Asked by: Lord Kamall (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what data they collect on the annual consumption of handmade cigars.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
Currently there is no agreed definition of what constitutes a handmade cigar, therefore there is no Government data collected on their annual consumption.
However, there is data on cigar usage from the International Tobacco Control Policy Evaluation Project which is produced every two years. In 2024 in England, of adults aged 18 years old or older who currently smoke or quit in the past two years or who currently use vapes, heated tobacco produces, and/or oral nicotine products, 5.1% reported past 30-day use of cigars.
Additionally, HM Revenue and Customs publishes data on clearances of tobacco products which relates to the amount of tobacco products cleared onto the United Kingdom’s market for sale. This data is published every month.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to increase early detection of mouth cancer.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
To help increase the early detection of cancer, the Government has recently launched Jess’s Rule, an initiative that asks general practitioners (GPs) to think again if, after three appointments, they have been unable to diagnose a patient, or if their symptoms have escalated.
The Department is also investing an additional £889 million in GPs, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This will help to ensure the National Health Service has a well-trained and well-equipped primary care service that can take the time to provide quality care to patients around the country.
Dentists and other dental professionals, including hygienists, routinely check the soft tissues of a patient’s mouth for signs of cancer during dental visits and as part of the check-up will make an assessment and record an individual’s oral cancer risk. Dentists will prioritise patients at a higher risk of oral cancer for more frequent recall and review in line with National Institute for Health and Care Excellence guidance.
Additionally, NHS England is working in partnership with major supermarket chains to include messages about common cancer symptoms onto the packaging of relevant products. This has included specific messaging on mouth cancer symptoms on toothpaste and mouthwash packaging.
To support earlier and faster cancer diagnosis, the NHS is now delivering additional checks, tests, and scans at 170 community diagnostic centres.
Cancer incidence, including mouth cancer, is increasing. The Government is taking action, including raising awareness of signs and symptoms and focusing on prevention, such as the introduction of the Tobacco and Vapes Bill.
Asked by: Helen Maguire (Liberal Democrat - Epsom and Ewell)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to reduce cases of mouth cancer.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
To help increase the early detection of cancer, the Government has recently launched Jess’s Rule, an initiative that asks general practitioners (GPs) to think again if, after three appointments, they have been unable to diagnose a patient, or if their symptoms have escalated.
The Department is also investing an additional £889 million in GPs, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This will help to ensure the National Health Service has a well-trained and well-equipped primary care service that can take the time to provide quality care to patients around the country.
Dentists and other dental professionals, including hygienists, routinely check the soft tissues of a patient’s mouth for signs of cancer during dental visits and as part of the check-up will make an assessment and record an individual’s oral cancer risk. Dentists will prioritise patients at a higher risk of oral cancer for more frequent recall and review in line with National Institute for Health and Care Excellence guidance.
Additionally, NHS England is working in partnership with major supermarket chains to include messages about common cancer symptoms onto the packaging of relevant products. This has included specific messaging on mouth cancer symptoms on toothpaste and mouthwash packaging.
To support earlier and faster cancer diagnosis, the NHS is now delivering additional checks, tests, and scans at 170 community diagnostic centres.
Cancer incidence, including mouth cancer, is increasing. The Government is taking action, including raising awareness of signs and symptoms and focusing on prevention, such as the introduction of the Tobacco and Vapes Bill.
Asked by: Adam Jogee (Labour - Newcastle-under-Lyme)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to (a) promote earlier detection of mouth cancer, (b) ensure (i) dentists, (ii) GPs and (iii) other frontline health professionals are trained to identify early warning signs and (c) reduce the time taken to (A) diagnose and (B) refer patients for treatment for mouth cancer.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We know that cancer incidence, including mouth cancer incidence, is increasing. We know that more needs to be done to improve outcomes for patients with mouth cancer, including raising awareness of signs and symptoms and focusing on prevention, such as the introduction of the Tobacco and Vapes Bill.
Our forthcoming National Cancer Plan will have patients at its heart, and it will include further details on how we will speed up diagnosis and treatment, ensuring patients have access to the latest treatments and technology, and ultimately drive up this country’s cancer survival rates.
To support earlier and faster cancer diagnosis, we are now delivering additional checks, tests and scans at 170 community diagnostic centres.
Additionally, to help increase early detection of cancer, the Government has recently launched Jess’s Rule, an initiative that asks general practitioners (GPs) to think again if, after three appointments, they have been unable to diagnose a patient, or their symptoms have escalated.
We are also investing an additional £889 million in general practice, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This will help to ensure we have a well-trained and well-equipped primary care service that can take the time to provide quality care to patients around the country.
Dentists and other dental professionals, including hygienists, routinely check the soft tissues of a patient’s mouth for signs of cancer during dental visits and as part of the check-up will make an assessment and record an individual’s oral cancer risk. Dentists will prioritise patients at a higher risk of oral cancer for more frequent recall and review in line with National Institute for Health and Care Excellence guidance.
Asked by: Adam Jogee (Labour - Newcastle-under-Lyme)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential implications for his policies of trends in the level of mouth cancer in the last ten years.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We know that cancer incidence, including mouth cancer incidence, is increasing. We know that more needs to be done to improve outcomes for patients with mouth cancer, including raising awareness of signs and symptoms and focusing on prevention, such as the introduction of the Tobacco and Vapes Bill.
Our forthcoming National Cancer Plan will have patients at its heart, and it will include further details on how we will speed up diagnosis and treatment, ensuring patients have access to the latest treatments and technology, and ultimately drive up this country’s cancer survival rates.
To support earlier and faster cancer diagnosis, we are now delivering additional checks, tests and scans at 170 community diagnostic centres.
