Asked by: Baroness Eaton (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government whether additional new burdens funding will be committed to local authorities who will require additional enforcement capacity within trading standards teams to enforce the policies included in the 2023 Department For Health and Social Care policy paper Stopping the Start.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department published the command paper, Stopping the Start, in October 2023, which sets out our plans to create the first Smokefree Generation, to tackle youth vaping, and to strengthen tobacco and vape enforcement. These measures amount to the most significant public health intervention in a generation.
The policies announced in the command paper are being introduced through the Tobacco and Vapes Bill, which is currently undertaking its passage through Parliament. The bill changes the age of sale of tobacco so that those born on or after 1 January 2009 will never be legally sold tobacco. It also prohibits the sale of non-nicotine vapes to under 18-year-olds, and the free distribution of vapes to under 18-year-olds, and introduces fixed penalty notices for breaches of the age of sale legislation.
To help tackle the rise in youth vaping, the bill provides powers to restrict vape flavours, point of sale displays, and packaging, and the Government has also confirmed that under environmental legislation, we will ban the sale and supply of disposable vapes. Any new burdens on local trading standards to enforce these new measures will be assessed ahead of any future regulations.
We are strengthening our enforcement activity through £30 million of new funding per year for enforcement agencies, including for trading standards, to boost the enforcement of underage tobacco and vape sales. In addition, fixed penalty notices introduced in the bill will support trading standards to take quicker action against irresponsible retailers, through using on-the-spot fines rather than going through lengthy magistrate’s court processes. Local authorities will keep the proceeds, to invest back into their enforcement activity.
Asked by: Andrew Bridgen (Independent - North West Leicestershire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an estimate of the cost to the public purse of treating (a) smoking related illnesses and (b) alcohol related illnesses in the last 12 months.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Tobacco is uniquely harmful, with no safe level of smoking, and no other consumer product that kills two thirds of its long-term users. It causes one in four cancer deaths, including 70% of lung cancer cases, and takes approximately 80,000 lives every year. The latest estimates from Action on Smoking and Health put the cost of smoking in England at over £21 billion. This includes an annual £18 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 £3 billion.
The Department estimated the annual cost of alcohol consumption to the NHS to be £4 billion in 2021. The previous estimate published alongside the Government’s 2012 Alcohol Strategy was updated to reflect inflation. The Department has begun a review of existing methods and evidence to update this estimate. The estimated costs of alcohol and smoking related illnesses to the NHS were not designed to be compared, and are based on different methods, data sources, and time periods.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential relationship between nicotine and type II diabetes.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Studies have shown that smokers are 30% to 40% more likely to get type 2 diabetes than people who don’t smoke. Smoking can also make managing the condition more difficult, because high levels of nicotine can lessen the effectiveness of insulin. Such studies have focussed on the impact of nicotine contained within cigarettes, rather than alternative nicotine delivery methods, and the National Health Service recommends that smokers with diabetes should try to quit.
As stated during the Tobacco and Vapes Bill Committee on 14 May 2024, the Department is currently exploring research options to address these evidence gaps in the short, medium, and longer term. I will be setting out further details on this very soon.
Asked by: Alexander Stafford (Conservative - Rother Valley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an estimate of the number of hospital admissions for issues related to cigar smoking in the last (a) 12 months, (b) five years and (c) 20 years.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom, and causes around one in four UK cancer deaths. It also costs our country £21.8 billion a year, and puts a huge burden on the National Health Service. The latest estimates from Action on Smoking and Health put the cost of smoking to the NHS at £1.9 billion a year.
All tobacco products are harmful. Tobacco smoke from cigars leads to the same types of diseases as cigarette smoke. Research has shown that using smokeless tobacco raises the risk of both mouth and oesophageal cancer. Data from the Office for Health Improvement and Disparities’ Smoking Profile showed that in 2019/20 there were an estimated 448,031 smoking attributable hospital admissions, but we cannot differentiate by the type of tobacco.
As such, the Department does not hold data on the annual costs to the NHS of cigar smoking and snuff taking, nor data on the number of hospital admissions for issues related to cigar smoking or snuff taking in the last 12 months, five years, or 20 years.
Asked by: Alexander Stafford (Conservative - Rother Valley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an estimate of the number of hospital admissions for issues related to the taking of snuff in the last (a) 12 months, (b) five years and (c) 20 years.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom, and causes around one in four UK cancer deaths. It also costs our country £21.8 billion a year, and puts a huge burden on the National Health Service. The latest estimates from Action on Smoking and Health put the cost of smoking to the NHS at £1.9 billion a year.
All tobacco products are harmful. Tobacco smoke from cigars leads to the same types of diseases as cigarette smoke. Research has shown that using smokeless tobacco raises the risk of both mouth and oesophageal cancer. Data from the Office for Health Improvement and Disparities’ Smoking Profile showed that in 2019/20 there were an estimated 448,031 smoking attributable hospital admissions, but we cannot differentiate by the type of tobacco.
