services to deal with the increased pressures. Across the three key areas linked to diagnosis of depression, 17.3% of residents above the age of 60 in my constituency in Kent now have a diagnosis. Dementia is a rising challenge, with 24,000 people in Kent and Medway and nearly 1 million people in the UK experiencing it. As my colleagues have said, there are also concerns around mental health provision for young people, with 13,000 children and 14,000 adults waiting for neurodivergent condition tests, and ADHD and autism CAMHS referrals rising by some 600%.

I welcome the Government’s commitment to mental health, both in the Darzi report and in updating the Mental Health Act 1983. Within that, will the Minister review how we invest in mental health care and infrastructure alongside the Darzi report, with the mental health investment standard for capital spending, and will he urgently reflect on how we effectively give hospitals extra support with other standards? Will he also consider how we can improve patient flow in hospital services, with support for initiatives such as Right Care, Right Person, which has been adopted by Kent police; specific and targeted mental health-related discharge packages with support and home care; and an expansion of psychological therapies for those with severe mental illness?

Lastly, I welcome the intervention in schools with an increased provision of specialist mental health support. Can we also look at utilising other approaches to reduce waiting times for CAMHS, as my hon. Friend the Member for Hastings and Rye mentioned, and to reduce the stress on parents of navigating a special educational needs system that is not fit for purpose? The Government have made the necessary and correct interventions to improve our health services, but a long journey remains ahead.