Additionally, to help increase early detection of cancer, the Government has recently launched Jess’s Rule, an initiative that asks general practitioners (GPs) to think again if, after three appointments, they have been unable to diagnose a patient, or their symptoms have escalated.
We are also investing an additional £889 million in general practice, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This will help to ensure we have a well-trained and well-equipped primary care service that can take the time to provide quality care to patients around the country.
Dentists and other dental professionals, including hygienists, routinely check the soft tissues of a patient’s mouth for signs of cancer during dental visits and as part of the check-up will make an assessment and record an individual’s oral cancer risk. Dentists will prioritise patients at a higher risk of oral cancer for more frequent recall and review in line with National Institute for Health and Care Excellence guidance.
Asked by: Cat Eccles (Labour - Stourbridge)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of oral nicotine pouches on public health.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Nicotine is the active ingredient in oral nicotine pouches, which is a highly addictive drug. Unlike vapes, nicotine pouches currently have no set nicotine limits, and nicotine strengths can be extremely high. The use of nicotine pouches is increasing, particularly among young men. Among adults in Great Britain, 5.4% tried nicotine pouches in 2024.
The Government is committed to protecting future generations from the harms of nicotine addiction. That is why, alongside vapes, we are taking action to control these products through the Tobacco and Vapes Bill. The bill will ban the advertising and sponsorship of all consumer nicotine products, ban their sale to anyone under 18 years old, and prohibit free distribution. The bill also provides powers to regulate the flavours, ingredients, which includes nicotine strength, packaging, and displays of vapes and nicotine products.
Asked by: Lord Bishop of St Albans (Bishops - Bishops)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the health implications of using nicotine pouches, particularly for oral health.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
Data from August 2024 by ASH suggests that 1.2% of children aged between 11 and 18 years old currently use nicotine pouches. A copy of the report in which this data is contained is attached.
There is currently limited research and evidence into the harms of nicotine pouches, including implications for oral health. However, they are never recommended for children. Nicotine, the active ingredient in pouches, is a highly addicted drug, and we have a duty to protect children and young people from future harm and addiction. Advice on the health impacts of nicotine can be found on the Talk to Frank website.
That is why, through the Tobacco and Vapes Bill, we are banning the advertisement and sponsorship of these products, introducing age of sale restrictions to 18 years old for nicotine pouches, banning free samples, and providing powers to restrict packaging, flavours, and point of sale displays.
We will continue to monitor the use of these products and will update public health guidance and messaging accordingly.
Asked by: Lord Bishop of St Albans (Bishops - Bishops)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the number of children and young people using nicotine pouches.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
Data from August 2024 by ASH suggests that 1.2% of children aged between 11 and 18 years old currently use nicotine pouches. A copy of the report in which this data is contained is attached.
There is currently limited research and evidence into the harms of nicotine pouches, including implications for oral health. However, they are never recommended for children. Nicotine, the active ingredient in pouches, is a highly addicted drug, and we have a duty to protect children and young people from future harm and addiction. Advice on the health impacts of nicotine can be found on the Talk to Frank website.
That is why, through the Tobacco and Vapes Bill, we are banning the advertisement and sponsorship of these products, introducing age of sale restrictions to 18 years old for nicotine pouches, banning free samples, and providing powers to restrict packaging, flavours, and point of sale displays.
We will continue to monitor the use of these products and will update public health guidance and messaging accordingly.
Asked by: Alex Brewer (Liberal Democrat - North East Hampshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the (a) safety and (b) regulation of (i) snus and (ii) nicotine pouches.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Oral tobacco, otherwise known as snus, has been banned in the United Kingdom and the European Union since 1992. All tobacco products are harmful to health, and the International Agency for Research on Cancer has determined that smokeless tobacco is carcinogenic to humans. The Tobacco and Vapes Bill re-enacts the existing ban in a way that is more comprehensive, clearer, and more accessible for the relevant parties, such as retailers and enforcement agencies. We have no intention of allowing a banned and harmful product into the UK market.
There is currently limited research and evidence into the harms of nicotine pouches. However, they are never recommended for children. Nicotine, the active ingredient in pouches, is a highly addicted drug, and we have a duty to protect children and young people from future harm and addiction. Advice on the health impacts of nicotine can be found on the Talk to Frank website, which is available at the following link:
https://www.talktofrank.com/drug/nicotine
That is why, through the Tobacco and Vapes Bill, we are banning the advertisement and sponsorship of these products, introducing age of sale restrictions to 18 years old for nicotine pouches, banning free samples, and providing powers to restrict packaging, flavours, and point of sale displays.
Whilst the use of nicotine pouches is currently low among adults, it is increasingly popular with younger male audiences. We will continue to monitor the use of these products and will update public health guidance and messaging accordingly.
Asked by: Baroness Watkins of Tavistock (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government whether they have plans to regulate the marketing and advertising of tobacco-free nicotine pouches.
Answered by Lord Markham - Shadow Minister (Science, Innovation and Technology)
Whilst the use of nicotine pouches is currently low among adults, it is increasingly popular with younger male audiences. Nicotine is a highly addictive drug, and we have a duty to protect children and young people from potential harms.
In October 2023, the Government and the devolved administrations launched the smokefree generation and youth vaping consultation which considered whether consumer nicotine products, such as nicotine pouches, should come under a similar regulatory framework as nicotine vapes.
We have now published our response, which outlines measures to regulate the promotion and marketing of nicotine pouches, by restricting the flavours, packaging, and where nicotine pouches can be displayed in store. We have also committed to bring forward regulations to introduce an age of sale for these products of 18 years old or above. We will introduce the legislation as soon as possible.