As such, the Department does not hold data on the annual costs to the NHS of cigar smoking and snuff taking, nor data on the number of hospital admissions for issues related to cigar smoking or snuff taking in the last 12 months, five years, or 20 years.
Asked by: Alexander Stafford (Conservative - Rother Valley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an estimate of the annual cost to the NHS of (a) cigar smoking and (b) snuff taking.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom, and causes around one in four UK cancer deaths. It also costs our country £21.8 billion a year, and puts a huge burden on the National Health Service. The latest estimates from Action on Smoking and Health put the cost of smoking to the NHS at £1.9 billion a year.
All tobacco products are harmful. Tobacco smoke from cigars leads to the same types of diseases as cigarette smoke. Research has shown that using smokeless tobacco raises the risk of both mouth and oesophageal cancer. Data from the Office for Health Improvement and Disparities’ Smoking Profile showed that in 2019/20 there were an estimated 448,031 smoking attributable hospital admissions, but we cannot differentiate by the type of tobacco.
As such, the Department does not hold data on the annual costs to the NHS of cigar smoking and snuff taking, nor data on the number of hospital admissions for issues related to cigar smoking or snuff taking in the last 12 months, five years, or 20 years.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to end deaths from asthma.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
In the initial report, Major conditions strategy: case for change and our strategic framework, the Department developed a strategic framework on how our approach to health and care delivery can evolve to improve outcomes and better meet the needs of 6 major health conditions, including those with chronic respiratory disease (CRD). As part of the overall strategy for CRD management, we have incentivised primary care, through the general practice contract, to monitor and provide support for those with chronic obstructive pulmonary disease and asthma, including through annual reviews, a personalised action plan, appropriate inhaler optimisation and advice on smoking cessation.
NHS England published the NHS Long Term Plan in 2019, which set out the commitments and objectives for the National Health Service for the next 10 years, in relation to CRD. NHS England is working with a range of partners to improve outcomes across the care pathway. This includes supporting local systems to offer NHS funded tobacco treatment services, building on the £2.3 billion investment in additional diagnostic capacity and the establishment of Community Diagnostic Centres; working with key partners to introduce a range of resources and measures that promote high quality and low carbon inhaler use; publishing a National Bundle of Care for Children and Young People with Asthma to support local systems with the management of asthma care and; widening and making access to specialist care through the delegation of specialist asthma services to ICB commissioning responsibilities.
NHS England is also focused on making more respiratory-specific data available to all regions and systems, ensuring there is greater consistency in the use of data and metrics to enable meaningful comparison, and to identify areas that may need additional support for improvement. NHS England also looks forward to the publication of the updated National Institute for Health and Care Excellence asthma guideline later this year and will promote and support its implementation.
Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many and what proportion of patients who smoke have received very brief advice on smoking cessation in NHS hospitals.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The NHS Long Term Plan includes a commitment that all people admitted to hospital who smoke, will be offered National Health Service-funded tobacco treatment services. However, the requested information on the numbers of patients receiving Very Brief Advice is not captured or reported.
Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, when she plans to publish a response to her Department's consultation on Mandating quit information messages inside tobacco packs, which closed on 10 October 2023.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Smoking is responsible for approximately 80,000 deaths a year in the United Kingdom, and causes around one in four cancer deaths in the UK. It also costs our country £17 billion a year, and puts a huge burden on the National Health Service. Alongside creating the first smokefree generation in the Tobacco and Vapes Bill, we are also scaling up our efforts to support existing smokers in quitting. We have provided an additional £70 million per year to local authority led stop smoking services, and we are investing in a new incentives programme to support pregnant women to quit. We are also providing £15 million a year to fund anti-smoking campaigns.
The Government ran a consultation on mandating informative messages about quitting smoking inside tobacco packs, which was open from 14 August 2023 to 10 October 2023. This included proposed inserts on a number of themes related to stopping smoking, such as benefits to physical and mental health, financial benefits, and how to access stop-smoking aids. We will aim to publish the response to this consultation in this parliamentary session.
Asked by: Gregory Campbell (Democratic Unionist Party - East Londonderry)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether her Department has made an assessment of the potential impact of vaping on fertility.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government has not yet assessed in detail the potential impact of vaping on fertility. A recent study reported in the media analysed blood samples from more than 8,000 women but this was not published in a medical journal and no other details of the research have been shared.
Our health advice will continue to advise all women planning to get pregnant, or who are pregnant, to stop smoking for their general health.
Overall, studies on the effects of vaping have so far shown that vapes are less harmful than smoking and can help people quit, although the long-term risks are unknown. We are exploring future opportunities with the United Kingdom research councils to examine the potential long-term harms from vaping.
To help pregnant smokers quit smoking, the Government is providing up to £10 million of investment over 2023/24 and 2024/25 via a financial incentives scheme. This evidence-based intervention, supported by behavioural support, will encourage pregnant women and their partners to quit smoking, and remain smokefree throughout pregnancy and beyond, helping to improve the health and wellbeing of both mother and baby.