Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will make a comparative estimate of the costs of (a) implementing a one-time increase in the legal purchase age of tobacco and (b) introducing an age escalator, in the context of the Tobacco and Vapes Bill.

Smoking is the number one preventable cause of death, disability, and ill health. It causes approximately 80,000 deaths a year in the United Kingdom, one in four of all cancer deaths, and kills up to two-thirds of its users.

Smoking also substantially increases the risk of many major health conditions throughout people’s lives, such as strokes, diabetes, heart disease, stillbirth, dementia, and asthma. Three quarters of smokers wish they had never started smoking but are unable to stop due to the addictive nature of tobacco.

It is estimated that smoking costs the country £21.8 billion a year in England. This includes an annual £18.3 billion loss to productivity, through smoking related lost earnings, unemployment, and early death, as well as costs to the National Health Service and social care of over £2 billion.

On 5 November 2024, the Department published an impact assessment on the Tobacco and Vapes Bill. This found that the introduction of the smoke-free generation policy, the progressive increase in the age of sale, will get smoking rates in England for 14 to 30 year olds to 0% as early as 2050. Over the next 50 years it will save tens of thousands of lives, and avoid up to 130,000 cases of cases of lung cancer, strokes, and heart disease.

The impact assessment explored a one-time age increase, but this has been discounted as it does not achieve the policy objective to prevent future generations from ever taking up smoking and getting smoking prevalence to 0% to achieve a smoke-free United Kingdom. Simply raising the age of sale to one set year will only raise the age that people start smoking, and would not break the cycle of addiction and disadvantage.