National No Smoking Day

Debate between Virendra Sharma and Bob Blackman

Thursday 9th March 2023 Westminster Hall

[Bob Blackman (Harrow East) (Con)]

I beg to move,

That this House has considered national no smoking day.

It is a pleasure to serve under your chairmanship, Mr Efford. Many of us will be well aware that yesterday was No Smoking Day, an annual awareness day in the UK that aims to help people who wish to quit smoking. This year, No Smoking Day is raising awareness of the greatly increased risk of developing dementia that results from tobacco use. Through this debate, I hope that we can raise awareness of the considerable health risks associated with tobacco products.

It shocks me that, despite two out of three smokers dying from smoking-related illness, there are still 6.6 million people in the UK who smoke regularly. I firmly believe that if people were more aware of the self-inflicted harms that they are causing by using tobacco products regularly, that figure would drop considerably, and those people would be less inclined to continue smoking. It is therefore crucial that we reverse the withdrawal of Government funding for the no smoking public awareness campaign, which effectively highlighted the dangers associated with smoking and the support that is available to help people quit.

The wider health implications of smoking are truly frightening. Every single day in England, 150 new cases of cancer are diagnosed as a direct consequence of smoking. Additionally, a person is admitted to hospital with a smoking-related illness every single minute. Tobacco products are the biggest cause of death in the UK, killing on average 78,000 people a year through cancers, respiratory diseases, coronary heart disease, heart attacks and stroke, vascular disease, asthma and chronic obstructive pulmonary disease, or COPD. To be clear, that is 78,000 avoidable deaths caused by self-inflicted harm.

Smoking affects some socioeconomic groups more harshly than others. In areas around the city of Kingston upon Hull, 22% of residents engage in tobacco use, and in Blackpool the figure is as high as 20.6%. That encourages children and other members of the household to take up smoking, because they follow the example of others and have much easier access to such products in the home. When a parent smokes, their offspring are four times more likely to share the habit. I was horrified to learn that 90,000 children between 11 and 15 in this country regularly smoke, despite the fact that it is illegal for premises to supply tobacco to those children. The younger a person starts smoking, the harder it is for them to give up, and the more likely they are to continue the habit into their adult life. Some 80% of regular smokers started smoking before the age of 20.

Smoking in pregnancy is far too common, and it is an area that I have constantly campaigned on. If a mother is happy to smoke, being fully aware of the health implications, she is risking not only her health but the life of her unborn child. As soon as an innocent child, not even born, is subjected to heightened health risks because of smoking, it becomes a far more selfish and cruel act. Smoking during pregnancy is the leading modifiable risk factor in poor birth outcomes, including stillbirth, miscarriage and pre-term birth. Further, it considerably heightens the risk of the child contracting respiratory conditions; attention and hyperactivity difficulties; learning difficulties; problems of the ear, nose and throat; obesity; and diabetes. Unfortunately, there are over 51,000 babies subjected to such experiences each year. I am sure we all agree that that is 51,000 innocent babies too many. 

As I mentioned, the theme of No Smoking Day this year was the increased risk of dementia, so it would be remiss of me not to touch on the strong links between smoking and dementia. A recent study ranked smoking third out of nine modifiable risk factors leading to dementia. The World Health Organisation estimates that 14% of cases of Alzheimer’s disease worldwide are potentially attributable to smoking, and states that smoking increases the risk of vascular dementia and Alzheimer’s. Studies also show that people who smoke heavily—more than two packs a day—in mid-life have more than double the risk of developing Alzheimer’s disease or other forms of dementia two decades later.

It is important to recognise that there is probably an even stronger connection between smoking and dementia than the figures suggest. That is because a higher proportion of smokers die prematurely, so it is possible that the association between smoking and dementia has been obscured through a selection bias. Given that dementia is now the most feared health condition for all adults over the age of 55, I am sure the Minister will help to ensure that the data is shared with smokers whenever possible.

