Draft Water Fluoridation (Consultation) (England) Regulations 2022 Draft Health and Care Act 2022 (Further Consequential Amendments) Regulations 2022

Debate between Will Quince and Greg Knight

Monday 24th October 2022 General Committees

[Will Quince]

It is a pleasure to serve under your chairmanship, Mrs Murray. Tooth decay is a significant yet largely preventable public health problem throughout the country. Water fluoridation is an effective public health intervention to reduce the incidence of tooth decay and oral health inequalities. The water fluoridation provisions of the Health and Care Act 2022 will come into force on 1 November, and in doing so will transfer the power to initiate new schemes, or to vary or terminate existing schemes, from local authorities to the Secretary of State.

[Sir Greg Knight (East Yorkshire) (Con)]

We should make no mistake about what we are doing here. This is compulsory medication, because water is essential to human life. Will the Minister clarify one matter? Paragraph 7.8 of the explanatory memorandum says that it is not intended that consultations will amount to a referendum, and that decisions will depend on

“a range of factors…including…cogency of the argument”.

Who is to decide on the cogency of the argument: an independent arbiter or some pro-fluoridation fanatic?

[Will Quince]

I will come on to talk specifically about the consultation; then, perhaps in my closing remarks, I will go into a bit more detail about the role of the Secretary of State, which I think is the crux of my right hon. Friend’s question. Of course, we dealt with the fundamental principle of water fluoridation in the debates on the 2022 Act, and we do not want to go over those arguments again.

We have always been clear that, in looking at how we decide how to consult on water fluoridation schemes, public consultation will continue to be an important aspect of water fluoridation proposals, and the draft regulations set out the process that any future consultations must follow. Despite there being no statutory requirement to do so before laying the draft regulations, we of course consulted with the public because we know that some people, including my right hon. Friend, have strong feelings on the subject of water fluoridation and consultations relating to it. We are keen to gather public opinion on our suggested consultation approach.

--- Later in debate ---

[Will Quince]

I will come to that point. The common finding of several authoritative scientific reviews is that there is no convincing scientific evidence that fluoride in drinking water, at levels used in fluoridation schemes, is a cause of adverse health effects. Let me provide further assurance that if the balance of evidence in favour of water fluoridation as a public health measure were to change, a review of the current water fluoridation policy would take place.

I am conscious that I was not the Minister when the Act was passed, but this same point was made during the passage of the 2022 Act. We have 57 years of experience in England and 75 years of experience internationally of water fluoridation schemes. There continues to be no convincing evidence of health harms associated with the levels of water fluoridation use in this country. In fact, what we have seen internationally is more countries moving in that direction because of the benefits of tackling tooth decay, particularly in children.

[Sir Greg Knight]

The Minister is being generous in giving way. What is the duty to monitor and sample water where fluoride has been added to ensure that the dosage of fluoride is not excessive?

--- Later in debate ---

[Will Quince]

I was not avoiding my right hon. and learned Friend’s question, but I do not have an answer for him as my officials have not been able to find one in the short time that they have had. I will certainly commit to writing to him and to any other Committee member who is interested. Of course, if people made challenges or raised concerns on those grounds, they would be given weight as part of any consultation.

I understand that this is an emotive subject and that there are strong views on either side of the debate. That debate has already been had as part of the passage of the Act, but I trust that my answers—notwithstanding the one that I have failed to deliver for my right hon. and learned Friend the Member for North East Hertfordshire—have provided some reassurance on the benefits of water fluoridation and, in particular, on the importance of the consultation regulations. The regulations reflect the consultation responses from the public, and will not restrict those who want to respond to future public consultations on water fluoridation schemes.

I hope that my answers have also provided some reassurance on removing the requirement of the CQC to issue statutory guidance on mandatory learning disability and autism training. Let me be clear: that will not leave service providers without clear information. It will not be removed until it has been replaced with the code of practice.

[Sir Greg Knight]

Will the Minister reassure us that if he writes to any single member of the Committee on any issue that has been raised, he will write to us all?

[Will Quince]

I can certainly give that commitment and assurance to my right hon. Friend. With that, I commend the regulations to the Committee.

Question put and agreed to.

DRAFT HEALTH AND CARE ACT 2022 (FURTHER CONSEQUENTIAL AMENDMENTS) REGULATIONS 2022

Resolved,

That the Committee has considered the draft Health and Care Act 2022 (Further Consequential Amendments) Regulations 2022.—(Will Quince.)