Smoking is not only hugely damaging to the health and wellbeing of individuals; it also puts a gigantic strain on the public purse and wider society. In 2021-22, the tax revenue from sales of tobacco reached £10.3 billion. That may seem a generous return to the Treasury, but it is tiny compared with the £20.6 billion that smoking actually costs the public finances. Let me break those figures down: £2.2 billion fell on the NHS, £1.3 billion fell on the social care system, and a staggering £17 billion was lost as a result of the reduction in taxes and increased benefit payments that arose from losses to productivity, including from tobacco-related lost earnings, unemployment and premature death.

The addictive nature of smoking products pushes many households into significant financial hardship. On average, those who smoke regularly spend more than £2,400 a year on tobacco. In 2022, that figure was enough to cover the average household energy bill—granted, perhaps it does not anymore, thanks to inflationary pressures. Research looking into the income and expenditure of households containing smokers found that 31% fell below the poverty line.

The socioeconomic inequality of smoking is huge. Those from poorer backgrounds and on lower incomes are considerably more likely to smoke, and in turn experience heightened health risks. Consequently, people born today in England’s more affluent areas are expected to live up to a decade longer on average than those in the least affluent areas. In Kingston upon Hull, 22% of households contain smokers, and the average income is £31,000. Comparatively, in west Oxfordshire, where the average salary is £40,000, the smoking rate drastically decreased to only 3.2%. Some £21.4 million in earnings is lost each year to smoking-related causes, and a further £20.2 million is lost due to smoking-related unemployment.

As I said, smokers are far more likely to contract cancer. I was unfortunate enough to witness that at first hand. When I was only 23, both my parents died as a direct result of smoking-related cancers. They died within a month of each other, which was a tragedy for my family and something that I remember every single day. It was a devastating period for my family, and the prospect of suddenly having to raise three younger sisters at a very young age was frightening—an experience I do not wish on any other individual.

Cancer treatments are not cheap. The average cost of treating a patient for lung cancer is more than £9,000 a year. That is a huge burden on already strained NHS budgets, and in many cases it is self-inflicted through smoking. Further, 75,000 GP appointments a year are a result of smoking-related illness. At approximately £30 an appointment, that could save the UK Government £2,250,000 annually and—very importantly in this day and age—would shorten waiting times for patients with other ailments. As I am sure my hon. Friend the Minister will agree, it is clear that we need to take urgent action to tackle this damaging practice.

[Mr Virendra Sharma (Ealing, Southall) (Lab)]

It is a pleasure to speak under your chairmanship, Mr Efford. On No Smoking Day, I am delighted to welcome the progress we have made as a country, and I am grateful to the hon. Member for securing the debate. I must declare that I am a non-smoker. In only a few years, smoking policy has worked. It has massively reduced prevalence, and people are healthier, fitter and living longer. Given how few Members are present, Mr Efford, I understand that I can talk a little longer, rather than having to intervene two or three times.

[Mr Sharma]

I accept that. Working-class and black and minority ethnic communities are struggling to quit, and need more complex solutions. Does the hon. Member agree that vaping represents a less harmful alternative?

[Bob Blackman]

I thank the hon. Member for that brief intervention. From my perspective, I would encourage anyone who smokes and who wants to give up to try vaping. If vaping is considered by that individual to be a safer alternative, I would encourage them to try it. However, I am one of those people who say that we have to be very careful about vaping, because we do not know the long-term effects. It is certainly healthier to choose vaping as a way to give up smoking. However, I am concerned about the number of young people who are taking up vaping directly, and who may then go on to smoke, or to other ways of getting nicotine into their system. That is a really serious problem for the long term that the Government have to address.

As I was saying, the Government have set out a vision for England to be smoke-free by 2030, which I strongly welcome—I hope we can do it even more quickly than that —but Cancer Research UK, which has supplied me with information on this issue, has modelled the Government’s plan and suggests that they will not achieve the target until 2039 if recent trends continue. That is not good enough. The delay will cause around 1 million smoking-related cancer cases in the UK alone, so can my hon. Friend the Minister confirm how we will get back on track to reaching a smoke-free 2030?

Nothing would have a bigger impact on the number of preventable deaths in the UK than ending smoking. Smoking rates have thankfully come down, as indicated by the hon. Member for Ealing, Southall (Mr Sharma), and I want further action, so that the downward trend continues. Back in 2021, the Government committed to publishing a tobacco control plan, which we have yet to see. Smoking causes around 150 cases of cancer a day in the UK, meaning that since the last tobacco control plan expired in 2022, around 10,000 people’s lives have been changed forever with a smoking-attributable cancer diagnosis. Can the Minister confirm when the tobacco control plan for England will eventually be published? “Soon” is not good enough.

In June 2022, Javed Khan published his hugely anticipated independent review of tobacco control, which was commissioned by the UK Government. Like many others, I was pleased to contribute to the review, and we welcomed its pronouncements. It set out policy recommendations that would see England become smoke-free by 2030. However, despite being given clear recommendations and a road map of how to achieve the target months ago, the Government have yet to respond. I understand that Ministers have changed over the last year, particularly as a result of the changes in Government, but it is not good enough that we have not had a response to the long-awaited review.

It was stated that a response would be available in the spring. I am not sure if that is spring 2022, spring 2023 or, worse still, spring 2024, but the reality is that in ministerial terms, “spring” can be flexible—hence why we call it spring. Spring is almost upon us, so we await the response to the report. We need to know which recommendations the Government will choose to adopt, and which they will not, and why. Will my hon. Friend the Minister confirm when specifically the response to the Khan review will finally be published?

Next week’s Budget is a critical moment at which the Government must take the urgent action we are calling for. Without additional, sustainable funding, it will not be possible to deliver all the measures we need to make England smoke-free. Severe funding reductions have undermined our ability to deliver such measures. We need to encourage and help people to quit smoking. The reductions have been greatest in the most deprived areas of the country, where smoking is most likely to occur. Sadly, in 2022, only 67% of local authorities in England commissioned a specialist service open to all local people who smoke. That is largely due to financial pressure, following reductions to the public health grant. National spending in England on public education campaigns has dropped from a peak of 23,380,000 in 2008-09 to a mere 2.2 million in 2019-20. That is a 91% reduction. I am disappointed that funding for the No Smoking Day public awareness campaign has been completely scrapped, despite a mass of evidence suggesting that it was a highly effective campaign that had a direct effect on people who continue to smoke.

The four largest tobacco manufacturers make around £900 million of profits in the UK each year. Profit margins on cigarette sales are significantly higher—as much as 71%—than on other typical consumer products. Consequently, the all-party parliamentary group on smoking and health, which I have the privilege of chairing, has called on the Government to introduce a “polluter pays”-style charge on the tobacco industry. That would finally make the tobacco industry pay for the damage its products cause to our nation’s health, and for the strain on the NHS. Remember: this is the only product that people can legally buy that will kill them if they use it properly. It is an outrage that smokers are preyed on by these big tobacco companies. I accept that I may not get the answer I would like, but will the Minister confirm that the Government will introduce a “polluter pays” charge on the tobacco industry in the upcoming Budget?

I have a ten-minute rule Bill going through Parliament that would require people who sell tobacco products to be properly licensed. If the Minister cannot endorse the Bill, I would welcome a commitment from him and his Department to dealing with this issue once and for all, so that we have a proper licensing regime for the sale of tobacco products in this country.

As I come to the end of my speech, I remind colleagues that making Britain smoke-free by 2030 is a well backed public initiative. Recent polling showed that 70% of people supported the Government’s investing more money in helping England to reach the target. Of those people, 74% would prefer the money to come from the tobacco industry, so that it pays for the pollution it causes.

I thank hon. Members for attending the debate. I look forward to hearing the contributions from the Labour and SNP spokespersons, and the Minister’s response, as well as contributions from colleagues from across the House. I commend the debate to the House, and urge the Minister to take urgent action on tobacco today; that would improve the health of the nation, reduce pressure on the NHS, and put money back in the pockets of those who need it most.

Gujarati Community in the UK

Debate between Virendra Sharma and Bob Blackman

Wednesday 30th October 2019 Westminster Hall

[Bob Blackman (Harrow East) (Con)]

I beg to move,

That this House has considered the contribution of the Gujarati community to the UK.

It is a pleasure to serve under your chairmanship once again, Sir Christopher. I am deeply grateful to the Chairman of Ways and Means for allowing the debate; I believe that the House of Commons has not debated the subject before, although the House of Lords has. I welcome the Minister to his place, congratulate him on his appointment and look forward to his speech. I also welcome hon. Members present, who probably have substantial Gujarati communities in their constituencies and will no doubt wish to participate.

The reality is that the Gujarati community in the UK is sizeable but at the moment we have a severe shortage of data to measure both the size of the community and the contribution that it makes. One of the asks that I have of my hon. Friend the Minister is whether we can start to compile some of that data in future, so that we can measure what the Gujarati community provide. It is important that we recognise their contribution. However, we can say without question that over about two and a half generations the Gujarati community have integrated fully into the host community.

[Mr Virendra Sharma (Ealing, Southall) (Lab)]

I congratulate the hon. Gentleman on securing this debate, on a subject that has so far been missing in the Commons debate structure. Does he agree that although we do not have much data, in our constituencies and our local communities we can identify Gujarati individuals, as well as the Gujarati community at large, contributing effectively in different spheres in our society, and that we should respect that?

[Bob Blackman]

I thank the hon. Gentleman, who is the chair of the Indo-British all-party parliamentary group, for his intervention. As the chair of that group, he would naturally raise such a subject and I also know full well how much work he does in his constituency to integrate the various different communities, and I recognise what he has said.

The Gujarati community has integrated so well in Britain because of their religious/spiritual leanings and their ethos of hard work and networking across the community, which we should celebrate.

Most of the Gujaratis in the UK—not all, but most of them—are of Hindu origin and practice Hinduism. All of us who celebrated Diwali last Sunday know that it lasts from about 1 September to 31 January, given the celebrations that go on over that period, but of course last Sunday was the holy day. And we just celebrated the Hindu new year on Monday, so a new year gives us a new opportunity to celebrate what Gujaratis have done here. I wish all those who have been celebrating, “Noutan Varshna Abhinandan”, which is Gujarati for “happy new year”.

First, perhaps, we should consider the state of Gujarat. It is obviously a state in India, which is located on the western coast, near the Arabian sea and bordering the south- eastern tip of Pakistan. It is comprised of 33 districts, it covers just under 76,000 square miles, and its population is approximately 69 million people.

The state, as we know it now, came into being in 1960, when the state of Bombay was revised, and then divided into Gujarat and Maharashtra. So it is a relatively young state in India. The capital city is Gandhinagar. The city of Ahmedabad, which is also in the state, is clearly one of the economic powerhouses of India right now. It is a major population centre and, of course, among the most crucial textile hubs in India.

Figures from the relevant Indian ministry suggest that Gujarat produces 7.69% of the entire GDP of India, so that Gujarat is ranked fifth of the 33 states and union territories of India in that regard. In terms of religious breakdown, which I mentioned earlier, the latest figures show that about 89% of the population are Hindu, 9% are Muslim, 1% follow Jainism, 0.5% follow Christianity, 0.2% follow Sikhism and 0.1% follow Buddhism.

It is fair to say that when Gujarat was created as a state, it was very run-down; in fact, it was a desert. It did not have the economic power that it now has. In fact, it is now recognised as being the economic powerhouse of India, not least because its chief minister between 2001 and 2014 was none other than Narendra Modi, who went on to become the Prime Minister of India and is now delivering for the whole of India what he delivered previously for the state of Gujarat. Under Modi’s premiership in Gujarat, the finances and wellbeing of the state were rapidly improved, in terms of the economy, the lifestyle enjoyed by its citizens and the other indicators that show Gujarat is a vibrant state. And clearly he is doing the same thing for India as a whole.

Most of the Gujaratis in the UK came here in the 1970s; there were Gujaratis who came here before that, but in general Gujaratis came here from east Africa in the 1970s. That started when Idi Amin became dictator in Uganda. Although the Gujarati community in Uganda were delivering the economic benefits of the Gujarati people to the country, Amin took against them. That was because, as a despot, he persecuted ethnic, religious and political groups with whom he did not agree. He deliberately went after the Asian and European communities in Uganda, and approximately 80,000 Asians who had come to Uganda, who were mainly Gujaratis, became the prime target of his blitz on minorities.

Of those 80,000, around 30,000 moved to the UK. I am very proud of the fact that when Idi Amin decided to evict the Gujaratis and other Indians from Uganda, it was Ted Heath, a Conservative Prime Minister, who took those people in and welcomed them. At the same time, Indira Gandhi, who was the Prime Minister of India, refused to take them back. I think that demonstrates how this country has always welcomed immigrants who will participate fully in our country.

Nevertheless, we should remember how some in Britain welcomed those people who came here. In particular, I think of Leicester City Council, which chose to put adverts in the Ugandan newspapers, saying, “Please don’t come to Leicester”. The result is that the Gujarati population now in Leicester is about 15,000, so that advertising was clearly not very effective. And good on the Gujaratis who went there, despite what they were being told.

I was at school when the first of those people arrived and I remember that most of those I met were—I have to say—a bit disorientated. They arrived in snow, which they were not used to. However, they had better English than we had, they were better educated than we were and they were very smart. But they were bewildered. None the less, many of those people I met then are still my friends today. That demonstrates how they came in, participated in the work of the UK and moved ahead straightaway.

--- Later in debate ---

[Bob Blackman]

I do. The hon. Lady may not know that there is a bagpipe band that celebrates and is normally present at the Kingsbury mandir. It comes to a range of functions. In fact, I was with the hon. Member for Ealing, Southall (Mr Sharma) only recently where that band led the parade.

[Mr Virendra Sharma]

It is interesting that the hon. Gentleman has raised one aspect of the community. The community also includes very skilled craftsmen and women who bring their professions into better repute. As he said, there is a focus on education, and families encourage their children to go into professions such as accountancy, medicine and the law. However, the community are not only in Wembley or Harrow; the hon. Gentleman has visited temples in my constituency to see the services that they provide and the community centres that they have set up. Those temples are not only for worshiping deities; they have an integration aspect, with different cultures brought together to provide services to society—social services. He mentioned some of those services, but does he agree that temples provide other social services too?

[Bob Blackman]

I do. It is clear that the first generation had to do the difficult jobs of taking on the economy and building up their family economies. Subsequently, all the families I have come across want their sons and daughters to be doctors, dentists, accountants or lawyers. They want their children to be professionals and to go on and succeed in life—and, in the main, they do. Gujaratis have become some of the most successful businesspeople across the United Kingdom, and some of the most important professionals, be it in our national health service or in other guises.

I will also mention the Gujarati community’s contribution to charity. All the mandirs and community centres are created through voluntary contributions. If they borrow money, they pay it back, but they do not depend on taxpayer money for the creation of any of those centres. That is another thing for which we can be grateful to the Gujarati community. They do not demand money and they do not expect it, but, boy oh boy, do they manage to raise it in their communities.

Let me end with a couple of questions for the Minister. I mentioned that we need a clear way to capture data to measure the immense contribution made not only by the Guajarati community, but by others. There have been debates in this place on the Sikh community and others, and we must ensure that we capture the data in an appropriate way. Several of us have campaigned to get Gujarati as a language retained on the national curriculum for those people who want it. Having that data enables us to demonstrate the importance of having that language in our schools, if people want to raise that point. Equally, retaining Gujarati as an A-level and GCSE qualification is important to that process.

The Gujarati community can be used as a prime example of how a community can come to this country and integrate. We should highlight the contribution it has made, possibly to show other communities that this is the way that they can not only come to this country and make a success of it, but organise appropriately; to have their own religion and celebrate their culture, but still integrate within the host community. The Gujarati community is a shining example to all communities that they can do so. In his reply, could the Minister shed some light on how we can use their example as a means of saying to different communities who come to this country and make it their home that this is an ideal way of doing so, and how we can celebrate what those people have done and the contribution they make?